Perceptions and experiences of "Zero-time exercise" among community-dwelling older adults in Nanchang, China: A qualitative study

Qizhen He , Qingling Zhong , Jin Xu , Yi Yu , Yuefei Zhao

Chinese General Practice Journal ›› 2026, Vol. 3 ›› Issue (1) : 100099

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Chinese General Practice Journal ›› 2026, Vol. 3 ›› Issue (1) :100099 DOI: 10.1016/j.cgpj.2026.100099
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Perceptions and experiences of "Zero-time exercise" among community-dwelling older adults in Nanchang, China: A qualitative study
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Abstract

Background: In the context of population aging, community-dwelling older adults commonly experience insufficient physical activity and difficulty maintaining regular exercise. Zero-time exercise (ZTEx) is lifestyle-based and fragmented, making it easier to integrate into daily life. However, qualitative evidence regarding older adults’ lived experiences and perceptions of ZTEx remains limited.

Objective: To explore the perceptions and daily practice patterns of "Zero-Time Exercise" among community-dwelling older adults, aiming to inform targeted health promotion strategies.

Methods: A qualitative descriptive study was conducted from April to June 2025. Using purposive sampling, 20 older adults were recruited from three communities in Nanchang, China. Data were collected via non-participant observation and semi-structured interviews, then analyzed using Colaizzi’s seven-step method.

Results: Among the 20 elderly participants, 10 were women (50%) and 10 were men (50%), with a mean age of 66.1±3.4 years. Four core themes and twelve sub-themes emerged: adoption motives, exercise patterns, health perceptions, and sustainability challenges. Participants viewed "Zero-Time Exercise" as an accessible, lifestyle-integrated strategy that helps maintain daily functioning, enhances self-efficacy, and supports subjective health management. However, sustained practice was hindered by misconceptions regarding exercise intensity and safety, physical limitations, and a lack of professional guidance.

Conclusion: "Zero-Time Exercise" demonstrates high acceptability and implementation potential among community-dwelling older adults. To ensure long-term adherence, future interventions should prioritize the development of professional guidance systems and community support contexts.

Keywords

"Zero-time exercise" / Community-dwelling older adults / Exercise experience / Qualitative research

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Qizhen He, Qingling Zhong, Jin Xu, Yi Yu, Yuefei Zhao. Perceptions and experiences of "Zero-time exercise" among community-dwelling older adults in Nanchang, China: A qualitative study. Chinese General Practice Journal, 2026, 3(1): 100099 DOI:10.1016/j.cgpj.2026.100099

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Declarations

Not applicable.

Authors' contributions

Conceptualization, Z.Q. and H.Q.; Methodology, Z.Q. and H.Q..; Data curation, H.Q., X.J., Y.Y. and Z.Y.; Formal analysis, H.Q., X.J., Y.Y. and Z.Y.; Funding acquisition, not applicable; Project administration, not applicable; Resources, not applicable; Supervision, Z.Q.; Validation, Z.Q.; Writing—original draft, H.Q.; Writing—review and editing, Z.Q. All authors have read and agreed to the published version of the manuscript.

Ethical approval and consent to participate

This study was conducted with ethical approval from the Ethics Committee of Nanchang University (NCUREC202504005), ensuring the voluntary participation and informed consent of all involved.

Consent for publication

Not applicable.

Availability of data and materials

Not applicable.

Competing interests

All authors declare that there are no competing interests

Funding

Not applicable.

Acknowledgements

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References

[1]

National bureau of statistics of China. Report on China’s population situation.Natl Bur Stat; 2025.[cited 2025 Aug 15] Available from: https://www.stats.gov.cn/sj/zbjs/202302/t20230202_1897109.html.

[2]

Liang Q, Zhang X, Song X. Spatial distribution and influencing factors of health level of the elderly population in China. (Chinese). Chin J Gerontol. 2022; 42(8):1994-2000. doi: 10.3969/j.issn.1005-9202.2022.08.059.

[3]

Izquierdo M, Barreto P, Arai H, et al. Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR). J Nutr Health Aging. 2025; 29(1):100401. doi: 10.1016/j.jnha.2024.100401.

[4]

Fan C, Feng Q, Wang J, et al. Physical activity patterns across life domains in Chinese older adults aged 60-79 years - China. China CDC Wkly. 2020; 7(6):195-200 2025. doi: 10.46234/ccdcw2025.031.

[5]

Bull FC, SS Al-Ansari, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020; 54(24):1451-1462. doi: 10.1136/bjsports-2020-102955.

