<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.3 20210610//EN" "JATS-journalpublishing1-3-mathml3.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.3" xml:lang="EN">
<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Public Health</journal-id>
<journal-title-group>
<journal-title>Frontiers in Public Health</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Public Health</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">2296-2565</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpubh.2026.1753599</article-id>
<article-version article-version-type="Version of Record" vocab="NISO-RP-8-2008"/>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Original Research</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Community environment and physical activity participation among rural older adults in China: evidence from the China longitudinal aging social survey</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname>Zeng</surname>
<given-names>Yong</given-names>
</name>
<xref ref-type="aff" rid="aff1"><sup>1</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Formal analysis" vocab-term-identifier="https://credit.niso.org/contributor-roles/formal-analysis/">Formal analysis</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Zhang</surname>
<given-names>Sheng</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="supervision" vocab-term-identifier="https://credit.niso.org/contributor-roles/supervision/">Supervision</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Li</surname>
<given-names>Daiming</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="validation" vocab-term-identifier="https://credit.niso.org/contributor-roles/validation/">Validation</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="methodology" vocab-term-identifier="https://credit.niso.org/contributor-roles/methodology/">Methodology</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
</contrib>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Liao</surname>
<given-names>Aidi</given-names>
</name>
<xref ref-type="aff" rid="aff2"><sup>2</sup></xref>
<xref ref-type="corresp" rid="c001"><sup>&#x002A;</sup></xref>
<uri xlink:href="https://loop.frontiersin.org/people/2936074"/>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="software" vocab-term-identifier="https://credit.niso.org/contributor-roles/software/">Software</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Funding acquisition" vocab-term-identifier="https://credit.niso.org/contributor-roles/funding-acquisition/">Funding acquisition</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; review &#x0026; editing" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-review-editing/">Writing &#x2013; review &#x0026; editing</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Writing &#x2013; original draft" vocab-term-identifier="https://credit.niso.org/contributor-roles/writing-original-draft/">Writing &#x2013; original draft</role>
<role vocab="credit" vocab-identifier="https://credit.niso.org/" vocab-term="Data curation" vocab-term-identifier="https://credit.niso.org/contributor-roles/data-curation/">Data curation</role>
</contrib>
</contrib-group>
<aff id="aff1"><label>1</label><institution>Physical Education Department, Xiangtan University</institution>, <city>Xiangtan</city>, <country country="cn">China</country></aff>
<aff id="aff2"><label>2</label><institution>Department of Political Science and Public Administration, School of Public Administration, Xiangtan University</institution>, <city>Xiangtan</city>, <state>Hunan</state>, <country country="cn">China</country></aff>
<author-notes>
<corresp id="c001"><label>&#x002A;</label>Correspondence: Aidi Liao, <email xlink:href="mailto:aidi0823@163.com">aidi0823@163.com</email></corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub" iso-8601-date="2026-01-27">
<day>27</day>
<month>01</month>
<year>2026</year>
</pub-date>
<pub-date publication-format="electronic" date-type="collection">
<year>2026</year>
</pub-date>
<volume>14</volume>
<elocation-id>1753599</elocation-id>
<history>
<date date-type="received">
<day>25</day>
<month>11</month>
<year>2025</year>
</date>
<date date-type="rev-recd">
<day>29</day>
<month>12</month>
<year>2025</year>
</date>
<date date-type="accepted">
<day>15</day>
<month>01</month>
<year>2026</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x00A9; 2026 Zeng, Zhang, Li and Liao.</copyright-statement>
<copyright-year>2026</copyright-year>
<copyright-holder>Zeng, Zhang, Li and Liao</copyright-holder>
<license>
<ali:license_ref start_date="2026-01-27">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open-access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution License (CC BY)</ext-link>. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) 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.</license-p>
</license>
</permissions>
<abstract>
<sec>
<title>Background</title>
<p>Physical activity is essential for improving population health, and participation levels are a key indicator of national social sports development. However, extant literature has largely focused on individual characteristics, with limited attention to the influence of the community environment. This study investigates how the community environment shapes physical activity among rural older adults in China and explores the mechanisms underlying these effects, providing evidence to support strategies aimed at promoting activity participation among rural older adults.</p>
</sec>
<sec>
<title>Methods</title>
<p>Data from 5,668 respondents were obtained from the 2023 Chinese Longitudinal Ageing Social Survey. Binary logistic regression was applied to evaluate the influence of key community environmental attributes, including the availability of fitness facilities, the presence of outdoor activity spaces, and the provision of activity guidance, on physical activity participation among rural older adults in China after controlling for socio-demographic variables.</p>
</sec>
<sec>
<title>Results</title>
<p>Among rural older adults, age, gender, educational level, marital status, and total personal income were significantly associated with physical activity participation, whereas living arrangement and self-rated health were not statistically significant. Access to fitness facilities was associated with a higher likelihood of engaging in physical activity, outdoor activity spaces showed a modest positive association, and activity guidance exhibited the strongest association.</p>
</sec>
<sec>
<title>Conclusion</title>
<p>The community environment, including access to fitness facilities, outdoor activity spaces, and activity guidance, is associated with promoting physical activity among rural older adults. Strengthening the development of fundamental activity facilities in rural communities and accelerating the establishment of a community-based physical activity instructor system are recommended to advance the implementation of the national fitness strategy.</p>
</sec>
</abstract>
<kwd-group>
<kwd>China</kwd>
<kwd>class</kwd>
<kwd>community environment</kwd>
<kwd>physical activity</kwd>
<kwd>rural older adults</kwd>
</kwd-group>
<funding-group>
<funding-statement>The author(s) declared that financial support was received for this work and/or its publication. This research was funded by the Youth Project of the National Social Science Fund of China (grant no. 24CSH111).</funding-statement>
</funding-group>
<counts>
<fig-count count="0"/>
<table-count count="3"/>
<equation-count count="0"/>
<ref-count count="92"/>
<page-count count="9"/>
<word-count count="7453"/>
</counts>
<custom-meta-group>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Aging and Public Health</meta-value>
</custom-meta>
</custom-meta-group>
</article-meta>
</front>
<body>
<sec sec-type="intro" id="sec1">
<label>1</label>
<title>Introduction</title>
<p>Physical activity (PA) has been shown to provide a wide range of health benefits. It can help prevent chronic diseases such as cardiovascular disease and obesity, improve functional ability (<xref ref-type="bibr" rid="ref1 ref2 ref3 ref4 ref5">1&#x2013;5</xref>), and reduce the risk of mortality (<xref ref-type="bibr" rid="ref6 ref7 ref8 ref9">6&#x2013;9</xref>), while physical inactivity has been identified as the fourth leading risk factor for death (<xref ref-type="bibr" rid="ref10">10</xref>). Regular physical activity is even more important for older adults. The global population of older people is increasing and is projected to reach 1.4 billion by 2030 (<xref ref-type="bibr" rid="ref11">11</xref>). In most countries, however, physical activity decreases with age (<xref ref-type="bibr" rid="ref12">12</xref>), with around 67% of people aged 65&#x2013;74 and 75% of people over 74 not meeting recommendations (<xref ref-type="bibr" rid="ref13">13</xref>). According to China&#x2019;s National Fitness Activity Survey Bulletin, only 26.1% of the older adult population participates in regular physical activity in China (<xref ref-type="bibr" rid="ref14">14</xref>). Physical activity is influenced by multiple factors. According to Giddens&#x2019; structuration theory, structure consists of rules and resources that actors can draw upon in different contexts, and structure is both constraining and enabling (<xref ref-type="bibr" rid="ref15">15</xref>). Therefore, the physical activity of residents is shaped by both individual characteristics (actors) and the social environment (structure).</p>
<p>Research on the correlates of physical activity among older adults has mainly concentrated on two domains: individual characteristics and external environmental factors. In terms of individual characteristics, previous studies have consistently highlighted age, gender, marital status, education, income, and health awareness are important factors influencing physical activity (<xref ref-type="bibr" rid="ref16 ref17 ref18 ref19">16&#x2013;19</xref>). Many studies report that men are more likely than women to participate in physical activity, which is often explained by the dual roles women take on at home and in the workplace, reducing their available time and opportunities for physical activity (<xref ref-type="bibr" rid="ref20">20</xref>). Age is another widely recognized determinant of physical activity. Research consistently shows that participation declines as individuals grow older, mainly because physical function gradually decreases (<xref ref-type="bibr" rid="ref21">21</xref>). Evidence on the relationship between marital status and physical activity is inconsistent. Some studies report higher total activity levels among single adults (<xref ref-type="bibr" rid="ref22">22</xref>, <xref ref-type="bibr" rid="ref23">23</xref>), while others find that married individuals, especially men, are more active. These differences often arise from variations in activity intensity rather than duration (<xref ref-type="bibr" rid="ref24">24</xref>, <xref ref-type="bibr" rid="ref25">25</xref>). Older adults with higher education are more aware of the benefits of physical activity for health, functional ability, and quality of life, which increases their motivation to participate (<xref ref-type="bibr" rid="ref26">26</xref>, <xref ref-type="bibr" rid="ref27">27</xref>). Income is also relevant, but its role is more complex. Some studies suggest that higher income is linked to greater participation in physical activity (<xref ref-type="bibr" rid="ref28">28</xref>), while others, including the study by Lera-L&#x00F3;pez and Rap&#x00FA;n-G&#x00E1;rate, report no significant association (<xref ref-type="bibr" rid="ref29">29</xref>). Additional evidence indicates that physical activity may even decrease at higher income levels, partly because better-paid jobs often involve longer working hours and less leisure time (<xref ref-type="bibr" rid="ref30">30</xref>).</p>
<p>External environmental factors constitute important conditions that either constrain or promote physical activity, as most physical activity occurs within daily living spaces such as the home, community, and neighborhood (<xref ref-type="bibr" rid="ref31">31</xref>). From the perspective of social support theory, both instrumental support and emotional support are important sources of motivation for individuals to maintain active and healthy leisure behaviors (<xref ref-type="bibr" rid="ref32">32</xref>, <xref ref-type="bibr" rid="ref33">33</xref>). The community environment provides the material resources and contextual conditions necessary for physical activity (<xref ref-type="bibr" rid="ref34 ref35 ref36">34&#x2013;36</xref>). Previous studies have identified direct associations between physical environments and physical activity (<xref ref-type="bibr" rid="ref37 ref38 ref39">37&#x2013;39</xref>). Features such as adequate sidewalks, accessible shops, low traffic barriers, the availability and quality of sports facilities, and a higher density of physically active populations have all been shown to be positively related to physical activity (<xref ref-type="bibr" rid="ref40 ref41 ref42 ref43 ref44 ref45 ref46">40&#x2013;46</xref>). However, improving the physical environment alone is not sufficient to promote healthy behaviors (<xref ref-type="bibr" rid="ref47 ref48 ref49">47&#x2013;49</xref>). It is important to consider the interaction between physical environments (e.g., infrastructure for physical activity) and non-physical environments (e.g., financial costs or peer support) (<xref ref-type="bibr" rid="ref50">50</xref>). A substantial body of evidence indicates that positive neighborhood relations act as an important facilitator of physical activity in community settings. Higher levels of community cohesion can create more opportunities for participation in physical activity (<xref ref-type="bibr" rid="ref51">51</xref>), and a stronger sense of belonging further increases the likelihood that individuals will take advantage of these opportunities. These factors collectively contribute to greater engagement in physical activity (<xref ref-type="bibr" rid="ref52 ref53 ref54 ref55 ref56 ref57 ref58">52&#x2013;58</xref>). In contrast, weak neighborhood relations and low levels of community cohesion reduce the likelihood of participating in physical activity (<xref ref-type="bibr" rid="ref59">59</xref>).</p>
