Association between Participation in a Municipality-led Walking Program and Readiness for Lifestyle Improvement among Community-Dwelling Older Adults: A Retrospective Comparative Study Using Linked Administrative Data
10.4235/agmr.25.0200
- Author:
Takeshi MIURA
;
Makoto KUROKI
;
Sayuri SHIMIZU
- Publication Type:Original Article
- From:
Annals of Geriatric Medicine and Research
2026;30(2):151-160
- CountryRepublic of Korea
- Language:English
-
Abstract:
Background:Promoting physical activity among older adults is essential for extending healthy life expectancy. Municipality-led walking programs have been introduced in Japan; however, evidence of their effectiveness in promoting readiness for lifestyle improvement among older adults remains limited. We examined the association between participation in a municipality-led walking promotion program and readiness for lifestyle improvement among community-dwelling older adults.
Methods:Data of community-dwelling adults aged ≥65 years who participated in a municipality-led walking promotion program implemented in Zushi City, Japan, in 2021, were compared with those of non-participants selected from the National Health Insurance database. Behavioral readiness was evaluated using the five-stage classification of the transtheoretical model. Pre- and post-intervention stages were assessed in both groups. Associations between participation and behavioral stage were examined using ordinal logistic regression with unadjusted, basic-adjusted, and fully adjusted models, controlling for baseline stage and habitual exercise.
Results:Participants in the walking event had higher odds of being at a higher readiness stage than non-participants (unadjusted odds ratio [OR]=2.91; basic-adjusted OR=2.99; fully adjusted OR=2.98). Analyses using a dichotomized transtheoretical model variable also indicated consistently higher odds of being in the action or maintenance stages among participants.
Conclusion:Our findings suggest that short-term, municipality-led walking initiatives contribute to early-stage behavioral readiness for lifestyle improvement in older adults. They provide a valuable foundation for planning community-based health promotion and long-term care prevention strategies. Further studies are needed to evaluate similar programs across different settings and over more extended periods.
