Chinese General Practice ›› 2026, Vol. 29 ›› Issue (30): 4480-4488.DOI: 10.12114/j.issn.1007-9572.2025.0490

Special Issue: 社区卫生服务最新研究合辑

• Proactive Health Intervention Research • Previous Articles     Next Articles

Perceptions and Experiences of Zero-time Exercise among Community-dwelling Older Adults: a Qualitative Study

  

  1. School of Nursing, Jiangxi Medical College, Nanchang University, Nanchang 330000, China
  • Received:2026-01-29 Revised:2026-03-16 Published:2026-10-20 Online:2026-09-02
  • Contact: ZHONG Qingling

社区老年人对"零时间运动"的感知和体验:一项质性研究

  

  1. 330000 江西省南昌市,南昌大学江西医学院护理学院
  • 通讯作者: 钟清玲
  • 作者简介:

    本文为中文翻译版本,原文Perceptions and experiences of "Zero-time exercise" among community-dwelling older adults in Nanchang, China: a qualitative study发表于Chinese General Practice Journal,已获得授权。翻译与出版遵循COPE和ICMJE关于二次发表的指南。

    作者贡献:

    何其珍负责文章的构思与设计、文献的查询与访谈数据的收集、整理、分析以及文章撰写;钟清玲负责文章设计与指导,文章的质量控制及审校,并对文章整体负责、监督管理;徐瑾、余忆、赵悦菲负责参与访谈数据的收集、整理与分析。

  • 基金资助:
    国家自然科学基金资助项目(72364026); 南昌大学江西省财政科技专项(02230678)

Abstract:

Background

In the context of population aging, community-dwelling older adults commonly experience insufficient physical activity and difficulty maintaining regular exercise. Zero-time exercise (ZTEx) is lifestyle-based and fragmented, making it easier to integrate into daily life; however, qualitative evidence on older adults' lived experiences and perceptions of ZTEx remains limited.

Objective

To explore how community-dwelling older adults understand ZTEx and its practical characteristics in everyday life, and to provide experience-based evidence for health promotion in older populations.

Methods

A qualitative research design was adopted. From April to June 2025, 20 older adults from three communities in Nanchang City were selected using purposive sampling. Data were collected through non-participant observation and semi-structured interviews, and analyzed using Colaizzi's seven-step method to identify and summarize themes.

Results

Among the 20 participants, 10 were men (50%) and 10 were women (50%), with a mean age of 66.1±3.4 years. Four themes (adoption drivers, exercise patterns, health perceptions, and sustainability challenges) and 12 subthemes were identified. Participants generally perceived ZTEx as a lifestyle-oriented, low-threshold activity strategy, mainly used to maintain daily functional ability, enhance confidence in mobility, and promote self-health management. Continued practice was influenced by differences in understanding exercise intensity and safety, physical functional limitations, and insufficient professional guidance.

Conclusion

ZTEx demonstrates good acceptability and practical potential among community-dwelling older adults. However, sustained implementation still depends on further improvements in standardized guidance and community support conditions.

Key words: Exercise, Zero-time exercise, Aged, Exercise experience, Qualitative research, Nanchang City

摘要:

背景

人口老龄化背景下,社区老年人普遍存在身体活动不足及运动坚持困难。零时间运动(ZTEx)具有生活化、碎片化特点,易融入老年人的日常生活,但关于其实际感知与体验的质性研究仍有待补充。

目的

探讨南昌市社区老年人对ZTEx的理解方式及其在日常生活中的实践特征,为老年人健康促进提供经验依据。

方法

采用质性研究方法,于2025年4—6月运用目的抽样法选取南昌市3个社区的20名老年人为研究对象。通过非参与式观察和半结构式访谈收集受访者资料,并采用Colaizzi 7步分析法分析资料并归纳主题。

结果

20名老年人中男10名(50%)、女10名(50%),平均年龄(66.1±3.4)岁。本质性研究共提炼出4个主题(采纳动因、运动模式、健康感知和持续困境)及12个亚主题。受访者普遍将ZTEx视为生活化、低门槛的活动策略,主要用于维持日常活动能力、增强行动信心并促进自我健康管理;其持续实践受运动强度与安全性认知差异、身体功能限制及专业指导不足等因素影响。

结论

ZTEx在社区老年人中具有良好的可接受性和实践潜力,但其持续实施仍有赖于科学化指导与社区支持条件的进一步完善。

关键词: 运动, 零时间运动, 老年人, 运动体验, 质性研究, 南昌市

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