Satisfaction with the Exercise Program and Successful Aging Among Older Adults Who Exercise Regularly: The Multiple Mediation of Physical Self-Efficacy and Exercise Adherence

Healthcare (Basel). 2024 Oct 16;12(20):2054. doi: 10.3390/healthcare12202054.

Abstract

Objectives: As the Republic of Korea transitions towards a super-aged society, the health and mental well-being of older adults are emerging as critical issues. While many researchers are focusing on successful aging among older adults who participate in exercise, there is a research gap in the Korean literature regarding the preconditions that foster this outcome. Therefore, this study analyzed the relationship between satisfaction and exercise, physical self-efficacy (PSE), exercise adherence, and successful aging among Korean older adults who exercise regularly.

Methods: The participants were 369 (234 male and 135 female) older adults aged 65 or older living in the Republic of Korea, with an average age of 69.91 years. Data were collected from March 2024 to June 2024 and analyzed using descriptive statistics, correlation analysis, and structural equation modeling.

Results: There was no problem with the model fit. Satisfaction with exercise positively affected PSE (β = 0.317, p < 0.001), exercise adherence (β = 0.487, p < 0.001), and successful aging (β = 0.669, p < 0.001). PSE positively affected exercise adherence (β = 0.356, p < 0.001), and exercise adherence positively affected successful aging (β = 0.190, p < 0.05). Furthermore, PSE (β = 0.019, p < 0.01) and exercise adherence (β = 0.081, p < 0.05) mediated the relationship between satisfaction with exercise and successful aging.

Conclusions: Satisfaction with exercise is important for promoting successful aging among Korean older adults who exercise. Satisfaction with exercise can increase their efficacy for performing physical activities and encourage them to continue exercising. This can ultimately lead to a happy life in old age.

Keywords: aging society; exercise psychology; health promotion; lifestyle; public health.