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Papers - Oguma, Yuko

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理学療法士における身体活動指針の認知・知識と臨床活用の実態

田島敬之, 原田和弘, 齋藤義信, 武田典子, 小熊祐子

Japanese Society of physical therapy for prevention (supplement) (Japanese Society of physical therapy for prevention) 4.Suppl.No.1 ( 0 ) 120 - 120 2026.03

【はじめに、目的】厚生労働省は 2013 年に「健康づくりのための身体活動指針（アクティブガイド）」、2024 年に「健康づくりのための身体活動・運動ガイド 2023（アクティブガイド 2023）」を公表した（以下、身体活動指針）。その普及と活用は、身体活動の推進に関与する医療分野の専門職として、理学療法士にとって重要な課題である。しかしながら、この点に関して理学療法士を対象とした国内の調査はほとんど行われていない。本研究は、理学療法士における身体活動指針の認知および知識、臨床における評価・指導の実施状況、さらに身体活動指導の自信度や支援ニーズを明らかにすることを目的とした。【方法】2025 年 2 月から 3 月にかけて、本学の臨床実習施設 123 施設に勤務する理学療法士を対象に、無記名のオンライン調査を実施した。身体活動指針の認知は、純粋想起法と助成想起法で調査した。指針の知識は、推奨身体活動量 3 項目、筋力トレーニングの頻度 1 項目、座位行動に関する推奨事項 1 項目の計 5項目で構成した。さらに、臨床現場における身体活動の評価・指導の実施状況、身体活動指導に関する自信度（0 ～ 10 点）、および支援ニーズ（自由記載）について尋ねた。得られたデータは記述統計により分析した。【結果】有効回答は 192 名であり、98.5％が医療施設に勤務していた。身体活動指針を認知していた者は 19.3％、知識 5 項目をすべて正答した者は 4.2％にとどまった。身体活動評価を「常に実施している／実施することが多い」と回答した者は 64.1％であり、そのうち約 30％は活動量計などの客観的指標を使用していた。身体活動促進に焦点を当てた指導を「常に実施している / 実施するときが多い」と回答した者は 55.7％、指導に対する自信度は平均 4.8 点（標準偏差 2.1）であった。支援ニーズに関する自由記載では「、卒前・卒後教育の充実」「、簡便な評価指標の導入」、「現場で活用可能な資料・動画の提供」などが挙げられた。【考察】理学療法士における身体活動指針の認知と知識は限定的であり、臨床での評価・指導の実践にも課題を認めた。今後、身体活動の促進においては、教育機会の拡充と、現場で即応的に活用できるツールや教材の提供が不可欠である。特に、客観的な評価手法の導入と、指導に対する自信を高める支援体制の整備が、実践の質と継続性の向上に寄与すると考えられる。【倫理的配慮】本研究は東京都立大学荒川キャンパス倫理審査委員会の承認を得て実施した。対象者は調査説明文書を確認し、Web 上の同意欄にチェックを入れた上で、無記名で調査に回答を完了した者とした。

Facilitating and barrier factors at exercise initiation among older adults without exercise habits at a fitness center: a mixed-methods study

NAKAMURA Manabu, HIRATA Akihiro, DOIHARA Natsue, HIRAKAWA Kazuki, ANDO Yutaka, ITO Tomoya, IMAI Takeshi, SAITO Yoshinobu, OGUMA Yuko, ISHIDA Hiroyuki

Japanese Journal of Health Education and Promotion (JAPANESE SOCIETY OF HEALTH EDUCATION AND PROMOTION) 34 ( 1 ) 5 - 15 2026.02

