{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T23:12:22Z","timestamp":1787008342686,"version":"build-2736575974"},"reference-count":46,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T00:00:00Z","timestamp":1765756800000},"content-version":"vor","delay-in-days":17,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Research Grants Council of Hong Kong","award":["CUHK 24618722"],"award-info":[{"award-number":["CUHK 24618722"]}]},{"name":"Academic Grant of Lee Woo Sing College at The Chinese University of Hong Kong"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,11,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Older adults in long-term care (LTC) face accelerated functional decline due to frailty, affecting mobility and quality of life (QoL). Upper-body strength is crucial for daily activities and injury prevention, yet conventional physical activity (PA) programs often overlook it. This cluster randomised controlled trial evaluated Mobility-Fit, a 12-week multicomponent PA program emphasising upper-limb and core strength among LTC residents.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty LTC facilities were randomised into the Mobility-Fit (10 facilities, n\u2009=\u200973) or control (10 facilities, n\u2009=\u200973) group. Mobility-Fit included agility, balance and resistance exercises (3 times\/week, 45\u00a0minutes), tailored to participants\u2019 functional capacity. The control group received standard care with lower-limb exercises, delivered with the same frequency. Outcomes included upper- and lower-limb strength, postural sway, reaction time, mobility (Short Physical Performance Battery), frailty (FRAIL-Nursing Home), fall risk (Longitudinal Aging Study Amsterdam fall risk profile questionnaire, LASA) and QoL [EuroQol (EQ)-5D]. An intention-to-treat analysis with generalised estimating equations was conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Participants (median age\u2009=\u200986, 60% female) exhibited high adherence (83.3%). Mobility-Fit demonstrated superior improvements in elbow extension strength [\u03b2\u2009=\u20090.50, 95% confidence interval 0.26\u20133.89] and QoL (EuroQol five-dimension questionnaire utility: \u03b2\u2009=\u20090.17, P\u2009&amp;lt;\u2009.001; EQ-Visual Analogue Scale: \u03b2\u2009=\u20097.13, P\u2009=\u2009.006). Both groups improved lower-limb strength (knee extension: \u03b2\u2009=\u20092.72, P\u2009&amp;lt;\u2009.001) and mobility (Sit-To-Stand time: \u03b2\u2009=\u2009\u22123.69, P\u2009&amp;lt;\u2009.001), with a reduced LASA score (\u03b2\u2009=\u2009\u22121.20, P\u2009&amp;lt;\u2009.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Mobility-Fit effectively enhanced upper-limb strength and QoL in LTC residents. Both groups showed improvements in lower-limb strength and mobility, highlighting the universal benefits of structured PA. The program addresses a critical gap by demonstrating the value of integrating upper-body training into standard care to promote holistic well-being.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/ageing\/afaf349","type":"journal-article","created":{"date-parts":[[2025,11,29]],"date-time":"2025-11-29T12:57:15Z","timestamp":1764421035000},"source":"Crossref","is-referenced-by-count":2,"title":["Effects of Mobility-Fit, a tailored multicomponent physical activity program with upper-limb emphasis, on strength, mobility and fall risk among older adults in long-term care: a cluster randomised controlled trial"],"prefix":"10.1093","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8541-1842","authenticated-orcid":false,"given":"Ziwei","family":"Zeng","sequence":"first","affiliation":[{"name":"Department of Sports Science and Physical Education, The Chinese University of Hong Kong , N.T., Hong Kong 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,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chi-Tat","family":"Fung","sequence":"additional","affiliation":[{"name":"Hong Kong Sheng Kung Hui Welfare Council Limited , Kowloon, Hong Kong ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5831-186X","authenticated-orcid":false,"given":"Yijian","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Sports Science and Physical Education, The Chinese University of Hong Kong , N.T., Hong Kong ,","place":["China"]},{"name":"Jockey Club Institute of Ageing, The Chinese University of Hong Kong , N.T., Hong Kong ,","place":["China"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,12,15]]},"reference":[{"key":"2025121511523726800_ref1","volume-title":"World Social Report 2023: Leaving no One behind in an Ageing 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