{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T14:53:55Z","timestamp":1791471235944,"version":"4.3.4"},"reference-count":72,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T00:00:00Z","timestamp":1738800000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: The global rise in the older population, especially in sub-Saharan Africa, has heightened the impact of non-communicable diseases (NCDs), responsible for 74% of global deaths and the leading cause for years lived with disability. Physical activity (PA) has proven to manage NCDs; however, 80% of older adults in sub-Saharan Africa engage in low-to-moderate PA levels.\n\nObjectives: This literature review explores current evidence on the effects of PA on ageing and NCDs in older people in sub-Saharan Africa. Insights gained will enable physiotherapists to refine their PA prescriptions, aligning short-term rehabilitative goals with the broader scope NCD management while fostering principles of healthy ageing.\n\nMethod: Electronic searches were conducted in: PubMed, EBSCOhost (Academic Search Premier \u2013 Africa-Wide Information, CINAHL, Health Sources Premier), Scopus and Google-Scholar to identify peer-reviewed studies published after 2010 related to PA, ageing, NCDs and older people (OP) in sub-Saharan Africa.\n\nResults: A structured PA protocol, comprising aerobic activity at 60% \u2013 79% of maximal heart rate and resistance training at 50% \u2013 60% of one-repetition maximum (3 weekly sessions each), proved effective in reducing NCDs. Integrating lifestyle behaviour changes further enhanced outcomes, notably improving blood sugar management and cardiac health.\n\nConclusion: Structured aerobic and resistance PA, combined with lifestyle education, significantly reduces NCD risk factors in older adults, supporting healthy ageing.\n\nClinical implications: The current research base in the field of ageing in SSA is limited, indicating the need for non-pharmacological interventions to manage the prevalence of NCDs, including in mental\/cognitive health, where PA has a direct influence.\n\nKeywords: aged; physical activity; non-communicable diseases; health ageing; cognition.<\/jats:p>","DOI":"10.4102\/sajp.v81i1.2114","type":"journal-article","created":{"date-parts":[[2025,2,6]],"date-time":"2025-02-06T06:46:48Z","timestamp":1738824408000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":5,"title":["Physical activity and ageing: The role of physiotherapy in promoting healthy ageing"],"prefix":"10.4102","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3876-6031","authenticated-orcid":false,"given":"Shane","family":"Naidoo","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03p74gp79","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3186-7486","authenticated-orcid":false,"given":"Nirmala","family":"Naidoo","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/03p74gp79","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Cape Town"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,2,6]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Adamek, M. & Kotecho, M., 2023, \u2018Factors contributing to growing depression among elders in sub-Saharan africa\u2019, Innovation in Aging 7(suppl 1), 125. https:\/\/doi.org\/10.1093\/geroni\/igad104.0409","DOI":"10.1093\/geroni\/igad104.0409"},{"key":"ref1","unstructured":"Ajiboye, O.A., Anigbogu, C.N., Ajuluchukwu, J.N. & Jaja, S.I., 2013, \u2018Therapeutic effects of exercise training on selected cardio-pulmonary parameters and body composition of Nigerians with chronic heart failure (A preliminary study)\u2019, Nigerian Quarterly Journal of Hospital Medicine 23(4), 295\u2013301."},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Amarya, S., Singh, K. & Sabharwal, M., 2018, \u2018Ageing process and physiological changes\u2019, in G. 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