The nurse as exercise leader.

Adherence rates to our nurse-led exercise interventions were considerably higher (88%) than those reported in the literature for overweight women of this age. Bonding between the women and the nurse leaders, as well as socialization opportunities and program design, may have contributed to this high rate. Future studies would be strengthened by comparing adherence rates of women between nurse-led and non-nurse-led exercise groups. Women tested at 3 and 6 months after the intervention stated they tried many fitness clubs and spas in the area, but could find no exercise programs that were tailored to their age and fitness level or that took into consideration their individual health needs. Nurses interested and knowledgeable about changes of aging are in an ideal position to develop and lead exercise programs for older individuals, particularly those with chronic nondisabling physical problems. Nurses in this study have expanded their health-promotion role by gaining knowledge and skills in exercise science. Resources available for any nurse to gain knowledge and experience about exercise are found in the resource list.