ArticleAnnals of geriatric medicine and research2026
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.
Article in Annals of geriatric medicine and research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPromoting 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.
methodsData 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.
resultsParticipants 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.
conclusionOur 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.
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