<p>While previous studies drawing on individual and social environmental perspectives have provided valuable theoretical and empirical insights into physical activity among the rural older adults, several important gaps remain. First, much of the existing research has focused on factors that individuals can directly control or modify, such as marital status, income, education, and health awareness. Macro-level structural conditions, including the allocation of community resources, have received relatively limited attention. Even when community characteristics are included, they are typically measured as a single composite indicator (<xref ref-type="bibr" rid="ref60">60</xref>), with limited attention to which specific components influence physical activity or how they exert their effects. Second, many studies have concentrated on adolescents, and empirical evidence on the relationship between the physical activity environment and physical activity among the rural older adults remains insufficient (<xref ref-type="bibr" rid="ref61">61</xref>, <xref ref-type="bibr" rid="ref62">62</xref>). To address these gaps, this study uses data from the Chinese Longitudinal Ageing Social Survey to examine whether the community physical activity environment promotes physical activity among the rural older adults and to further explore the pathways through which these effects may occur.</p>
</sec>
<sec sec-type="methods" id="sec2">
<label>2</label>
<title>Methods</title>
<sec id="sec3">
<label>2.1</label>
<title>Data and sample</title>
<p>Data were obtained from the Chinese Longitudinal Ageing Social Survey (CLASS),<xref ref-type="fn" rid="fn0001"><sup>1</sup></xref> conducted by the National Survey Research Center at Renmin University of China. The CLASS was stratified, multi-stage, probabilistic sampling survey, which coved 28 provincial areas in China. Details of the design and conduct of the study have been described elsewhere (<xref ref-type="bibr" rid="ref63">63</xref>). A total of 11,670 older adults aged 60 or above were interviewed by face to face. Following the study definition, rural older adults were identified as individuals aged 60&#x202F;years and above with an agricultural <italic>hukou</italic> status. After excluding respondents with non-agricultural <italic>hukou</italic> and missing values, the final analytical sample comprised 5,668 rural older adults participants.</p>
</sec>
<sec id="sec4">
<label>2.2</label>
<title>Measures and variables</title>
<sec id="sec5">
<label>2.2.1</label>
<title>Physical activity</title>
<p>According to the conceptual definition of physical activity (<xref ref-type="bibr" rid="ref64">64</xref>), engaging in physical activity less than once per month is considered occasional rather than regular (<xref ref-type="bibr" rid="ref65">65</xref>, <xref ref-type="bibr" rid="ref66">66</xref>). Therefore, such behavior was classified as non-participation. Physical activity participation was measured with the survey question, &#x201C;How often do you engage in physical activity?&#x201D; Respondents who reported engaging in physical activity less than once per month were coded as non-participants (coded as 0), whereas those who engaged in physical activity at least once per month were coded as participants (coded as 1).</p>
</sec>
<sec id="sec6">
<label>2.2.2</label>
<title>Access to fitness facilities, outdoor activity spaces, and activity guidance</title>
<p>Access to the community environment for physical activity was measured using three survey-based variables. First, access to fitness facilities was assessed by the question, &#x201C;Does your community have fitness venues or facilities?&#x201D; with responses coded as 1 for &#x201C;yes&#x201D; and 0 for &#x201C;no.&#x201D; Second, access to outdoor activity spaces was measured by asking, &#x201C;Does your community have outdoor activity spaces?&#x201D; with the same coding. Third, activity guidance was assessed with the question, &#x201C;Is there anyone who provides guidance when you engage in physical activity?&#x201D; Respondents who answered &#x201C;yes&#x201D; were coded as 1, and those who answered &#x201C;no&#x201D; were coded as 0.</p>
</sec>
<sec id="sec7">
<label>2.2.3</label>
<title>Socio-demographic variables</title>
<p>Empirical evidence has shown that age, gender, educational level, marital status, living arrangement, total personal income, and self-rated health may be associated with physical activity participation among older adults (<xref ref-type="bibr" rid="ref21">21</xref>, <xref ref-type="bibr" rid="ref67">67</xref>). Therefore, the following socio-demographic variables were controlled in this study: age (continuous variable), gender (1&#x202F;=&#x202F;male, 0&#x202F;=&#x202F;female), educational level (continuous variable), marital status (1&#x202F;=&#x202F;with spouse, 0&#x202F;=&#x202F;without spouse), living arrangement (1&#x202F;=&#x202F;living with someone, 0&#x202F;=&#x202F;alone), total personal income (RMB, log-transformed), and self-rated health (from 1&#x202F;=&#x202F;very poor to 5&#x202F;=&#x202F;excellent).</p>
</sec>
</sec>
</sec>
<sec sec-type="results" id="sec8">
<label>3</label>
<title>Results</title>
<sec id="sec9">
<label>3.1</label>
<title>Descriptive results</title>
<p>All statistical analyses were conducted using Stata 18.0. <xref ref-type="table" rid="tab1">Table 1</xref> reports the descriptive characteristics of the 5,668 rural older adults included in the study. With respect to age composition, the largest proportion of respondents were aged 70&#x2013;74&#x202F;years (36.79%), followed by those aged 65&#x2013;69&#x202F;years (27.49%), 75&#x2013;79&#x202F;years (15.46%), 80&#x202F;years and above (10.71%), and 60&#x2013;64&#x202F;years (9.56%). The gender distribution was relatively balanced, with 53.44% male and 46.56% female. The mean years of education were 4.38 (SD&#x202F;=&#x202F;3.15), indicating generally low educational level among the rural older adults. Most respondents reported having a spouse (79.75%), and the majority lived with others (89.52%). The mean log-transformed total personal income was 9.20 (SD&#x202F;=&#x202F;1.15). Regarding self-rated health, 43.74% reported good health, followed by fair (39.43%), excellent (8.54%), poor (7.13%), and very poor (1.16%).</p>
<table-wrap position="float" id="tab1">
<label>Table 1</label>
<caption>
<p>Descriptive characteristics of the sample (<italic>N</italic>&#x202F;=&#x202F;5,668).</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th>Variables</th>
<th align="center" valign="top">n</th>
<th align="center" valign="top">%/ M (SD)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" colspan="3">Age</td>
</tr>
<tr>
<td align="left" valign="top">60&#x2013;64</td>
<td align="center" valign="middle">542</td>
<td align="center" valign="top">9.56</td>
</tr>
<tr>
<td align="left" valign="top">65&#x2013;69</td>
<td align="center" valign="middle">1,558</td>
<td align="center" valign="top">27.49</td>
</tr>
<tr>
<td align="left" valign="top">70&#x2013;74</td>
<td align="center" valign="middle">2085</td>
<td align="center" valign="top">36.79</td>
</tr>
<tr>
<td align="left" valign="top">75&#x2013;79</td>
<td align="center" valign="middle">876</td>
<td align="center" valign="top">15.46</td>
</tr>
<tr>
<td align="left" valign="top">80 and above</td>
<td align="center" valign="middle">607</td>
<td align="center" valign="top">10.71</td>
</tr>
<tr>
<td align="left" valign="top" colspan="3">Gender</td>
</tr>
<tr>
<td align="left" valign="top">Male</td>
<td align="center" valign="top">3,029</td>
<td align="center" valign="top">53.44</td>
</tr>
<tr>
<td align="left" valign="top">Female</td>
<td align="center" valign="top">2,639</td>
<td align="center" valign="top">46.56</td>
</tr>
<tr>
<td align="left" valign="top">Education level</td>
<td align="center" valign="top">5,668</td>
<td align="center" valign="top">4.38 (3.15)</td>
</tr>
<tr>
<td align="left" valign="top" colspan="3">Marital status</td>
</tr>
<tr>
<td align="left" valign="top">With spouse</td>
<td align="center" valign="middle">4,520</td>
<td align="center" valign="top">79.75</td>
</tr>
<tr>
<td align="left" valign="top">Without spouse</td>
<td align="center" valign="middle">1,148</td>
<td align="center" valign="top">20.25</td>
</tr>
<tr>
<td align="left" valign="top" colspan="3">Living arrangement</td>
</tr>
<tr>
<td align="left" valign="top">Alone</td>
<td align="center" valign="middle">594</td>
<td align="center" valign="top">10.48</td>
</tr>
<tr>
<td align="left" valign="top">With someone</td>
<td align="center" valign="middle">5,074</td>
<td align="center" valign="top">89.52</td>
</tr>
<tr>
<td align="left" valign="middle">Total personal income</td>
<td align="center" valign="top">5,668</td>
<td align="center" valign="top">9.20 (1.15)</td>
</tr>
<tr>
<td align="left" valign="top" colspan="3">Self-rated health</td>
</tr>
<tr>
<td align="left" valign="top">Very poor</td>
<td align="center" valign="middle">66</td>
<td align="center" valign="top">1.16</td>
</tr>
<tr>
<td align="left" valign="top">Poor</td>
<td align="center" valign="middle">404</td>
<td align="center" valign="top">7.13</td>
</tr>
<tr>
<td align="left" valign="top">Fair</td>
<td align="center" valign="middle">2,235</td>
<td align="center" valign="top">39.43</td>
</tr>
<tr>
<td align="left" valign="top">Good</td>
<td align="center" valign="middle">2,479</td>
<td align="center" valign="top">43.74</td>
</tr>
<tr>
<td align="left" valign="top">Excellent</td>
<td align="center" valign="middle">484</td>
<td align="center" valign="top">8.54</td>
</tr>
<tr>
<td align="left" valign="top" colspan="3">Fitness facilities</td>
</tr>
<tr>
<td align="left" valign="top">Available</td>
<td align="center" valign="middle">386</td>
<td align="center" valign="top">6.81</td>
</tr>
<tr>
<td align="left" valign="top">Not available</td>
<td align="center" valign="middle">5,282</td>
<td align="center" valign="top">93.19</td>
</tr>
<tr>
<td align="left" valign="top" colspan="3">Outdoor activity spaces</td>
</tr>
<tr>
<td align="left" valign="top">Available</td>
<td align="center" valign="middle">2,955</td>
<td align="center" valign="top">52.13</td>
</tr>
<tr>
<td align="left" valign="top">Not available</td>
<td align="center" valign="middle">2,713</td>
<td align="center" valign="top">47.87</td>
</tr>
<tr>
<td align="left" valign="top" colspan="3">Activity guidance</td>
</tr>
<tr>
<td align="left" valign="top">With guidance</td>
<td align="center" valign="middle">1,046</td>
<td align="center" valign="top">18.45</td>
</tr>
<tr>
<td align="left" valign="top">Without guidance</td>
<td align="center" valign="middle">4,622</td>
<td align="center" valign="top">81.55</td>
</tr>
<tr>
<td align="left" valign="top" colspan="3">Physical activity participation</td>
</tr>
<tr>
<td align="left" valign="top">Yes</td>
<td align="center" valign="top">2,468</td>
<td align="center" valign="top">43.54</td>
</tr>
<tr>
<td align="left" valign="top">No</td>
<td align="center" valign="top">3,200</td>
<td align="center" valign="top">56.46</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p>M, mean; SD, standard deviation.</p>
</table-wrap-foot>
</table-wrap>
<p>With respect to community environmental factors, 52.13% of the rural older adults reported access to outdoor activity spaces. In contrast, access to community fitness facilities was extremely limited, with only 6.81% reporting availability. Furthermore, 81.55% of respondents lacked access to activity guidance, suggesting substantial gaps in community-based support for promoting physical activity.</p>
<p>Regarding physical activity participation, 43.54% of the rural older adults engaged in physical activity at least once per month, whereas 56.46% reported no participation.</p>
</sec>
<sec id="sec10">
<label>3.2</label>
<title>Regression results</title>
<p>We employed binary logistic regression to examine how the community environment influences physical activity among the rural older adults. The analysis followed a stepwise approach, progressively incorporating sociodemographic variables and community environmental variables into four models (<xref ref-type="table" rid="tab2">Table 2</xref>).</p>
<table-wrap position="float" id="tab2">
<label>Table 2</label>
<caption>
<p>Results of community environment on physical activity among rural older adults.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Variables</th>
<th align="center" valign="top">Model 1<break/>b (SE)</th>
<th align="center" valign="top">Model 2<break/>b (SE)</th>
<th align="center" valign="top">Model 3<break/>b (SE)</th>
<th align="center" valign="top">Model 4<break/>b (SE)</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="2">Age</td>
<td align="center" valign="top">&#x2212;0.028&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">&#x2212;0.029&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">&#x2212;0.028&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">&#x2212;0.019&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.005)</td>
<td align="center" valign="top">(0.005)</td>
<td align="center" valign="top">(0.005)</td>
<td align="center" valign="top">(0.006)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Gender</td>
<td align="center" valign="top">0.036</td>
<td align="center" valign="top">0.043</td>
<td align="center" valign="top">0.045</td>
<td align="center" valign="top">0.129&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.055)</td>
<td align="center" valign="top">(0.056)</td>
<td align="center" valign="top">(0.056)</td>
<td align="center" valign="top">(0.061)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Education level</td>
<td align="center" valign="top">0.024&#x002A;&#x002A;</td>
<td align="center" valign="top">0.021&#x002A;</td>
<td align="center" valign="top">0.020&#x002A;</td>
<td align="center" valign="top">0.021&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.009)</td>
<td align="center" valign="top">(0.009)</td>
<td align="center" valign="top">(0.009)</td>
<td align="center" valign="top">(0.010)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Marital status</td>
<td align="center" valign="top">0.223&#x002A;</td>
<td align="center" valign="top">0.230&#x002A;</td>
<td align="center" valign="top">0.234&#x002A;&#x002A;</td>
<td align="center" valign="top">0.260&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.090)</td>
<td align="center" valign="top">(0.090)</td>
<td align="center" valign="top">(0.090)</td>
<td align="center" valign="top">(0.099)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Living arrangement</td>
<td align="center" valign="top">0.092</td>
<td align="center" valign="top">0.096</td>
<td align="center" valign="top">0.100</td>
<td align="center" valign="top">0.185</td>
</tr>
<tr>
<td align="center" valign="top">(0.112)</td>
