Mirotznik J, Speedling E, Stein R, Bronz C
Public Health Rep. 1985 Jan-Feb;100(1):13-8.
Despite the proliferation in the last 10 to 15 years of cardiovascular fitness programs, little is known about who uses them. Who joins such a program and who adheres after enrollment were examined in this study. The first issue was addressed by comparing clients who came to the Coronary Detection and Intervention Center of the 92nd Street YM-YWHA in New York City to obtain a CHD risk assessment with those who, after being evaluated for coronary heart disease, enrolled in the center's fitness program. Joiners were found to be in poorer physical condition than nonjoiners. In addition, they were more concerned about their health and more likely to see improved health as being beneficial to other areas of their lives. The issue of adherence was investigated by comparing the joiners who attended less than 50 percent of the exercise sessions with those who attended 50 percent or more of the sessions. Those who adhered to the program were found to be more fit than those who did not adhere. These results, in conjunction with those of other researchers, have several useful implications for the administration of cardiovascular fitness programs.
尽管在过去10到15年里心血管健康项目不断增加，但对于谁在使用这些项目却知之甚少。本研究调查了谁会参加这样的项目以及谁在注册后会坚持下去。通过比较来到纽约市第92街基督教青年会冠心病检测与干预中心进行冠心病风险评估的客户与那些在接受冠心病评估后参加该中心健身项目的客户，解决了第一个问题。结果发现，参加者的身体状况比未参加者更差。此外，他们更关心自己的健康，也更有可能认为健康状况的改善对生活的其他方面有益。通过比较参加锻炼课程不到50%的参与者和参加50%或更多课程的参与者，研究了坚持问题。结果发现，坚持该项目的人比不坚持的人更健康。这些结果与其他研究人员的结果相结合，对心血管健康项目的管理有几个有益的启示。
