**3.2 Contents of HEPOP®**

In HEPOP®, a flowchart was created to enable the selection of an appropriate individual exercise and activity package and exercise and lifestyle guidance program (**Figures 4** and **5**) based on several questions [28]. For example, responses of "Yes"

#### **Figure 3.**

*Change in frequency of going out before and after the spread of infection. Before the pandemic = November/2019– January/2020. During the pandemic = March/2020–May/2020. (a) Kihon Checklist (KCL) score < 8, (b) KCL score* ≥ *8, (c) Person in need of nursing care.*

#### **Figure 4.**

*Home exercise program for older people (HEPOP®︎).*

to the items "Do you think you walk slower than before?" and "Have you experienced a fall in the past year?" recommends of balance improvement package. Five other packages were also created: Strengthening package, Inactivity prevention package, Cogni-package, Feeding and swallowing improvement package, and Nutrition improvement package [29, 30]. Each package includes more than 10 different programs and is classified into three levels according to the exercise difficulty and load, thereby allowing participants to select and combine exercises according to their abilities and condition on that particular day. Since the appropriate package may change depending on one's physical and mental condition, it was recommended to answer the flowchart questions once a month or after changes in one's physical or

*Overarching Goal and Intervention for Healthy Aging in Older People… DOI: http://dx.doi.org/10.5772/intechopen.106787*

**Figure 5.** *HEPOP®︎ exercises.*

mental condition and to choose exercises and activities more appropriate for one's condition at that time.
