title: Distance from home to exercise site did not influence the adherence of 796 participants.
abstract: BACKGROUND
  One of the difficulties in maintaining long-term adherence to exercise is the distance from home to the place of exercise.
  
  
  OBJECTIVE
  To determine, for a private supervised exercise program (PSEP), the influence of the home-PSEP distance on adherence.
  
  
  METHODS
  We identified 976 individuals and selected 796 who met the inclusion criteria. The home-PSEP distance was obtained by the Google Maps. Adherence was determined by quartiles (months): 1-4, 5-12, 13-36 and more than 36. The clinical conditions were stratified as healthy, obese and/or hypertensive and/or dyslipidemic and/or diabetic patients without coronary disease; coronary artery disease patients and other health problems like cancer, respiratory disease and panic. The home-PSEP distance was divided into (km): up to 1, 1 to 3, 3 to 10 and more than 10. For the statistical analysis, we used the Kruskal-Wallis ANOVA and the chi-square test.
  
  
  RESULTS
  Of respondents, 46% lived up to 3 km, 39% lived between 3 and 10 km and about 15% lived more than 10 kilometers from the place of the PSEP. No differences were found between the medians of the months of participation in the PSEP as a function of home-PSEP distance (p = 0.11).
  
  
  CONCLUSIONS
  For a given PSEP in the city of Rio de Janeiro, open from Monday through Saturday with free choice of time, the home-PSEP distance did not influence the adherence of participants. This was probably due to the quality of the service and/or lack of places closer to the participants' home.
authors.affiliation: Universidade Gama Filho, Brasil. cabral@infonet.com.br
authors.forename: Antonio Cesar
authors.initials: AC
authors.lastname: Cabral-de-Oliveira
authors.forename: Plínio Santos
authors.initials: PS
authors.lastname: Ramos
authors.forename: Claudio Gil Soares de
authors.initials: CG
authors.lastname: Araújo
mesh_terms: D000367:Age Factors; D000368:Aged; D000704:Analysis of Variance; D001938:Brazil; D005081:Exercise Therapy / Q000706:statistics & numerical data*; D005260:Female; D040362:Geographic Information Systems; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D008875:Middle Aged; D010349:Patient Compliance / Q000706:statistics & numerical data*; D012737:Sex Factors; D018709:Statistics, Nonparametric; D013997:Time Factors