一週多次運動課程實證並不符合當今社區一週一次的健康促進課程運作模式。本研究目的是探討14 週，一週一次結合失智預防、營養、口腔清潔與防跌等四大主題的健康促進課程對於社區老人體能、憂鬱與生活品質的影響。隨機招募307 位55 歲以上中老年人參與本研究計畫（運動組159 人、對照組148 人），共有200 位完成前後測。於介入課程前進行基本資料、憂鬱量表、生活品質問卷以及功能性體適能檢測，並以臨床衰弱量表中文版 (Chinese-Canadian Study of Health and Aging Clinical Frailty Scale) 評估衰弱程度，隨後進行14 週每週一天，一天一次，一次110 分鐘的運動與健康促進課程，對照組維持既有的生活型態，並於課程執行結束後進行後測。研究結果顯示運動組於握力、30 秒坐站以及2 分鐘踏步測驗表現的進步幅度優於對照組，其效益主要來自於運動組之無衰弱期長者，運動組的憂鬱狀況改善則來自於運動組的衰弱前期長者，體位以及柔軟度兩組之間無顯著差異，2.44 公尺之敏捷度則退步。研究結論指出，本研究首次證明14 週以社區為基礎的健康促進課程，對無衰弱中老年人上下肢肌力與心肺耐力有增進效果，對衰弱前期者可改善憂鬱狀況。然而，敏捷度成績則無正向效果。

Performing of exercise program for several times per week is currently incompatible with the community health program mode. The purpose of this study was to investigate the effect of a 14-week community-based health promotion program on functional fitness, depression and quality of life in older adults. The health promotion program in this study involved with four themes, including dementia prevention, nutrition, oral hygiene and fall prevention Three-hundred and seven subjects above 55 years old were recruited separately into exercise intervention group (n = 159) and control group (n = 148) by randomized sampling. However, only 200 participants completely performed the functional fitness test and questionnaires before (pre) and after (post) the study intervention. The frailty level of subjects was determined by Chinese-Canadian study of health and aging clinical frailty scale before intervention. Subsequent community-based health promotion program was performed (110 min per day, once per week, for 14 weeks) by exercise intervention group. Participants in control group were maintained the habitual life style during the study. The results after 14-week health promotion program have shown that strength and cardiovascular fitness (CF) of participants were significantly improved in exercise intervention group compared to control group. The statistical main effect of these improvements in strength and cardiovascular fitness are from the non-frailty subjects. Depression score (DS) was significantly attenuated in exercise group compared to control group. Nevertheless, agility performance of older adults in this study was declined after exercise intervention. No differences were reported in body weight and flexibility between the groups. This is the first study to demonstrate that 14-week community based health promotion program enhanced the strength and CF in non-frailty elderly and improved DS in pre-frailty elderly. However, no positive effect on agility performance was noticed.