ISSN 13402560

Objective: This study aimed to explore the facilitating and barrier factors at exercise initiation among older adults without exercise habits who intended to use a target fitness center and aimed to integrate these findings into facility programming.Methods: Participants were older adults aged 60–85 who attended a trial exercise session at the fitness center. Using a convergent mixed-methods design, a questionnaire survey was administered after the session to evaluate associations between exercise habits and facilitating or barrier factors at initiation. Semi-structured interviews were conducted with non-exercising older adults from the questionnaire sample to explore facilitating or barrier factors at exercise initiation. Thematic analysis using an inductive approach was performed on the verbatim transcripts, and findings from the questionnaire and interviews were integrated.Results: Fifty-nine participants completed the questionnaire (mean age 71.8 years, SD 7.6, 46 females). For facilitating factors, no significant differences were observed by exercise habit status. For barrier factors, the proportion reporting “it is troublesome” was significantly higher among those without exercise habits (P=0.024). Semi-structured interviews were conducted with nine participants (ages 61–84 years, five females). Three themes emerged as facilitators: factors that increased motivation to exercise, triggers prompting consideration of facility use, and guidance received at exercise facilities. One theme of factors decreasing motivation to exercise emerged as a barrier.Conclusion: Findings suggest that older adults without exercise habits who intend to use the fitness center seek instructor support regarding exercise-related concerns, goal setting, and perceived effectiveness.

単一運動施設における運動習慣のない高齢者の運動開始に関する促進および阻害要因の検討　混合研究法を用いて

中村学, 平田昂大, 土井原奈津江, 平川一貴, 安藤穣, 伊藤智也, 今井丈, 齋藤義信, 小熊祐子, 石田浩之

日本健康教育学会誌 ((一社)日本健康教育学会) 34 ( 1 ) 5 - 15 2026.02

ISSN 1340-2560

目的:対象の運動施設におけるプログラムへ反映するため,運動施設の利用を希望する運動習慣のない高齢者における運動開始の促進・阻害要因を探索することを目的とした.方法:対象の運動施設の運動プログラム体験会に参加した60～85歳の高齢者を対象とした.混合研究法の収斂デザインを用い,体験会後に質問紙調査を実施し,運動習慣の有無と運動開始の促進・阻害要因の関連について検討した.質問紙回答者のうち運動習慣がない高齢者を対象に運動開始の促進・阻害要因について半構造化面接を実施した.得られた逐語録から帰納的アプローチによるテーマ分析を行い,質問紙と半構造化面接の結果をまとめた.結果:質問紙調査は59名から回答を得た(平均年齢71.8歳,SD 7.6,女性46名).促進要因については運動習慣の有無で有意差がなく,阻害要因については「めんどうくさい」の回答割合が運動習慣なし群で有意に高かった(P=0.024).半構造化面接を9名(年齢61～84歳,女性5名)に実施し,運動開始の促進要因として運動する意欲を高める要因,運動施設を利用しようと思ったきっかけ,運動施設における指導の3つが挙がり,阻害要因として運動する意欲を下げる要因がテーマに挙がった.結論:対象の運動施設の利用を希望する運動習慣のない高齢者は,運動に関する不安や,目標や効果に対して,指導者のサポートを求めていることが示された.(著者抄録)

がんサバイバーにおける身体活動・運動実践の取り組み－国内外の研究・事例紹介

小熊祐子

Japanese Journal of Physical Fitness and Sports Medicine (The Japanese Society of Physical Fitness and Sports Medicine) 75 ( 1 ) 97 - 97 2026

ISSN 0039906X

「医師部会企画」あつまれ医師部会の集い～体力医学会における医師の役割を考える～

小熊祐子, 町田征己, 井上茂, 深尾宏祐, 吉川貴仁, 太田玉紀, 永富良一

Japanese Journal of Physical Fitness and Sports Medicine (The Japanese Society of Physical Fitness and Sports Medicine) 75 ( 1 ) 91 - 91 2026

ISSN 0039906X

Effects of a 5-Month Follow-Up After a 5-Week Exercise Program Using a Robotic Suit on Physical Function in Low-Fitness Older Adults

Y Koike, Y Saito, Y Oguma, T Kasukawa, S Nakamura, H Narimatsu, ...

