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Factors predicting adherence to 9 months of supervised exercise in healthy older women.
MedLine Citation:
PMID:  21297190     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: Little is known about factors affecting adherence to highly-structured and supervised exercise programs in older people.
METHODS: Healthy, inactive older (≥65 y) women (N = 30) were randomized into a 1) higher- (ATH-80% VO2peak); 2) moderate- (ATM-65% VO2peak) intensity aerobic; or 3) lower-intensity resistance (RTL; 50% VO2peak) group. All 3 groups exercised 4 days·week-1 for an average of 45 to 70 min·session-1 over 9 months. Adherence (%) was defined as the proportion of prescribed sessions (N = 144) in which subjects achieved their 1) prescribed heart rate (intensity adherence) and 2) their prescribed duration (duration adherence). Primary determinants of adherence included prescribed intensity (METs) and prescribed duration (min), as well as age, body composition, VO2peak, and exercise self-efficacy score.
RESULTS: Intensity adherence was nearly 100% for all 3 groups, while duration adherence was 95%, 91%, and 85% in the RTL, ATH, and ATM groups, respectively. Prescribed exercise duration was the strongest determinant of duration adherence (r = -0.72; P < .0001), independent of prescribed METs, age, VO2peak, and body composition.
CONCLUSIONS: Due to competing lifestyle demands, exercise intensity may be less of a factor in adherence among older women than is exercise duration.
Authors:
Amanda J Visek; Erin A Olson; Loretta Dipietro
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of physical activity & health     Volume:  8     ISSN:  1543-3080     ISO Abbreviation:  J Phys Act Health     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-02-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101189457     Medline TA:  J Phys Act Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  104-10     Citation Subset:  IM    
Affiliation:
Dept of Exercise Science, The George Washington University School of Public Health and Health Services, Washington D.C.
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