| Unique ID issued by UMIN | UMIN000062705 |
|---|---|
| Receipt number | R000071797 |
| Scientific Title | Construction and application of a smart aging exercise promotion system in community parks |
| Date of disclosure of the study information | 2026/08/27 |
| Last modified on | 2026/08/27 02:34:39 |
Individualized Prescription Using Outdoor Fitness Equipment: A Two-Phase Intervention Study in Older Adults
OFE-Intervention
Construction and application of a smart aging exercise promotion system in community parks
SmartAging-Park
| Asia(except Japan) |
Healthy older adults; community-dwelling older adults aged 65 years and above
| Geriatrics |
Others
NO
This study aimed to examine the effects of a two-phase community park outdoor fitness equipment (OFE) intervention on physical function and the sustainability of physical activity behaviour among community-dwelling older adults. Phase 1 investigated the effects of a 12-week structured supervised OFE exercise program on body composition and physical function. Phase 2 evaluated whether individualized exercise prescription provided following program completion could promote continued autonomous OFE engagement and produce superior physical function outcomes compared with a control group.
Efficacy
Confirmatory
Physical function assessed by grip strength (kg), 5 Times Sit-to-Stand (seconds), 3m Timed Up and Go (seconds), 3m walking speed (m/s), and 6m walking speed (m/s), measured at baseline, post-intervention (12 weeks), and 6-week follow-up (18 weeks).
Body composition including Body Fat Percentage (%), Body Mass Index (kg/m2), and Appendicular Skeletal Muscle Mass Index (kg), measured via Bioelectric Impedance Analysis at baseline, 12 weeks, and 18 weeks.
Autonomous practice frequency during Phase 2 (6-week follow-up), assessed by park visit frequency (number of visits) and mean session duration (minutes) recorded via an electronic key fob-based clock-in system.
Interventional
Parallel
Randomized
Individual
Open -no one is blinded
No treatment
YES
NO
Institution is not considered as adjustment factor.
YES
Numbered container method
2
Prevention
| Behavior,custom |
Phase 1 (Weeks 1-12): All participants received a 12-week structured supervised OFE exercise program, delivered twice weekly. Each session lasted approximately 90 minutes, incorporating muscular strength, cardiorespiratory endurance, balance, and flexibility training using outdoor fitness equipment. Phase 2 (Weeks 13-18): The experimental group (EG) received an individualized exercise prescription based on their Phase 1 post-intervention physical function assessment results, targeting areas of relative weakness in upper limb strength, lower limb strength, or balance.
Phase 1 (Weeks 1-12): Same as the experimental group. Phase 2 (Weeks 13-18): The control group (CG) had ongoing unsupervised access to the outdoor exercise park without receiving any individualized exercise prescription.
| 65 | years-old | <= |
| Not applicable |
Male and Female
Aged 65 years or older and community-dwelling (not residing in institutional settings such as nursing homes)
Capable of independent ambulation without the assistance of others or the use of mobility aids
Completion of the Physical Activity Readiness Questionnaire (PAR-Q+) with no major medical conditions, use of antidepressant medications, or diagnosis of Alzheimer's disease
Not concurrently enrolled in any other structured exercise programs during the study period
Residing in institutional settings (e.g., nursing homes)
Requiring mobility aids or assistance from others for ambulation
Diagnosed with major medical conditions, currently using antidepressant medications, or diagnosed with Alzheimer's disease (unless medical clearance obtained)
Concurrently enrolled in other structured physical activity programs
48
| 1st name | Shao-Hsi |
| Middle name | |
| Last name | Chang |
National Taiwan Normal University
Department of Physical Education and Sports Sciences
106
162, Heping East Road Section 1, Taipei, Taiwan
+886-2-2369-1966
t08016@ntnu.edu.tw
| 1st name | Yi-Chien |
| Middle name | |
| Last name | Yu |
Tunghai University
Department of Physical Education
407224
No. 1727, Sec. 4, Taiwan Boulevard, Xitun District, Taichung City, Taiwan (R.O.C.)