Journal of Aging and Physical Activity 1 (aop), 1-7 (Human Kinetics) 1 - 7 2026

ISSN 1063-8652

Aim : Robotic suit-based exercises can be safely used for older adults. However, the effects of performing and discontinuing such programs on physical function remain unknown. We examined the long-term effects of a 5-week robotic suit-based exercise program on physical function in older adults with low fitness and assess the impact of exercise discontinuation during a 5-month follow-up period. Methods : We conducted a follow-up analysis of a completed randomized controlled trial. Community-dwelling older adults ( n = 75, mean age = 74.7 ± 4.4 years) participated in a 5-week hybrid assistive limb robotic suit-based exercise program. We measured six physical function tests (gait speed at usual pace, five times sit-to-stand test, timed up and go test, functional reach test, two-step test, and grip strength), and the five-question Geriatric Locomotive Function Scale score. Evaluations were conducted at baseline, postintervention, and after the 5-month follow-up. Participants were stratified into those who continued exercising during the follow-up at the intervention facility (facility-attending group) and those who discontinued (nonattending group). Results : Significant improvements were observed postintervention in all physical function, especially gait speed (effect size: Cohen’s d = 1.7), which remained higher than baseline after the follow-up period (Cohen’s d = 1.2). Most physical function declined during the follow-up period. However, participants in the facility-attending group maintained their physical function levels, with no significant decline in most measures. Conclusion : Hybrid assistive limb-based exercise improved physical function, especially gait speed. Continuous exercise postintervention is essential to maintain these improvements.

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Effectiveness and implementation of a multicomponent exercise intervention at a fitness center for older people: A hybrid type II randomized controlled trial

M Nakamura, T Imai, A Hirata, K Tabira, T Manabe, K Kikuchi, T Ito, ...

Contemporary Clinical Trials, 108283 164 108283 2026

ISSN 1551-7144

Background: The effectiveness and implementation evaluation of evidence-based interventions are critical. Purpose: This study evaluated a multicomponent exercise (MCE) program for older adults who were not engaging in regular exercise at a private fitness center. Methods: This randomized controlled trial recruited community-dwelling older adults who attended public lectures. The intervention group (IG) participated in MCE sessions that incorporated aerobics, muscle-strengthening, and balance exercises, once or twice weekly, for 12 weeks. The control group (CG) participants maintained their usual lifestyles. Physical function and activity levels were measured before and after the 12-week study period. Physical function measures included a 30-s chair stand, timed up-and-go (TUG) test, and one-leg standing test. Physical activity was evaluated using total exercise time (TET) and an accelerometer. Implementation outcomes were assessed for their reach, effectiveness, implementation, and maintenance using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. Program adherence and fidelity were also assessed. Between-group comparisons were performed using a linear mixed-effects model. Results: Of 148 lecture attendees, 65 (43.9%) participated in the study. The IG (n = 32) showed significant differences in TUG (P < 0.001) compared to baseline, with significantly better TUG test performance (P = 0.004) than the CG. There was a 75% adherence rate with 12 or more sessions attended and 81.3% (26/32) of participants in IG continued the program for 24 weeks. Conclusion: The MCE program resulted in high adherence, fidelity, and improved mobility; it also promoted physical function and continued participation among older Japanese adults.Clinical Trial RegistrationUMIN Clinical Trials Registry (UMIN-CTR ID: UMIN000050860).

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Association between changes in implementation of group exercise and incidence of frailty among Japanese non-frail older adults: 2018 and 2020 surveys including the COVID-19 …

K Tabira, Y Saito, T Tajima, H Imamura, T Manabe, Y Oguma

The Journal of Physical Fitness and Sports Medicine 15 (2), 39-49 2026

Association between physical activity and quality of life in Japanese adults aged 85 to 89 years: a cross-sectional study

