Objective To explore medical institution-led exercise training interventions, preliminary preventive measures, and comprehensive health service strategies for elderly adults.

Methods Sixty elderly adults from communities under the jurisdiction of primary hospitals who voluntarily participated in the training and met the inclusion criteria were divided into 75 to 79 years old group and 80 to 84 years old group. Elastic bands exercise were selected as the method for physical training for elderly community members. A total of three sets(9 items) of exercise, including upper and lower limb muscle strength exercises and balance as well as coordination training, were designed. The training period lasted for 12 weeks, with each session lasting 1 hour, three times a week. The medical team participated in training supervision and follow-up evaluations throughout the process, dynamically adjusting the training intensity based on individual needs.

Results Comprehensive safety and support measures significantly improved training participation and completion rates. No sports injuries or adverse events occurred throughout the process, and all participants completed the training plan. After training, statistically significant differences were observed in grip strength, five-times sit-to-stand test duration, Berg Balance Scale (BBS) scores, and Timed Up and Go (TUG) test results(P < 0.05), indicating effective physical fitness improvement.

Conclusion Elastic band exercises are a suitable mode for physical improvement training among elderly adults, significantly enhancing muscle strength in the limbs and trunk and improving balance function. The positive communication and interaction in group activities significantly boost elderly adults' confidence in healthy living, leading to notable improvements in their mental state.