<td align="center" valign="top">(0.113)</td>
<td align="center" valign="top">(0.113)</td>
<td align="center" valign="top">(0.122)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Total personal income</td>
<td align="center" valign="top">&#x2212;0.056&#x002A;</td>
<td align="center" valign="top">&#x2212;0.060&#x002A;</td>
<td align="center" valign="top">&#x2212;0.053&#x002A;</td>
<td align="center" valign="top">&#x2212;0.158&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.024)</td>
<td align="center" valign="top">(0.024)</td>
<td align="center" valign="top">(0.024)</td>
<td align="center" valign="top">(0.027)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Self-rated health</td>
<td align="center" valign="top">0.007</td>
<td align="center" valign="top">0.003</td>
<td align="center" valign="top">0.002</td>
<td align="center" valign="top">0.053</td>
</tr>
<tr>
<td align="center" valign="top">(0.035)</td>
<td align="center" valign="top">(0.035)</td>
<td align="center" valign="top">(0.035)</td>
<td align="center" valign="top">(0.038)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Fitness facilities</td>
<td/>
<td align="center" valign="top">0.502&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">0.490&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">0.392&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td/>
<td align="center" valign="top">(0.107)</td>
<td align="center" valign="top">(0.107)</td>
<td align="center" valign="top">(0.118)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Outdoor activity spaces</td>
<td/>
<td/>
<td align="center" valign="top">0.111&#x002A;</td>
<td align="center" valign="top">0.037</td>
</tr>
<tr>
<td/>
<td/>
<td align="center" valign="top">(0.055)</td>
<td align="center" valign="top">(0.060)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Activity guidance</td>
<td/>
<td/>
<td/>
<td align="center" valign="top">2.459&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td/>
<td/>
<td/>
<td align="center" valign="top">(0.095)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Constant</td>
<td align="center" valign="top">1.938&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">2.002&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">1.855&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">1.551&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.500)</td>
<td align="center" valign="top">(0.501)</td>
<td align="center" valign="top">(0.507)</td>
<td align="center" valign="top">(0.547)</td>
</tr>
<tr>
<td align="left" valign="top">N</td>
<td align="center" valign="top">5,668</td>
<td align="center" valign="top">5,668</td>
<td align="center" valign="top">5,668</td>
<td align="center" valign="top">5,668</td>
</tr>
<tr>
<td align="left" valign="top">pseudo R2</td>
<td align="center" valign="top">0.00977</td>
<td align="center" valign="top">0.0126</td>
<td align="center" valign="top">0.0132</td>
<td align="center" valign="top">0.135</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>&#x002A;p</italic>&#x202F;&#x003C;&#x202F;0.1, &#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.01.</p>
</table-wrap-foot>
</table-wrap>
<p>Model 1 included only sociodemographic characteristics. Age was negatively associated with physical activity (<italic>&#x03B2;</italic>&#x202F;=&#x202F;&#x2212;0.028, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01), indicating that older individuals were less likely to participate. Education level was positively associated with physical activity (<italic>&#x03B2;</italic>&#x202F;=&#x202F;0.024, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.05), and marital status also showed a positive association (<italic>&#x03B2;</italic>&#x202F;=&#x202F;0.223, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.1). Total personal income demonstrated a negative association (<italic>&#x03B2;</italic>&#x202F;=&#x202F;&#x2212;0.056, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.1). Gender, living arrangement, and self-rated health were not significantly associated with physical activity.</p>
<p>Model 2 added access to fitness facilities. Fitness facilities showed a strong positive association with physical activity (<italic>&#x03B2;</italic> =&#x202F;0.502, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01). The associations of age, education level, marital status, and income remained consistent with Model 1, and gender, living arrangement, and self-rated health continued to be non-significant.</p>
<p>Model 3 added access to outdoor activity spaces. Outdoor activity spaces were positively associated with physical activity (<italic>&#x03B2;</italic>&#x202F;=&#x202F;0.111, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.1), although the effect was smaller than that of fitness facilities. The associations of other variables were generally consistent with those observed in Model 2.</p>
<p>Model 4 further incorporated activity guidance. Activity guidance showed a very strong and significant association with physical activity (<italic>&#x03B2;</italic>&#x202F;=&#x202F;2.459, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.01), indicating an important role of guidance in supporting participation among the rural older adults. After activity guidance was included, the effect of outdoor activity spaces became non-significant, whereas gender became significant (<italic>&#x03B2;</italic>&#x202F;=&#x202F;0.129, <italic>p</italic>&#x202F;&#x003C;&#x202F;0.1), suggesting that men were more likely to engage in physical activity when community-level support was considered. Education level, marital status, and income remained significant, while living arrangement and self-rated health continued to show no significant associations.</p>
</sec>
</sec>
<sec id="sec11">
<label>4</label>
<title>Robustness test</title>
<p>To assess the robustness of the main results, we re-estimated the model using a probit specification. As shown in <xref ref-type="table" rid="tab3">Table 3</xref>, the probit estimates were consistent with those from the binary logit model. The direction and statistical significance of all key variables remained stable across the two specifications. In particular, age, gender, education level, marital status, total personal income, fitness facilities, and activity guidance continued to show significant associations with physical activity. Although the coefficient magnitudes differed between the binary logit and probit models, these differences reflect the scaling of the two estimation methods and do not affect the substantive conclusions. Overall, the findings indicate that the main results are robust to the choice between binary logit and probit models.</p>
<table-wrap position="float" id="tab3">
<label>Table 3</label>
<caption>
<p>Results of robustness test.</p>
</caption>
<table frame="hsides" rules="groups">
<thead>
<tr>
<th align="left" valign="top">Variables</th>
<th align="center" valign="top">Model 1</th>
<th align="center" valign="top">Model 2</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" valign="top" rowspan="2">Age</td>
<td align="center" valign="top">&#x2212;0.019&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">&#x2212;0.012&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.006)</td>
<td align="center" valign="top">(0.003)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Gender</td>
<td align="center" valign="top">0.129&#x002A;</td>
<td align="center" valign="top">0.078&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.061)</td>
<td align="center" valign="top">(0.037)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Education level</td>
<td align="center" valign="top">0.021&#x002A;</td>
<td align="center" valign="top">0.013&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.010)</td>
<td align="center" valign="top">(0.006)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Marital status</td>
<td align="center" valign="top">0.260&#x002A;&#x002A;</td>
<td align="center" valign="top">0.155&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.099)</td>
<td align="center" valign="top">(0.059)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Living arrangement</td>
<td align="center" valign="top">0.185</td>
<td align="center" valign="top">0.111</td>
</tr>
<tr>
<td align="center" valign="top">(0.122)</td>
<td align="center" valign="top">(0.074)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Total personal income</td>
<td align="center" valign="top">&#x2212;0.158&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">&#x2212;0.094&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.027)</td>
<td align="center" valign="top">(0.016)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Self-rated health</td>
<td align="center" valign="top">0.053</td>
<td align="center" valign="top">0.030</td>
</tr>
<tr>
<td align="center" valign="top">(0.038)</td>
<td align="center" valign="top">(0.023)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Fitness facilities</td>
<td align="center" valign="top">0.392&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">0.223&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.118)</td>
<td align="center" valign="top">(0.071)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Outdoor activity spaces</td>
<td align="center" valign="top">0.037</td>
<td align="center" valign="top">0.020</td>
</tr>
<tr>
<td align="center" valign="top">(0.060)</td>
<td align="center" valign="top">(0.036)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Activity guidance</td>
<td align="center" valign="top">2.459&#x002A;&#x002A;&#x002A;</td>
<td align="center" valign="top">1.475&#x002A;&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.095)</td>
<td align="center" valign="top">(0.052)</td>
</tr>
<tr>
<td align="left" valign="top" rowspan="2">Constant</td>
<td align="center" valign="top">1.551&#x002A;&#x002A;</td>
<td align="center" valign="top">0.920&#x002A;&#x002A;</td>
</tr>
<tr>
<td align="center" valign="top">(0.547)</td>
<td align="center" valign="top">(0.330)</td>
</tr>
<tr>
<td align="left" valign="top">N</td>
<td align="center" valign="top">5,668</td>
<td align="center" valign="top">5,668</td>
</tr>
<tr>
<td align="left" valign="top">pseudo R2</td>
<td align="center" valign="top">0.135</td>
<td align="center" valign="top">0.135</td>
</tr>
</tbody>
</table>
<table-wrap-foot>
<p><italic>&#x002A;p</italic>&#x202F;&#x003C;&#x202F;0.1, &#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.05, &#x002A;&#x002A;&#x002A;<italic>p</italic>&#x202F;&#x003C;&#x202F;0.01.</p>
</table-wrap-foot>
</table-wrap>
</sec>
<sec sec-type="discussion" id="sec12">
<label>5</label>
<title>Discussion</title>
<p>The significant negative association between age and physical activity is consistent with previous research showing that participation declines as individuals grow older (<xref ref-type="bibr" rid="ref68">68</xref>). For instance, research shows many older adults are physically inactive, including 42% in Poland, less than a quarter in Brazil, and nearly half in rural Thailand (<xref ref-type="bibr" rid="ref69">69</xref>, <xref ref-type="bibr" rid="ref70">70</xref>). This pattern may reflect a combination of physical, psychological, social, and economic factors. Physically, declining health and functional limitations reduce the capacity to engage in activity. Psychologically, motivation and attitudes toward physical activity may shift with age. Social norms and stereotypes about ageing can also shape expectations regarding appropriate activity levels. Economically, reduced disposable financial resources in later life may further constrain opportunities for regular physical activity.</p>
<p>In Models 1&#x2013;3, gender was not significantly associated with physical activity, suggesting that the difference between men and women may be obscured when only sociodemographic characteristics and basic community resources are controlled. After incorporating activity guidance in Model 4, gender became significant, indicating that men benefit more from structured or professional exercise guidance and show a greater increase in physical activity participation than women. Thus, activity guidance plays a moderating role that amplifies the gender difference and uncovers the previously hidden effect of gender on physical activity.</p>
<p>This study also finds that rural older adults with higher levels of education are more likely to engage in physical activity, which is consistent with previous evidence linking educational level to healthier behavioral choices (<xref ref-type="bibr" rid="ref71">71</xref>). One possible explanation is that higher education improves their awareness of the health and functional benefits of physical activity, thereby strengthening motivation to exercise. Moreover, rural older adults with higher education tend to possess greater social and economic resources, such as more stable financial conditions and better living environments, which provide more favorable opportunities and support for participating in physical activity.</p>
<p>Rural older adults individuals with a spouse are more likely to engage in physical activity. From the perspective of social support theory, spouses provide emotional encouragement, practical assistance, and routine reminders that reinforce healthy behaviors (<xref ref-type="bibr" rid="ref72">72</xref>). As physical functioning declines with age, dependence on companionship and support becomes increasingly important, particularly among those aged 70&#x202F;years and above (<xref ref-type="bibr" rid="ref73">73</xref>, <xref ref-type="bibr" rid="ref74">74</xref>). Previous evidence further indicates that couple-based interventions, which involve both members of a married pair, can be especially effective in increasing physical activity participation and promoting long-term adherence among older adults (<xref ref-type="bibr" rid="ref75">75</xref>).</p>
<p>In this study, living arrangements were not significantly related to physical activity, which contrasts with several previous findings (<xref ref-type="bibr" rid="ref76 ref77 ref78 ref79">76&#x2013;79</xref>). A possible reason is that in rural China, co-residence is shaped more by caregiving responsibilities rather than emotional support. Rural older adults who live with their children are often responsible for grandchild care and household tasks, which reduces the time and autonomy available for engaging in physical activity. As a result, living with others may not provide the encouragement or companionship that supports physical activity. This explanation is also supported by evidence from some previous studies (<xref ref-type="bibr" rid="ref80">80</xref>, <xref ref-type="bibr" rid="ref81">81</xref>).</p>
