Abstract
BACKGROUND: By 2050, over 2 billion people will be aged 60 or older, with most living in low- and middle-income countries (LMICs). In Latin America, this demographic shift presents challenges for under-resourced health and social systems. Community-based physical activity programs, such as Bogotá's Recreovía, play a critical role in supporting older adults' health and well-being. During the COVID-19 pandemic, the program was adapted to offer both outdoor and virtual sessions, aiming to maintain physical activity and social connections despite mobility restrictions. However, there is limited evidence on how such programs influence broader healthy aging outcomes, including mental health and social relationships, particularly during crisis settings. This study describes these outcomes among older adults who participated in Recreovía during the COVID-19 pandemic in Bogotá, Colombia. METHODS: We conducted a mixed-methods study using a simultaneous bidirectional framework design. A survey measured program use and outcomes related to healthy aging, complemented by a network analysis of social relationships. In-depth interviews explored participants' perceived impacts on quality of life. RESULTS: Recreovía participation showed significant benefits for older adults' quality of life. Quantitative data revealed improvements in physical health, mental and psychological well-being. Participants reported enhanced self-esteem, sustained health measures, and strengthened mental resilience. The program also fostered intergenerational relationships, promoted independence, and created supportive peer networks. Qualitative findings highlighted the importance of outdoor environments for physical activity and their holistic contributions to spiritual well-being. The integration of both data sources confirmed these benefits, underscoring Recreovía's role in enhancing overall well-being and social relationships. CONCLUSIONS: Community-based physical activity programs like Recreovía enhance older adults' social engagement, foster intergenerational relationships, reduce social isolation, and promote healthy aging. Outdoor spaces that support physical activity and socialization are vital for maintaining independence, mental health, and quality of life. These programs also help older adults sustain relationships and contribute meaningfully to society, promoting a more equitable and supportive environment for healthy aging. By prioritizing the development and support of such spaces and programs, policymakers and community leaders can enhance aging populations' well-being by prioritizing such initiatives, which are critical for public health strategies in resource-limited settings.