Document Detail

Determinants of high and low attendance to diet and exercise interventions among overweight and obese older adults. Results from the arthritis, diet, and activity promotion trial.
MedLine Citation:
PMID:  16387555     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Determinants of adherence to lifestyle regimens are ill understood. Attendance to intervention sessions is crucial for patients to acquire knowledge and skills regarding the core elements of an intervention. Therefore, we explored demographic, health-related, and social determinants of high and low attendance to diet and exercise sessions among overweight and obese patients with knee osteoarthritis (> or = 60 years; N = 206). METHODS: The Arthritis, Diet, and Activity Promotion Trial was an 18-month randomized controlled trial on the effectiveness of dietary weight loss and exercise interventions. We conducted chi-square and t-tests, and logistic regression analyses on categories of short- and long-term attendance to intervention sessions. RESULTS: Over the 18-month duration of the study, 60.7% (+/- 28.5) of diet sessions, and 53.2% (+/- 29.0) of exercise sessions were attended. Not being married, low social participation, and single intervention randomization predicted high attendance to diet sessions during months 1-4. Exercising at home, and single intervention randomization predicted high attendance to exercise sessions during months 5-18. High attendance to sessions early in the intervention was a significant determinant of high session attendance thereafter. CONCLUSIONS: Offering people a choice where to exercise, and stimulating early intervention session attendance can be effective in improving long-term attendance to both interventions. Several determinants we found may be amenable to change to enhance intervention adherence of future randomized controlled trials involving dietary weight loss and/or physical exercise.
Coen H van Gool; Brenda W J H Penninx; Gertrudis I J M Kempen; Gary D Miller; Jacques Th M van Eijk; Marco Pahor; Stephen P Messier
Related Documents :
15107945 - Methods used by the hippocratic physicians for weight reduction.
3199435 - The role of attention in the elimination of chronic, life-threatening vomiting.
12364425 - Exercise decreases plasma total homocysteine in overweight young women with polycystic ...
3616265 - A new diet-exercise therapy in our obese-child clinic.
15942765 - Acute epoc response in women to circuit training and treadmill exercise of matched oxyg...
15107945 - Methods used by the hippocratic physicians for weight reduction.
Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2006-01-04
Journal Detail:
Title:  Contemporary clinical trials     Volume:  27     ISSN:  1551-7144     ISO Abbreviation:  -     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-08     Completed Date:  2006-10-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101242342     Medline TA:  Contemp Clin Trials     Country:  United States    
Other Details:
Languages:  eng     Pagination:  227-37     Citation Subset:  IM    
Department of Health Care Studies, Section of Medical Sociology, Universiteit Maastricht, Maastricht, The Netherlands.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Middle Aged
Obesity / epidemiology,  therapy*
Osteoarthritis, Knee / epidemiology,  therapy*
Patient Compliance / statistics & numerical data*
Randomized Controlled Trials as Topic
Treatment Outcome
Grant Support
5P60-AG-10484-07/AG/NIA NIH HHS; M01-RR00211/RR/NCRR NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Value of an Endpoints Committee versus the use of nosologists for validating cause of death.
Next Document:  Protecting human subjects in neurosurgical trials: the challenge of psychogenic dystonia.