Exercise Maintenance

2021 ◽  
pp. 1748-1748
Keyword(s):  
Exercise Maintenance

The Shape up Challenge: A Community-Based Worksite Exercise Competition

1996 ◽  
Vol 11 (1) ◽  
pp. 23-34 ◽  
Author(s):  
Susan M. Blake ◽  
Carl J. Caspersen ◽  
John Finnegan ◽  
Richard A. Crow ◽  
Maurice B. Mittlemark ◽  
...  
Keyword(s):  
Health Promotion ◽  
Health Program ◽  
Employee Participation ◽  
Behavioral Risk ◽  
Participation Rates ◽  
Community Based ◽  
Exercise Maintenance ◽  
Health Promotion Programs ◽  
Work Units ◽  
Heart Health Program

Purpose. To assess organizational and employee participation during three community-wide worksite exercise competitions in two communities. Design. A one-group, posttest-only design was used. Lack of controls, exercise baseline, and the short-term nature of the interventions were limitations. Setting. The Minnesota Heart Health Program conducted annual exercise campaigns between 1982 and 1989 within three intervention communities to reduce behavioral risk for cardiovascular disease. The Shape Up Challenge was a worksite exercise competition designed, in conjunction with other campaign activities, to increase levels of physical activity. Subjects. A total of 119 participating companies in two Minnesota communities, and 17,626 employees within these worksites, composed the subjects in this study. Intervention. Eligible worksites were invited to participate in a month-long competition during which employees recorded minutes spent daily in aerobic activities. Incentives were established to promote intragroup cooperation and intergroup competition. Companies competed for awards that were based on average minutes of exercise per employee versus per participant. Measures. Numbers of companies recruited and participating, campaign activities, minutes of exercise, and costs were recorded on implementation logs. Companies completed surveys describing business type, number and sex of employees, existing health promotion programs, and perceived benefits of participation. Results. Of the 365 companies invited to participate, 33 % participated (range 15 % to 50%). Participating companies were more likely than nonparticipating companies to offer other health promotion programs and perceived greater benefits from participation. Women and smaller companies had significantly greater participation rates than men and larger companies. Average employee participation rates ranged from as high as 84% in smaller organizations to as low as 16% as organization size increased. Conclusions. Community-based worksite exercise competitions appear to be a viable strategy for promoting employee exercise, particularly in smaller companies. Group-based contingencies applied in natural work units may facilitate employee participation. Further research is needed to assess the relative efficacy of this approach, compare alternative incentives, and identify strategies to enhance exercise maintenance after the intervention has ceased.

scholarly journals Views on Exercise Maintenance: Variations Among Patients With Rheumatoid Arthritis

2008 ◽  
Vol 88 (9) ◽  
pp. 1049-1060 ◽  
Author(s):  
Emma Swärdh ◽  
Gabriele Biguet ◽  
Christina H Opava
Keyword(s):  
Rheumatoid Arthritis ◽  
Health Care ◽  
Joint Venture ◽  
Physical Therapist ◽  
External Control ◽  
Personal Factors ◽  
Health Care Environment ◽  
Care Environment ◽  
Exercise Maintenance ◽  
Pros And Cons

Background and Purpose Individuals with rheumatoid arthritis (RA) often have to make changes in exercise behavior in order to gain and sustain health benefits. The purpose of this study was to explore and describe ways of understanding exercise maintenance among individuals with RA who had already started to exercise. Participants Fourteen women and 4 men with RA of at least 2 years’ duration, selected from 4 hospitals or primary health care physical therapy clinics, participated. They had exercised regularly at least twice weekly during the previous 2 months with various levels of support from a physical therapist, and they had attempted to exercise without support outside of the health care environment during the previous year. Method A phenomenographic approach was used to analyze semistructured interviews. A pattern of categories of descriptions was constructed based on the participants’ conceptions and ways of understanding the phenomenon of exercise maintenance. Results Five categories were identified: “external control,” “sticks and carrots,” “a joint venture,” “the easy way,” and “on one's own terms.” The categories became clear by elucidating 2 aspects related to exercise maintenance: (1) the way the participants talked about and experienced the type of support needed and (2) personal factors. Discussion and Conclusion The results highlight the importance of finding the proper context and support for each patient's needs. Furthermore, preparing for exercise maintenance by strengthening the patient's beliefs in his or her ability to exercise in different settings, by discussing pros and cons of exercise, and by exploiting the patient's ability to adapt and continue exercise outside of the health care environment might be valuable.

