# Health-related effects of walking football in older adults: A real-world longitudinal study across a season comparing two age groups

**Authors:** Iraia Bidaurrazaga-Letona, Maite Lejonagoitia-Garmendia, Izaro Esain, Iratxe Duñabeitia, Begoña Sanz, Xabier Monasterio, Jone Torre-Sainz, Susana M. Gil

PMC · DOI: 10.1371/journal.pone.0341913 · PLOS One · 2026-02-13

## TL;DR

This study found that walking football helps maintain health in older adults, with some benefits varying between age groups.

## Contribution

The study provides real-world evidence on the health effects of walking football in older adults across two age groups.

## Key findings

- Older participants (≥60) showed improved lipid profiles and reduced blood glucose.
- Muscle strength decreased in both age groups, especially in handgrip and knee extension.
- Walking football may help preserve cardiometabolic health and functional capacity in older adults.

## Abstract

The aim of the study was to evaluate the health-related effects of a 9-month walking-football (WF) season in already active older adults, comparing participants aged 50–59 and ≥60. The study employed a longitudinal pre–post design conducted in a real-world community setting. The participants were 32 adults aged over 50 (including 2 women) who completed a 9-month, twice-weekly outdoor WF program. Baseline and post-season assessments included body measurements, blood biomarkers, cardiovascular fitness (Bruce protocol), muscle strength (countermovement jump, handgrip strength, and isokinetic measurements), physical activity, and health-related quality of life. Training load was monitored via heart rate and session rating of perceived exertion. Statistical analyses compared pre- and post-season outcomes, as well as differences between age groups (50–59 vs. ≥ 60 years). Anthropometric parameters remained stable over the season, with participants aged 50–59 showing higher weight, BMI, and muscle mass than those aged ≥60 (p < 0.05). Reductions occurred in blood glucose, along with favorable changes in lipid profiles in older participants (p < 0.05), and increased vitamin D (p < 0.05). Creatine kinase (CK), lactate dehydrogenase (LDH), and adiponectin decreased over the season (p < 0.05). Although the differences were not statistically significant, older adults maintained peak VO₂, whereas younger participants exhibited a small decline. Muscle strength decreased across both age groups, specifically handgrip strength and knee extension (p < 0.001–0.05). Physical activity levels showed a non-significant increase in total and high-intensity METs, especially among younger participants. In conclusion, walking football may help preserve cardiometabolic health, functional capacity, and quality of life in physically active older adults throughout a competitive season. Nevertheless, specific program adjustments—such as higher training loads, the inclusion of strength or resistance components, and age-tailored modifications—could be required to maximize outcomes, particularly among younger participants.

## Full-text entities

- **Genes:** ADIPOQ (adiponectin, C1Q and collagen domain containing) [NCBI Gene 9370] {aka ACDC, ACRP30, ADIPQTL1, ADPN, APM-1, APM1}, CMPK1 (cytidine/uridine monophosphate kinase 1) [NCBI Gene 51727] {aka CK, CMK, CMPK, UMK, UMP-CMPK, UMPK}
- **Chemicals:** vitamin D (MESH:D014807), glucose (MESH:D005947), lipid (MESH:D008055)
- **Species:** Homo sapiens (human, species) [taxon 9606]

## Full text

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## Figures

7 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12904370/full.md

## References

39 references — full list in the complete paper: https://tomesphere.com/paper/PMC12904370/full.md

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Source: https://tomesphere.com/paper/PMC12904370