What Sustains Long-Term Adherence to Structured Physical Activity After a Cardiac Event?

2012 ◽  
Vol 20 (2) ◽  
pp. 135-147 ◽  
Author(s):  
Antonia M. Martin ◽  
Catherine B. Woods
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Program ◽  
Clinical Group ◽  
Group Discussions ◽  
Community Based ◽  
Established Coronary Heart Disease ◽  
Rich Information ◽  
Constant Comparative Analysis

Purpose:Research addressing methods to sustain long-term adherence to physical activity among older adults is needed. This study investigated the motivations and supports deemed necessary to adhere to a community-based cardiac rehabilitation (CBCR) program by individuals with established coronary heart disease.Methods:Twenty-four long-term adherers (15 men, 9 women; age 67.7 ± 16.7 yr) took part in focus-group discussions.Results:Constant comparative analysis supported previous research in terms of the importance of referral procedures, social support, and knowledge of health benefits in influencing uptake and adherence to CBCR. Results also highlighted the routine of a structured class and task-, barrier-, and recovery-specific self-efficacy as necessary to sustain long-term adherence for this specific clinical group.Discussion:Older adults themselves provide rich information on how to successfully support their long-term adherence to structured exercise sessions. Further research into how to build these components into any exercise program is necessary.

Determining the Long-Term Effectiveness of a Group-Based Physical Activity Program

2018 ◽  
Vol 20 (3) ◽  
pp. 401-408
Author(s):  
Anamica Batra ◽  
Richard C. Palmer ◽  
Elena Bastida ◽  
H. Virginia McCoy ◽  
Hafiz M. R. Khan
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Healthy Aging ◽  
Population Level ◽  
The United States ◽  
South Florida ◽  
Community Based ◽  
Evidence Based Programs ◽  
The Impact

Objective. In 2015, only half (48%) of older adults in the United States (≥60 years) reported engaging in any kind of physical activity. Few studies examine the impact of evidence-based programs when adopted in community-based settings. The purpose of this study is to assess the effectiveness of EnhanceFitness (EF) upto 12-months. Method. EF was offered to older adults in South Florida. A total of 222 EF classes were offered between October 2008 and December 2014. Program consisted of a 1-hour session held three times a week. Even though participation was required for 4 months, 1,295 participants continued the program for at least 1 year. Results. All participants showed significant improvement in outcome measures. A mean change of 1.5, 1.7, and 1.9 was seen in number of chair stands at 4, 8, and 12 months (p < .001), respectively. The number of arm curls performed improved from 16.8 at baseline to 18.8, 18.8, and 19.2 at 4-, 8-, and 12-months, respectively. Participants improved their up-and-go time by decreasing from 9.1 (baseline) to 8.7 (4 months) to 8.6 (12 months; p = .001). Discussion. Randomized controlled trials are commonly used to determine the efficacy of an intervention. These interventions when disseminated at the population level have the potential to benefit large masses. EF is currently offered at more than 700 locations. This tremendous success of EF brings attention to an important question of continuous monitoring of these programs to ensure program consistency and intended outcomes. The model used by the Healthy Aging Regional Collaborative could be replicated by other communities.

“Not Everybody’s an Athlete, But They Certainly Can Move”: Facilitators of Physical Activity Maintenance in Older Adults in a Northern and Rural Setting

2020 ◽  
Vol 28 (6) ◽  
pp. 854-863 ◽  
Author(s):  
Kirsten Ward ◽  
Anne Pousette ◽  
Chelsea A. Pelletier
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Social Engagement ◽  
Healthy Aging ◽  
Rural Setting ◽  
Community Based ◽  
Semistructured Interviews ◽  
Individual Program ◽  
Physical Activity Maintenance

Although the benefits of maintaining a physical activity regime for older adults are well known, it is unclear how programs and facilities can best support long-term participation. The purpose of this study is to determine the facilitating factors of physical activity maintenance in older adults at individual, program, and community levels. Nine semistructured interviews were conducted with individuals aged 60 years and older and long-term participants (>6 months) in community-based group exercise at a clinical wellness facility in northern British Columbia, Canada. Interviews were audio recorded, transcribed, and analyzed via inductive thematic analysis. Themes identified as facilitators of physical activity included (a) social connections, (b) individual contextual factors, and (c) healthy aging. Older adults are more likely to maintain physical activity when environments foster healthy aging and provide opportunity for social engagement.

scholarly journals Effects of simple long-term respiratory care strategies in older men with COPD

2017 ◽  
Vol 43 (6) ◽  
pp. 464-471
Author(s):  
Fabrício Zambom-Ferraresi ◽  
Pilar Cebollero ◽  
Javier Hueto ◽  
María Hernández ◽  
José Cascante ◽  
...  
Keyword(s):  
Physical Activity ◽  
Exercise Capacity ◽  
Power Output ◽  
Exercise Program ◽  
Lower Limbs ◽  
Counseling Program ◽  
Community Based ◽  
Physical Activity Counseling ◽  
Activity Counseling

