A comprehensive guideline of a primary care physical activity program in older adults

在制定日本老年人初级保健体育活动计划的综合指南时，以下问题被认为是重要的：1）应通过评估下肢和上肢力量、静态平衡、身体活动和日常生活活动来评估身体健康; 2）针对不同体质水平的体育活动计划应适用于大团体、小团体、个人和家庭环境;（3）市政府的支持，如培训非专业领导人（社区志愿者），对促进健康和加强志愿者与参与者之间的人际关系是有效的。我们强调需要进行实际研究，以进一步审查有效的体育活动计划，以实现全面的初级保健。

In the development of comprehensive guidelines for primary care physical activity programs among older Japanese adults, the following issues were considered to be important : 1) Physical fitness should be evaluated by assessing lower and upper limb strength, static balance, physical mobility, and activities of daily living ; 2) Physical activity programs for different physical fitness levels should be made available for large groups, small groups, individuals, and home-based settings ; and 3) Municipal support such as training of lay leaders (community volunteers) is effective in promoting good health and reinforcing the human relationships among volunteers and participants. We emphasize the need for practical research to further examine effective physical activity programs for the purpose of comprehensive primary care.