Outcomes of an Exercise Program for Older Women Recruited through Primary Care

Objectives: This study reports the social cognitive, health status, and health service use outcomes of an exercise intervention among women over 50 years of age. Methods: A random sample of patients was drawn from two primary care centers that serve a predominantly low-income and African American population. After provider screen, 412 women were eligible and invited to participate in the study. Of these, 123 participated and 1-year follow-up data are available for 72 participants.Results: Participants were more likely to be African American and had a higher average body weight than nonparticipants. Perceived health was the only variable that differed by adherence group at baseline. At 1 year, differences were apparent for body weight, body mass index, hip and waist circumference, triceps skinfold, and exercise self-esteem. The no-adherence group got worse, whereas the moderate adherence group improved. Discussion: These data suggest that even suboptimal adherence to moderate-intensity exercise can yield health benefits.

[1]  S. Fowler,et al.  Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. , 2002, The New England journal of medicine.

[2]  R. Sigal,et al.  Effects of exercise on glycemic control and body mass in type 2 diabetes mellitus: a meta‐analysis of controlled clinical trials , 2002, JAMA.

[3]  D. Clark,et al.  Predictors of older primary care patients' participation in a submaximal exercise test and a supervised, low-impact exercise class. , 2001, Preventive medicine.

[4]  Glen P. Kenny,et al.  Effects of Exercise on Glycemic Control and Body Mass in Type 2 Diabetes Mellitus: A Meta-analysis of Controlled Clinical Trials , 2001 .

[5]  A. Stewart,et al.  An evaluation of three self-report physical activity instruments for older adults. , 2001, Medicine and science in sports and exercise.

[6]  D. Clark,et al.  Assessing the association of walking with health services use and costs among socioeconomically disadvantaged older adults. , 2001, Preventive medicine.

[7]  B H Marcus,et al.  Maintenance of physical activity following an individualized motivationally tailored intervention , 2001, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[8]  S. Zimmerman,et al.  Outcome expectations for exercise scale: utility and psychometrics. , 2000, The journals of gerontology. Series B, Psychological sciences and social sciences.

[9]  K. Krishnan,et al.  Effects of exercise training on older patients with major depression. , 1999, Archives of internal medicine.

[10]  D. Clark,et al.  Exercise Self-Efficacy and its Correlates among Socioeconomically Disadvantaged Older Adults , 1999, Health education & behavior : the official publication of the Society for Public Health Education.

[11]  J. Kampert,et al.  Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: a randomized trial. , 1999, JAMA.

[12]  A. Dunn,et al.  Lifestyle physical activity interventions. History, short- and long-term effects, and recommendations. , 1998, American journal of preventive medicine.

[13]  D M Buchner,et al.  Physical activity interventions targeting older adults. A critical review and recommendations. , 1998, American journal of preventive medicine.

[14]  D. Kendzierski,et al.  Physical Activity Self-Definitions: Correlates and Perceived Criteria , 1998 .

[15]  J. Brazier,et al.  Measuring the Mental Health Status of a Population: a Comparison of the GHQ–12 and the SF–36 (MHI–5) , 1996, British Journal of Psychiatry.

[16]  A. Jette,et al.  A Home‐based Exercise Program for Nondisabled Older Adults , 1996, Journal of the American Geriatrics Society.

[17]  Suzanne G. Leveille,et al.  Does Walking Decrease the Risk of Cardiovascular Disease Hospitalizations and Death in Older Adults? , 1996, Journal of the American Geriatrics Society.

[18]  D. Reda,et al.  Effects of regular exercise on blood pressure and left ventricular hypertrophy in African-American men with severe hypertension. , 1995, The New England journal of medicine.

[19]  P. Williams,et al.  Physical activity and public health. , 1995, JAMA.

[20]  F. D. Wolinsky,et al.  Antecedents and consequences of physical activity and exercise among older adults. , 1995, The Gerontologist.

[21]  A. King,et al.  Long-term effects of varying intensities and formats of physical activity on participation rates, fitness, and lipoproteins in men and women aged 50 to 65 years. , 1995, Circulation.

[22]  P. Thompson,et al.  ACSM's Guidelines for Exercise Testing and Prescription , 1995 .

[23]  K. Patrick,et al.  Physical Activity and Public Health: A Recommendation From the Centers for Disease Control and Prevention and the American College of Sports Medicine , 1995 .

[24]  M. Tinetti,et al.  A multifactorial intervention to reduce the risk of falling among elderly people living in the community. , 1994, The New England journal of medicine.

[25]  S B Roberts,et al.  Exercise training and nutritional supplementation for physical frailty in very elderly people. , 1994, The New England journal of medicine.

[26]  Edward McAuley,et al.  Self-efficacy and the maintenance of exercise participation in older adults , 1993, Journal of Behavioral Medicine.

[27]  H. Kraemer,et al.  Group- vs home-based exercise training in healthy older men and women. A community-based clinical trial. , 1991, JAMA.

[28]  D. Clark,et al.  Physical activity and its correlates among urban primary care patients aged 55 years or older. , 1999, The journals of gerontology. Series B, Psychological sciences and social sciences.

[29]  W. Applegate,et al.  A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST). , 1997, JAMA.

[30]  J F Sallis,et al.  Explanation of vigorous physical activity during two years using social learning variables. , 1992, Social science & medicine.

[31]  C J McDonald,et al.  The Regenstrief medical records. , 1988, M.D. computing : computers in medical practice.

[32]  A. Bandura.  Social Foundations of Thought and Action , 1986 .

[33]  R Ceci,et al.  A category-ratio perceived exertion scale: relationship to blood and muscle lactates and heart rate. , 1983, Medicine and science in sports and exercise.

[34]  H. Markus.  Self-schemata and processing information about the self. , 1977 .