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首页> 外文期刊>Preventive Medicine: An International Journal Devoted to Practice and Theory >Controlled Comparison of Retention and Adherence in Home- vs Center-Initiated Exercise Interventions in Women Ages 40-65 Years: The S.W.E.A.T. Study (Sedentary Women Exercise Adherence Trial).
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Controlled Comparison of Retention and Adherence in Home- vs Center-Initiated Exercise Interventions in Women Ages 40-65 Years: The S.W.E.A.T. Study (Sedentary Women Exercise Adherence Trial).

机译:S.W.E.A.T.(美国)S.W.E.A.T.研究(久坐的女性运动依从性试验)。

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Background. In an 18-month exercise intervention in previously sedentary older women (40-65 years), we examined whether an initial 6 months of supervised exercise leads to greater long-term retention and adherence to regular physical activity than an unsupervised home-based program and whether these outcomes are influenced by the exercise intensity.Methods. Women (N = 126) were recruited from the community and randomly assigned to either center-based or home-based exercise three times/week. The center-based group attended supervised sessions for 6 months, while after 10 initial sessions the home-based group exercised at home. After 6 months both groups were home-based for a further 12 months. Within each arm, subjects were further randomized to exercise at either moderate or vigorous intensity.Results. The center-based group had higher retention than the home-based (97, 94, 81 versus 87, 76, and 61%) at 6, 12, and 18 months, respectively (P < 0.05). At 6 months, adherence was higher in the center-basedgroup (84 versus 63%, P < 0.001) and energy expenditure was higher at 6 (P < 0.05) and 12 (P < 0.01) months. At 18 months, retention was higher with moderate exercise (P < 0.05), while adherence was similar with both intensities.Conclusion. An initial 6 months of center-based exercise enhanced retention in both the short and the long term and promoted short-term adherence and energy expenditure. Long-term, moderate exercise retained more subjects, but had little influence on adherence.
机译:背景。在对以前久坐的老年妇女(40-65岁)进行的为期18个月的运动干预中,我们检查了有监督的运动的最初6个月是否比无人看管的家庭计划导致更长的长期保留和坚持有规律的体育锻炼,以及这些结果是否受运动强度的影响。从社区招募妇女(N = 126),并每周随机分配三次以中心为基础或家庭为基础的运动。中心小组参加了为期6个月的监督会议,而最初的10次会议之后,在家小组进行了在家锻炼。 6个月后,两组又在家里呆了12个月。在每个手臂内,受试者被进一步随机分为中等强度或剧烈强度的运动。在第6、12和18个月时,以中心为基础的组的保留率分别高于以家庭为基础的组(97、94、81和87、76和61%)(P <0.05)。在6个月时,中心组的依从性更高(84%对63%,P <0.001),而在6个月(P <0.05)和12个月(P <0.01)时的能量消耗更高。在18个月时,适度运动会保留更高(P <0.05),而两种强度的依从性均相似。中心锻炼的最初6个月可增强短期和长期保持力,并促进短期坚持和精力消耗。长期,适度的运动可保留更多受试者,但对依从性影响很小。

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