Y Muramatsu, Y Oguma, Y Abe, A Hara, H Urushihara, Y Arai

BMC geriatrics 25 (1), 216 25 ( 1 ) 216 2025.12

Background: Associations between physical activity (PA) and quality of life (QOL) have usually been studied in people in their 60s and 70s, however little is known about these associations in older age groups. We aimed to examine the association between PA and QOL in Japanese adults aged 85–89 years and investigate the types of exercises/sports in this population. Methods: This cross-sectional study (n = 914) used baseline data from the Kawasaki Aging and Well-being Project (KAWP), a longitudinal cohort study of older adults aged 85–89 years. Health-related QOL and psychological well-being were assessed using the EuroQoL 5D-5L (EQ-5D-5L) and the WHO Five Well-Being Index (WHO-5), respectively. PA was objectively and subjectively measured using a triaxial accelerometer and modified Zutphen Physical Activity Questionnaire, respectively. Associations were analyzed using multivariable regression analysis. Results: Higher PA was significantly associated with a higher EQ-5D-5L index score (coefficient, 0.004; 95%CI [0.001, 0.008], standardized coefficient, 0.142). In contrast, no association was observed between PA and the WHO-5 total score (coefficient, 0.103; 95%CI [-0.066, 0.271], standardized coefficient, 0.068). Calisthenics were the most commonly performed sports or exercises (27.4% of male and 47.6% of female participants). The subgroup of participants with > median PA had a longer walking duration than their counterparts, and the following sports/exercises were more frequently performed in addition to calisthenics; resistance training and others among male participants: stretching/yoga among female participants. Conclusions: Our findings suggest that PA is associated with a better health-related QOL. However, no association was observed between PA and psychological well-being in this population. We found that calisthenics were the most commonly performed and that more physically active older adults performed several types of exercises/sports in addition to calisthenics and walking for longer durations. Since few studies have investigated the types of exercises/sports in this age group, these findings would be helpful for interventions to maintain PA and QOL in this age group. Trial registration: UMIN000026053.

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Association between near functional visual acuity and physical function in community-dwelling older adults: a cross-sectional study: Keio university global research Institute baseline survey

Manabe T., Oguma Y., Tabira K., Sugimoto M., Negishi K., Yagasaki K.

BMC Geriatrics 25 ( 1 ) 405 2025.12

Background: As the Japanese population continues to age, functional decline with aging will inevitably become more pronounced. Vision loss and decline in lifestyle and motor functions are the main causes of functional decline. To date, a few studies have examined the relationship between visual and overall physical function. Therefore, this study aimed to quantitatively investigate the relationship between loss of visual acuity and the decline of physical functionality. Methods: This cross-sectional study was based on the data of 86 community-dwelling older adults (average age ± standard deviation, 75.7 ± 5.5 years; 34 men) who participated in the October 2020–May 2022 baseline survey. Visual function was assessed based on the measurement of binocular near functional visual acuity (NFVA) using the Smart Vision Check application. Physical function tests were performed by measuring grip strength, 30-second chair stand (CS-30), Timed Up and Go (TUG), with eyes open, one-leg standing balance (OLSB), and two-step test. Multivariate regression analysis was performed to examine the association between NFVA and physical function, and partial regression coefficient (β) and 95% confidence interval (95%CI) were calculated. Results: After adjusting for all covariates, NFVA was significantly associated with grip strength (β: 3.54, 95%CI: 0.39, 6.70). Meanwhile, no association was noted between NFVA and CS-30 (β: -0.35, 95%CI: -2.68, 1.97), TUG (β: -0.23, 95%CI: -0.65, 0.19), OLSB (β: 6.13, 95%CI: -5.09, 17.35), and two-step test (β: 0.01, 95%CI: -0.05, 0.08). Conclusions: The study showed an association between quantitatively assessed visual and physical functions in community-dwelling older adults living in Japan. Thus, the findings indicate that maintaining and enhancing grip strength and visual function in older adults may be an important factor in leading a healthy and fulfilling life. Trial registration: Registration number, UMIN000041970.

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Association between cognitive function and smartphone ownership among Japanese very old adults: a cross-sectional and longitudinal study

N Takahiro, Y Oguma, H Urushihara, A Hara, T Sasaki, Y Abe, ...

