Exercise & Training

Effects of exercise snacks combining resistance training and Wuqinxi on older adults with possible sarcopenia in nursing homes: protocol for a randomized controlled trial.

TL;DR

This protocol describes a single-centre, assessor-blinded, two-arm randomised controlled trial in a Changchun nursing home that will test whether a 12-week Fogg Behaviour Model-based exercise-snack intervention combining resistance training and Wuqinxi improves physical function (SPPB) in older adults with possible sarcopenia; no results are yet available.

Key Findings

The study is a protocol for a single-centre, assessor-blinded, two-arm randomised controlled trial; no efficacy results have been reported.

  • Participants will be older adults with possible sarcopenia recruited from one nursing home in Changchun, China.
  • Allocation is 1:1 to a 12-week exercise-snack intervention group or a wait-list control group.
  • The abstract states that "Participant recruitment and data collection are ongoing" and findings will be disseminated after the trial and final analyses are complete.

The intervention combines resistance training and Wuqinxi, delivered as short, repeated exercise bouts (exercise snacks) and guided by the Fogg Behaviour Model.

  • The Fogg Behaviour Model is used to enhance exercise motivation, ability and adherence.
  • The intervention lasts 12 weeks and is compared against a wait-list control.
  • Wuqinxi is a traditional Chinese mind-body exercise; it is paired here with resistance training.

The primary outcome is physical function measured with the Short Physical Performance Battery (SPPB).

  • Assessments will occur at baseline and at weeks 4, 8 and 12.
  • Assessors are blinded to group allocation.

Secondary outcomes cover muscle strength, balance, cognition, adherence and safety.

  • Outcomes include upper- and lower-limb muscle strength and dynamic and static balance ability.
  • Cognitive function, exercise adherence and adverse events will also be assessed.
  • Feasibility and safety are evaluated alongside effectiveness.

Data will be analysed using linear mixed-effects models.

  • Fixed effects are group, time and the group × time interaction.
  • Participant-specific random intercepts are included.
  • The trial is registered with the Chinese Clinical Trial Registry (ChiCTR2600126344).

The trial aims to provide evidence on the feasibility, safety and effectiveness of a Fogg Behaviour Model-based exercise-snack intervention for improving physical function in nursing-home older adults with possible sarcopenia.

  • The target population is older adults with possible sarcopenia living in nursing homes.
  • Results are expected only after trial completion.

What This Means

This paper is a plan for a future study, not a report of results. The researchers describe a trial in a nursing home in Changchun, China, that will test whether short, repeated bouts of exercise, called "exercise snacks," can help older adults who may have sarcopenia, the age-related loss of muscle strength and function. The exercise combines resistance training with Wuqinxi, a traditional Chinese movement practice, and is designed using a behaviour model meant to boost motivation, ability and sticking with the program. Participants will be randomly assigned to either a 12-week exercise program or a wait-list group that does not exercise initially. Researchers who assess participants will not know who is in which group. They will measure physical function with a standard test battery (the main outcome), plus muscle strength, balance, thinking skills, how well people stick with the program, and any adverse events, at the start and at weeks 4, 8 and 12. Because recruitment and data collection are still ongoing, there are no findings yet. This research, once completed, may show whether this type of brief, motivation-focused exercise is feasible, safe and useful for older adults living in care homes. Results from a single nursing home may not apply to all settings.

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Citation

Wang J, Ji T, Dong X, Shao X, Zhang Y, Wang Y, et al.. (2026). Effects of exercise snacks combining resistance training and Wuqinxi on older adults with possible sarcopenia in nursing homes: protocol for a randomized controlled trial.. Frontiers in public health. https://doi.org/10.3389/fpubh.2026.1960282