[6]

Li M, Fan C, Wang C, et al. Accelerometry-based physical activity and sedentary behavior among chinese adults - 7 PLADs, China, 2023. China CDC Wkly, 2025; 7(1):15-20. doi: 10.46234/ccdcw2025.004.

[7]

Cunningham C, O’ Sullivan R, Caserotti P, et al. Consequences of physical inactivity in older adults: a systematic review of reviews and meta-analyses. Scand J Med Sci Sports. 2020; 30(5):816-827. doi: 10.1111/sms.13616.

[8]

Yeung WF, Lai AY, Yu BY, et al. Effect of zero-time exercise on physically inactive adults with insomnia disorder: a randomized controlled trial. Int J Nurs Stud. 2025; 165:105033. doi: 10.1016/j.ijnurstu.2025.105033.

[9]

Chan NPT, Lai AYK, Choy HK, et al. Feasibility and potential effectiveness of a smartphone zero-time exercise intervention for promoting physical activity and fitness in patients with coronary heart disease: a pilot randomized controlled trial. Front Public Health. 2022; 10:865712. doi: 10.3389/fpubh.2022.865712.

[10]

Ban G, Li C, Jin Y. Research progress on zero-time exercise interventions in patients with chronic diseases: a narrative review. Front Public Health. 2025; 13:1643407. doi: 10.3389/fpubh.2025.1643407.

[11]

Lai AYK, Lam EYW, Fabrizo C, et al. A community-based lifestyle-integrated physical activity intervention to enhance physical activity, positive Family communication, and perceived health in deprived families: a cluster randomized controlled trial. Front Public Health. 2020; 8:434. doi: 10.3389/fpubh.2020.00434.

[12]

Nanchang municipal housing and urban-rural development bureau. Preapproval publicity for the "nanchang complete community construction plan (2023-2030)" (Draft).[Internet] (Chinese). Bureau; 2024 May 27.[cited 2025 Oct 10] Available from: https://zjj.nc.gov.cn/nczfbzglj/gkgsgg/202405/c967553e36f7492296fb00fcfb481bc1.shtml.

[13]

National Bureau of Statistics of China. How to distinguish between permanent population and floating population.[Internet] (Chinese). Natl Bur Stat; 2025 Apr 9.[cited 2025 Nov 10] Available from: https://www.stats.gov.cn/zs/tjws/tjbz/202301/t20230101_1903796.html.

[14]

Lai A, Stewart S, Wan A, et al. Development and feasibility of a brief zero-time exercise intervention to reduce sedentary behaviour and enhance physical activity: a pilot trial. Health Soc Care Commun. 2019; 27(4):e233-e245. doi: 10.1111/hsc.12728.

[15]

Sun X, Sun R, Liang X, et al. Methodology of qualitative consensus research and its application progress in nursing. (Chinese). J Nurs Sci. 2024; 39(7):118-121.

[16]

National Health Commission of the PRC. Notice on printing and distributing the "14th five-year plan" for healthy aging.[Internet] (Chinese). Commission; 2022.[cited 2025 Aug 15] Available from: https://www.gov.cn/zhengce/zhengceku/2022-03/01/content_5676342.htm.

[17]

National Health Commission of the PRC. Three-year action plan for improving national health literacy (2024-2027).[Internet] (Chinese). Commission; 2024.[cited 2025 Aug 15] Available from: https://www.gov.cn/zhengce/zhengceku/202406/content_6955867.htm.

[18]

Giurge LM, Whillans AV, West C. Why time poverty matters for individuals, organisations and nations. Nat Hum Behav. 2020; 4(10):993-1003. doi: 10.1038/s41562-020-0920-z.

[19]

Meredith SJ, Cox NJ, Ibrahim K, et al. Factors that influence older adults’ participation in physical activity: a systematic review of qualitative studies. Age Ageing. 2023; 52(8). doi: 10.1093/ageing/afad145.

[20]

Sun L, Wang H, Wang Z, et al. Construction and practice of proactive health integrated care model for community elderly. (Chinese). Chin Nurs Manag. 2025; 25(7):961-965. doi: 10.3969/j.issn.1672-1756.2025.07.001.

[21]

Fyfe JJ, Dalla Via J, Jansons P, et al. Feasibility and acceptability of a remotely delivered, home-based, pragmatic resistance ’exercise snacking’ intervention in community-dwelling older adults: a pilot randomised controlled trial. BMC Geriatr. 2022; 22(1):521. doi: 10.1186/s12877-022-03207-z.