BMC geriatrics 25 (1), 866 25 ( 1 ) 866 2025.12

Background: This research was conducted to investigate the association between cognitive function and smartphone ownership among very old adults, a rapidly growing age group. Additionally, we conducted a longitudinal investigation as a sub-analysis to determine whether owning a smartphone affects the level of long-term care certification as a proxy outcome for cognitive decline. Method: Data from a cross-sectional and longitudinal survey of the Kawasaki Aging and Wellbeing Project (KAWP) was used. Multivariate regression analysis was performed to examine the relationship between the Mini-Mental State Examination (MMSE) score and smartphone ownership. We also examined the association between smartphone ownership and the level of nursing care 1,278 days after the baseline. Results: Among 483 participants aged 85–90 years at baseline, 165 (46.9%) were male, and 131 (27.1%) owned a smartphone. In adjusted regression, smartphone ownership was associated with an MMSE score of ≥ 27 (odds ratio [OR]: 1.76, 95% confidence interval [CI]: 1.13–2.77), after controlling for potential confounders, including hypertension (OR: 1.65, 95% CI: 1.01–2.69). The results revealed no relationship between smartphone ownership and long-term care level. Discussion: Our results suggest that minimal cognitive decline in very old adults could make the ownership of a smartphone difficult.

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特集リハビリテーション医学・医療update 百寿時代の身体活動・運動・スポーツ

小熊祐子

整形・災害外科 (金原出版) 68 ( 10 ) 1073 - 1079 2025.09

ISSN 03874095

【リハビリテーション医学・医療update】百寿時代の身体活動・運動・スポーツ

小熊祐子

整形・災害外科 (金原出版(株)) 68 ( 10 ) 1073 - 1079 2025.09

ISSN 0387-4095

＜文献概要＞日本では平均寿命・健康寿命ともに延伸し,百寿時代を迎えているが,要介護の原因には認知症や運動器障害が多く,身体活動・運動の役割が重要である。高齢者における適切な身体活動は,死亡リスクや疾患発症リスクを低下させ,転倒・骨折・認知症予防にも効果がある。身体活動増加とともに,特に筋力トレーニングや多要素運動が有効であり,日常の座位行動を減らすことも推奨される。フレイル・サルコペニア・ロコモティブシンドロームといった加齢に伴う機能低下も,運動や栄養,社会参加によって予防・改善が可能である。地域介入の事例として「ふじさわプラス・テン」を紹介するとともに,安心・安全な運動支援体制の整備と普及が重要であること,科学的根拠に基づいた身体活動の推進が,健康長寿社会の実現に寄与することをまとめた。

【はじめてとりくむ身体活動支援(Ver.2) 健康寿命延伸のための栄養と運動】おさえておきたい理論編疾患予防と改善のための身体活動のエビデンス疾患をもつ人が運動するうえでの留意事項

小熊祐子

臨床栄養 (医歯薬出版(株)) 別冊 ( はじめてとりくむ身体活動支援 Ver.2-健康寿命延伸のための栄養と運動 ) 30 - 37 2025.08

ISSN 0485-1412

Sutainable Management for Senior Citizens'Club:Insights from 15 Years of Experiment at Club K

Natsue Doihara,Yuko Oguma

Applied Gerontology Vol.19 No.1 2025.8 (Society for Applied Gerontology-Japan) 2025.08

Research paper (scientific journal), Last author

全国の運動施設におけるリスク管理と主要心血管イベント発生の実態

黒瀬聖司, 平田昂大, 齋藤義信, 佐藤真治, 都竹茂樹, 小熊祐子

日本臨床運動療法学会誌 ((NPO)日本臨床運動療法学会) 26 ( 2 ) 9 - 16 2025.07

全国の運動施設における運動開始前の健康チェック、特に運動負荷試験の実施や利用者の健康リスクの層別化の実態を把握し、各施設での運動中における主要心血管イベント(MACE)発生の経験とその関連性について検討した。全国の運動を提供している団体等にアンケート調査を依頼し、有効回答494件を分析した。健康リスクの層別化をしている運動施設のMACE発生の経験は17/139施設(12.2%)、層別化をしていない運動施設では41/355施設(11.5%)であった。運動負荷試験の実施率は全体で7.3%であったが、医療母体の運動施設では29.6%と高かった。運動開始前の情報確認や健康チェック等のリスク管理を行っている施設はハイリスク者の利用が予想されるが、リスク層別化をしていない施設はMACE等の有害事象の促進因子になり、一方でリスク層別化をしている施設では、施設基準の取得が抑制因子になり得る可能性が示された。

