title: Adherence of older women with strength training and aerobic exercise.
abstract: BACKGROUND
  Participation of older people in a program of regular exercise is an effective strategy to minimize the physical decline associated with age. The purpose of this study was to assess adherence rates in older women enrolled in two different exercise programs (one aerobic exercise and one strength training) and identify any associated clinical or functional factors.
  
  
  METHODS
  This was an exploratory observational study in a sample of 231 elderly women of mean age 70.5 years. We used a structured questionnaire with standardized tests to evaluate the relevant clinical and functional measures. A specific adherence questionnaire was developed by the researchers to determine motivators and barriers to exercise adherence.
  
  
  RESULTS
  The adherence rate was 49.70% in the aerobic exercise group and 56.20% in the strength training group. Multiple logistic regression models for motivation were significant (P=0.003) for the muscle strengthening group (R(2)=0.310) and also significant (P=0.008) for the aerobic exercise group (R(2)=0.154). A third regression model for barriers to exercise was significant (P=0.003) only for the muscle strengthening group (R(2)=0.236). The present study shows no direct relationship between worsening health status and poor adherence.
  
  
  CONCLUSIONS
  Factors related to adherence with exercise in the elderly are multifactorial.
authors.affiliation: Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Alexandra Miranda Assumpção
authors.initials: AM
authors.lastname: Picorelli
authors.affiliation: Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Daniele Sirineu
authors.initials: DS
authors.lastname: Pereira
authors.affiliation: Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Diogo Carvalho
authors.initials: DC
authors.lastname: Felício
authors.affiliation: Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Daniela Maria
authors.initials: DM
authors.lastname: Dos Anjos
authors.affiliation: Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Danielle Aparecida Gomes
authors.initials: DA
authors.lastname: Pereira
authors.affiliation: Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Rosângela Corrêa
authors.initials: RC
authors.lastname: Dias
authors.affiliation: Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Marcella Guimarães
authors.initials: MG
authors.lastname: Assis
authors.affiliation: Graduate Program in Rehabilitation Sciences, Department of Physical Therapy, Universidade Federal de Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
authors.forename: Leani Souza Máximo
authors.initials: LS
authors.lastname: Pereira
mesh_terms: D000368:Aged; D015444:Exercise / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D009042:Motivation; D010349:Patient Compliance / Q000523:psychology / Q000706:statistics & numerical data*; D010809:Physical Fitness / Q000523:psychology; D055070:Resistance Training / Q000706:statistics & numerical data*; D011795:Surveys and Questionnaires
keywords: adherence; older women; therapeutic exercises