Correlates of exercise adherence in an African American church community.

Izquierdo-Porrera, Anna Maria; Powell, Claudia C.; Reiner, Jennifer; Fontaine, Kevin R.

doi:10.1037/1099-9809.8.4.390

Cited by 29 publications

(26 citation statements)

References 12 publications

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“…This finding is supported by a literature review by Martin and Sinden (2001) indicating that in the general population, older adults are generally more adherent to exercise prescriptions than younger adults. Older age has also been shown to be associated with attendance in a church-based exercise program for African-American adults (Izquierdo-Porrera, Powell, Reiner, & Fontaine, 2002). There is a dearth of data on exercise adherence among ethnic minority women and this study extends the literature to show that the relationship between older age and attendance at an exercise program also holds true for Hispanic women.…”

Section: Discussionsupporting

confidence: 50%

Urban Ethnic Minority Women’s Attendance at Health Clinic vs. Church Based Exercise Programs

Dornelas

Stepnowski

Fischer

et al. 2006

J Cross Cult Gerontol

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Older, sedentary, urban-living, ethnic minority women are at high risk for preventable disease, but it is difficult to engage this population in health promotion efforts. This study tested two methods of engaging Hispanic and African American women, who were at high risk for cardiovascular disease, in a 10-week aerobic fitness program. The program was offered to 76 participants, in either a women's health clinic or a church. Attendance was the primary dependent variable and was recorded at each exercise session. Other variables, including the Baecke Questionnaire of Habitual Physical Activity, Fat Frequency Questionnaire, Self-Efficacy for Exercise Behaviors Scale, Social Support and Exercise Survey, and Psychological General Well-Being Schedule, were measured prior to the intervention, at the end of the 10-week program, and at 3-month follow-up. Age predicted attendance, independently of site. Women in the highest age quartile (50 - 70 years) attended more than twice as many exercise sessions compared to women in the lowest age quartile (17 - 27 years). The relationship between older age and attendance was particularly strong for Hispanic women. Church parishioners were primarily women over the age of 40, making it impossible to disentangle the relative effect of locale. These findings are relevant for clinicians who design exercise programs targeting older, ethnic, minority women. Administrators who design exercise programs for urban-living women should consider age of the target population when selecting the most conducive setting.

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Section: Discussionsupporting

confidence: 50%

Urban Ethnic Minority Women’s Attendance at Health Clinic vs. Church Based Exercise Programs

Dornelas

Stepnowski

Fischer

et al. 2006

J Cross Cult Gerontol

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“…The prescribing physicianʼs or health providerʼs beliefs, the extent to which patients intend to exercise, and a combination of social support and self-effi cacy for exercise can also be expected to affect adherence behaviors (Izquierdo-Porrera, Powell, Reiner, & Fontaine, 2002;Rhodes, Martin, & Taunton, 2001). Concerns about the risks of exercise and the ability to remember instructions are additional factors (Carr, 2001).…”

Section: Predictors Of Exercise Adherencementioning

confidence: 99%

Chronic Osteoarthritis and Adherence to Exercise: A Review of the Literature

Marks

Allegrante²

2005

Journal of Aging and Physical Activity

106

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Osteoarthritis (OA) is a chronic disease that disables many aging adults. People with OA are often asked to adhere to prescribed exercise regimens that must be undertaken in the presence of pain and other disease-related symptoms. We conducted a review of literature that focused on what is known about exercise adherence and the factors that infl uence exercise adherence among people with OA. Results revealed multiple determinants of exercise adherence; however, these determinants have not been carefully studied in the context of exercise adherence and OA. Almost all studies of exercise adherence among people with OA are short-term and do not use validated measures of adherence. Moreover, poor adherence is the most compelling explanation for the declining impact of the benefi ts of exercise over time. We conclude that interventions to enhance self-effi cacy, social support, and skills in long-term monitoring of progress are necessary to foster exercise adherence among people with OA.

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“…attrition rates) in similar studies with other cohorts. 13,[33][34][35][36] Although this might limit generalizability to mandatory interventions such as school-based physical education programs, it does not reduce our ability to generalize to interventions as they would be delivered in clinical or community-based settings for HIV. Finally, we had limited ability to determine the effects of an unsupervised home-based maintenance program because of additional attrition that could also introduce the possibility of selection bias.…”

mentioning

confidence: 99%

The Effect of a Structured Exercise Program on Nutrition and Fitness Outcomes in Human Immunodeficiency Virus-Infected Children

Miller

Somarriba

Kinnamon

et al. 2010

AIDS Research and Human Retroviruses

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The feasibility and effectiveness of a hospital-based exercise-training program followed by a home-based program for improving fitness, strength, and changes in body composition in children and adolescents with HIV were evaluated. Subjects participated in nonrandomized 24-session, hospital supervised exercise training program followed by an unsupervised home-based maintenance program. Outcome measurements included muscular strength=endurance, flexibility, relative peak VO 2 , body composition, and lipids. Seventeen subjects (eight females) with a median age of 15.0 years (range: 6.0-22.6) and BMI z-score of 0.61 (range: À1.70-2.57) at entry completed the intervention. After 24 training sessions, the median increases in muscular strength were between 8% and 50%, depending on muscle group. The median increases in muscle endurance, relative peak VO 2 , and lean body mass were 38.7% (95% CI: 12.5-94.7; p ¼ 0.006), 3.0 ml=kg=min (95% CI: 1.5-6.0; p < 0.001), and 4.5% (95% CI: 2.4-6.6; p < 0.001), respectively. Twelve children completed the home-based maintenance program. Median changes in these outcomes between completion of the hospital-based intervention and a follow-up after completion of the home-based program were near zero. No adverse events occurred during the intervention. A supervised hospital-based fitness program is feasible, safe, and effective for improving general fitness and strength as well as lean body mass in children with HIV.

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Correlates of exercise adherence in an African American church community.

Cited by 29 publications

References 12 publications

Urban Ethnic Minority Women’s Attendance at Health Clinic vs. Church Based Exercise Programs

Urban Ethnic Minority Women’s Attendance at Health Clinic vs. Church Based Exercise Programs

Chronic Osteoarthritis and Adherence to Exercise: A Review of the Literature

The Effect of a Structured Exercise Program on Nutrition and Fitness Outcomes in Human Immunodeficiency Virus-Infected Children

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