地域在住高齢者の全身持久力と血圧との関連健康増進施設における複合的トレーニング実践者を対象とした縦断研究

齋藤義信, 田中あゆみ, 平田昂大, 小熊祐子

日本臨床スポーツ医学会誌 ((一社)日本臨床スポーツ医学会) 33 ( 2 ) 257 - 266 2025.04

ISSN 1346-4159

(目的)健康増進施設で複合的トレーニングを実践する高齢者の全身持久力と血圧との関連を縦断的に検討すること.(方法)対象は,藤沢市保健医療センターで複合的トレーニングを実践する高齢者585人(男性244人:平均年齢71.0(標準偏差6.8)歳,女性341人:67.8(7.3)歳)であった.2017年から2021年の5時点のうち,2時点以上取得可能であったメディカルチェックデータを用いた.統計解析は線形混合効果モデルを用い,1時点あたりの血圧値の変化を推定した.収縮期血圧,拡張期血圧,脈圧を従属変数,全身持久力(最高酸素摂取量)を独立変数,年齢,肥満有無,喫煙有無を調整変数としたモデル1,モデル1に降圧剤服用有無を加えたモデル2による分析を性別に実施した.(結果)取得したメディカルチェックの回数は,2回が最も多かった(男性42.6%,女性51.6%).最高酸素摂取量の増加が収縮期血圧の低下に影響することが示された(モデル1:男女,モデル2:女性のみ),拡張期血圧では関連を認めなかった.脈圧では両モデルにおいて男女ともに有意な関連が認められ,モデル2においては,最高酸素摂取量が1mL/kg/min増加することによって男性0.27mmHg,女性0.45mmHgの脈圧低下が認められた.(結語)地域在住高齢者において,全身持久力の増加が収縮期血圧と脈圧の低下に影響することが示された.(著者抄録)

身体活動指針の提示が日本人成人の知識・信念・意図・行動の変容に及ぼす影響：無作為化比較試験

田島敬之, 原田和弘, 齋藤義信, 武田典子, 小熊祐子

Japanese Society of physical therapy for prevention (supplement) (Japanese Society of physical therapy for prevention) 3.Suppl.No.1 ( 0 ) 25 - 25 2025.03

【背景】国民の身体活動実践を支援するツールとして，厚生労働省が2013年に策定した「健康づくりのための身体活動指針(アクティブガイド)」(現指針)があり，現在は新指針へ改訂作業中である．これらの指針の認知し，理解することは，身体活動の信念や行動意図を介して身体活動の促進に寄与できる可能性がある．ただしこの仮説は横断的検討に留まり，因果関係が明確でない．本研究では，指針の提示が知識，信念，行動意図，身体活動量に及ぼす影響を検証した．【方法】社会調査会社の登録モニターを無作為抽出し，適格基準(20歳～64歳の男女，現指針の認知がなく身体活動制限のない者)を満たす1333名を対象とした．介入前(T1)調査では，指針の知識，身体活動の信念，行動意図，身体活動量，ヘルスリテラシー，個人属性をオンライン上で調査した．その後，現指針提示群，新指針案提示群(厚労科研研究班案)，食事バランスガイド提示群(対照群)に無作為割付し，提示資料の熟読を求めた．介入直後(T2)と1週間後(T3)調査では，知識，信念，行動意図をオンライン上で再調査し，T3時点は身体活動量も調査した．統計解析は，知識，信念，行動意図，身体活動量をアウトカムとし，提示群，時点，提示群×時点の交互作用項，ならびに調整変数に個人属性を投入した線形混合モデルを実施した．さらに指針の提示が知識の変容を媒介して，信念，行動意図，身体活動量の変容に影響を及ぼすか共分散構造分析で検討した．【結果】現指針提示群は対照群よりT2時点の知識と行動意図， T3時点の知識と余暇身体活動時間が有意に高かった．加えて知識の変容は，信念，行動意図，身体活動の変容をもたらしたが，知識，信念の変容に及ぼす影響は，ヘルスリテラシーが低い群で顕著であった．一方，新指針案提示群は対照群よりT2時点の知識が有意に高かったが，知識の変容と信念，行動意図，身体活動の変容との関係は明確でなかった．【結論】現指針の提示は，知識，信念，行動意図の変容を介して身体活動の促進に寄与できる可能性がある．ただしヘルスリテラシーが知識，信念の変容に修飾作用を及ぼす可能性があり，指針を活用した身体活動介入ではこの点に留意が必要かもしれない．一方で新指針案の提示は，介入直後の知識の向上に寄与するに留まった．本研究で用いた新指針案は最終版ではないため，さらなる改良を経て行動変容の促進に寄与できる指針となることが期待される．【倫理的配慮】本研究は，神戸大学大学院人間発達環境学研究科倫理審査委員会の承認を得て実施した (承認番号：709)．インターネットによるアンケート調査の最初のページ (Web 画面)で，本研究の説明した画面を提示し，内容を十分理解した上で研究参加に同意が得られる場合のみ，次ページ以降のアンケート画面に進むよう教示した．