<p>This study reveals a significant negative association between total personal income and participation in physical activity among the rural older adults. Although this finding may appear counterintuitive, it is consistent with the income-leisure trade-off theory. Descriptive statistics show that 84.81% of respondents were engaged in agriculture, animal husbandry, or fishery, and 59.47% reported feeling &#x201C;quite tired&#x201D; or &#x201C;very fatigued&#x201D; due to work-related physical and mental demands. These patterns suggest that the rural older adults are primarily involved in high-intensity manual labor. Under such occupational conditions, higher income is typically associated with longer working hours and greater labor intensity. These income-generating activities not only reduce available leisure time but also contribute to persistent physical fatigue (<xref ref-type="bibr" rid="ref82">82</xref>). From a rational choice perspective, minimizing non-productive physical activity becomes a utility-maximizing strategy when energy is limited, reflecting a behavioral tendency to prioritize rest and recovery over additional exercise.</p>
<p>The findings show that in rural China, self-rated health does not significantly promote participation in physical activity. This may be because the exercise behavior of the rural older adults is largely shaped by external factors such as lifestyle patterns, labor demands, cultural norms, economic conditions, and the availability of activity spaces. As a result, better self-rated health does not necessarily translate into a greater ability or willingness to engage in physical activity.</p>
<p>This study also found that fitness facilities are significantly associated with the physical activity behaviors of the rural older adults. Two reasons may explain this association. First, accessible and age-friendly sports facilities can reduce the barriers that older adults individuals face when engaging in exercise as their physical function declines, providing safer and more convenient opportunities for activity (<xref ref-type="bibr" rid="ref83">83</xref>, <xref ref-type="bibr" rid="ref84">84</xref>). Second, due to the limited availability of public exercise resources in rural areas, the accessibility and quality of sports facilities become particularly important for encouraging physical activity among the rural older adults. Community sports resources can provide platforms for social interaction, facilitating the formation of activity partners or teams (<xref ref-type="bibr" rid="ref85">85</xref>, <xref ref-type="bibr" rid="ref86">86</xref>). In other words, the social environment enhances interpersonal connections within the community, which further promotes participation in community activities (<xref ref-type="bibr" rid="ref87">87</xref>).</p>
<p>Outdoor activity spaces are associated with physical activity among the rural older adults to some extent, although the association is relatively limited in rural settings. One explanation is that rural older adults typically have access to spacious private courtyards and abundant natural environments, which provide greater privacy, easier accessibility, and higher convenience. These informal spaces substantially substitute for formal outdoor activity spaces, reducing their actual use. In addition, the quality of outdoor activity space design, including plant density, structural enclosure, and functional mixing (<xref ref-type="bibr" rid="ref88">88</xref>), is often more important than the mere presence of such spaces. Previous studies have reported that when physical environments lack features that are necessary or attractive for specific activities, individuals may lose opportunities to engage in physical activity (<xref ref-type="bibr" rid="ref89">89</xref>). Other studies have further suggested that although access to supportive environments is a necessary condition, it is insufficient for adults to achieve recommended levels of physical activity (<xref ref-type="bibr" rid="ref90">90</xref>). Therefore, providing outdoor activity spaces alone is unlikely to substantially increase physical activity among the rural older adults. This interpretation is consistent with our findings, which show only a marginally significant association in Model 3 and a non-significant effect once activity guidance is included in Model 4.</p>
<p>Research on physical activity guidance for rural older adults populations consistently demonstrates that supervised exercise programs are safe and effective in enhancing physical function (<xref ref-type="bibr" rid="ref91">91</xref>, <xref ref-type="bibr" rid="ref92">92</xref>). Such improvement is essential for maintaining independence and quality of life, with particularly significant benefits observed in women (<xref ref-type="bibr" rid="ref92">92</xref>). In rural China, these findings can be interpreted through two key mechanisms. First, activity guidance can help reduce risks related to physical activity for rural older adults, who generally have lower education levels and limited knowledge in this area, which in turn can increase their participation rates. Second, organized group activities such as square dancing and Tai Chi create stable social platforms that help alleviate the widespread empty-nest phenomenon by fulfilling social needs and enhancing exercise motivation. Third, we note that the cross-sectional design of this study may involve selection bias, as individuals who are already physically active, motivated, or socially connected may be more likely to seek or engage in activity guidance. Taken together, this evidence underscores the importance of accelerating the development of community-based fitness instructor systems to advance national fitness initiatives.</p>
<p>Several limitations should be acknowledged when interpreting the findings of this study. First, the analysis was based on cross-sectional data, which limits the ability to capture long-term changes in community environments and their cumulative effects on physical activity among the rural older adults. Second, the measurement of community environment was restricted by the indicators available in the dataset. Although access to fitness facilities, outdoor activity spaces, and activity guidance reflects certain aspects of community resources, these indicators cover only a small portion of the overall community environment. Key components such as environmental safety, transportation accessibility, walkability, and community participation were not included, which may weaken the explanatory power of the study. Third, regular physical exercise is typically defined as engaging in activities at least once a week, lasting at least 30&#x202F;min, and of moderate intensity. However, in the current study, participants were defined as those who engaged in physical activity at least once per month, which represents a much lower threshold compared to commonly recommended guidelines. Fourth, future research should incorporate additional determinants of physical activity that have been widely validated in previous studies, including health awareness, medical insurance coverage, and chronic disease management.</p>
<p>Despite these limitations, this study is, to our knowledge, the first to use nationally representative data to examine how community environments affect physical activity among rural older adults in China. The findings broaden the literature by highlighting community-level influences and offer useful evidence for policies that support healthy aging in rural areas.</p>
</sec>
<sec sec-type="conclusions" id="sec13">
<label>6</label>
<title>Conclusion</title>
<p>This study demonstrates that both individual and community environment factors are associated with physical activity among the rural older adults. At the individual level, age, gender, education level, marital status, and total personal income showed significant associations with physical activity, whereas living arrangement and self-rated health showed no clear associations. At the community level, the environment also played an important role, with access to fitness facilities, outdoor activity spaces, and activity guidance contributing to higher levels of participation. Based on these findings, strengthening the development of activity facilities in rural communities and accelerating the establishment of a community-based physical activity instructor system are recommended to promote physical activity among the rural older adults and to support the implementation of the national fitness strategy.</p>
</sec>
</body>
<back>
<sec sec-type="data-availability" id="sec14">
<title>Data availability statement</title>
<p>Publicly available datasets were analyzed in this study. This data can be found at: The datasets presented in this study can be found in online repositories. The name of the repository and accession information can be found at: the data of the study are publicly available and can be accessed via the China Longitudinal Aging Social Survey (CLASS) website: <ext-link xlink:href="https://class.ruc.edu.cn" ext-link-type="uri">https://class.ruc.edu.cn</ext-link>.</p>
</sec>
<sec sec-type="ethics-statement" id="sec15">
<title>Ethics statement</title>
<p>Ethical approval was not required for the study involving humans in accordance with the local legislation and institutional requirements. Written informed consent to participate in this study was not required from the participants or the participants' legal guardians/next of kin in accordance with the national legislation and the institutional requirements.</p>
</sec>
<sec sec-type="author-contributions" id="sec16">
<title>Author contributions</title>
<p>YZ: Writing &#x2013; review &#x0026; editing, Formal analysis, Writing &#x2013; original draft. SZ: Supervision, Writing &#x2013; original draft. DL: Validation, Methodology, Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft. AL: Software, Funding acquisition, Writing &#x2013; review &#x0026; editing, Writing &#x2013; original draft, Data curation.</p>
</sec>
<ack>
<title>Acknowledgments</title>
<p>All authors are grateful to the China Longitudinal Aging Social Survey (CLASS) project team for providing access to the survey data.</p>
</ack>
<sec sec-type="COI-statement" id="sec17">
<title>Conflict of interest</title>
<p>The author(s) declared that this work was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec sec-type="ai-statement" id="sec18">
<title>Generative AI statement</title>
<p>The author(s) declared that Generative AI was not used in the creation of this manuscript.</p>
<p>Any alternative text (alt text) provided alongside figures in this article has been generated by Frontiers with the support of artificial intelligence and reasonable efforts have been made to ensure accuracy, including review by the authors wherever possible. If you identify any issues, please contact us.</p>
</sec>
<sec sec-type="disclaimer" id="sec19">
<title>Publisher&#x2019;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
<ref-list>
<title>References</title>
<ref id="ref1"><label>1.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Warburton</surname><given-names>DE</given-names></name> <name><surname>Nicol</surname><given-names>CW</given-names></name> <name><surname>Bredin</surname><given-names>SS</given-names></name></person-group>. <article-title>Health benefits of physical activity: the evidence</article-title>. <source>CMAJ</source>. (<year>2006</year>) <volume>174</volume>:<fpage>801</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1503/cmaj.051351</pub-id>, <pub-id pub-id-type="pmid">16534088</pub-id></mixed-citation></ref>
<ref id="ref2"><label>2.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schwendinger</surname><given-names>F</given-names></name> <name><surname>Popp</surname><given-names>D</given-names></name> <name><surname>Burtscher</surname><given-names>M</given-names></name> <name><surname>Klenk</surname><given-names>C</given-names></name> <name><surname>K&#x00F6;ppel</surname><given-names>M</given-names></name> <name><surname>Siebert</surname><given-names>U</given-names></name> <etal/></person-group>. <article-title>Intensity or volume: the role of physical activity in longevity</article-title>. <source>Eur J Prev Cardiol</source>. (<year>2025</year>) <volume>32</volume>:<fpage>10</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1093/eurjpc/zwae393</pub-id></mixed-citation></ref>
<ref id="ref3"><label>3.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lakka</surname><given-names>TA</given-names></name> <name><surname>Laaksonen</surname><given-names>DE</given-names></name></person-group>. <article-title>Physical activity in prevention and treatment of the metabolic syndrome</article-title>. <source>Appl Physiol Nutr Metab</source>. (<year>2007</year>) <volume>32</volume>:<fpage>76</fpage>&#x2013;<lpage>88</lpage>. doi: <pub-id pub-id-type="doi">10.1139/h06-113</pub-id>, <pub-id pub-id-type="pmid">17332786</pub-id></mixed-citation></ref>
<ref id="ref4"><label>4.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vadal&#x00E0;</surname><given-names>G</given-names></name> <name><surname>Russo</surname><given-names>F</given-names></name> <name><surname>De Salvatore</surname><given-names>S</given-names></name> <name><surname>Cortina</surname><given-names>G</given-names></name> <name><surname>Albo</surname><given-names>E</given-names></name> <name><surname>Papalia</surname><given-names>R</given-names></name> <etal/></person-group>. <article-title>Physical activity for the treatment of chronic low back pain in elderly patients: a systematic review</article-title>. <source>J Clin Med</source>. (<year>2020</year>) <volume>9</volume>:<fpage>1023</fpage>. doi: <pub-id pub-id-type="doi">10.3390/jcm9041023</pub-id>, <pub-id pub-id-type="pmid">32260488</pub-id></mixed-citation></ref>
<ref id="ref5"><label>5.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Vogel</surname><given-names>T</given-names></name> <name><surname>Brechat</surname><given-names>PH</given-names></name> <name><surname>Lepr&#x00EA;tre</surname><given-names>PM</given-names></name> <name><surname>Kaltenbach</surname><given-names>G</given-names></name> <name><surname>Berthel</surname><given-names>M</given-names></name> <name><surname>Lonsdorfer</surname><given-names>J</given-names></name></person-group>. <article-title>Health benefits of physical activity in older patients: a review</article-title>. <source>Int J Clin Pract</source>. (<year>2009</year>) <volume>63</volume>:<fpage>303</fpage>&#x2013;<lpage>20</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1742-1241.2008.01957.x</pub-id>, <pub-id pub-id-type="pmid">19196369</pub-id></mixed-citation></ref>
