ONE INTRODUCTION 1.1 BACKGROUND OF THE STUDY As it has been noted that the majority of the population is aging, there is a great need for health promotion of elderly in order to enable them to carry out day to day tasks independently. Exercise as the most common and effective way of boosting health has been advocated among elderly for years. However, elderly people who have multi-illnesses have restricted activities due to their general condition. By age 75, about one in three men and one in two women engaged in no physical activity (Harber 2007, 139). Older adults with higher exercise fulfillment demonstrated better mental and psychological health, regardless of their physical activity levels. Older adults with low-exercise fulfillment could potentially improve their physical abilities; however, their mental and psychological health significantly differed from that of older adults with medium or high-exercise fulfillment after exercise intervention. These findings provide preliminary evidence, which indicates that exercise can provide sufficient fulfillment and contribute to the promotion and improvement of health in older adults. Moreover, performing adequate tests on exercise fulfillment may aid in assessing the effects of intervention programs in healthcare system. (Sakurai & Fujiwara & Fukaya & Saito & Yasunaga & Suzuki & Nonaka & Kim & Kim & Tanaka & Nishikawa & Uchida & Shinkai & Watanabe 2012, 743-54.) According to the authors of this thesis, exercise has been underestimated or even ignored in real implementation which brings about patients’ physical deterioration. The authors of this thesis have encountered various examples during previous practical experiences. In health care it has been assumed that health is basically maintained through nutrition and drugs. For example, sleeping problem is more common with the elderly and it surely affects individuals and their families. Often elderly patients use a lot of drugs for this problem including sleeping pill many of which have side effects. The results of Fábio’ s present study indicate that, elderly subjects submitted to chronic moderate training presenting improved sleep quality. (Fábio & Gustavo & Ronaldo & Lila & Damaso & Nascimento & Valter & Boscolo & Grassmann & Santana & Esteves & Tufik & Mello 2011, 113-118.) The purpose of this research is to explore ways in which exercise functions as a boost to elderly health promotion. The increasing number of people living longer has led to international interest in the enhancement of quality of life and health-related quality of life in older age (Bowling 2005, 1). The aim of this research was to get an overall view of the elderly awareness and experiences about exercise in the multicultural background. The aim was also to find out the role of nurses in provision of exercise. This research was carried out to map the ways of implementing exercise for the aged population. The authors wanted to get more evidence that exercise promotes elderly health in various ways ranging from physical, psychological, cognitive, and sociological and obtain more positive influences of exercise on elderly people so that they really realize its importance as method of health promotion. It also includes the suitable ways and guidance that nurses can utilize to promote elderly health by implementing exercise in appropriate ways. The theoretical part of this research entails aging, types and effects of exercise to elderly, health issues of elderly and nurses’ role in promotion of exercise on elderly health. The empirical part was carried out in Finland (Purola elderly home), Kenya (Eldoret and Cherangani nursing home) and China (Ri Yuexing elderly home). This research is meant to be utilized by other researchers, student nurses, paramedics, family members of elderly and any potential readers.