Cold cities will cause a lot of inconvenience for the elderly to travel and exercise due to their low temperature, snowfall, freezing, and other climatic characteristics. On the basis of theoretical support, this paper firstly analyzes the physical, psychological, and behavioral characteristics of the elderly in cold cities and their impact on the design of small- and medium-sized sports venues from the physical needs of the elderly in cold cities. Secondly, based on architectural theory, combined with the research results of aging sociology, behavioral sociology, sports sociology, and other disciplines, combined with a large number of literature, examples, and practical research data, this paper summarizes the problems faced by middle-aged and elderly people in cold cities, constraints, advantages, and motivations for age-friendly design and problems in construction.