title: Adherence to exercise programs for older people is influenced by program characteristics and personal factors: a systematic review.
abstract: OBJECTIVE
  How has adherence been measured in recent prospective studies focusing on adherence to exercise programs among older people? What is the range of adherence rates? Which factors are associated with better adherence?
  
  
  METHODS
  Systematic review of prospective studies that had a primary aim of assessing adherence to exercise programs.
  
  
  METHODS
  Older people undertaking exercise programs.
  
  
  METHODS
  Exercise programs.
  
  
  METHODS
  Measures of adherence, adherence rates and factors associated with adherence.
  
  
  RESULTS
  Nine eligible papers were identified. The most common adherence measures were the proportion of participants completing exercise programs (ie, did not cease participation, four studies, range 65 to 86%), proportion of available sessions attended (five studies, range 58 to 77%) and average number of home exercise sessions completed per week (two studies, range 1.5 to 3 times per week). Adherence rates were generally higher in supervised programs. The person-level factors associated with better adherence included: demographic factors (higher socioeconomic status, living alone); health status (fewer health conditions, better self-rated health, taking fewer medications); physical factors (better physical abilities); and psychological factors (better cognitive ability, fewer depressive symptoms).
  
  
  CONCLUSIONS
  Older people's adherence to exercise programs is most commonly measured with dropout and attendance rates and is associated with a range of program and personal factors.
authors.affiliation: Physiotherapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
authors.forename: Alexandra Miranda Assumpção
authors.initials: AM
authors.lastname: Picorelli
authors.affiliation: Physiotherapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
authors.forename: Leani Souza Máximo
authors.initials: LS
authors.lastname: Pereira
authors.affiliation: Physiotherapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
authors.forename: Daniele Sirineu
authors.initials: DS
authors.lastname: Pereira
authors.affiliation: Physiotherapy Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
authors.forename: Diogo
authors.initials: D
authors.lastname: Felício
authors.affiliation: The George Institute for Global Health, The University of Sydney, Australia.
authors.forename: Catherine
authors.initials: C
authors.lastname: Sherrington
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D003071:Cognition; D005081:Exercise Therapy; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D009043:Motor Activity; D010349:Patient Compliance / Q000523:psychology*; D011584:Psychology; D012959:Socioeconomic Factors
keywords: Adherence; Exercise; Older people; Physical activity; Physiotherapy