Factors Affecting Exercise Attendance and Completion in Sedentary Older Adults: A Meta-Analytic Approach

2008 ◽  
Vol 5 (3) ◽  
pp. 385-397 ◽  
Author(s):  
Seung-Youn Hong ◽  
Susan Hughes ◽  
Thomas Prohaska
Keyword(s):  
Older Adults ◽  
Exercise Adherence ◽  
Randomized Control Trials ◽  
Completion Rates ◽  
Attendance Rates ◽  
Regression Analyses ◽  
Factors Affecting ◽  
Exercise Interventions ◽  
Home Based ◽  
Randomized Control

Background:Many different constructs are used currently in the literature to assess exercise adherence. This study examined whether the same or different variables predict exercise attendance and exercise completion among sedentary older adults.Methods:Thirty-seven randomized control trials were selected from articles published between 1980 and 2000 that tested exercise interventions for sedentary older adults. Block-entry, weighted, hierarchical meta-regression analyses were conducted.Results:Different factors predicted attendance and completion. Group-based (P < .05) and resistance exercise (P < .1) predicted higher attendance rates than individual-based and aerobic exercise. In contrast, facility-based exercise was associated with higher completion rates than home-based exercise (P < .1).Conclusions:Results show that completing a program is not synonymous with good attendance. Program designers need to consider different strategies to boost both of these rates that need to be maximized to best benefit program participants.

Delivery of Home-Based Exercise Interventions in Older Adults Facilitated by Amazon Alexa: A 12-week Feasibility Trial

2021 ◽  
Author(s):  
Paul Jansons ◽  
J. Dalla Via ◽  
R. M. Daly ◽  
J. J. Fyfe ◽  
E. Gvozdenko ◽  
...  
Keyword(s):  
Older Adults ◽  
Feasibility Trial ◽  
Exercise Interventions ◽  
Home Based

scholarly journals Effects of physical exercise on cognitively impaired older adults: a meta-analysis of randomized control trials

2020 ◽  
Author(s):  
Lenka Sontakova ◽  
Alzbeta Bartova ◽  
Klara Dadova ◽  
Iva Holmerova ◽  
Michal Steffl
Keyword(s):  
Older Adults ◽  
Cognitive Impairment ◽  
Cognitive Function ◽  
Physical Exercise ◽  
Cognitive Functions ◽  
Cognitive Impairments ◽  
Meta Analysis ◽  
Randomized Control Trials ◽  
Global Cognitive Function ◽  
Randomized Control

Abstract Objectives: The main aim of this meta-analysis was to compare the effects of different physical activities on cognitive functions in older adults divided according to cognitive impairment levels. Methods: We searched Web of Science, Scopus, and PubMed for randomized control trials (RCT). A standardized mean difference (SMD) of the pre-post intervention score of global cognitive function tests were calculated by the random model in the Cochrane meta-analyses for people with cognitive impairment generally and across three levels - mild, mild to moderate, and moderate to severe cognitive impairment separately. Additionally, an unstandardized coefficient beta (B) was calculated in generalized linear models to estimate the effects of exercise, cognitive impairment severity, age, female ratio, length of intervention, and time of exercise a week on the global cognitive function. Results: Data from 26 studies involving 1,137 participants from intervention groups and 1,187 participants from control groups were analyzed. Physical exercise had a positive effect on cognitive functions in people across all levels of cognitive impairments SMD (95 % confidence interval [CI]) = 1.19 (0.77 - 1.62); however, heterogeneity was considerably high I 2 = 95%. Aerobic (B = 8.881) and resistance exercise (B = 4.464) was significantly associated with better results in global cognitive functions when compared to active control. A higher number of female participants cin intervention groups had a statistically significant effect on the global cognitive function (B = 0.229). onclusions: Physical exercise was associated with cognitive function improvement in older people with cognitive impairments. Aerobic exercise was more strongly associated than resistance exercise to combat cognitive decline. Keywords: Physical activity, Dementia, Aging, Meta-analysis, Aerobic exercise, Cognitive function

Feasibility of a Self-Determination Theory-Based Exercise Program in Community-Dwelling South Korean Older Adults: Experiences from a 13-Month Trial

2016 ◽  
Vol 24 (1) ◽  
pp. 8-21 ◽  
Author(s):  
Minyoung Lee ◽  
Min Joo Kim ◽  
Dongwon Suh ◽  
Jungjin Kim ◽  
Eunkyoung Jo ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Exercise Program ◽  
Exercise Adherence ◽  
Self Determination Theory ◽  
Self Determination ◽  
Motivational Strategies ◽  
Factors Affecting ◽  
South Korean