ABSTRACT Objective: To evaluate a 24-month supervised, community-based maintenance exercise program after 3 months of pulmonary rehabilitation (PR) in comparison with a 27-month physical activity counseling program, in terms of the effects on maximal muscle strength, muscle power output, and exercise capacity, in individuals with COPD. Methods: Sixty-three men with moderate-to-severe COPD were recruited from two previous studies. Of those 63 participants, 31 were offered 3 months of PR followed by a 24-month supervised maintenance exercise program (24MME group) and 32 were offered a 27-month physical activity counseling program (27MPAC group). Measurements at 3 months and at the end of the study period included maximal strength of the upper and lower limbs, power output of the lower limbs, six-minute walk distance (6MWD), and quality of life. Results: At 27 months, the improvements in maximal strength of the upper and lower limbs were greater in the 24MME group than in the 27MPAC group (37.6 ± 28.3% and 28.4 ± 13.3%, respectively, vs. 8.8 ± 16% and 13.6 ± 16.4%, respectively; p < 0.05), as was the improvement in power output of the lower limbs (24.6 ± 18.4% vs. −2.3 ± 28.5%; p < 0.01). The increase in the 6MWD after 3 months was also greater in the 24MME group than in the 27MPAC group (33.2 ± 36.6 m vs. 2.9 ± 34.7 m; p < 0.05), although there were no differences between the two groups in terms of the Δ6MWD at 27 months (vs. baseline). Conclusions: A supervised, community-based maintenance program is a successful long-term strategy to preserve the benefits of PR on peripheral muscle function and exercise capacity in individuals with COPD. However, physical activity counseling can maintain maximal muscle strength and exercise capacity in such individuals.

scholarly journals Long-term participation in community group exercise improves lower extremity muscle strength and delays age-related declines in walking speed and physical function in older adults

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Chisato Hayashi ◽  
Soshiro Ogata ◽  
Tadashi Okano ◽  
Hiromitsu Toyoda ◽  
Sonoe Mashino
Keyword(s):  
Older Adults ◽  
Muscle Strength ◽  
Physical Exercise ◽  
Lower Extremity ◽  
Physical Function ◽  
Community Dwelling ◽  
Group Exercise ◽  
Community Based ◽  
Lower Extremity Muscle

Abstract Background The effects of group exercise on the physical function of community-dwelling older adults remain unclear. The changes in lower extremity muscle strength, timed up and go (TUG) time, and the motor fitness scale (MFS), over time, among older adults who expressed a willingness to participate in community-based physical exercise groups, were determined using multilevel modelling. Methods We analyzed data of 2407 older adults between April 2010 and December 2019 from the registry of physical tests of community-based physical exercise groups. We conducted a retrospective cohort study to assess the effect of physical exercise on lower extremity muscle strength, TUG time, and MFS scores. The durations of the exercises were evaluated by frequency of physical test’s participate. Results A deterioration in lower extremity muscle strength was found in the short-term participant group only. However, in the mid-term and long-term participation groups, lower extremity muscle strength showed a trend of improvement. The TUG time and the MFS score were negatively correlated with increasing age in both groups divided by the duration of participation. However, there was a slower rate of deterioration in the long-term participation group. Discussion Lower extremity muscle strength, TUG time, and MFS scores decline with increasing age and there were differences in the slope of deterioration that depended on the duration of participation in community-based group exercise. Conclusion Participation in group exercise improved lower extremity muscle strength, TUG time, and MFS scores of older adults living in a community. The positive effects of group exercise were dependent on long-term participation.

scholarly journals Promoting Stair Climbing as an Exercise Routine among Healthy Older Adults Attending a Community-Based Physical Activity Program

Sports ◽  
2019 ◽  
Vol 7 (1) ◽  
pp. 23 ◽  
Author(s):  
Nobuko Hongu ◽  
Mieko Shimada ◽  
Rieko Miyake ◽  
Yusuke Nakajima ◽  
Ichirou Nakajima ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Muscle Strength ◽  
Daily Living ◽  
Stair Climbing ◽  
Community Based ◽  
Healthy Older Adults ◽  
Exercise Routine ◽  
Before And After ◽  
Leg Muscle

Stair climbing provides a feasible opportunity for increasing physical activity (PA) in daily living. The purpose of this study was to examine the daily walking and stair-climbing steps among healthy older adults (age: 74.0 ± 4.9 years; Body Mass Index (BMI): 22.3 ± 2.5 kg/m2). Participants (34 females and 15 males) attended a weekly 6-month community-based PA program. During the entire program period, daily walking and stair-climbing steps were recorded using a pedometer (Omron, HJA-403C, Kyoto, Japan). Before and after the 6-month program, height, body weight and leg muscle strength were assessed. After the 6-month program, the mean walking and stair-climbing steps in both women and men increased significantly (p ≤ 0.01). Daily stair-climbing steps increased about 36 steps in women and 47 steps in men. At the end of 6 months, only male participants had significant correlation between the number of stair steps and leg muscle strength (r = 0.428, p = 0.037). This study reported that healthy older adults attending the community-based PA program had regular stair-climbing steps during daily living. Promoting stair climbing as an exercise routine was feasible to increase their walking and stair-climbing steps.

