Impact of three exercise programs on physical fitness and coping and adaptation process in elderly adults
DOI:
https://doi.org/10.47197/retos.v71.114005Keywords:
Ageing, functional capacity, multimodal exercise, adaptation, elderly adultsAbstract
Background/Objectives: The global population ageing has increased the prevalence of chronic diseases and disabilities, thereby affecting the quality of life of elderly adults. Exercise interventions have been proven effective in enhancing the functional capacity of this population. The aim was to assess the effect of three exercise programs on physical fitness and the coping and adaptation process in elderly adults.
Methods: A quasi-experimental study was conducted with 450 adults aged 60 years or older, randomly assigned to three intervention groups. The Senior Fitness Test was used to assess physical fitness, and Roy’s Coping and Adaptation Processing Scale was used to measure coping and adaptation. The data were analyzed using linear mixed models.
Results: Multimodal intervention was significantly more effective in improving muscle strength, specifically in the Sitting-Rising and Push-Up tests. However, no significant improvements in flexibility or aerobic fitness were observed. Age was a determining factor, with lower performance observed in physical tests as age increased. There were no significant improvements in the coping and adaptation process, although an overall improvement in adaptation was observed in the intermediate age ranges.
Conclusions: Multimodal training emerges as the most effective intervention for improving muscle strength in elderly adults. However, a lack of improvement in flexibility and aerobic fitness may suggest the need for more specific interventions. Age negatively impacted physical performance, underscoring the importance of tailoring exercise programs to this population.
References
Aguilar-Robles, I. S., & Ketil-Pabón, C. A. (2025). Impacto de la inactividad física en el metabolismo muscular de los adultos mayores, Ibarra-Salinas, 2024: Impacto de la inactividad física en el metabolismo muscular de los adultos mayores, Ibarra-Salinas, 2024. HOLOPRAXIS. Revista De Ciencia, Tecnología E Innovación, 9(1), 214–228. doi.org/10.61154/holopraxis.v9i1.3881
Arayici, M. E., Kose, A., Dolu, S., Gultekin Arayici, S., Gedik, G., Kilic, B. N., & Erkin, O. (2025). Epidemiological Assessment of Depression, Activities of Daily Living and Associated Factors in Elderly Individuals Aged 65 Years and Older: Evidence from a Population-Based Study. Journal of Clinical Medicine, 14(8), 2853. https://doi.org/10.3390/jcm14082853
Barón Barón, A. C., Fernandez Ortega, J. A., & Camargo Rojas, D. A. (2024). Efectos de dos programas de entrenamiento de fuerza sobre la capacidad física funcional y activación muscular en un grupo de adultos mayores (Effects of two strength training programs on functional physical capacity and muscle activation in a group of older adults). Retos, 51, 741–748. doi.org/10.47197/retos.v51.99901
Bonilla-Cruz, L., Romero, L. C., & Moreno, M. M. (2025). Responsabilidad Social Empresarial en México: Un Pilar en la Calidad de Vida del Adulto Mayor. 593 Digital Publisher CEIT, 10(1), 765-773.
Bouaziz, W., Lang, P. O., Schmitt, E., Kaltenbach, G., Geny, B., & Vogel, T. (2016). Health benefits of multicomponent training programs in seniors: a systematic review. International Journal of Clinical Practice, 70(7), 520–536. doi:10.1111/ijcp.12822
Chen, L. (2025).Effectiveness of the Roy adaptation model-based nursing intervention in improving physiological, psychological, and social outcomes in patients with Parkinson’s disease. BMC Neurol 25, 219. doi.org/10.1186/s12883-025-04232-2
Chow, B.-C., Jiao, J., Man, D., & Lippke, S. (2022). Study protocol for ‘the effects of multimodal training of cognitive and/or physical functions on cognition and physical fitness of older adults: a cluster randomized controlled trial’. BMC Geriatrics, 22(1). doi:10.1186/s12877-022-03031-5
Courel-Ibáñez, J., Buendía-Romero, Á., Pallarés, J. G., García-Conesa, S., Martínez-Cava, A., & Izquierdo, M. (2022). The impact of tailored multicomponent exercise for preventing weakness and falls on nursing home residents’ functional capacity. Journal of the American Medical Directors Association, 23(1), 98-104.e3. doi:10.1016/j.jamda.2021.05.037
Cosarderelioglu, C., Walston, J.D., & Abadir, P.M. (2025) From frailty to resilience: exploring adaptive capacity and reserve in older adults–a narrative review. Front. Aging 6:1520842. doi: 10.3389/fragi.2025.1520842
Di Lorito, C., Long, A., Byrne, A., Harwood, R. H., Gladman, J. R. F., Schneider, S., … van der Wardt, V. (2021). Exercise interventions for older adults: A systematic review of meta-analyses. Journal of Sport and Health Science, 10(1), 29–47. doi:10.1016/j.jshs.2020.06.003
Fiallos Flores, J. I. (2025). La actividad física recreativa y su relación con el bienestar en adultos mayores. MENTOR Revista De investigación Educativa Y Deportiva , 4(10), 715–734. doi.org/10.56200/mried.v4i10.9190
