BACKGROUND: The proportion of older people increases globally, which calls for sustainable interventions promoting healthy aging. Therefore, we aimed to evaluate the potential of Football Fitness as a sustainable model to promote quality of life, mental health, and physical function for older adult. METHODS: The study was conducted in collaboration with a municipality, a football club, and a university, and was designed as a randomized controlled trial. A total of 66 people (34 women, 32 men) older than 60 years were randomly assigned (60/40) to a Football Fitness (FOT) (n = 38, 20 women, 18 men) and a control group (CON) (n = 28, 14 women, 14 men). FOT participated in Football Fitness for 12 weeks. Quality of life (QoL) and mental wellbeing were determined pre-and post-intervention. Physical loading and Flow experience were measured in one representative training session. Blood pressure (BP), Yo-Yo Intermittent endurance test level 1 (Yo-Yo IE1), sprint performance, postural balance, and body composition were also performed pre-and post-intervention. RESULTS: An improvement in mental wellbeing was observed for both groups from pre- to post-intervention (p values < 0.001) with no between-group differences. Regarding QoL, the environment domain improved in FOT compared to CON (p = 0.02). Mean Flow (M 5.69; SD 1.07) and perceived importance (M 4.20; SD 1.42) and average experienced difficulty was M 5.23 (SD 2.67), perceived skill (M 5.23; SD 2.56), and perceived balance (M 5.64; SD 1.56). These levels of flow can be characterized as being high. A between-group effect (p = 0.02) existed for systolic BP, which decreased (p < 0.01) by -5% (-8; -1%) in CON and remained unchanged in FOT. Both groups improved the Yo-Yo IE1 to a similar extent, with 28% (11; 44%) (p = 0.001) in FOT and 27% (9; 46%) in CON (p = 0.005). Postural balance improved (p = 0.004) by 38% (13; 63%) in FOT only, resulting in a superior (p = 0.01) balance score in FOT compared to CON post-intervention (p = 0.004). CONCLUSION: Football Fitness improved the environmental quality of life domain and postural balance in older adults. Additionally, it appears to be a feasible group activity for older adults that promotes high flow and physical loading during training. (PsycInfo Database Record (c) 2025 APA, all rights reserved)

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