Social media-based health education plus exercise programme (SHEEP) to improve muscle function among community-dwelling young-old adults with possible sarcopenia: A feasibility study

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Abstract

Possible sarcopenia is common among community-dwelling young-old adults, yet effective social media interventions remain scarce. We developed a TikTok-based multi-component program (SHEEP) integrating health education and exercise via co-design. A single-arm mixed-methods feasibility study was conducted (May-August 2024) with 35 adults aged 60–69 with possible sarcopenia in Changsha, China. Participants received one week of health education videos and six weeks of exercise intervention, with follow-up testing. Feasibility, acceptability, and physical and behavioural outcomes were assessed. Recruitment (80% female), adherence, and procedures were feasible and acceptable. Preliminary improvements were observed in handgrip strength, walking speed, sit-to-stand performance, knowledge, self-efficacy, and self-management. Qualitative feedback indicated enhanced physical and mental well-being. SHEEP is feasible and acceptable and may improve physical function in older adults with possible sarcopenia. A randomized controlled trial is warranted.

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