Body awareness is a relevant concept for healthy aging related to movement harmony, and consists of different connections between different body functions. Balance regulation depends on the integrity of proprioception and strength in different parts of the body. New approaches to promote body awareness literacy are vital and game-based active techniques represent one of the important solutions. This chapter results from a narrative literature review, and it intends to a) explore body awareness determinants and their relevance for health literacy in the aging process; and b) discuss new approaches for developing programs in body awareness literacy, exploring game-based active techniques. The user-centered approaches, like serious games, can facilitate health education, and improve health literacy and body awareness, maximizing health outcomes in older people. This chapter seeks to offer innovative health education strategies, equipping older adults with tools to improve body awareness and well-being through interactive game-based methods.