Little is known about the effectiveness of self-determination theory (SDT), a representative motivational theory, on exercise domain in older adults. This feasibility study used quantitative and qualitative approaches to evaluate the effectiveness of a 13-month group exercise program applying SDT-based motivational strategies on exercise adherence, physical fitness, and quality of life, and to explore factors affecting exercise adherence in South Korean older adults (N = 18). Exercise attendance rate was high (82.52%). There were significant differences in aerobic endurance (p < .001), lower body strength (p < .05), dynamic balance (p < .001), and perceived social functioning (p < .05) at 13 months compared with baseline. Factors affecting exercise adherence were related to the SDT-based motivational strategies. These results support the importance of health professionals applying SDT-based motivational strategies to exercise programs to help facilitate motivation for participation and to promote physical fitness and quality of life in older adults.

scholarly journals Factors Influencing the Stages of Frailty among Korean Older Adults Focusing on Objective and Subjective Social Isolation

2021 ◽  
Author(s):  
Song Yi Han ◽  
Hye Young Jang ◽  
Young Ko
Keyword(s):  
Older Adults ◽  
Logistic Regression ◽  
Social Isolation ◽  
Social Relationships ◽  
Regular Exercise ◽  
Multiple Logistic Regression ◽  
Regression Analyses ◽  
Factors Affecting ◽  
Factors Influencing ◽  
Health Related

Abstract Background: Although many studies have investigated the factors influencing frailty, studies on factors affecting transition between frailty stages are insufficient. This study was conducted to identify factors influencing the stages of frailty in Korean older adults, focusing on objective and subjective social isolation. Methods: This study analyzed the data of 10,041 older adults from the 2017 National Survey of Older Koreans. Two multiple logistic regression analyses were performed to identify the factors influencing the frailty stages.Results: Among Korean older adults, 6% were in a frail stage, and 42.5% were in the pre-frail stage. The progression to the pre-frail stage was influenced by sociodemographic and health-related characteristics and by objective and subjective social isolation. Contrastingly, the transition from the pre-frail to frail stage was influenced by factors including objective social isolation, declining hearing, and lack of regular exercise.Conclusions: In the development of future interventions, researchers should consider differences in factors that influence the stages of frailty among Korean older adults. Interventions that help older people maintain existing social relationships or connect to new social networks can delay the transition from the pre-frail to frail stages.

scholarly journals Modifiable facilitators and barriers to exercise adherence in older adults with MCI/dementia using the Theoretical Domains Framework: a systematic review protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (9) ◽  
pp. e034500
Author(s):  
Xueting Zhen ◽  
Lina Wang ◽  
Hang Yan ◽  
Hong Tao ◽  
Yaxiu Cai ◽  
...  
Keyword(s):  
Older Adults ◽  
Exercise Adherence ◽  
Theoretical Domains Framework ◽  
Medical Community ◽  
Primary Data ◽  
Cochrane Library ◽  
China National Knowledge Infrastructure ◽  
Exercise Interventions ◽  
Barriers To Exercise ◽  
Facilitators And Barriers

IntroductionExercise has multiple benefits on maintaining or improving cognitive function for people with mild cognitive impairment (MCI)/dementia. However, many older adults with MCI/dementia are not sufficiently active to achieve these benefits. Allowing for the current studies on exercise adherence in older adults with MCI/dementia still have some deficiencies. This paper aims: (1) to identify the modifiable facilitators and barriers to exercise adherence for older adults with MCI/dementia in terms of the perspectives of patients, caregivers and healthcare professionals; (2) to organise the identified factors of exercise adherence based on the Theoretical Domains Framework (TDF) among included studies.Methods and analysisA systematic computerised literature search will be performed in the following online databases: PubMed, Embase, Cochrane Library, Web of Science, China National Knowledge Infrastructure and Wan Fang Database, which published between January 1990 and June 2020. We will identify peer-reviewed publications which examined facilitators and barriers to exercise adherence. Searches will have no limitation in language publications using search terms related to exercise interventions, adherence and MCI/dementia. Two independent reviewers will screen titles, abstracts and full-text articles according to the predetermined inclusion and exclusion criteria. We will use the statistical software Nvivo V.12 to manage the information. Basing on the TDF, we will map identified modifiable facilitators and barriers of literature to the domains of TDF.Ethics and disseminationThis review will summarise modifiable facilitators and barriers to exercise adherence for older adults with MCI/dementia for the first time. Ethical approval is not required as no primary data are collected. We are going to disseminate our findings to the scientific and medical community in peer-reviewed journals. The review findings will facilitate adequate and accurate access to care and treatment to help older adults with MCI/dementia have a broader adoption to exercise.PROSPERO registration numberCRD42019117725.

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