Exploring Physical Activity and Fitness of Older Adults in Swiss Residential Care Facilities

Introduction Demographic changes in Switzerland present challenges for the healthcare system as older adults in residential care facilities (RCFs) often experience marked physical and cognitive decline, resulting in increased dependency and healthcare costs. Regular physical activity (PA) is crucial for maintaining function, reducing chronic disease impact, and supporting independence. Data on PA and fitness among older adults in Swiss RCFs are limited. This study aims to (a) gain insight into PA and fitness in this population and (b) identify factors associated with their PA behavior.

Methods This exploratory analysis is based on baseline data from the ongoing pilot non-randomized, controlled study “Bliib fit – mach mit!” in RCFs. Wrist-worn accelerometers (GENEactiv) were used to quantify moderate to vigorous PA, light PA, step counts, and sedentary time in RCF residents, which wore the devices over a seven-day period. Standardized assessments included the Short Physical Performance Battery (SPPB), 2-Minute Walk Test (2MWT), handgrip strength (dynamometer), and clinical characteristics such as comorbidity (Charlson Comorbidity Index, CCI). Participants’ PA levels will be described and associations between fitness measures, CCI and PA examined.

Results A total of 31 participants were enrolled (74% women; mean age 84±8.3 years). The mean SPPB score was 6.7±2.9. In the 2MWT, men covered a mean distance of 100.6±29.9 meters, while women covered 96.4±25.9 meters. Mean handgrip strength in men was 28.7±6.4 kg (right) and 29.4±6.4 kg (left); in women, 19.9±4.2 kg (right) and 17.9±4.3 kg (left). The average CCI was 5.6±1.7. Findings on PA and associated factors will be reported in October 2025.

Conclusion Residents of Swiss RCFs are predominantly of advanced age and exhibit significant functional impairments and comorbidities. The majority scored below established thresholds for mobility and handgrip strength, indicating elevated risks for falls and dependency. These findings underscore the need for interventions to promote PA and fitness in this population. Forthcoming analyses will identify factors influencing PA behavior among older adults in RCFs, which should be prioritized in the development of interventions to promote PA within this population.

Publication History

Article published online:
23 October 2025