Adherence to exercise programs and determinants of maintenance in older adults with mild cognitive impairment

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Tak, Erwin, van Uffelen, Jannique, Chin A. Paw, Marijke J. M, van Mechelen, Willem and Hopman-Rock, Marijke (2012) Adherence to exercise programs and determinants of maintenance in older adults with mild cognitive impairment. Journal of Aging and Physical Activity, 20 (1). pp. 32-46. ISSN 1063-8652 (print), 1543-267X (online)


After a randomized controlled trial showing that improvement on some aspects of cognitive function was related to adherence to an exercise program, determinants of adherence and maintenance were further studied. Older adults with mild cognitive impairment were contacted 6 mo after the end of exercise programs for a telephone interview addressing patterns of adherence and determinants of maintenance. Mean adherence during the trial was 53%. About one third of participants had lapses during the trial but completed, one third had no lapses, and one third dropped out or never started. Practical barriers (time, location) were related to not starting and functional limitations to dropout. After the trial 25% of participants continued the programs, 14% reported intention to continue, and 61% quit. Maintenance was determined by fewer health complaints, higher satisfaction with the programs, and better adherence during the programs. Although maintenance was low, this study identified several reasons and barriers to adherence and maintenance that could be addressed.

Item type Article
Subjects Historical > FOR Classification > 1106 Human Movement and Sports Science
Historical > FOR Classification > 1702 Cognitive Science
Historical > Faculty/School/Research Centre/Department > Institute of Sport, Exercise and Active Living (ISEAL)
Keywords randomized controlled trial, seniors' health, physical activity, aging, barriers, patterns of adherence
Citations in Scopus 49 - View on Scopus
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