What policies do local governments use to promote physical activity? A comparative analysis of municipalities from 4 EU countries and Japan

S Messing, AN Racine, N Takeda, T Onatsu, K Tuunanen, A Papiu, ...

International journal of health policy and management 14 ( 1 ) 8594 2025

Accepted

Background: As public policies have the potential to change the entire system of physical activity (PA) promotion and to create conducive environments, they are particularly relevant to address the persistently low levels of PA across the world. Furthermore, World Health Organization’s (WHO’s) Global Action Plan on Physical Activity highlights the relevance of local governments as important partners for policy action. However, our knowledge on how local PA promotion policy compares across countries remains limited. Methods: We conducted an exploratory study as part of the LoGoPAS project to compare the status quo of local PA policies across five municipalities in five different countries. Using purposive sampling, Jyväskylä (Finland), Nice (France), Erlangen (Germany), Fujisawa (Japan), and Cluj-Napoca (Romania) were selected. Data were collected and analysed via desk research and expert consultation using the CAPLA-Santé, a validated tool designed to assess relevant aspects of local PA promotion policies. Results: The analysis showed that the main responsibility for PA promotion varied between municipalities, resting either with the sport or the health sector. A total of 50 relevant PA policy documents were identified, focusing on multiple settings and target groups. Budgets for PA promotion differed across municipalities. Research on PA was reported to have informed policy development in some but not all cases. Across countries, political support was identified as a key driver of local PA promotion. Conclusion: LoGoPAS is the first study to apply the CAPLA-Santé outside of France and the first to use it for an international comparative analysis. Results highlight the ability of the tool to provide insights into local PA policy development, contents, and implementation worldwide. While this study provided a cross-sectional in-depth analysis of the status quo in select municipalities, future research could also aim to assess policies at a large scale, ie, for multiple municipalities and/or on a regular basis.

Assessment of adverse events and near-misses during voluntary sports by Japanese middle-aged and older adults: 14-month prospective study

A Hirata, Y Oguma, T Hashimoto

The Journal of Physical Fitness and Sports Medicine 14 (2), 33-41 (The Japanese Society of Physical Fitness and Sports Medicine) 14 ( 2 ) 33 - 41 2025

ISSN 21868131

This study aimed to prospectively record the occurrence of adverse events and near-misses during sports in middle-aged and older adults who voluntarily engaged in sports in the community and to clarify the frequency and characteristics of such events. Participants were comprised of 14 groups (14 sports) of middle-aged and older adults who voluntarily played sports in Sakae Ward, Yokohama. The follow-up period was 14 months (November 1, 2022, to December 31, 2023). Representatives of the target groups reported once a month to Sakae Ward via postcards regarding the status of their activities and the occurrence of adverse events and near-misses. The survey items included the age of the main participants in each group, number of activities during the month, duration of each activity, number of participants per activity, adverse events, and near-misses during sports. During the 14-month observation, eight adverse events and two near-misses were reported in the 14 groups, mainly comprising middle-aged and older adults. Of the eight adverse events, four were falls, all occurring in those aged ≥70 years and triggered by environmental problems. In this study, there were only two near-misses compared to eight adverse events, suggesting that the participants may have been unaware of near-misses. Therefore, even for sports played by groups of residents, it is important to identify risks by assessing health conditions prior to exercise and to implement initiatives to foster safety awareness among participants, such as hazard prediction training.

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