<ref id="ref6"><label>6.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fujita</surname><given-names>K</given-names></name> <name><surname>Takahashi</surname><given-names>H</given-names></name> <name><surname>Miura</surname><given-names>C</given-names></name> <name><surname>Ohkubo</surname><given-names>T</given-names></name> <name><surname>Sato</surname><given-names>Y</given-names></name> <name><surname>Ugajin</surname><given-names>T</given-names></name> <etal/></person-group>. <article-title>Walking and mortality in Japan: the Miyagi cohort study</article-title>. <source>J Epidemiol</source>. (<year>2004</year>) <volume>14</volume>:<fpage>S26</fpage>&#x2013;<lpage>32</lpage>. doi: <pub-id pub-id-type="doi">10.2188/jea.14.S26</pub-id></mixed-citation></ref>
<ref id="ref7"><label>7.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kujala</surname><given-names>UM</given-names></name> <name><surname>Kaprio</surname><given-names>J</given-names></name> <name><surname>Sarna</surname><given-names>S</given-names></name> <name><surname>Koskenvuo</surname><given-names>M</given-names></name></person-group>. <article-title>Relationship of leisure-time physical activity and mortality: the Finnish twin cohort</article-title>. <source>JAMA</source>. (<year>1998</year>) <volume>279</volume>:<fpage>440</fpage>&#x2013;<lpage>4</lpage>.</mixed-citation></ref>
<ref id="ref8"><label>8.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hayasaka</surname><given-names>S</given-names></name> <name><surname>Shibata</surname><given-names>Y</given-names></name> <name><surname>Ishikawa</surname><given-names>S</given-names></name> <name><surname>Kayaba</surname><given-names>K</given-names></name> <name><surname>Gotoh</surname><given-names>T</given-names></name> <name><surname>Noda</surname><given-names>T</given-names></name> <etal/></person-group>. <article-title>Physical activity and all-cause mortality in Japan: the Jichi medical school cohort study</article-title>. <source>J Epidemiol</source>. (<year>2009</year>) <volume>19</volume>:<fpage>24</fpage>&#x2013;<lpage>7</lpage>. doi: <pub-id pub-id-type="doi">10.2188/jea.JE20080020</pub-id></mixed-citation></ref>
<ref id="ref9"><label>9.</label><mixed-citation publication-type="book"><person-group person-group-type="author"><collab id="coll1">U.S. Department of Health and Human Services</collab></person-group>. <source>Physical activity and health: A report of the surgeon general</source>. <publisher-loc>Atlanta, GA</publisher-loc>: <publisher-name>U.S. Department of Health and Human Services</publisher-name> (<year>1996</year>). <fpage>44</fpage> p.</mixed-citation></ref>
<ref id="ref10"><label>10.</label><mixed-citation publication-type="other"><person-group person-group-type="author"><collab id="coll2">World Health Organization</collab></person-group>. Global recommendations on physical activity for health. (<year>2010</year>). Available online at: <ext-link xlink:href="https://www.who.int/publications/i/item/9789241599979" ext-link-type="uri">https://www.who.int/publications/i/item/9789241599979</ext-link> [Accessed November 22, 2025].</mixed-citation></ref>
<ref id="ref11"><label>11.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Fakoya</surname><given-names>OA</given-names></name> <name><surname>McCorry</surname><given-names>NK</given-names></name> <name><surname>Donnelly</surname><given-names>M</given-names></name></person-group>. <article-title>Loneliness and social isolation interventions for older adults: a scoping review of reviews</article-title>. <source>BMC Public Health</source>. (<year>2020</year>) <volume>20</volume>:<fpage>129</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12889-020-8251-6</pub-id>, <pub-id pub-id-type="pmid">32054474</pub-id></mixed-citation></ref>
<ref id="ref12"><label>12.</label><mixed-citation publication-type="other"><person-group person-group-type="author"><collab id="coll3">World Health Organization</collab></person-group>. Global status report on physical activity (<year>2022</year>). Available online at: <ext-link xlink:href="https://www.who.int/publications-detail-redirect/9789240059153" ext-link-type="uri">https://www.who.int/publications-detail-redirect/9789240059153</ext-link> [Accessed November 24, 2025].</mixed-citation></ref>
<ref id="ref13"><label>13.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lindsay Smith</surname><given-names>G</given-names></name> <name><surname>Banting</surname><given-names>L</given-names></name> <name><surname>Eime</surname><given-names>R</given-names></name> <name><surname>O'Sullivan</surname><given-names>G</given-names></name> <name><surname>van Uffelen</surname><given-names>JGZ</given-names></name></person-group>. <article-title>The association between social support and physical activity in older adults: a systematic review</article-title>. <source>Int J Behav Nutr Phys Act</source>. (<year>2017</year>) <volume>14</volume>:<fpage>56</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12966-017-0509-8</pub-id>, <pub-id pub-id-type="pmid">28449673</pub-id></mixed-citation></ref>
<ref id="ref14"><label>14.</label><mixed-citation publication-type="other"><person-group person-group-type="author"><collab id="coll4">General Administration of Sport of China</collab></person-group>. Survey Report on the Status of National Fitness Activities. (<year>2020</year>). Available online at: <ext-link xlink:href="https://www.sport.gov.cn/n315/n329/c24335053/content.html" ext-link-type="uri">https://www.sport.gov.cn/n315/n329/c24335053/content.html</ext-link> [Accessed November 28, 2025].</mixed-citation></ref>
<ref id="ref15"><label>15.</label><mixed-citation publication-type="book"><person-group person-group-type="author"><name><surname>Giddens</surname><given-names>A</given-names></name></person-group>. <source>The constitution of society</source>. <publisher-loc>Beijing</publisher-loc>: <publisher-name>SDX Joint Publishing Company</publisher-name> (<year>1998</year>). <fpage>89</fpage> p.</mixed-citation></ref>
<ref id="ref16"><label>16.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hartmann-Tews</surname><given-names>I</given-names></name></person-group>. <article-title>Social stratification in sport and sport policy in the European Union</article-title>. <source>Eur J Sport Soc</source>. (<year>2006</year>) <volume>3</volume>:<fpage>109</fpage>&#x2013;<lpage>24</lpage>. doi: <pub-id pub-id-type="doi">10.1080/16138171.2006.11687784</pub-id></mixed-citation></ref>
<ref id="ref17"><label>17.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Liu</surname><given-names>DW</given-names></name> <name><surname>Lu</surname><given-names>MT</given-names></name></person-group>. <article-title>A binomial logistic regression analysis of Chinese residents' participation in sports</article-title>. <source>J Wuhan Inst Phys Educ</source>. (<year>2012</year>) <volume>46</volume>:<fpage>48</fpage>&#x2013;<lpage>53</lpage>.</mixed-citation></ref>
<ref id="ref18"><label>18.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Moens</surname><given-names>M</given-names></name> <name><surname>Scheerder</surname><given-names>J</given-names></name></person-group>. <article-title>Social determinants of sports participation revisited. The role of socialization and symbolic trajectories</article-title>. <source>Eur J Sport Soc</source>. (<year>2004</year>) <volume>1</volume>:<fpage>35</fpage>&#x2013;<lpage>49</lpage>. doi: <pub-id pub-id-type="doi">10.1080/16138171.2004.11687746</pub-id></mixed-citation></ref>
<ref id="ref19"><label>19.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>JT</given-names></name> <name><surname>Yu</surname><given-names>XY</given-names></name> <name><surname>Li</surname><given-names>SW</given-names></name></person-group>. <article-title>An ordered logistic regression analysis of factors influencing Chinese residents' participation in physical exercise</article-title>. <source>J Chengdu Sport Univ</source>. (<year>2014</year>) <volume>40</volume>:<fpage>12</fpage>&#x2013;<lpage>8</lpage>.</mixed-citation></ref>
<ref id="ref20"><label>20.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Downward</surname><given-names>P</given-names></name> <name><surname>Riordan</surname><given-names>J</given-names></name></person-group>. <article-title>Social interactions and the demand for sport: an economic analysis</article-title>. <source>Contemp Econ Policy</source>. (<year>2007</year>) <volume>25</volume>:<fpage>518</fpage>&#x2013;<lpage>37</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1465-7287.2007.00071.x</pub-id></mixed-citation></ref>
<ref id="ref21"><label>21.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Breuer</surname><given-names>C</given-names></name> <name><surname>Hallmann</surname><given-names>K</given-names></name> <name><surname>Wicker</surname><given-names>P</given-names></name> <name><surname>Feiler</surname><given-names>S</given-names></name></person-group>. <article-title>Socio-economic patterns of sport demand and ageing</article-title>. <source>Eur Rev Aging Phys Act</source>. (<year>2010</year>) <volume>7</volume>:<fpage>61</fpage>&#x2013;<lpage>70</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11556-010-0066-5</pub-id></mixed-citation></ref>
<ref id="ref22"><label>22.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Malambo</surname><given-names>P</given-names></name> <name><surname>Kengne</surname><given-names>A</given-names></name> <name><surname>Lambert</surname><given-names>E</given-names></name> <name><surname>De Villiers</surname><given-names>A</given-names></name> <name><surname>Puoane</surname><given-names>T</given-names></name></person-group>. <article-title>Prevalence and socio-demographic correlates of physical activity levels among south African adults in Cape Town and mount frere communities in 2008-2009</article-title>. <source>Arch Public Health</source>. (<year>2016</year>) <volume>74</volume>:<fpage>54</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s13690-016-0167-3</pub-id>, <pub-id pub-id-type="pmid">28042473</pub-id></mixed-citation></ref>
<ref id="ref23"><label>23.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gul</surname><given-names>Y</given-names></name> <name><surname>Sultan</surname><given-names>Z</given-names></name> <name><surname>Moeinaddini</surname><given-names>M</given-names></name> <name><surname>Jokhio</surname><given-names>GA</given-names></name></person-group>. <article-title>The effects of socio-demographic factors on physical activity in gated and non-gated neighbourhoods in Karachi, Pakistan</article-title>. <source>Sport Soc</source>. (<year>2019</year>) <volume>22</volume>:<fpage>1225</fpage>&#x2013;<lpage>39</lpage>. doi: <pub-id pub-id-type="doi">10.1080/17430437.2018.1508208</pub-id></mixed-citation></ref>
<ref id="ref24"><label>24.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Park</surname><given-names>S</given-names></name> <name><surname>Castaneda-Gameros</surname><given-names>D</given-names></name> <name><surname>Park</surname><given-names>SY</given-names></name> <name><surname>Oh</surname><given-names>IH</given-names></name></person-group>. <article-title>Factors of physical activity and sedentary behavior in elderly Koreans</article-title>. <source>Am J Health Behav</source>. (<year>2019</year>) <volume>43</volume>:<fpage>1040</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.5993/AJHB.43.6.3</pub-id>, <pub-id pub-id-type="pmid">31662164</pub-id></mixed-citation></ref>
<ref id="ref25"><label>25.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pardo</surname><given-names>A</given-names></name> <name><surname>Roman-Vinas</surname><given-names>B</given-names></name> <name><surname>Ribas-Barba</surname><given-names>L</given-names></name> <name><surname>Roure</surname><given-names>E</given-names></name> <name><surname>Vallbona</surname><given-names>C</given-names></name> <name><surname>Serra-Majem</surname><given-names>L</given-names></name></person-group>. <article-title>Health-enhancing physical activity and associated factors in a Spanish population</article-title>. <source>J Sci Med Sport</source>. (<year>2014</year>) <volume>17</volume>:<fpage>188</fpage>&#x2013;<lpage>94</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jsams.2013.04.002</pub-id>, <pub-id pub-id-type="pmid">23727399</pub-id></mixed-citation></ref>
<ref id="ref26"><label>26.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Humphreys</surname><given-names>BR</given-names></name> <name><surname>Ruseski</surname><given-names>JE</given-names></name></person-group>. <article-title>Participation in physical activity and government spending on parks and recreation</article-title>. <source>Contemp Econ Policy</source>. (<year>2007</year>) <volume>25</volume>:<fpage>538</fpage>&#x2013;<lpage>52</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1465-7287.2007.00079.x</pub-id></mixed-citation></ref>
<ref id="ref27"><label>27.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pan</surname><given-names>SY</given-names></name> <name><surname>Cameron</surname><given-names>C</given-names></name> <name><surname>DesMeules</surname><given-names>M</given-names></name> <name><surname>Morrison</surname><given-names>H</given-names></name> <name><surname>Craig</surname><given-names>CL</given-names></name> <name><surname>Jiang</surname><given-names>Y</given-names></name></person-group>. <article-title>Individual, social, environmental, and physical environmental correlates with physical activity among Canadians: a cross-sectional study</article-title>. <source>BMC Public Health</source>. (<year>2009</year>) <volume>9</volume>:<fpage>21</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1471-2458-9-21</pub-id></mixed-citation></ref>
<ref id="ref28"><label>28.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lera-L&#x00F3;pez</surname><given-names>F</given-names></name> <name><surname>Rap&#x00FA;n-G&#x00E1;rate</surname><given-names>M</given-names></name></person-group>. <article-title>Sports participation versus consumer expenditure on sport: different determinants and strategies in sports management</article-title>. <source>Eur Sport Manag Q</source>. (<year>2005</year>) <volume>5</volume>:<fpage>167</fpage>&#x2013;<lpage>86</lpage>. doi: <pub-id pub-id-type="doi">10.1080/16184740500188656</pub-id></mixed-citation></ref>
