Johns Hopkins University School of Nursing, Baltimore, MD, USA.
University of Houston Graduate College of Social Work, Houston, TX, USA.
Rehabil Nurs. 2020 Sep/Oct;45(5):279-286. doi: 10.1097/rnj.0000000000000209.
The aims of this study were to describe participants' demographic characteristics by adherence levels and to examine the association between participants' baseline physical function and their adherence to an evidence-based group exercise program.
A prospective exploratory study (N = 36,373).
Participants' physical function was assessed using 30-second chair-stand, arm-curl, and 8-foot up-and-go tests. Adherence was calculated as the proportion of attended sessions over offered sessions.
Participants' mean adherence was 52%. Older male, Asian/Pacific Islander race, and Washington State residents with fewer chronic conditions showed higher adherence. Multinomial logistic regression showed the baseline 30-second chair-stand, arm-curl, and 8-foot up-and-go tests significantly predict adherence levels after controlling for demographics.
Stronger upper- and lower-extremity strength and better walking balance and mobility are associated with higher adherence to exercise programs in older adults.
The results underscored the importance of offering classes at various physical function levels while considering participants' individual needs.
本研究旨在通过依从水平描述参与者的人口统计学特征，并检验参与者基线身体功能与他们对基于证据的团体运动计划的依从性之间的关系。
前瞻性探索性研究（N=36373）。
使用 30 秒坐站、手臂卷曲和 8 英尺起走测试评估参与者的身体功能。依从性计算为参加课程的比例除以提供的课程数。
参与者的平均依从率为 52%。年龄较大的男性、亚裔/太平洋岛民种族和华盛顿州居民，以及慢性疾病较少的居民，显示出更高的依从性。多元逻辑回归显示，在控制人口统计学因素后，基线 30 秒坐站、手臂卷曲和 8 英尺起走测试显著预测了依从水平。
较强的上肢和下肢力量以及更好的步行平衡和移动能力与老年人对运动计划的更高依从性相关。
结果强调了在考虑参与者个体需求的同时，根据不同的身体功能水平提供课程的重要性。
