OBJECTIVE: To examine in previously sedentary older women the effects of exercise mode and a behavioural intervention on short and long-term retention and adherence. METHODS:Healthy, sedentary women aged 50-70 years (N=116) were randomly assigned to a supervised 6-month swimming or walking program 3 sessions a week. They were further randomised to usual care or a behavioural intervention. The same program was further continued unsupervised for 6 months. We assessed retention, adherence, stage of exercise behaviour and changes in fitness. RESULTS: One hundred women (86%) completed 6 months and 86 (74%) continued for 12 months. Retention rates were similar for both exercise modes at 6 and 12 months. Adherence to swimming or walking was similar after 6 months (76.3 (95% CI: 69.5, 83.1)% vs. 74.3 (67.7, 80.9)%) and 12 months (65.8 (57.9, 73.8)% vs. 62.2 (54.6, 70.0)%). The behavioural intervention did not enhance retention or adherence. Fitness improved for both exercise modes after 6 months and was maintained at 12 months. CONCLUSIONS: Either swimming or walking programs initiated with careful supervision over 6 months resulted in similar high retention and adherence rates by highly motivated older women over 12 months. Behavioural intervention in this setting did not improve these rates further.
RCT Entities:
OBJECTIVE: To examine in previously sedentary older women the effects of exercise mode and a behavioural intervention on short and long-term retention and adherence. METHODS: Healthy, sedentary women aged 50-70 years (N=116) were randomly assigned to a supervised 6-month swimming or walking program 3 sessions a week. They were further randomised to usual care or a behavioural intervention. The same program was further continued unsupervised for 6 months. We assessed retention, adherence, stage of exercise behaviour and changes in fitness. RESULTS: One hundred women (86%) completed 6 months and 86 (74%) continued for 12 months. Retention rates were similar for both exercise modes at 6 and 12 months. Adherence to swimming or walking was similar after 6 months (76.3 (95% CI: 69.5, 83.1)% vs. 74.3 (67.7, 80.9)%) and 12 months (65.8 (57.9, 73.8)% vs. 62.2 (54.6, 70.0)%). The behavioural intervention did not enhance retention or adherence. Fitness improved for both exercise modes after 6 months and was maintained at 12 months. CONCLUSIONS: Either swimming or walking programs initiated with careful supervision over 6 months resulted in similar high retention and adherence rates by highly motivated older women over 12 months. Behavioural intervention in this setting did not improve these rates further.
Authors: Elisabet Guillamó; Álvaro Cobo-Calvo; Guillermo R Oviedo; Noémie Travier; Juan Álamo; Oscar A Niño-Mendez; Antonio Martínez-Yelamos; Sergio Martínez-Yelamos; Casimiro Javierre Journal: J Sports Sci Med Date: 2018-08-14 Impact factor: 2.988
Authors: Linda Burke; Andy H Lee; Jonine Jancey; Liming Xiang; Deborah A Kerr; Peter A Howat; Andrew P Hills; Annie S Anderson Journal: Int J Behav Nutr Phys Act Date: 2013-01-31 Impact factor: 6.457
Authors: Katie Gillies; Anna Kearney; Ciara Keenan; Shaun Treweek; Jemma Hudson; Valerie C Brueton; Thomas Conway; Andrew Hunter; Louise Murphy; Peter J Carr; Greta Rait; Paul Manson; Magaly Aceves-Martins Journal: Cochrane Database Syst Rev Date: 2021-03-06