<ref id="ref29"><label>29.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lera-L&#x00F3;pez</surname><given-names>F</given-names></name> <name><surname>Rap&#x00FA;n-G&#x00E1;rate</surname><given-names>M</given-names></name></person-group>. <article-title>The demand for sport: sport consumption and participation models</article-title>. <source>J Sport Manag</source>. (<year>2007</year>) <volume>21</volume>:<fpage>103</fpage>&#x2013;<lpage>22</lpage>. doi: <pub-id pub-id-type="doi">10.1123/jsm.21.1.103</pub-id></mixed-citation></ref>
<ref id="ref30"><label>30.</label><mixed-citation publication-type="book"><person-group person-group-type="author"><name><surname>Downward</surname><given-names>P</given-names></name> <name><surname>Dawson</surname><given-names>A</given-names></name> <name><surname>Dejonghe</surname><given-names>T</given-names></name></person-group>. <source>Sport economics. THEORY, evidence and policy</source>. <publisher-loc>Oxford</publisher-loc>: <publisher-name>Butterworth-Heinemann</publisher-name> (<year>2009</year>). <fpage>23</fpage> p.</mixed-citation></ref>
<ref id="ref31"><label>31.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>F</given-names></name> <name><surname>Fisher</surname><given-names>KJ</given-names></name></person-group>. <article-title>Neighborhood influences on physical activity in middle-aged and older adults: a multilevel perspective</article-title>. <source>J Aging Phys Act</source>. (<year>2005</year>) <volume>13</volume>:<fpage>87</fpage>&#x2013;<lpage>114</lpage>. doi: <pub-id pub-id-type="doi">10.1123/japa.13.1.87</pub-id></mixed-citation></ref>
<ref id="ref32"><label>32.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Darlow</surname><given-names>SD</given-names></name> <name><surname>Xu</surname><given-names>XM</given-names></name></person-group>. <article-title>The influence of close others&#x2019; exercise habits and perceived social support on exercise</article-title>. <source>Psychol Sport Exerc</source>. (<year>2011</year>) <volume>12</volume>:<fpage>575</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.psychsport.2011.04.004</pub-id></mixed-citation></ref>
<ref id="ref33"><label>33.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>G Heath</surname><given-names>GW</given-names></name> <name><surname>Parra</surname><given-names>DC</given-names></name> <name><surname>Sarmiento</surname><given-names>OL</given-names></name> <name><surname>Andersen</surname><given-names>LB</given-names></name> <name><surname>Owen</surname><given-names>N</given-names></name> <name><surname>Goenka</surname><given-names>S</given-names></name> <etal/></person-group>. <article-title>Evidence-based intervention in physical activity: lessons from around the world</article-title>. <source>Lancet</source>. (<year>2012</year>) <volume>380</volume>:<fpage>272</fpage>&#x2013;<lpage>81</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S0140-6736(12)60816-2</pub-id></mixed-citation></ref>
<ref id="ref34"><label>34.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Rauh</surname><given-names>VA</given-names></name></person-group>. <article-title>Health and community design: the impact of the built environment on physical activity</article-title>. <source>J Epidemiol Community Health</source>. (<year>2003</year>) <volume>22</volume>:<fpage>88</fpage>&#x2013;<lpage>90</lpage>.</mixed-citation></ref>
<ref id="ref35"><label>35.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McCormack</surname><given-names>G</given-names></name> <name><surname>Giles-Corti</surname><given-names>B</given-names></name> <name><surname>Lange</surname><given-names>A</given-names></name> <name><surname>Smith</surname><given-names>T</given-names></name> <name><surname>Martin</surname><given-names>K</given-names></name> <name><surname>Pikora</surname><given-names>TJ</given-names></name></person-group>. <article-title>An update of recent evidence of the relationship between objective and self-report measures of the physical environment and physical activity behaviours</article-title>. <source>J Sci Med Sport</source>. (<year>2004</year>) <volume>7</volume>:<fpage>81</fpage>&#x2013;<lpage>92</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S1440-2440(04)80282-2</pub-id>, <pub-id pub-id-type="pmid">15214606</pub-id></mixed-citation></ref>
<ref id="ref36"><label>36.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Humpel</surname><given-names>N</given-names></name> <name><surname>Owen</surname><given-names>N</given-names></name> <name><surname>Leslie</surname><given-names>E</given-names></name></person-group>. <article-title>Environmental factors associated with adults' participation in physical activity: a review</article-title>. <source>Am J Prev Med</source>. (<year>2002</year>) <volume>22</volume>:<fpage>188</fpage>&#x2013;<lpage>99</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S0749-3797(01)00426-3</pub-id>, <pub-id pub-id-type="pmid">11897464</pub-id></mixed-citation></ref>
<ref id="ref37"><label>37.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Duncan</surname><given-names>MJ</given-names></name> <name><surname>Spence</surname><given-names>JC</given-names></name> <name><surname>Mummery</surname><given-names>WK</given-names></name></person-group>. <article-title>Perceived environment and physical activity: a meta-analysis of selected environmental characteristics</article-title>. <source>Int J Behav Nutr Phys Act</source>. (<year>2005</year>) <volume>2</volume>:<fpage>11</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1479-5868-2-11</pub-id>, <pub-id pub-id-type="pmid">16138933</pub-id></mixed-citation></ref>
<ref id="ref38"><label>38.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lopez</surname><given-names>RP</given-names></name> <name><surname>Hynes</surname><given-names>HP</given-names></name></person-group>. <article-title>Obesity, physical activity, and the urban environment: public health research needs</article-title>. <source>Environ Health</source>. (<year>2006</year>) <volume>5</volume>:<fpage>25</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1476-069X-5-25</pub-id>, <pub-id pub-id-type="pmid">16981988</pub-id></mixed-citation></ref>
<ref id="ref39"><label>39.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wendel-Vos</surname><given-names>W</given-names></name> <name><surname>Droomers</surname><given-names>M</given-names></name> <name><surname>Kremers</surname><given-names>S</given-names></name> <name><surname>Brug</surname><given-names>J</given-names></name> <name><surname>van Lenthe</surname><given-names>F</given-names></name></person-group>. <article-title>Potential environmental determinants of physical activity in adults: a systematic review</article-title>. <source>Obes Rev</source>. (<year>2007</year>) <volume>8</volume>:<fpage>425</fpage>&#x2013;<lpage>40</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1467-789X.2007.00370.x</pub-id>, <pub-id pub-id-type="pmid">17716300</pub-id></mixed-citation></ref>
<ref id="ref40"><label>40.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Eyler</surname><given-names>AA</given-names></name> <name><surname>Brownson</surname><given-names>RC</given-names></name> <name><surname>Bacak</surname><given-names>SJ</given-names></name> <name><surname>Housemann</surname><given-names>RA</given-names></name></person-group>. <article-title>The epidemiology of walking for physical activity in the United States</article-title>. <source>Med Sci Sports Exerc</source>. (<year>2003</year>) <volume>35</volume>:<fpage>1529</fpage>&#x2013;<lpage>36</lpage>. doi: <pub-id pub-id-type="doi">10.1249/01.MSS.0000084622.39122.0C</pub-id>, <pub-id pub-id-type="pmid">12972873</pub-id></mixed-citation></ref>
<ref id="ref41"><label>41.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Gharaveis</surname><given-names>A</given-names></name></person-group>. <article-title>A systematic framework for understanding environmental design influences on physical activity in the elderly population: a review of literature</article-title>. <source>Facilities</source>. (<year>2020</year>) <volume>38</volume>:<fpage>625</fpage>&#x2013;<lpage>49</lpage>. doi: <pub-id pub-id-type="doi">10.1108/F-08-2018-0094</pub-id></mixed-citation></ref>
<ref id="ref42"><label>42.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hanibuchi</surname><given-names>T</given-names></name> <name><surname>Kawachi</surname><given-names>I</given-names></name> <name><surname>Nakaya</surname><given-names>T</given-names></name> <name><surname>Aida</surname><given-names>J</given-names></name> <name><surname>Hirai</surname><given-names>H</given-names></name> <name><surname>Kondo</surname><given-names>K</given-names></name></person-group>. <article-title>Neighborhood built environment and physical activity of Japanese older adults: results from the Aichi Gerontological Evaluation Study (AGES)</article-title>. <source>BMC Public Health</source>. (<year>2011</year>) <volume>11</volume>:<fpage>657</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1471-2458-11-657</pub-id></mixed-citation></ref>
<ref id="ref43"><label>43.</label><mixed-citation publication-type="book"><person-group person-group-type="author"><name><surname>Frumkin</surname><given-names>H</given-names></name> <name><surname>Frank</surname><given-names>L</given-names></name> <name><surname>Jackson</surname><given-names>R</given-names></name></person-group>. <source>Urban sprawl and public health: Designing, planning, and building for healthy communities</source>. <publisher-loc>Washington, D.C.</publisher-loc>: <publisher-name>Island Press</publisher-name> (<year>2004</year>). <fpage>34</fpage> p.</mixed-citation></ref>
<ref id="ref44"><label>44.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brownson</surname><given-names>RC</given-names></name> <name><surname>Hoehner</surname><given-names>CM</given-names></name> <name><surname>Day</surname><given-names>K</given-names></name> <name><surname>Forsyth</surname><given-names>A</given-names></name> <name><surname>Sallis</surname><given-names>JF</given-names></name></person-group>. <article-title>Measuring the built environment for physical activity: state of the science</article-title>. <source>Am J Prev Med</source>. (<year>2009</year>) <volume>36</volume>:<fpage>S99</fpage>&#x2013;<lpage>S123</lpage>.  doi: <pub-id pub-id-type="doi">10.1016/j.amepre.2009.01.005</pub-id></mixed-citation></ref>
<ref id="ref45"><label>45.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Estabrooks</surname><given-names>PA</given-names></name> <name><surname>Lee</surname><given-names>RE</given-names></name> <name><surname>Gyurcsik</surname><given-names>NC</given-names></name></person-group>. <article-title>Resources for physical activity participation: does availability and accessibility differ by neighborhood socioeconomic status?</article-title> <source>Ann Behav Med</source>. (<year>2003</year>) <volume>25</volume>:<fpage>100</fpage>&#x2013;<lpage>4</lpage>. doi: <pub-id pub-id-type="doi">10.1207/S15324796ABM2502_05</pub-id>, <pub-id pub-id-type="pmid">12704011</pub-id></mixed-citation></ref>
<ref id="ref46"><label>46.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Owen</surname><given-names>N</given-names></name> <name><surname>Humpel</surname><given-names>N</given-names></name> <name><surname>Leslie</surname><given-names>E</given-names></name> <name><surname>Bauman</surname><given-names>A</given-names></name> <name><surname>Sallis</surname><given-names>JF</given-names></name></person-group>. <article-title>Understanding environmental influences on walking: review and research agenda</article-title>. <source>Am J Prev Med</source>. (<year>2004</year>) <volume>27</volume>:<fpage>67</fpage>&#x2013;<lpage>76</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.amepre.2004.03.006</pub-id>, <pub-id pub-id-type="pmid">15212778</pub-id></mixed-citation></ref>
<ref id="ref47"><label>47.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schulz</surname><given-names>A</given-names></name> <name><surname>Mentz</surname><given-names>G</given-names></name> <name><surname>Johnson-Lawrence</surname><given-names>V</given-names></name> <name><surname>Israel</surname><given-names>BA</given-names></name> <name><surname>Max</surname><given-names>P</given-names></name> <name><surname>Zenk</surname><given-names>SN</given-names></name></person-group>. <article-title>Independent and joint associations between multiple measures of the built and social environment and physical activity in a multi-ethnic urban community</article-title>. <source>J Urban Health</source>. (<year>2013</year>) <volume>90</volume>:<fpage>872</fpage>&#x2013;<lpage>87</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11524-013-9793-z</pub-id>, <pub-id pub-id-type="pmid">23435574</pub-id></mixed-citation></ref>
<ref id="ref48"><label>48.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Sallis</surname><given-names>JF</given-names></name> <name><surname>Cervero</surname><given-names>RB</given-names></name> <name><surname>Ascher</surname><given-names>W</given-names></name> <name><surname>Henderson</surname><given-names>KAH</given-names></name> <name><surname>Kraft</surname><given-names>MK</given-names></name> <name><surname>Kerr</surname><given-names>J</given-names></name></person-group>. <article-title>An ecological approach to creating active living communities</article-title>. <source>Annu Rev Public Health</source>. (<year>2006</year>) <volume>27</volume>:<fpage>297</fpage>&#x2013;<lpage>322</lpage>. doi: <pub-id pub-id-type="doi">10.1146/annurev.publhealth.27.021405.102100</pub-id>, <pub-id pub-id-type="pmid">16533119</pub-id></mixed-citation></ref>
<ref id="ref49"><label>49.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Foster</surname><given-names>S</given-names></name> <name><surname>Giles-Corti</surname><given-names>B</given-names></name></person-group>. <article-title>The built environment, neighborhood crime and constrained physical activity: an exploration of inconsistent findings</article-title>. <source>Prev Med</source>. (<year>2008</year>) <volume>47</volume>:<fpage>241</fpage>&#x2013;<lpage>51</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ypmed.2008.03.017</pub-id>, <pub-id pub-id-type="pmid">18499242</pub-id></mixed-citation></ref>
