Multihealth Promotion Programs on Physical Health and Quality of Life in Older Adults: Quasi-Experimental Study

BackgroundPhysical activity and appropriate nutrition are essential for older adults. Improving physical health and quality of life can lead to healthy aging. ObjectiveThis study aims to investigate the long-term effects of multihealth promotion programs on the ph...

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Main Authors: Li-Yun Lee, Heng-Hsin Tung, George Liao, Su-Ju Liu, Zi-Yu Chen, Yea-Ru Yang
Format: Article
Language:English
Published: JMIR Publications 2025-05-01
Series:Interactive Journal of Medical Research
Online Access:https://www.i-jmr.org/2025/1/e65213
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author Li-Yun Lee
Heng-Hsin Tung
George Liao
Su-Ju Liu
Zi-Yu Chen
Yea-Ru Yang
author_facet Li-Yun Lee
Heng-Hsin Tung
George Liao
Su-Ju Liu
Zi-Yu Chen
Yea-Ru Yang
author_sort Li-Yun Lee
collection DOAJ
description BackgroundPhysical activity and appropriate nutrition are essential for older adults. Improving physical health and quality of life can lead to healthy aging. ObjectiveThis study aims to investigate the long-term effects of multihealth promotion programs on the physical and mental health of older adults in communities. MethodsA quasi-experimental method was used to recruit 112 older adults voluntarily from a pharmacy in central Taiwan between April 2021 and February 2023. Participants were divided into an experimental group receiving a multihealth promotion program and a control group with no specific intervention. The study measured frailty, nutritional status, well-being, and quality of life using standardized tools such as the Clinical Frailty Scale (CFS), Mini-Nutritional Assessment-Short Form (MNA-SF), Well-being Scale for Elders, and the EQ-5D-3L. Data were analyzed using descriptive statistics, independent t tests, Pearson correlation, and generalized estimating equations. ResultsA total of 112 participants were recruited. There were 64 (57.1%) in the experimental group and 48 (42.9%) in the control group. The experimental group exhibited significantly better quality of life (EQ-5D index) at weeks 12 (β=–.59; P=.01) and 24 (β=–.44; P=.04) compared to the control group. The experimental group muscle mass significantly increased at weeks 24 (β=4.29; P<.01) and 36 (β=3.03; P=.01). Upper limb strength improved significantly at weeks 12 (β=3.4; P=.04) and 36 (β=5; P=.01), while core strength showed significant gains at weeks 12 (β=4.43; P=.01) and 36 (β=6.99; P<.01). Lower limb strength increased significantly only at week 12 (β=4.15; P=.01). Overall physical performance improved significantly at weeks 12 (β=5.47; P<.01), 24 (β=5.17; P<.01), and 36 (β=8.79; P<.01). ConclusionsThe study’s findings highlight the practical benefits of interventions, including physical and social activities and nutritional support, in enhancing the quality of life and general physical health of older adults. This study’s findings have significant implications for clinical practice. These findings can aid in the establishment of effective interventions for older adults. Trial RegistrationClinicalTrials.gov NCT05412251; https://clinicaltrials.gov/study/NCT05412251
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spelling doaj-art-445dd0fd3ecf483c9565ff7d1523b86e2025-08-20T02:13:27ZengJMIR PublicationsInteractive Journal of Medical Research1929-073X2025-05-0114e6521310.2196/65213Multihealth Promotion Programs on Physical Health and Quality of Life in Older Adults: Quasi-Experimental StudyLi-Yun Leehttps://orcid.org/0000-0002-1873-944XHeng-Hsin Tunghttps://orcid.org/0000-0001-9843-9924George Liaohttps://orcid.org/0009-0009-0601-6728Su-Ju Liuhttps://orcid.org/0009-0002-5948-0427Zi-Yu Chenhttps://orcid.org/0009-0000-6427-7787Yea-Ru Yanghttps://orcid.org/0000-0003-1548-3511 BackgroundPhysical activity and appropriate nutrition are essential for older adults. Improving physical health and quality of life can lead to healthy aging. ObjectiveThis study aims to investigate the long-term effects of multihealth promotion programs on the physical and mental health of older adults in communities. MethodsA quasi-experimental method was used to recruit 112 older adults voluntarily from a pharmacy in central Taiwan between April 2021 and February 2023. Participants were divided into an experimental group receiving a multihealth promotion program and a control group with no specific intervention. The study measured frailty, nutritional status, well-being, and quality of life using standardized tools such as the Clinical Frailty Scale (CFS), Mini-Nutritional Assessment-Short Form (MNA-SF), Well-being Scale for Elders, and the EQ-5D-3L. Data were analyzed using descriptive statistics, independent t tests, Pearson correlation, and generalized estimating equations. ResultsA total of 112 participants were recruited. There were 64 (57.1%) in the experimental group and 48 (42.9%) in the control group. The experimental group exhibited significantly better quality of life (EQ-5D index) at weeks 12 (β=–.59; P=.01) and 24 (β=–.44; P=.04) compared to the control group. The experimental group muscle mass significantly increased at weeks 24 (β=4.29; P<.01) and 36 (β=3.03; P=.01). Upper limb strength improved significantly at weeks 12 (β=3.4; P=.04) and 36 (β=5; P=.01), while core strength showed significant gains at weeks 12 (β=4.43; P=.01) and 36 (β=6.99; P<.01). Lower limb strength increased significantly only at week 12 (β=4.15; P=.01). Overall physical performance improved significantly at weeks 12 (β=5.47; P<.01), 24 (β=5.17; P<.01), and 36 (β=8.79; P<.01). ConclusionsThe study’s findings highlight the practical benefits of interventions, including physical and social activities and nutritional support, in enhancing the quality of life and general physical health of older adults. This study’s findings have significant implications for clinical practice. These findings can aid in the establishment of effective interventions for older adults. Trial RegistrationClinicalTrials.gov NCT05412251; https://clinicaltrials.gov/study/NCT05412251https://www.i-jmr.org/2025/1/e65213
spellingShingle Li-Yun Lee
Heng-Hsin Tung
George Liao
Su-Ju Liu
Zi-Yu Chen
Yea-Ru Yang
Multihealth Promotion Programs on Physical Health and Quality of Life in Older Adults: Quasi-Experimental Study
Interactive Journal of Medical Research
title Multihealth Promotion Programs on Physical Health and Quality of Life in Older Adults: Quasi-Experimental Study
title_full Multihealth Promotion Programs on Physical Health and Quality of Life in Older Adults: Quasi-Experimental Study
title_fullStr Multihealth Promotion Programs on Physical Health and Quality of Life in Older Adults: Quasi-Experimental Study
title_full_unstemmed Multihealth Promotion Programs on Physical Health and Quality of Life in Older Adults: Quasi-Experimental Study
title_short Multihealth Promotion Programs on Physical Health and Quality of Life in Older Adults: Quasi-Experimental Study
title_sort multihealth promotion programs on physical health and quality of life in older adults quasi experimental study
url https://www.i-jmr.org/2025/1/e65213
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