04-23590121
https://resume.thu.edu.tw/portfolio/main/yichien/B00
yichien@thu.edu.tw
National Taiwan Normal University, Department of Physical Education and Sports Sciences
National Science and Technology Council, Taiwan
Government offices of other countries
Research Ethics Center, National Taiwan Normal University
162, Heping East Road Section 1, Taipei, Taiwan
+886-2-7749-1903
ntnurec@ntnu.edu.tw
NO
| 2026 | Year | 08 | Month | 27 | Day |
Not applicable
Unpublished
Not applicable
43
Phase 1 (n=39): Significant improvements in grip strength, 3m TUG, and 3m walking speed (p<.05). No significant changes in 5 Times Sit-to-Stand and 6m walking speed (p>.05). Body fat percentage and BMI increased significantly (p<.01). Phase 2 (EG: n=18, CG: n=18): EG demonstrated significantly greater appendicular muscle mass (p=.015), lower limb muscle strength by 5 Times Sit-to-Stand (p=.020), and longer mean autonomous practice duration (p=.032) compared with CG.
| 2026 | Year | 08 | Month | 27 | Day |
A total of 39 participants completed Phase 1 assessments (mean age: 70.4 +/- 4.7 years; 84.6% women). Educational level ranged from primary school to college or above. Fall history in the preceding year was reported by 43.6% of participants. For Phase 2, 36 participants completed follow-up assessments (EG: n=18, CG: n=18). No statistically significant between-group differences were observed at baseline for any sociodemographic variable (all p>.05).
50 older adults were screened. 43 enrolled following the introductory session. Phase 1: 4 participants withdrew (3 due to personal reasons, 1 sustained a fall at home before post-testing), yielding 39 participants for analysis (attrition rate: 9.30%). 2 participants were excluded from body composition assessments due to implanted cardiac stents (n=37 for body composition; n=39 for all other measures). Phase 2: 3 additional participants withdrew due to COVID-19 diagnosis or accidental injury, leaving 36 participants (EG: n=18, CG: n=18). Body composition data available for 33 participants (EG: n=16, CG: n=17).
One participant sustained a fall at home the day before post-testing and was unable to complete Phase 1 post-intervention assessment. No intervention-related adverse events or injuries occurred during the structured exercise sessions. No sessions were cancelled due to inclement weather or excessive heat during the intervention period.
Primary outcomes: Physical function assessed by grip strength (kg), 5 Times Sit-to-Stand (seconds), 3m Timed Up and Go (seconds), 3m walking speed (m/s), and 6m walking speed (m/s), measured at baseline, post-intervention (12 weeks), and 6-week follow-up (18 weeks). Secondary outcomes: (1) Body composition including Body Fat Percentage (%), Body Mass Index (kg/m2), and Appendicular Skeletal Muscle Mass Index (kg), measured via Bioelectric Impedance Analysis at baseline, 12 weeks, and 18 weeks. (2) Autonomous practice frequency during Phase 2, assessed by park visit frequency (number of visits) and mean session duration (minutes) recorded via an electronic key fob-based clock-in system.
Completed
| 2020 | Year | 12 | Month | 29 | Day |
| 2021 | Year | 01 | Month | 18 | Day |
| 2022 | Year | 05 | Month | 01 | Day |
| 2022 | Year | 11 | Month | 30 | Day |
| 2022 | Year | 11 | Month | 30 | Day |
| 2022 | Year | 11 | Month | 30 | Day |
| 2024 | Year | 06 | Month | 30 | Day |
This trial was retrospectively registered. Data collection was completed in 2022. The study was conducted at Sanmin Park, Sanchong District, New Taipei City, Taiwan. IRB approval was obtained from the Research Ethics Center of National Taiwan Normal University (REC number: 202012HM028, approval date: January 18, 2021).
| 2026 | Year | 08 | Month | 27 | Day |
| 2026 | Year | 08 | Month | 27 | Day |
Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000071797