CLINICAL TRIAL article

Front. Public Health

Sec. Aging and Public Health

Volume 13 - 2025 | doi: 10.3389/fpubh.2025.1498606

Effects of physical fitness using a Kinect system for pre-frail community-dwelling older adults

Provisionally accepted
Wan-Yun  HuangWan-Yun Huang1,2I-Hsiu  LiouI-Hsiu Liou2Shin-Tsu  ChangShin-Tsu Chang2,3Chao-Hsien  LeeChao-Hsien Lee4Yi-Chun  DuYi-Chun Du5*Rong-Ju  CherngRong-Ju Cherng1*
  • 1Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan
  • 2Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan
  • 3Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine,School of Medicine, National Defense Medical Center,, Taipei, Taiwan
  • 4Department of Health Business Administration, Meiho University, Pingtung, Taiwan
  • 5Institute of Biomedical Engineering, College of Engineering, National Cheng Kung University, Tainan, Taiwan

The final, formatted version of the article will be published soon.

Purpose: The study aimed to examine and compare the effects on physical fitness between aerobic dance exercise using Kinect system and aerobic dance exercise using video in pre-frail communitydwelling older adults.Methods: The study adopted an assessor-blinded experimental design. Sixty participants enrolled in the study. They were randomly assigned into an experimental group (n=30) and control group (n=30). The experimental group received aerobic dance exercise using Kinect system 30 min/session, 3 sessions/week for 8 weeks. The control group received aerobic dance exercise program with video at home. Physical fitness, quality of life and exercise behavior regulation were assessed before, after the intervention (0-8 weeks) and at a one-month follow-up (0-12 weeks).Results: Both the experimental and control groups showed improvement in 30 Second Chair Stand Test (30CST) and 6-minute walk tests (6MWT) at 0-8 weeks and at 0-12 weeks. But the experimental group presented significantly more improvement than control group at 0-8 weeks in 30CST and at 0-12 weeks in 6MWT. The experimental group also exhibited significant improvement in Quality-of-Life Questionnaire by World Health Organization scores at 0-8 weeks and 0-12 weeks. A significant difference in Behavior Regulation in Exercise Questionnaire-2 (BREQ-2) scores was also noted in the experimental group at 0-12 weeks (p<0.008).Conclusion: Both groups of participants improve their physical fitness, but the experimental group improve more in certain measures. Moreover, they also show significant improvement in quality of life, facilitate exercise behavior regulation and improve fitness enthusiasm. Thus, aerobic dance exercise using Kinect system is more effective than traditional training for pre-frail communitydwelling older adults.

Keywords: Physical Fitness, Aerobic dance exercise, Kinect system, Frailty, older adults

Received: 17 Dec 2024; Accepted: 06 May 2025.

Copyright: © 2025 Huang, Liou, Chang, Lee, Du and Cherng. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence:
Yi-Chun Du, Institute of Biomedical Engineering, College of Engineering, National Cheng Kung University, Tainan, Taiwan
Rong-Ju Cherng, Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan

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