<ref id="ref50"><label>50.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Belon</surname><given-names>AP</given-names></name> <name><surname>Nieuwendyk</surname><given-names>LM</given-names></name> <name><surname>Vallianatos</surname><given-names>H</given-names></name> <name><surname>Nykiforuk</surname><given-names>CIJ</given-names></name></person-group>. <article-title>How community environment shapes physical activity: perceptions revealed through the PhotoVoice method</article-title>. <source>Soc Sci Med</source>. (<year>2014</year>) <volume>116</volume>:<fpage>10</fpage>&#x2013;<lpage>21</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.socscimed.2014.06.027</pub-id>, <pub-id pub-id-type="pmid">24973570</pub-id></mixed-citation></ref>
<ref id="ref51"><label>51.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zheng</surname><given-names>ZD</given-names></name> <name><surname>Xu</surname><given-names>YY</given-names></name> <name><surname>Zhang</surname><given-names>WJ</given-names></name></person-group>. <article-title>Examination of the social effects of urban community sports meets in the context of a harmonious society</article-title>. <source>J Shandong Sport Univ</source>. (<year>2009</year>) <volume>25</volume>:<fpage>10</fpage>&#x2013;<lpage>3</lpage>.</mixed-citation></ref>
<ref id="ref52"><label>52.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yip</surname><given-names>C</given-names></name> <name><surname>Sarma</surname><given-names>S</given-names></name> <name><surname>Wilk</surname><given-names>P</given-names></name></person-group>. <article-title>The association between social cohesion and physical activity in Canada: a multilevel analysis</article-title>. <source>SSM-population Health</source>. (<year>2016</year>) <volume>2</volume>:<fpage>718</fpage>&#x2013;<lpage>23</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.ssmph.2016.09.010</pub-id>, <pub-id pub-id-type="pmid">29349183</pub-id></mixed-citation></ref>
<ref id="ref53"><label>53.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ishii</surname><given-names>K</given-names></name> <name><surname>Shibata</surname><given-names>A</given-names></name> <name><surname>Oka</surname><given-names>K</given-names></name></person-group>. <article-title>Environmental, psychological, and social influences on physical activity among Japanese adults: structural equation modeling analysis</article-title>. <source>Int J Behav Nutr Phys Act</source>. (<year>2010</year>) <volume>7</volume>:<fpage>61</fpage>. doi: <pub-id pub-id-type="doi">10.1186/1479-5868-7-61</pub-id>, <pub-id pub-id-type="pmid">20684794</pub-id></mixed-citation></ref>
<ref id="ref54"><label>54.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Strong</surname><given-names>LL</given-names></name> <name><surname>Reitzel</surname><given-names>LR</given-names></name> <name><surname>Wetter</surname><given-names>DW</given-names></name> <name><surname>McNeill</surname><given-names>LH</given-names></name></person-group>. <article-title>Associations of perceived neighborhood physical and social environments with physical activity and television viewing in African-American men and women</article-title>. <source>Am J Health Promot</source>. (<year>2013</year>) <volume>27</volume>:<fpage>401</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.4278/ajhp.120306-QUAN-127</pub-id>, <pub-id pub-id-type="pmid">23398134</pub-id></mixed-citation></ref>
<ref id="ref55"><label>55.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Mendes de Leon</surname><given-names>CF</given-names></name> <name><surname>Cagney</surname><given-names>KA</given-names></name> <name><surname>Bienias</surname><given-names>JL</given-names></name> <name><surname>Barnes</surname><given-names>LL</given-names></name> <name><surname>Skarupski</surname><given-names>KA</given-names></name> <name><surname>Scherr</surname><given-names>PA</given-names></name></person-group>. <article-title>Neighborhood social cohesion and disorder in relation to walking in community-dwelling older adults: a multilevel analysis</article-title>. <source>J Aging Health</source>. (<year>2009</year>) <volume>21</volume>:<fpage>155</fpage>&#x2013;<lpage>71</lpage>. doi: <pub-id pub-id-type="doi">10.1177/0898264308328650</pub-id>, <pub-id pub-id-type="pmid">19144973</pub-id></mixed-citation></ref>
<ref id="ref56"><label>56.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kaczynski</surname><given-names>AT</given-names></name> <name><surname>Glover</surname><given-names>TD</given-names></name></person-group>. <article-title>Talking the talk, walking the walk: examining the effect of neighborhood walkability and social connectedness on physical activity</article-title>. <source>J Public Health</source>. (<year>2012</year>) <volume>34</volume>:<fpage>382</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1093/pubmed/fds011</pub-id>, <pub-id pub-id-type="pmid">22378942</pub-id></mixed-citation></ref>
<ref id="ref57"><label>57.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Brennan</surname><given-names>LK</given-names></name> <name><surname>Baker</surname><given-names>EA</given-names></name> <name><surname>Haire-Joshu</surname><given-names>D</given-names></name> <name><surname>Brownson</surname><given-names>RC</given-names></name></person-group>. <article-title>Linking perceptions of the community to behavior: are protective social factors associated with physical activity?</article-title> <source>Health Educ Behav</source>. (<year>2003</year>) <volume>30</volume>:<fpage>740</fpage>&#x2013;<lpage>55</lpage>. doi: <pub-id pub-id-type="doi">10.1177/1090198103255375</pub-id>, <pub-id pub-id-type="pmid">14655867</pub-id></mixed-citation></ref>
<ref id="ref58"><label>58.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Kahn</surname><given-names>EB</given-names></name> <name><surname>Ramsey</surname><given-names>LT</given-names></name> <name><surname>Brownson</surname><given-names>RC</given-names></name> <name><surname>Heath</surname><given-names>GW</given-names></name> <name><surname>Howze</surname><given-names>EH</given-names></name> <name><surname>Powell</surname><given-names>KE</given-names></name></person-group>. <article-title>The effectiveness of interventions to increase physical activity. a systematic review</article-title>. <source>Am J Prev Med</source>. (<year>2002</year>) <volume>22</volume>:<fpage>73</fpage>&#x2013;<lpage>107</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S0749-3797(02)00434-8</pub-id>, <pub-id pub-id-type="pmid">11985936</pub-id></mixed-citation></ref>
<ref id="ref59"><label>59.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ueshima</surname><given-names>K</given-names></name> <name><surname>Ishikawa-Takata</surname><given-names>K</given-names></name> <name><surname>Yorifuji</surname><given-names>T</given-names></name> <name><surname>Suzuki</surname><given-names>E</given-names></name> <name><surname>Kashima</surname><given-names>S</given-names></name> <name><surname>Takao</surname><given-names>S</given-names></name> <etal/></person-group>. <article-title>Does social capital promote physical activity? A population-based study in Japan</article-title>. <source>PLoS One</source>. (<year>2010</year>) <volume>5</volume>:<fpage>e12135</fpage>. doi: <pub-id pub-id-type="doi">10.1371/journal.pone.0012135</pub-id></mixed-citation></ref>
<ref id="ref60"><label>60.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Li</surname><given-names>XT</given-names></name> <name><surname>Xing</surname><given-names>XY</given-names></name></person-group>. <article-title>Analysis of physical exercise behavior of Chinese urban community residents from the perspective of social stratification&#x2014;an empirical study based on CGSS data</article-title>. <source>J Beijing Sport Univ</source>. (<year>2014</year>) <volume>37</volume>:<fpage>17</fpage>&#x2013;<lpage>25</lpage>.</mixed-citation></ref>
<ref id="ref61"><label>61.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Berke</surname><given-names>EM</given-names></name> <name><surname>Koepsell</surname><given-names>TD</given-names></name> <name><surname>Moudon</surname><given-names>AV</given-names></name> <name><surname>Hoskins</surname><given-names>RE</given-names></name> <name><surname>Larson</surname><given-names>EB</given-names></name></person-group>. <article-title>Association of the built environment with physical activity and obesity in older persons</article-title>. <source>Am J Public Health</source>. (<year>2007</year>) <volume>97</volume>:<fpage>486</fpage>&#x2013;<lpage>92</lpage>. doi: <pub-id pub-id-type="doi">10.2105/AJPH.2006.085837</pub-id>, <pub-id pub-id-type="pmid">17267713</pub-id></mixed-citation></ref>
<ref id="ref62"><label>62.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nagel</surname><given-names>CL</given-names></name> <name><surname>Carlson</surname><given-names>NE</given-names></name> <name><surname>Bosworth</surname><given-names>M</given-names></name> <name><surname>Michael</surname><given-names>YL</given-names></name></person-group>. <article-title>The relation between neighborhood built environment and walking activity among older adults</article-title>. <source>Am J Epidemiol</source>. (<year>2008</year>) <volume>168</volume>:<fpage>461</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1093/aje/kwn158</pub-id>, <pub-id pub-id-type="pmid">18567638</pub-id></mixed-citation></ref>
<ref id="ref63"><label>63.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname><given-names>Q</given-names></name> <name><surname>Bai</surname><given-names>X</given-names></name> <name><surname>Feng</surname><given-names>N</given-names></name></person-group>. <article-title>Social participation and depressive symptoms among Chinese older adults: a study on rural-urban differences</article-title>. <source>J Affect Disord</source>. (<year>2018</year>) <volume>239</volume>:<fpage>124</fpage>&#x2013;<lpage>30</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jad.2018.06.036</pub-id>, <pub-id pub-id-type="pmid">30005325</pub-id></mixed-citation></ref>
<ref id="ref64"><label>64.</label><mixed-citation publication-type="book"><person-group person-group-type="author"><collab id="coll5">Sport England</collab></person-group>. <source>Active people survey 2008/2009: Participation</source>. <publisher-loc>London</publisher-loc>: <publisher-name>Sport England</publisher-name> (<year>2009</year>). <fpage>36</fpage> p.</mixed-citation></ref>
<ref id="ref65"><label>65.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Guo</surname><given-names>K</given-names></name> <name><surname>Huang</surname><given-names>Q</given-names></name></person-group>. <article-title>Where does "defying age" come from? Exploring the pathways through which physical exercise affects aging identity among older adults in China</article-title>. <source>J Sports Sci Res</source>. (<year>2025</year>) <volume>39</volume>:<fpage>65</fpage>&#x2013;<lpage>79</lpage>.</mixed-citation></ref>
<ref id="ref66"><label>66.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ma</surname><given-names>QF</given-names></name> <name><surname>Zhao</surname><given-names>Y</given-names></name> <name><surname>Yang</surname><given-names>F</given-names></name></person-group>. <article-title>The differential impact of physical exercise on the health of older adults&#x2014;a longitudinal study based on CLASS</article-title>. <source>Chin Sport Sci Technol</source>. (<year>2025</year>) <volume>61</volume>:<fpage>35</fpage>&#x2013;<lpage>43</lpage>.</mixed-citation></ref>
<ref id="ref67"><label>67.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>McNeill</surname><given-names>LH</given-names></name> <name><surname>Kreuter</surname><given-names>MW</given-names></name> <name><surname>Subramanian</surname><given-names>SV</given-names></name></person-group>. <article-title>Influence of individual and social contextual factors on changes in leisure-time physical activity in working-class populations: results of the Healthy Directions-Small Businesses Study</article-title>. <source>Cancer Causes Control</source>. (<year>2012</year>) <volume>23</volume>:<fpage>1475</fpage>&#x2013;<lpage>87</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s10552-012-0021-z</pub-id>, <pub-id pub-id-type="pmid">22806257</pub-id></mixed-citation></ref>
<ref id="ref68"><label>68.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hinrichs</surname><given-names>T</given-names></name> <name><surname>Trampisch</surname><given-names>U</given-names></name> <name><surname>Burghaus</surname><given-names>I</given-names></name> <name><surname>Endres</surname><given-names>H</given-names></name> <name><surname>Klaa&#x00DF;en-Mielke</surname><given-names>R</given-names></name> <name><surname>Moschny</surname><given-names>A</given-names></name> <etal/></person-group>. <article-title>Correlates of sport participation among community-dwelling elderly people in Germany: a cross-sectional study</article-title>. <source>Eur Rev Aging Phys Act</source>. (<year>2010</year>) <volume>7</volume>:<fpage>63</fpage>&#x2013;<lpage>71</lpage>. doi: <pub-id pub-id-type="doi">10.1007/s11556-010-0064-7</pub-id></mixed-citation></ref>
<ref id="ref69"><label>69.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Zaitune</surname><given-names>MP</given-names></name> <name><surname>Barros</surname><given-names>MB</given-names></name> <name><surname>C&#x00E9;sar</surname><given-names>CL</given-names></name> <name><surname>Carandina</surname><given-names>L</given-names></name> <name><surname>Goldbaum</surname><given-names>M</given-names></name> <name><surname>Alves</surname><given-names>MC</given-names></name></person-group>. <article-title>Factors associated with global and leisure-time physical activity in the elderly: a health survey in Sao Paulo (ISA-SP), Brazil</article-title>. <source>Cad Saude Publica</source>. (<year>2010</year>) <volume>26</volume>:<fpage>1606</fpage>&#x2013;<lpage>18</lpage>. doi: <pub-id pub-id-type="doi">10.1590/s0102-311x2010000800014</pub-id>, <pub-id pub-id-type="pmid">21229219</pub-id></mixed-citation></ref>
<ref id="ref70"><label>70.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ethisan</surname><given-names>P</given-names></name> <name><surname>Somrongthong</surname><given-names>R</given-names></name> <name><surname>Ahmed</surname><given-names>J</given-names></name> <name><surname>Kumar</surname><given-names>R</given-names></name> <name><surname>Chapman</surname><given-names>RS</given-names></name></person-group>. <article-title>Factors related to physical activity among the elderly population in rural Thailand</article-title>. <source>J Prim Care Community Health</source>. (<year>2017</year>) <volume>8</volume>:<fpage>71</fpage>&#x2013;<lpage>6</lpage>. doi: <pub-id pub-id-type="doi">10.1177/2150131916675899</pub-id>, <pub-id pub-id-type="pmid">27799413</pub-id></mixed-citation></ref>
