Community Park-Based Programs for Health Promotion: Active Older Adults Prospective Cohort Study (AOA)

September 3, 2025 updated by: Duke University
The Active Older Adults prospective cohort study examines the effects of a park-based fitness program on cardiovascular fitness outcomes for older adults (aged 50 years and older). Duke will perform a secondary analysis of the data collected as part of the Active Older Adults prospective cohort study run by Miami-Dade County Parks and Recreation.

Study Overview

Detailed Description

The Active Older Adults prospective cohort study examines the effects of a park-based fitness program on cardiovascular fitness outcomes for older adults (aged 50 years and older). Active Older Adults is designed to provide older adults of all fitness levels with physical activity, and aims to promote participant's abilities to maintain independent lifestyles. It is a low-cost, evidence-based group exercise and falls-prevention program. The program entails one-hour sessions two or three times per week including aerobic workout, strength training, balance and flexibility exercise delivered online or in-person. Data are collected at eight Miami Dade Department of Parks, Recreation and Open Spaces (MDPROS) park locations where the program is offered every four months (fall, winter, spring).

Active Older Adults is a park-based fitness program offered by the Miami Dade Department of Parks, Recreation and Open Spaces (MDPROS) that is designed to provide older adults of all fitness levels with physical activity, and aims to promote participant's abilities to maintain independent lifestyles. It is a low-cost, evidence-based group exercise and falls-prevention program. The program entails one-hour sessions two or three times per week including aerobic workout, strength training, balance and flexibility exercise delivered online or in-person. Exercise classes at each park location are offered by bilingual (English/Spanish) licensed instructors and program classes had a consistent format across all parks.

Study Type

Observational

Enrollment (Estimated)

1000

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Locations

    • Florida
      • Miami, Florida, United States, 33128
        • Recruiting
        • Miami-Dade County Parks, Recreation and Open Spaces Department

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

Yes

Sampling Method

Non-Probability Sample

Study Population

Active Older Adults is offered in Miami-Dade County (MDC), FL where 40.9% of people older than 65 are sedentary (did not participate in any leisure-time activities, physical activities other than their regular job, during the past month). Within MDC, age-adjusted death rates per 100,000 population (2020-2022) from cardiovascular disease were higher for both Black (291.8.7 vs. 263.4) and Hispanic (179.2 vs. 171.2) residents of MDC vs. statewide, respectively, compared with White (186.2 vs. 198.7) residents. This disparity is particularly relevant for MDC where 69% of people identify as Hispanic or Latino and 17% identify as Black, as opposed to about 19% and 14%, respectively in the United States and 27% and 17% respectively in Florida.

Description

Inclusion Criteria:

  • Aged 50 years or older, residing in Miami-Dade County
  • All participants enrolled in the Miami-Dade Active Older Adults study will be included in this secondary analysis

Exclusion Criteria:

  • Aged less than 50 years, not residing in Miami-Dade County
  • Anyone not enrolled in the Miami-Dade Active Older Adults study will be excluded from this secondary analysis

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

Cohorts and Interventions

Group / Cohort
Intervention / Treatment
Active Older Adults
Body mass index (height and weight), blood pressure and pulse, arm and leg strength and mobility
The program entails one-hour sessions two or three times per week including aerobic workout, strength training, balance and flexibility exercise delivered online or in-person. Miami-Dade Parks and Recreation is the sponsor of the Active Older Adults prospective cohort study. Duke is conducting a secondary data analysis on data collected as part of the Active Older Adults study.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in Body mass index (height and weight)
Time Frame: Baseline, 12 months, 36 months
Baseline, 12 months, 36 months
Change in blood pressure
Time Frame: Baseline, 12 months, 36 months
Baseline, 12 months, 36 months
Change in arm strength
Time Frame: Baseline, 12 months, 36 months
Participant arm strength is measured as the total number of arm curls performed in 30 seconds. Participants are seated in a chair while holding a dumbbell or cuff weight (5lb for women and 8lb for men) wrapped around their right or left wrist (the left wrist is employed when the right wrist is impractical).
Baseline, 12 months, 36 months
Change in leg strength
Time Frame: Baseline, 12 months, 36 months
Leg strength is assessed as the number of chair stands a person could complete in 30 seconds. For one chair stand, participants get up from their seats (with assistance if necessary) and then sit back down.
Baseline, 12 months, 36 months
Change in mobility
Time Frame: Baseline, 12 months, 36 months
Mobility is measured as the time spent in an Eight-Foot-Up-and-Go test. Participants start seated in a chair, and are instructed to stand up, quickly circle a cone placed eight feet in front of the chair, and then sit back down in the chair. The stopwatch will start when the person fully stands up from the chair and stops when the person sits back down into the chair (recorded in seconds).
Baseline, 12 months, 36 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Emily D'Agostino, Duke University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

June 15, 2016

Primary Completion (Estimated)

June 16, 2026

Study Completion (Estimated)

June 16, 2026

Study Registration Dates

First Submitted

September 10, 2024

First Submitted That Met QC Criteria

September 17, 2024

First Posted (Actual)

September 19, 2024

Study Record Updates

Last Update Posted (Estimated)

September 4, 2025

Last Update Submitted That Met QC Criteria

September 3, 2025

Last Verified

September 1, 2025

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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