Document Type

Journal Article

Publication Title

Journal of Environmental and Public Health




School of Medical and Health Sciences / Exercise Medicine Research Institute




Yoon, D. H., Kim, J. S., Hwang, S. S., Lee, D. W., & Song, W. (2023). The effect of high-speed power training on physical frailty in older adults: Effect of a visual-guided exercise program in South Korean rural areas. Journal of Environmental and Public Health, 2023, article 8912846.


Objective. Exercise has been shown to be an effective intervention; the difficulty still lies in providing exercise programs to the older adults in rural areas. Therefore, this study aimed to examine the effects of a 12-week exercise program provided with visual guidelines (prerecorded video) on frailty among older adults in rural areas. Methods. Fifty participants (71.7 ± 4.9 years) from 5 different rural areas were recruited and divided into two groups: the exercise group (EX, n = 24 (male: 8, female: 18)) and the control group (CON, n = 26 (male: 7, female: 17)). With the commencement of the exercise intervention, a prerecorded high-speed power training program for frail older adults was distributed to the EX group. A new prerecorded exercise program was delivered to the EX group every 4 weeks. Frailty status was diagnosed with Fried’s criteria before and after the intervention. Muscle strength was measured in the upper and lower limb strength (hand-grip strength and leg extension and flexion), and physical function was measured using a short physical performance battery and gait speed. Fasting blood was collected before and after the intervention and analyzed for blood lipid profile. Results. After 12 weeks of the intervention period, a significant difference in frailty status () and score () favoring the EX group was observed. Physical functions (gait speed () and time for sit to stand ()) were significantly improved in the EX group with a significant increase in knee extensor strength (). A significant difference in serum high-density lipoprotein levels favoring the EX group () was also observed. Conclusions. This study confirmed the positive effect of a visual-guided exercise program on older adults’ residents in rural areas and provided alternative methods to effectively provide exercise program for the older adults with limited resources.



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Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.