A Novel Gamified Exercise Program Incorporating Stampede Training for Enhancing Functional Fitness, Physical Activity Levels, and Quality of Life in Community-Dwelling Older Adults: Randomized Parallel Exploratory Trial

In this exploratory trial, the exergame-based mat training program produced medium-to-large improvements (Cohen d ranging from 0.72 to 1.89) across physical activity, quality of life, and functional fitness domains. Although the precision of the CIs varied, the consistent direction of effects supports a meaningful impact of the intervention. These findings suggest that exergame-based mat training programs may serve as a practical community health promotion strategy, potentially preventing age-related frailty and enhancing independence and well-being among older adults.