Evidence map›Paper›PMID 41813155›Full record

ArticleEnvironmental health and preventive medicine2026

Exercising alone in men and group exercise in women are cross-sectionally associated with positive mental health among older Japanese.

Kimiko Tomioka, Midori Shima, Keigo Saeki

Abstract read
In one paragraph

Article in Environmental health and preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Kimiko TomiokaNara Prefectural Health Research Center, Nara Medical University.ORCID http://orcid.org/0000-0002-9471-6987
Midori ShimaNara Prefectural Health Research Center, Nara Medical University.
Keigo SaekiNara Prefectural Health Research Center, Nara Medical University.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough previous studies have reported that exercising with others has a more beneficial effect on the health of older adults than exercising alone, gender differences in the association between exercise patterns and health are unknown. We investigated the cross-sectional association between exercise patterns and physical and mental health by gender.

methodsWe analyzed 4,211 men and 4,944 women aged ≥65 years without disabilities. Physical and mental health was assessed using the SF-8 Health Survey. Exercise patterns were measured based on three types: participation in exercise groups, non-group-based exercise with others, and exercising alone. Each exercise pattern was classified into five groups according to frequency and continuity: maintained frequent (i.e., daily or weekly), increase in frequency, maintained moderate (i.e., monthly or yearly), decrease in frequency, and continuing non-exercise. Modified Poisson regression with generalized estimating equations was used to estimate adjusted prevalence ratio (APR) for poor physical/mental health. Covariates included age, marital status, education, economic status, body mass index, chronic medical conditions, smoking, dietary variety, cognition, working status, and social participation.

resultsFor physical health, among both genders, all exercise patterns had a significant dose-response relationship between lower levels of exercise frequency and continuity and a higher prevalence of poor physical health, after adjustment for covariates and mutual adjustment for other exercise patterns (all P for trend <0.036). For mental health, among men, only exercising alone had a significant dose-response relationship (P for trend <0.001) [APR: 1.22 (95% CI: 1.07-1.39) for continuing non-exercise, 1.32 (1.11-1.57) for decrease in frequency, compared to maintained frequent]. Among women, the cross-sectional association with mental health was limited to participation in exercise groups (P for trend: 0.006) [APR: 1.24 (95% CI: 1.09-1.40) for continuing non-exercise, 1.26 (1.09-1.47) for decrease in frequency, and 1.37 (1.13-1.66) for maintained moderate, compared to maintained frequent].

conclusionsAll exercise patterns were cross-sectionally associated with physical health across genders. However, mental health outcomes varied: Cross-sectional associations with mental health were observed for men when exercising alone, and for women when exercising in groups. These results highlight the importance of gender-sensitive public health strategies, such as tailored community exercise programs. Due to the cross-sectional design, causality cannot be determined. However, the results do suggest that future longitudinal research is needed.

Indexed as

ExerciseHealth StatusMental HealthAgedAged, 80 and overCross-Sectional StudiesEast Asian PeopleFemaleHumansJapanMaleSex FactorsExerciseExercising aloneGender differencesGroup exerciseJapanMental healthOlder peoplePhysical healthSocial capital

Identifiers

PMID41813155
PMCPMC13014103

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.