Adapted Physical Activity for Elderly People and National Policies. A Comparative Investigation

The global demographic transition presents challenges and opportunities for Western societies, affecting biological, psychological, and social aspects. Ageing is linked to a decline in physical abilities, worsened by sedentary lifestyles, which reduce autonomy and quality of life. Public policies must promote “active ageing,” with APA as a key tool to address ageing-related issues. This study examines APA policies in Italy, France, and Belgium, three European countries significantly impacted by demographic changes. Italy's fragmented approach reflects regional autonomy; France has institutionalised APA in preventive health; Belgium's regional innovation is hindered by a lack of national coherence. The paper emphasises the need for a holistic integration of sociological, psychological, and institutional approaches to support active ageing effectively. It calls for a shift from traditional biomedical models to more inclusive frameworks that respect older adults' autonomy and dignity, offering valuable insights for shaping future strategies to address an ageing population's evolving needs.