This randomized controlled trial aims to evaluate the effectiveness of an individualized Physical Exercise Prescription Program delivered in Primary Care for adults aged 65 years and older. The intervention includes a structured assessment of physical fitness, muscle function and mass, physical activity level, and quality of life, followed by a tailored exercise plan encompassing aerobic, strength, respiratory, flexibility, and balance training. Outcomes will be compared with a control group receiving standard health advice to walk briskly for at least 30 minutes daily. The study also explores associations between polypharmacy, muscle function, physical performance, and quality of life.
Age ≥ 65 years
Motivated to participate and able to provide informed consent
Able to attend baseline assessment and follow-up
Clinical stability allowing participation in exercise evaluation
Recent myocardial infarction
Unstable angina
Uncontrolled arrhythmias (symptomatic or hemodynamically compromising)
Syncope