Fried, L. P., Ferrucci, L., Darer, J., Williamson, J. D., & Anderson, G. (2004). Untangling the concepts of disability, frailty, and comorbidity: implications for improved targeting and care. The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences, 59(3), 255–263. doi:10.1093/gerona/59.3.m255
Gaviria Chavarro, J., Zambrano Bermeo, R. N., Rojas Padilla, I. C., & Gómez Gaviria, M. L. (2025). Ejercicio físico y envejecimiento saludable; impacto sobre el bienestar general y la aptitud física en adultos mayores. Retos, 65, 445–457. https://doi.org/10.47197/retos.v65.104232
Guillem-Saiz, J., Wang, Y., Piedrahita-Valdés, H, Guillem-Saiz, P. & Saiz-Sánchez, C. (2021). Evaluation of a Physical Activity Program in Non-Institutionalized Older Adults. Apunts Educación Física y Deportes, 145, 1-8. doi.org/10.5672/apunts.2014-0983.es.(2021/3).145.01
Jiménez Arteaga, M. E., & Coromina Pozo, N. (2025). Acciones educativas para atender la autovaloración del adulto mayor. Chone, Ciencia Y Tecnología, 3(1). doi.org/10.56124/cct.v3i1.002
Keogh, J. W. L., Kilding, A., Pidgeon, P., Ashley, L., & Gillis, D. (2009). Physical benefits of dancing for healthy older adults: a review. Journal of Aging and Physical Activity, 17(4), 479–500. doi:10.1123/japa.17.4.479
Landi, F., Calvani, R., Tosato, M., Martone, A. M., Ortolani, E., Savera, G., … Marzetti, E. (2016). Anorexia of aging: Risk factors, consequences, and potential treatments. Nutrients, 8(2), 69. doi:10.3390/nu8020069
Leite Junior, V. d. O., Vieira, G. G., Lima, K. S., Costa, S. M., Carvalho, A. R. B. d., Soeiro, V. M. d. S., Silva Caldas, A. C., Abreu Lima, R., Ribeiro Azevedo, P., Silva Dias, R., & Alves de Sousa, S. d. M. (2025). Quality of Life and Its Determinants in Older Adults with Intestinal Stomas: A Cross-Sectional Study. International Journal of Environmental Research and Public Health, 22(3), 375. https://doi.org/10.3390/ijerph22030375
Mariam, H. J. L., Monserrat, C. T., Sinaí, G. G., Ariana, M. S., & Benjamín, L. N. (2025). Relación del Nivel de Ansiedad y Adaptación de los adultos mayores en 3 comunidades de Hidalgo. REVISTA FOCO, 18(3), e8132. doi.org/10.54751/revistafoco.v18n3-147
Merom, D., Ding, D., & Stamatakis, E. (2016). Dancing participation and cardiovascular disease mortality: A pooled analysis of 11 population-based British cohorts. American Journal of Preventive Medicine, 50(6), 756–760. doi:10.1016/j.amepre.2016.01.004
Moreno-Fergusson, M. E., Alvarado-García, A. M., (2009). Analisis de los conceptos del Modelo De Adaptación De Callista Roy. Revista Aquichan, 1657, 5997
Navarra, G. A., Tabacchi, G., Scardina, A., Agnese, M., Thomas, E., Bianco, A., … Bellafiore, M. (2023). Functional fitness, lifestyle and demographic factors as predictors of perceived physical and mental health in older adults: A structural equation model. PloS One, 18(9), e0290258. doi:10.1371/journal.pone.0290258
Nelson, M. E., Rejeski, W. J., Blair, S. N., Duncan, P. W., Judge, J. O., King, A. C., … Castaneda-Sceppa, C. (2007). Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association: Recommendation from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39(8), 1435–1445. doi:10.1249/mss.0b013e3180616aa2
Prince, M. J., Wu, F., Guo, Y., Gutierrez Robledo, L. M., O’Donnell, M., Sullivan, R., & Yusuf, S. (2015). The burden of disease in older people and implications for health policy and practice. Lancet, 385(9967), 549–562. doi:10.1016/S0140-6736(14)61347-7
Salas Valenzuela, R. G. (2025). Actividad física recreativa en adultos mayores. Revista Ciencias De La Educación Y El Deporte, 3(1), 149–160. doi.org/10.70262/rced.v3i1.2025.84
Shahtahmassebi, B., Hatton, J., Hebert, J. J., Hecimovich, M., Correia, H., & Fairchild, T. J. (2022). The effect of the inclusion of trunk-strengthening exercises to a multimodal exercise program on physical activity levels and psychological functioning in older adults: secondary data analysis of a randomized controlled trial. BMC Geriatrics, 22(1). doi:10.1186/s12877-022-03435-3
Sherrington, C., Whitney, J. C., Lord, S. R., Herbert, R. D., Cumming, R. G., & Close, J. C. T. (2008). Effective exercise for the prevention of falls: a systematic review and meta-analysis: Effective exercise for the prevention of falls. Journal of the American Geriatrics Society, 56(12), 2234–2243. doi:10.1111/j.1532-5415.2008.02014.x
Terela, N. D. (2025). A Concept Analysis of Resilience Using Roy’s Adaptation Model. Nursing Science Quarterly, 38(3), 311-315. doi.org/10.1177/089431842513352
Vinaccia, S., Castelblanco-Toro, S. M., Quiceno, J. M., & del Rosario Vargas, M. (2025). Ikigai (purpose in life) and quality of life in older adults in socially disadvantaged conditions within a rural Colombian context. Revista Española de Geriatría y Gerontología, 60(5), 101657. doi.org/10.1016/j.regg.2025.101657
Whitehead, B. R., & Blaxton, J. M. (2017). Daily well-being benefits of physical activity in older adults: Does time or type matter? The Gerontologist, 57(6), 1062–1071. doi:10.1093/geront/gnw250
World Health Organization (s/f). Envejecimiento y salud. http://www.who.int/es/news-room/fact-sheets/detail/ageing-and-health
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