Abstract 12949: Aerobic Exercise After an ICD: Results of the 6 Month Follow-Up in the Anti-Arrhythmic Effects of Exercise After an ICD Trial

Circulation ◽  
2014 ◽  
Vol 130 (suppl_2) ◽  
Author(s):  
Cynthia M Dougherty ◽  
Robb Glenny ◽  
Peter Kudenchuk ◽  
Robert Burr
Keyword(s):  
Exercise Training ◽  
Aerobic Exercise ◽  
Aerobic Training ◽  
Cardiopulmonary Exercise Testing ◽  
Aerobic Exercise Training ◽  
Cardiopulmonary Function ◽  
Exercise Maintenance ◽  
Peak Vo2 ◽  
O2 Pulse

Introduction: The Anti-Arrhythmic Effects of Exercise Trial reported that aerobic exercise training for 8 weeks after an implantable cardioverter defibrillator (ICD) significantly improved the primary outcome of cardiopulmonary function without ICD shocks or adverse events. This is a report on the longer term outcomes at 24 weeks of exercise maintenance that was continued after aerobic training. Hypothesis: When 8 weeks of aerobic exercise training is followed by aerobic exercise maintenance (50% reduction in the amount of walking), cardiopulmonary function [peak VO2, EX time, VO2 at AT, O2 pulse, METS, Maximum HR] will be maintained without an increase in ICD shocks or hospitalizations. Methods: 160 subjects (80/group) with a prior ICD implant (40% primary and 60% secondary prevention), mean age 55 +12 years, 78% male, 84% Caucasian, 100% beta-blocked, and mean EF%=40%, entered a RCT comparing aerobic exercise to usual care (UC). At baseline, 8 and 24 weeks, participants completed cardiopulmonary exercise testing using a modified Balke treadmill protocol. Aerobic training= 8 weeks of home walking 1 hour/day on 5 days/week at 60-80% of maximum HR using the Karvonen formula, was followed by aerobic maintenance (EX)= 16 weeks of home walking for 150 min/week. ICD shocks and hospitalizations were verified with medical records. Analysis of variance was used to determine group x time effects on study outcomes. Results: Aerobic maintenance significantly increased peak VO2 ml/kg/min, p<0.000 (EX 26.9+7.7, UC 23.4+6.0), EX minutes, p<0.000 (EX 16:27+ 6:36; UC 13:24+4:33), VO2 at AT ml/kg/min, p=0.001 (EX 23.0+6.8; UC 19.8+5.8), O2 pulse p=0.01 (EX 18.7+5.5; UC 16.8+4.9), and METS, p<0.001 (EX 7.6+2.2; UC 6.7+1.8). Maximum HR was unchanged. The number of ICD shocks related to exercise was =1: 3 in UC and 1 in exercise received an ICD shock or ATP during follow-up. There were 11 hospitalizations in each group, none were related to exercise. Conclusions: Aerobic exercise maintenance for 16 weeks that followed aerobic exercise training for 8 weeks, maintained gains in cardiopulmonary function despite reducing the amount of walking by half (300 min vs. 150 min). Aerobic exercise in patients with an ICD is safe without increasing the number of ICD shocks or hospitalizations.

Qualitative Descriptors of Exercise in Older Women

1996 ◽  
Vol 4 (3) ◽  
pp. 251-263 ◽  
Author(s):  
Joanne Kraenzle Schneider
Keyword(s):  
Data Analysis ◽  
Older Women ◽  
Self Regulation ◽  
Environmental Context ◽  
The Self ◽  
Future Research ◽  
Exercise Maintenance ◽  
The Social ◽  
Social Environmental ◽  
Maintenance Model

The self-regulation of exercise maintenance model was used to study the episode-specific interpretations of exercise of older women immediately after an exercise episode. Seventeen women, mean age 69.7 ± 4.9 years, were recruited to represent a variety of exercise patterns. A semistructured episode-specific interview was administered after an exercise episode. The questions asked related to physiological/somatic and cognitive/emotional sensations associated with exercise and the social/environmental context of the exercise experience. Data analysis revealed five themes—somatic sensations, affirmations, connectedness, explanations, and reflections—each of which contained distinct categories. The proposed self-regulation of exercise maintenance model was clarified to better represent the data grounded in the women’s descriptions. The women’s qualitative descriptors will be used to develop a quantitative instrument to measure older women’s interpretations of exercise. Future research should involve testing the self-regulation of exercise maintenance model and examining interventions that affect episode-specific interpretations and thereby exercise maintenance.

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