[22]

Ou KL, Wong MY, Chung PK, et al. Effect of square dance interventions on physical and mental health among Chinese older adults: a systematic review. Int J Env Res Public Health. 2022; 19(10):6181. doi: 10.3390/ijerph19106181.

[23]

Stenner BJ, Buckley JD, Mosewich AD. Reasons why older adults play sport: a systematic review. J Sport Health Sci. 2020; 9(6):530-541. doi: 10.1016/j.jshs.2019.11.003.

[24]

Zhou J, Yang C, Yu J, et al. The influence of social support on leisure-time physical activity of the elderly in the Chinese village of Fuwen. Healthcare. 2023; 11(15):2193. doi: 10.3390/healthcare11152193.

[25]

Bai Y, Bian F, Zhang L, et al. The impact of social support on the health of the rural elderly in China. Int J Env Res Public Health. 2020; 17(6):2004. doi: 10.3390/ijerph17062004.

[26]

Daley AJ, Griffin RA, Sanders JP, et al. SnacktivityTM to promote physical activity in primary care, community health and public health settings: a feasibility randomised controlled trial. Int J Behav Med. 2025; 32(5):702-716. doi: 10.1007/s12529-025-10352-3.

[27]

Yu S, Lin J, Song S, et al. Understanding regular exercise behavior in frail older adults: a structural equation model based on social-cognitive variables. BMC Geriatr. 2025; 25(1):73. doi: 10.1186/s12877-025-05702-5.

[28]

Lev EL. Bandura’s theory of self-efficacy: applications to oncology. Sch Inq Nurs Pr. 1997; 11(1):21-37.

[29]

Sun Y, Ho SY, Chan CS, et al. Brief intervention to promote physical activity and mental well-being in community adults: a pilot cluster randomized controlled trial. J Prim Care Commun Health. 2024; 15:21501319241281567. doi: 10.1177/21501319241281567.

[30]

Tornero-Aguilera JF, Jimenez-Morcillo J, Rubio-Zarapuz A, et al. Central and peripheral fatigue in physical exercise explained: a narrative review. Int J Env Res Public Health. 2022; 19(7):3909. doi: 10.3390/ijerph19073909.

[31]

Franco MR, Tong A, Howard K, et al. Older people’s perspectives on participation in physical activity: a systematic review and thematic synthesis of qualitative literature. Br J Sports Med. 2015; 49(19):1268-1276. doi: 10.1136/bjsports-2014-094015.

[32]

Wang X, He H. Research on the impact and marginal effect of elderly community satisfaction on primary health service utilization. (Chinese). Chin J Health Polic. 2024; 17(8):10-18. doi: 10.3969/j.issn.1674-2982.2024.08.002.

[33]

Huang Y, Lu Z. A cross-sectional study of physical activity and chronic diseases among middle-aged and elderly in China. Sci Rep. 2024; 14(1):30701. doi: 10.1038/s41598-024-78360-z.

[34]

Liu X, Wang S, Tang M, et al. A qualitative study on factors influencing the implementation of medical-sports integration services in community medical institutions from the perspective of general practitioners. (Chinese). Chin Gen Pr. 2024; 27(19):2312-2318. doi: 10.12114/j.issn.1007-9572.2023.0453.

[35]

Yao Y, Wang K, Xiang H. Association between cognitive function and ambient particulate matters in middle-aged and elderly Chinese adults: evidence from the China health and retirement longitudinal study (CHARLS). Sci Total Env. 2022; 828:154297. doi: 10.1016/j.scitotenv.2022.154297.

[36]

Yi J, Lee S, Lee SH. The effect of the smart health continuous feedback for elderly exercise (SHe CoFFEE) program on mobility: a randomized controlled pilot study. Front Public Health. 2024; 12:1442064. doi: 10.3389/fpubh.2024.1442064.

[37]

State Council of the PRC. Several measures to further promote elderly care consumption and improve the quality of life of the elderly.[Internet] (Chinese). State Counc; 2024 Oct 31.[cited 2025 Aug 20] Available from: https://www.gov.cn/zhengce/zhengceku/202411/content_6985707.htm.

[38]

Wang Z, He X. Supply dilemma, operation mechanism and optimization path of full life cycle community health care services. (Chinese). J Northwest Univ (Philos Soc Sci Ed). 2025; 55(3):133-144. doi: 10.16152/j.cnki.xdxbsk.2025-03-012.

[39]

Zheng X, Zhang C, Tian F, et al. Research on the health management service path for multimorbidity in community middle-aged and elderly people. (Chinese). Chin Gen Pr. 2024; 27(17):2119-2123. doi: 10.12114/j.issn.1007-9572.2023.0664.

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