<ref id="ref71"><label>71.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Peng</surname><given-names>DS</given-names></name></person-group>. <article-title>Social stratification in physical exercise: phenomenon, mechanism, and reflection</article-title>. <source>Chin Sport Sci</source>. (<year>2012</year>) <volume>32</volume>:<fpage>24</fpage>&#x2013;<lpage>33</lpage>.</mixed-citation></ref>
<ref id="ref72"><label>72.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Steinhoff</surname><given-names>P</given-names></name> <name><surname>Reiner</surname><given-names>A</given-names></name></person-group>. <article-title>Physical activity and functional social support in community-dwelling older adults: a scoping review</article-title>. <source>BMC Public Health</source>. (<year>2024</year>) <volume>24</volume>:<fpage>1355</fpage>. doi: <pub-id pub-id-type="doi">10.1186/s12889-024-18863-6</pub-id>, <pub-id pub-id-type="pmid">38769563</pub-id></mixed-citation></ref>
<ref id="ref73"><label>73.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Loprinzi</surname><given-names>PD</given-names></name> <name><surname>Joyner</surname><given-names>C</given-names></name></person-group>. <article-title>Source and size of emotional and financial-related social support network on physical activity behavior among older adults</article-title>. <source>J Phys Act Health</source>. (<year>2016</year>) <volume>13</volume>:<fpage>776</fpage>&#x2013;<lpage>9</lpage>. doi: <pub-id pub-id-type="doi">10.1123/jpah.2015-0629</pub-id>, <pub-id pub-id-type="pmid">26900842</pub-id></mixed-citation></ref>
<ref id="ref74"><label>74.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Satariano</surname><given-names>WA</given-names></name> <name><surname>Haight</surname><given-names>TJ</given-names></name> <name><surname>Tager</surname><given-names>IB</given-names></name></person-group>. <article-title>Living arrangements and participation in leisure-time physical activities in an older population</article-title>. <source>J Aging Health</source>. (<year>2002</year>) <volume>14</volume>:<fpage>427</fpage>&#x2013;<lpage>51</lpage>. doi: <pub-id pub-id-type="doi">10.1177/089826402237177</pub-id>, <pub-id pub-id-type="pmid">12391994</pub-id></mixed-citation></ref>
<ref id="ref75"><label>75.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Pettee</surname><given-names>KK</given-names></name> <name><surname>Brach</surname><given-names>JENNIFERS</given-names></name> <name><surname>Kriska</surname><given-names>ANDREAM</given-names></name> <name><surname>Boudreau</surname><given-names>ROBERT</given-names></name> <name><surname>Richardson</surname><given-names>CAROLINER</given-names></name> <name><surname>Colbert</surname><given-names>LISAH</given-names></name> <etal/></person-group>. <article-title>Influence of marital status on physical activity levels among older adults</article-title>. <source>Med Sci Sports Exerc</source>. (<year>2006</year>) <volume>38</volume>:<fpage>541</fpage>&#x2013;<lpage>6</lpage>. doi: <pub-id pub-id-type="doi">10.1249/01.mss.0000191346.95244.f7</pub-id>, <pub-id pub-id-type="pmid">16540843</pub-id></mixed-citation></ref>
<ref id="ref76"><label>76.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>R</given-names></name> <name><surname>Liu</surname><given-names>Y</given-names></name> <name><surname>Mu</surname><given-names>T</given-names></name> <name><surname>Ye</surname><given-names>Y</given-names></name> <name><surname>Xu</surname><given-names>C</given-names></name></person-group>. <article-title>Determining the association between different living arrangements and depressive symptoms among over-65-year-old people: the moderating role of outdoor activities</article-title>. <source>Front Public Health</source>. (<year>2022</year>) <volume>10</volume>:<fpage>954416</fpage>. doi: <pub-id pub-id-type="doi">10.3389/fpubh.2022.954416</pub-id>, <pub-id pub-id-type="pmid">35991056</pub-id></mixed-citation></ref>
<ref id="ref77"><label>77.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Yu</surname><given-names>CY</given-names></name> <name><surname>Hou</surname><given-names>SI</given-names></name> <name><surname>Miller</surname><given-names>J</given-names></name></person-group>. <article-title>Health for older adults: the role of social capital and leisure-time physical activity by living arrangements</article-title>. <source>J Phys Act Health</source>. (<year>2018</year>) <volume>15</volume>:<fpage>150</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1123/jpah.2017-0006</pub-id>, <pub-id pub-id-type="pmid">28872391</pub-id></mixed-citation></ref>
<ref id="ref78"><label>78.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Coyle</surname><given-names>CE</given-names></name> <name><surname>Dugan</surname><given-names>E</given-names></name></person-group>. <article-title>Social isolation, loneliness and health among older adults</article-title>. <source>J Aging Health</source>. (<year>2012</year>) <volume>24</volume>:<fpage>1346</fpage>&#x2013;<lpage>63</lpage>. doi: <pub-id pub-id-type="doi">10.1177/0898264312460275</pub-id>, <pub-id pub-id-type="pmid">23006425</pub-id></mixed-citation></ref>
<ref id="ref79"><label>79.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Levy-Storms</surname><given-names>L</given-names></name> <name><surname>Lubben</surname><given-names>JE</given-names></name></person-group>. <article-title>Network composition and health behaviors among older Samoan women</article-title>. <source>J Aging Health</source>. (<year>2006</year>) <volume>18</volume>:<fpage>814</fpage>&#x2013;<lpage>36</lpage>. doi: <pub-id pub-id-type="doi">10.1177/0898264306293263</pub-id>, <pub-id pub-id-type="pmid">17099135</pub-id></mixed-citation></ref>
<ref id="ref80"><label>80.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Oktaviani</surname><given-names>LW</given-names></name> <name><surname>Hsu</surname><given-names>HC</given-names></name> <name><surname>Chen</surname><given-names>YC</given-names></name></person-group>. <article-title>Effects of health-related behaviors and changes on successful aging among Indonesian older people</article-title>. <source>Int J Environ Res Public Health</source>. (<year>2022</year>) <volume>19</volume>:<fpage>5952</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijerph19105952</pub-id>, <pub-id pub-id-type="pmid">35627488</pub-id></mixed-citation></ref>
<ref id="ref81"><label>81.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Farrell</surname><given-names>L</given-names></name> <name><surname>Shields</surname><given-names>MA</given-names></name></person-group>. <article-title>Investigating the economic and demographic determinants of sporting participation in England</article-title>. <source>J R Stat Soc Ser A Stat Soc</source>. (<year>2002</year>) <volume>165</volume>:<fpage>335</fpage>&#x2013;<lpage>48</lpage>. doi: <pub-id pub-id-type="doi">10.1111/1467-985X.00626</pub-id></mixed-citation></ref>
<ref id="ref82"><label>82.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cai</surname><given-names>YJ</given-names></name> <name><surname>Zhou</surname><given-names>P</given-names></name> <name><surname>Zhang</surname><given-names>BJ</given-names></name></person-group>. <article-title>The relationship between urban residents' perception of public sports space and physical activity behavior</article-title>. <source>J Chengdu Sport Univ</source>. (<year>2018</year>) <volume>44</volume>:<fpage>48</fpage>&#x2013;<lpage>53</lpage>.</mixed-citation></ref>
<ref id="ref83"><label>83.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>ZY</given-names></name> <name><surname>Xue</surname><given-names>ZM</given-names></name> <name><surname>Sun</surname><given-names>L</given-names></name></person-group>. <article-title>How to promote national participation in physical exercise in China&#x2014;based on the "factor-environment-technology" analysis framework</article-title>. <source>J Guangzhou Sport Univ</source>. (<year>2024</year>) <volume>44</volume>:<fpage>3041</fpage></mixed-citation></ref>
<ref id="ref84"><label>84.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Xu</surname><given-names>Y</given-names></name> <name><surname>Li</surname><given-names>AJ</given-names></name> <name><surname>Guo</surname><given-names>SX</given-names></name></person-group>. <article-title>Research on residents' outdoor leisure physical activity and environmental space&#x2014;based on the system for observing play and recreation in communities method</article-title>. <source>J Wuhan Inst Phys Educ</source>. (<year>2018</year>) <volume>52</volume>:<fpage>32</fpage>&#x2013;<lpage>7</lpage>.</mixed-citation></ref>
<ref id="ref85"><label>85.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Wang</surname><given-names>HL</given-names></name> <name><surname>Wang</surname><given-names>ZY</given-names></name> <name><surname>Zhu</surname><given-names>JY</given-names></name></person-group>. <article-title>The impact of the built environment in Chinese urban communities on outdoor physical activity and self-rated health of elderly residents&#x2014;a case study of Nanjing</article-title>. <source>J Cap Univ Phys Educ Sports</source>. (<year>2020</year>) <volume>32</volume>:<fpage>570</fpage>&#x2013;<lpage>6</lpage>.</mixed-citation></ref>
<ref id="ref86"><label>86.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Lu</surname><given-names>ZR</given-names></name> <name><surname>Zhang</surname><given-names>Y</given-names></name></person-group>. <article-title>Influencing factors of perceived integration in urban communities&#x2014;a comparison based on three groups</article-title>. <source>Urban Probl</source>. (<year>2016</year>) <volume>3</volume>:<fpage>92</fpage>&#x2013;<lpage>103</lpage>.</mixed-citation></ref>
<ref id="ref87"><label>87.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Shan</surname><given-names>W</given-names></name> <name><surname>Xiu</surname><given-names>C</given-names></name> <name><surname>Ji</surname><given-names>R</given-names></name></person-group>. <article-title>Creating a healthy environment for elderly people in urban public activity space</article-title>. <source>Int J Environ Res Public Health</source>. (<year>2020</year>) <volume>17</volume>:<fpage>7301</fpage>. doi: <pub-id pub-id-type="doi">10.3390/ijerph17197301</pub-id>, <pub-id pub-id-type="pmid">33036270</pub-id></mixed-citation></ref>
<ref id="ref88"><label>88.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Thompson</surname><given-names>CW</given-names></name></person-group>. <article-title>Activity, exercise and the planning and design of outdoor spaces</article-title>. <source>J Environ Psychol</source>. (<year>2013</year>) <volume>34</volume>:<fpage>79</fpage>&#x2013;<lpage>96</lpage>. doi: <pub-id pub-id-type="doi">10.1016/j.jenvp.2013.01.003</pub-id></mixed-citation></ref>
<ref id="ref89"><label>89.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Giles-Corti</surname><given-names>B</given-names></name> <name><surname>Donovan</surname><given-names>R</given-names></name></person-group>. <article-title>The relative influence of individual, social and physical environmental determinants of physical activity</article-title>. <source>Soc Sci Med</source>. (<year>2002</year>) <volume>54</volume>:<fpage>1793</fpage>&#x2013;<lpage>812</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S0277-9536(01)00150-2</pub-id>, <pub-id pub-id-type="pmid">12113436</pub-id></mixed-citation></ref>
<ref id="ref90"><label>90.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Izquierdo</surname><given-names>M</given-names></name> <name><surname>Duque</surname><given-names>G</given-names></name> <name><surname>Morley</surname><given-names>JE</given-names></name></person-group>. <article-title>Physical activity guidelines for older people: knowledge gaps and future directions</article-title>. <source>Lancet Healthy Longev</source>. (<year>2021</year>) <volume>2</volume>:<fpage>e380</fpage>&#x2013;<lpage>3</lpage>. doi: <pub-id pub-id-type="doi">10.1016/S2666-7568(21)00079-9</pub-id>, <pub-id pub-id-type="pmid">36098146</pub-id></mixed-citation></ref>
<ref id="ref91"><label>91.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Morey</surname><given-names>MC</given-names></name> <name><surname>Sloane</surname><given-names>R</given-names></name> <name><surname>Pieper</surname><given-names>CF</given-names></name> <name><surname>Peterson</surname><given-names>MJ</given-names></name> <name><surname>Pearson</surname><given-names>MP</given-names></name> <name><surname>Ekelund</surname><given-names>CC</given-names></name> <etal/></person-group>. <article-title>Effect of physical activity guidelines on physical function in older adults</article-title>. <source>J Am Geriatr Soc</source>. (<year>2008</year>) <volume>56</volume>:<fpage>1873</fpage>&#x2013;<lpage>8</lpage>. doi: <pub-id pub-id-type="doi">10.1111/j.1532-5415.2008.01937.x</pub-id>, <pub-id pub-id-type="pmid">18800990</pub-id></mixed-citation></ref>
<ref id="ref92"><label>92.</label><mixed-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Nawrocka</surname><given-names>A</given-names></name> <name><surname>Mlynarski</surname><given-names>W</given-names></name> <name><surname>Cholewa</surname><given-names>J</given-names></name></person-group>. <article-title>Adherence to physical activity guidelines and functional fitness of elderly women, using objective measurement</article-title>. <source>Ann Agric Environ Med</source>. (<year>2017</year>) <volume>24</volume>:<fpage>740</fpage>&#x2013;<lpage>7</lpage>. doi: <pub-id pub-id-type="doi">10.26444/aaem/80938</pub-id></mixed-citation></ref>
</ref-list>
<fn-group>
<fn fn-type="custom" custom-type="edited-by" id="fn0002"><p>Edited by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1887700/overview">Wiktoria Sta&#x015B;kiewicz-Bartecka</ext-link>, Medical University of Silesia, Poland</p></fn>
<fn fn-type="custom" custom-type="reviewed-by" id="fn0003"><p>Reviewed by: <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/426263/overview">Ciro Gaona</ext-link>, Alzheimer's Foundation of Venezuela, Venezuela</p><p><ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1068624/overview">Ebrahim Rajab</ext-link>, Royal College of Surgeons in Ireland, Bahrain</p></fn>
</fn-group>
<fn-group>
<fn id="fn0001"><label>1</label><p><ext-link xlink:href="http://class.ruc.edu.cn" ext-link-type="uri">http://class.ruc.edu.cn</ext-link></p></fn>
</fn-group>
</back>
</article>