背景：人口老化已經成為全球發展中國家的趨勢，但老化卻帶來高齡者生理機能退化、慢性疾病罹患率增高以及跌倒風險的增高等問題；進而造成高齡者日常活功能能力的喪失。長壽卻不健康的高齡身體狀況，不論是在醫療或是社會成本的支出，儼然成為各國政府沉重的負擔。因此延緩老化所帶來的各種社會問題即成為所有已發展國家的重要議題。肌力訓練對於老年人極為重要，不僅能防止因為老化所引起的肌肉流失、低骨質密度和低心血管循環能力，也能加強高齡者的活動能力、平衡能力和步態。目的：本研究目的在於以預防醫學、運動科學與健康促進之結合，發展有效增進社區高齡者功能性體適能的基礎核心訓練運動和彈力帶運動課程。並且在未來提供給社區和機構之高齡者做為參考課程，已達健康促進之貢獻。方法：研究對象為65歲以上社區內健康的高齡者，介入8週基礎核心與彈力帶訓練課程，觀察社區高齡者在功能性體適能的表現。結果：一、基礎核心訓練課程介入對於社區高齡者在上、下肢肌肉力量的前後測有顯著進步；二、彈力帶訓練課程介入對於社區高齡者在下肢柔軟度與握力表現的前後測有顯著進步。結論：基礎核心運動和彈力帶運動訓練藉由全面性阻力運動設計介入能有效改善社區高齡者功能性體適能中的上肢肌力、下肢肌力與握力。期許未來將此安全且有效的全面性運動處方策略推廣至更多社區，讓更多久高齡族群生活型態變得更活躍，進而能獲得身心健康的提升。本研究之成果可作?未來老年人預防醫學的參考。 Background: The aging of the population has become the trend of developing countries in the world, but the aging has brought the elderly physiological function degradation, increased incidence of chronic disease and increased risk of falling; resulting in the loss of daily living function of the elderly. The elderly physical condition is longevity but not healthy, and the costs of medical or social has become a heavy burden on governments. So that the various social problems caused by aging are becoming important issues for all developed countries. Muscle strength is very important for elderly adults. Muscle strength is not only could decrease muscle mass lose, low density of bone mass and poor circulation of vein due to aging, but also improve ability of activity, balance and gait for elderly adults. Purposes: The purpose of this study that combine preventive medicine, exercise science and health promotion, and development of an effective foundation training and elastic band training program to promote the functional fitness of elderly people in the community. In the future, the course will become a reference to elderly in the community and institutions. There is the contribution of health promotion. Methods: The subjects were healthy middle-aged people aged over 65 years, 8 weeks of foundation training and elastic band training, observe the performance on the functional fitness in the elderly adults in the community. Results: 1. The intervention of foundation training course for the elderly in the community in the upper and lower muscle strength before and after the test has made significant progress. 2. The intervention of elastic band training course for the elderly in the community in the lower limb flexibility and grip strength pre and post-test has made significant progress.Conclusions: Through effective foundation training and elastic band training, integrated group resistanse exercise program training could enhance upper and lower body strength, and grip strength, in turn. These results suggest that foundation training and elastic band training are needed to promote increased in physical activity participation for more elderly communities for a bigger population of rural older adults. This study provides evidence for the future study of preventive medicine in rural community elderly.