Tracking Older Participants of Twelve Physical Activity Classes Over a Three-Year Period

1998 ◽  
Vol 6 (1) ◽  
pp. 70-82 ◽  
Author(s):  
Nancy A. Ecclestone ◽  
Anita M. Myers ◽  
Donald H. Paterson
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Exercise Adherence ◽  
Attendance Rate ◽  
Longitudinal Tracking ◽  
Gender And Age ◽  
Program Adherence ◽  
Exercise Classes ◽  
Physical Activity Classes

The Centre for Activity and Ageing offers multiple physical activity programs for the general public of older adults. Using a database of 670 registrants, we tracked 541 individuals in 12 programs at the same location over a 3-year period (1992-1995). We found program differences in gender and age mix, attendance patterns, and long-term adherence. Overall, we found a 68% attendance rate and adherence rates of 59%, 51%, and 43% at 6 months, 12 months, and 36 months, respectively. About 21% of participants tried out or transferred between programs during the tracking period, and these individuals were significantly more likely to remain at the center over 3 years. Longitudinal tracking demonstrates that program adherence is not necessarily the same as exercise adherence: older adults leave, rejoin, and switch exercise classes as their commitments and interests change. We project that 50% or more of older adults joining community programs will be long-term adherents to exercise.

Impact of a Community-Based Falls Prevention Program on Maintenance of Physical Activity Among Older Adults

2009 ◽  
Vol 21 (3) ◽  
pp. 480-500 ◽  
Author(s):  
Sophie Laforest ◽  
Anne Pelletier ◽  
Lise Gauvin ◽  
Yvonne Robitaille ◽  
Michel Fournier ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Prevention Program ◽  
Falls Prevention ◽  
Community Based

scholarly journals Housing, Affordability, and Community-Based Aging

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 690-691
Author(s):  
Samara Scheckler
Keyword(s):  
Older Adults ◽  
Older Adult ◽  
Long Term Care ◽  
Housing Tenure ◽  
Policy Implications ◽  
Housing Cost ◽  
Home Equity ◽  
Community Based ◽  
Term Care

Abstract The house acts as both an environment of care and a vehicle to financially potentiate long-term community-based support. While housing can empower a diverse set of options for a person-centered aging process, inadequate housing can also impede healthy aging in the community. This symposium teases out the nodes where housing acts to benefit or limit safe community-based aging. The first paper in this symposium, Homeownership Among Older Adults, describes typologies of older adult homeownership and sensitively highlights trends, disparities and important considerations of homeownership in later life. The next two papers take these older adults and explores situations where their housing acts as an asset or as a burden. Identifying Cost Burdened Older Adults acknowledges that housing cost burdens look different for older adults than younger cohorts. A more precise definition of older adult housing cost burden is proposed to help researchers and policymakers better synthesize the complex relationships between older adult housing and their long-term care decisions. The Long-Term Care Financing Challenge then explores the role of home equity in expanding the community-based long-term care choice set for older adults. This paper demonstrates benefits (both realized and unrealized) in home equity and suggests policy implications moving forward. Finally, Cardiometabolic Risk Among Older Renters and Homeowners disentangles the relationship between housing and health by demonstrating health disparities that are associated with housing tenure, conditions and affordability. Taken together, this symposium explores the complex and multidirectional relationships between housing, long-term care and older adult health.

The effects of attendance and effort on outcomes among older adults in a long-term exercise program

1994 ◽  
Vol 17 (1) ◽  
pp. 15-24 ◽  
Author(s):  
Robert Topp ◽  
Joanne Sabol Stevenson
Keyword(s):  
Older Adults ◽  
Exercise Program

Effects Of A Long-term Physical Activity Program On Accelerometry-based Sedentary Time In Older Adults

2015 ◽  
Vol 47 ◽  
pp. 515-516
Author(s):  
Amal A. Wanigatunga ◽  
Walter T. Ambrosius ◽  
Mary M. McDermott ◽  
Abby C. King ◽  
Roger A. Fielding ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Sedentary Time ◽  
Physical Activity Program ◽  
Activity Program
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