Trine Gro Riktrup Hansen Saida1, Tina Juul Sørensen2, Henning Langberg2. 1. CopenRehab, Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark; Region Zealand, Human Resources-The Education and Competence Centre, Herlufsvaenge 14 B, Naestved, Denmark. Electronic address: trinegro@hotmail.com. 2. CopenRehab, Section of Social Medicine, Department of Public Health, University of Copenhagen, Copenhagen, Denmark.
Abstract
OBJECTIVES: Sustainment of healthy exercise behavior is essential in preventing cardiovascular disease and diabetes. Few studies have explored long-term exercise adherence after an exercise referral scheme. The objective of this study was to examine 12-month exercise adherence after an exercise intervention program. METHODS: This was a pragmatic follow-up study in at-risk people performed between June 2012 and January 2014. The main outcome measure was self-reported single-item exercise adherence. Secondary outcomes were change in exercise level, quality of life rated on a visual analog scale and self-rated health. Predictors of long-term exercise adherence were assessed by logistic regression, estimating crude odds-ratios (OR) and 95% confidence intervals (95% CIs) and adjusting for age, gender, education, smoking, moderate and vigorous exercise. RESULTS: In total, 214 adults (mean age 58.8±11.97 years, 71% women) participated in the study and received a 12-week training intervention: 62% had hypertension, 64% dyslipidemia and 15% impaired glucose tolerance. Attrition rate was 84% (n=179). During the 12-month follow-up, 48% (n=85) reported long-term exercise adherence. The main predictors of long-term exercise adherence were participation in sport activities at baseline (adjusted odds-ratio [aOR] 4.22, 95% CI 1.72-10.40), self-rated health (aOR 2.60, 1.00-6.75) and quality of life (aOR 2.39, 1.03-5.54). Long-term non-adherence was associated with low education (<10 years; aOR 3.27, 1.14-9.43) and age<50 years (aOR 3.53, 1.32-9.43). CONCLUSIONS: In this pragmatic study, long-term exercise adherence was associated with participation in sport activities and self-rated health at baseline.
OBJECTIVES: Sustainment of healthy exercise behavior is essential in preventing cardiovascular disease and diabetes. Few studies have explored long-term exercise adherence after an exercise referral scheme. The objective of this study was to examine 12-month exercise adherence after an exercise intervention program. METHODS: This was a pragmatic follow-up study in at-risk people performed between June 2012 and January 2014. The main outcome measure was self-reported single-item exercise adherence. Secondary outcomes were change in exercise level, quality of life rated on a visual analog scale and self-rated health. Predictors of long-term exercise adherence were assessed by logistic regression, estimating crude odds-ratios (OR) and 95% confidence intervals (95% CIs) and adjusting for age, gender, education, smoking, moderate and vigorous exercise. RESULTS: In total, 214 adults (mean age 58.8±11.97 years, 71% women) participated in the study and received a 12-week training intervention: 62% had hypertension, 64% dyslipidemia and 15% impaired glucose tolerance. Attrition rate was 84% (n=179). During the 12-month follow-up, 48% (n=85) reported long-term exercise adherence. The main predictors of long-term exercise adherence were participation in sport activities at baseline (adjusted odds-ratio [aOR] 4.22, 95% CI 1.72-10.40), self-rated health (aOR 2.60, 1.00-6.75) and quality of life (aOR 2.39, 1.03-5.54). Long-term non-adherence was associated with low education (<10 years; aOR 3.27, 1.14-9.43) and age<50 years (aOR 3.53, 1.32-9.43). CONCLUSIONS: In this pragmatic study, long-term exercise adherence was associated with participation in sport activities and self-rated health at baseline.
Authors: Matthew J Rossman; Jessica R Santos-Parker; Chelsea A C Steward; Nina Z Bispham; Lauren M Cuevas; Hannah L Rosenberg; Kayla A Woodward; Michel Chonchol; Rachel A Gioscia-Ryan; Michael P Murphy; Douglas R Seals Journal: Hypertension Date: 2018-04-16 Impact factor: 10.190
Authors: Stefan Schlabe; Martin Vogel; Christoph Boesecke; Carolynne Schwarze-Zander; Jürgen K Rockstroh; Christian Körner; Klara Brixius; Jan-Christian Wasmuth Journal: BMC Infect Dis Date: 2017-08-08 Impact factor: 3.090