Assessing the Clinical Effectiveness of an Exergame-Based Exercise Training Program Using Ring Fit Adventure to Prevent and Postpone Frailty and Sarcopenia Among Older Adults in Rural Long-Term Care Facilities: Randomized Controlled Trial

Sheng-Hui Tuan   ^{1, 2, 3} , MD ;   Lin-Hui Chang   ^{1, 4} , Prof Dr ;   Shu-Fen Sun   ^{5, 6} , MD ;   Chien-Hui Li   ² , MS ;   Guan-Bo Chen   ⁷ , MD ;   Yi-Ju Tsai   ^{1, 8} , Prof Dr

¹ Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, Tainan, Taiwan

² Department of Rehabilitation Medicine, Cishan Hospital, Ministry of Health and Welfare, Kaohsiung, Taiwan

³ Department of Physical Medicine and Rehabilitation, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan

⁴ Department of Occupational Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan

⁵ Department of Physical Medicine and Rehabilitation, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan

⁶ School of Medicine, College of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan

⁷ Department of Internal Medicine, Kaohsiung Armed Forces General Hospital, National Defense Medical Center, Kaohsiung, Taiwan

⁸ Department of Physical Therapy, College of Medicine, National Cheng Kung University, Tainan, Taiwan