{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T11:23:36Z","timestamp":1777375416507,"version":"3.51.4"},"reference-count":28,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T00:00:00Z","timestamp":1737072000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Int J Aging Hum Dev"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:p>\n                    <jats:bold>Background:<\/jats:bold>\n                    Physical inactivity is a major risk factor for noncommunicable diseases, particularly among older adults. We examined changes in cardiovascular risk factors among older adults in a community-based fitness program in Miami-Dade County, FL.\n                    <jats:bold>Methods:<\/jats:bold>\n                    We used repeated measures linear mixed models to examine participants\u2019 cardiovascular risk factor changes over 28 months. Outcomes (body mass index, blood pressure, pulse, arm\/leg strength, and mobility) were modeled accounting for park, individual, time, and sociodemographic factors (2017\u20132019).\n                    <jats:bold>Results:<\/jats:bold>\n                    The study included 210 participants (mean age 71 years; 86% female; 52% Hispanic, 38% non-Hispanic Black). Participation was positively associated with reductions in cardiovascular risk, including improvements in systolic and diastolic blood pressure (\u22120.83 and \u22120.39 mmHg, respectively), mobility (\u22120.07\u2005s) and arm strength (0.5 arm curls). Differences were observed in arm curls across sex and pulse across poverty areas.\n                    <jats:bold>Conclusion:<\/jats:bold>\n                    Participating in a park-based fitness program was associated with improved older adults\u2019 cardiovascular health.\n                  <\/jats:p>","DOI":"10.1177\/00914150241301014","type":"journal-article","created":{"date-parts":[[2025,1,17]],"date-time":"2025-01-17T10:07:07Z","timestamp":1737108427000},"page":"135-149","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Longitudinal Analysis of Cardiovascular Risk Factors Among Older Adults Participating in a Park-Based Fitness Program"],"prefix":"10.1177","volume":"102","author":[{"given":"Tang","family":"Li","sequence":"first","affiliation":[{"name":"Duke University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carl F.","family":"Pieper","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine"},{"name":"Duke University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane Frances","family":"Pendergast","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine"},{"name":"Duke University Medical Center"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eric","family":"Hansen","sequence":"additional","affiliation":[{"name":"Miami-Dade County Department of Parks, Recreation and Open Spaces"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria I.","family":"Nardi","sequence":"additional","affiliation":[{"name":"Miami-Dade County Department of Parks, Recreation and Open Spaces"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0468-4836","authenticated-orcid":false,"given":"Emily M.","family":"D\u2019Agostino","sequence":"additional","affiliation":[{"name":"Duke University School of Medicine"},{"name":"Duke University School of Medicine"},{"name":"Duke University School of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,1,17]]},"reference":[{"key":"e_1_3_2_2_1","unstructured":"America's Health Rankings (2016). America\u2019s Health Rankings | AHR. https:\/\/www.americashealthrankings.org\/."},{"key":"e_1_3_2_3_1","unstructured":"Bell B. Ene M. Smiley W. Schoeneberger J. (n.d.). A Multilevel Model Primer Using SAS \u00ae PROC MIXED. https:\/\/support.sas.com\/resources\/papers\/proceedings13\/433-2013.pdf."},{"key":"e_1_3_2_4_1","doi-asserted-by":"publisher","DOI":"10.1080\/02640414.2017.1329549"},{"key":"e_1_3_2_5_1","unstructured":"Centers for Disease Control and Prevention (CDC) (2022a). Defining Adult Overweight and Obesity. https:\/\/www.cdc.gov\/obesity\/basics\/adult-defining.html."},{"key":"e_1_3_2_6_1","unstructured":"Centers for Disease Control and Prevention (CDC) (2022b). Physical Activity for Healthy Aging. https:\/\/www.cdc.gov\/physicalactivity\/basics\/older_adults\/index.htm#:\u223c:text=Adults%20aged%2065%20and%20older."},{"key":"e_1_3_2_7_1","unstructured":"Centers for Disease Control and Prevention (CDC) (2023a). Adults Need More Physical Activity. https:\/\/www.cdc.gov\/physicalactivity\/inactivity-among-adults-50plus\/index.html#details."},{"key":"e_1_3_2_8_1","unstructured":"Centers for Disease Control and Prevention (CDC) (2023b). Benefits of Physical Activity. https:\/\/www.cdc.gov\/physicalactivity\/basics\/pa-health\/index.htm."},{"key":"e_1_3_2_9_1","unstructured":"Centers for Disease Control and Prevention (CDC) (2024a). Heart Disease Facts. Heart Disease. https:\/\/www.cdc.gov\/heart-disease\/data-research\/facts-stats\/index.html."},{"key":"e_1_3_2_10_1","unstructured":"Centers for Disease Control and Prevention (CDC) (2024b). Adult Physical Inactivity Outside of Work. https:\/\/www.cdc.gov\/physical-activity\/php\/data\/inactivity-maps.html."},{"key":"e_1_3_2_11_1","unstructured":"Deaths From All Causes\u2014Florida Health CHARTS\u2014Florida Department of Health (n.d.). Retrieved September 6 2022 from https:\/\/www.flhealthcharts.gov\/ChartsDashboards\/rdPage.aspx?rdReport=Death.Dataviewer."},{"key":"e_1_3_2_12_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-015-0155-4"},{"key":"e_1_3_2_13_1","unstructured":"Enhance\u00aeFitness and Project Enhance (n.d.). https:\/\/projectenhance.org\/enhancefitness\/."},{"key":"e_1_3_2_14_1","doi-asserted-by":"publisher","DOI":"10.1108\/RAUSP-04-2019-0059"},{"key":"e_1_3_2_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2024.01.020"},{"key":"e_1_3_2_16_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0135651"},{"key":"e_1_3_2_17_1","doi-asserted-by":"publisher","DOI":"10.1123\/japa.2020-0139"},{"key":"e_1_3_2_18_1","doi-asserted-by":"publisher","DOI":"10.5888\/pcd15.180326"},{"key":"e_1_3_2_19_1","unstructured":"Matters M. D. (n.d.). Miami-Dade Matters :: Indicators :: Adults who are Sedentary :: County : Miami-Dade. 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