Evidence map›Paper›PMID 42440443›Full record

ArticleFrontiers in public health2026

Hierarchical service needs for physical fitness promotion among Urban Community older adults: a Kano model perspective.

Cong-Hui He, Jiao-Bao Zhao, Wen-Yun Lu, Hai-Pei Zhang

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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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

4 authors.

Cong-Hui He *School of Physical Education, Shanghai University of Sport, Shanghai, China.
Jiao-Bao Zhao *School of Physical Education, China West Normal University, Nanchong, China.
Wen-Yun LuSchool of Physical Education, Shanghai University of Sport, Shanghai, China.
Hai-Pei ZhangPhysical Education and Sports School, Soochow University, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Physical fitness promotion services for older adults in urban communities represent a critical pathway for achieving healthy aging. While existing research has largely focused on service supply and intervention outcomes, the demand structure of older adults themselves, particularly the hierarchical differences in demand among subgroups with varying health statuses, remains insufficiently explored. This study, grounded in the Kano model, aims to identify the demand attributes of physical fitness promotion services for healthy older adults, those with chronic diseases, and those with care dependency in urban communities, to analyze the hierarchical structure and priority order of their demands, and to provide empirical evidence for optimizing community-based service provision. Methods: Based on the Kano model, this study employed the Delphi technique, questionnaire surveys, and logical analysis to examine the hierarchical structure, expectation characteristics, and dependency characteristics of physical fitness promotion service demands among older adults in urban communities. A demand map was subsequently constructed. Results: The overall hierarchical level of physical fitness promotion demands among older adults in urban communities was relatively low. The demands of healthy older adults were primarily characterized by one-dimensional and must-be quality attributes. The demands of older adults with chronic diseases were more concentrated on must-be quality attributes. The demands of older adults with care dependency further converged on basic support and care coordination services. Discussion: The allocation of service content should neither be uniformly distributed across different groups of older adults irrespective of their physical conditions and life circumstances, nor simply apply a single set of service standards. Instead, while ensuring the provision of common foundational services, targeted arrangements should be made around the most salient practical needs of each group.

Indexed as

Health PromotionHealth Services Needs and DemandPhysical FitnessUrban PopulationAgedAged, 80 and overChronic DiseaseDelphi TechniqueFemaleHumansMaleMiddle AgedSurveys and Questionnaireshierarchical needsKano modelolder adultsphysical fitness promotionservice needs

Identifiers

PMID42440443
PMCPMC13333349

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LicenceCC BY
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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.