The goal of this randomized controlled trial is to evaluate the effect of environmental context on the health benefits of a standardized walking program in sedentary, overweight older women (aged ≥60 years, BMI ≥24.0 kg/m²) . The main questions it aims to answer are: Does exercising in a high-quality natural tourism environment (Yangshuo) lead to greater improvements in body composition (e.g., body fat percentage) compared to exercising in a conventional institutional setting? Does this environment lead to greater improvements in psychological well-being (e.g., depressive symptoms, sleep quality) than the conventional setting? Researchers will compare a group that walks in the Yangshuo landscape to a group that performs the same walking regimen in a nursing home setting to see if the natural environment amplifies the health benefits of the exercise. Participants in both groups will take part in a supervised, 10-week walking program (5 days/week, 60 mins/session). All participants will have their physiological (e.g., weight, body fat, strength) and psychological (e.g., mood, sleep, quality of life) health measured before and after the program.
Age range
60 Years – 75 Years
Sex
FEMALE
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A starting point for the conversation — always confirm anything about your own eligibility, costs, and care with the study team and your doctor.
Change in Body Weight
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)
Change in Body Mass Index (BMI)
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)
Change in Body Fat Percentage
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)
Change in Lower-body Muscular Endurance
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)
Change in Handgrip Strength
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)
Change in Depressive Symptoms
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)
Change in State Anxiety
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)
Change in Mental Health-Related Quality of Life
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)
Change in Sleep Quality
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)
Change in Perceived Mastery
Timeframe: Baseline (Week 0) and within one week post-intervention (Week 10)