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Who Will Stay and Who Will Go? A Review of Older Adults’ Adherence to Randomized Controlled Trials of Exercise
Abstract
This study examined exercise-adherence rates and their predictors across 21 randomized controlled trials (RCTs) involving older adults (age ≥ 55 years). On average, participants completed 78% of their prescribed exercise bouts. Adherence tended to be greater in strength- and flexibility-exercise training programs (M = 87%) than in aerobic-exercise training programs (M = 75%). The best adherers were individuals who were fitter at baseline, had a history of a physically active lifestyle, were nonsmokers, and had higher exercise self-efficacy. Different variables predicted adherence (a) at different time points in a RCT. (b) to different types of exercise, and (c) to different aspects of the exercise prescription (i.e., frequency, intensity, and duration). The findings suggest that older adults might be more adherent to exercise prescriptions than younger adults are. There is also a need for more theory-based research to examine predictors of adherence to various aspects of the exercise prescription.
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Citations
Cited by
Netz, Y., Wu, M.-J., Becker, B. J., & Tenenbaum, G. (2005) · Psychology and Aging · doi:10.1037/0882-7974.20.2.272 · Cited by 1,012
Predictors of adherence to home-based physical therapies: A systematic review
Essery, R., Geraghty, A. W. A., Kirby, S., & Yardley, L. (2017) · Disability and Rehabilitation · doi:10.3109/09638288.2016.1153160 · Cited by 391
COURNEYA, K. S., FRIEDENREICH, C. M., QUINNEY, H. A., FIELDS, A. L. A., JONES, L. W., & FAIREY, A. S. (2003) · European Journal of Cancer Care · doi:10.1046/j.1365-2354.2003.00437.x · Cited by 381
Determinants of physical activity and exercise in healthy older adults: A systematic review
Koeneman, M. A., Verheijden, M. W., Chinapaw, M. J. M., & Hopman-Rock, M. (2011) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/1479-5868-8-142 · Cited by 339
Farrance, C., Tsofliou, F., & Clark, C. (2016) · Preventive Medicine · doi:10.1016/j.ypmed.2016.02.037 · Cited by 324
Metadata
- Authors
- Martin, K. A., & Sinden, A. R.
- Venue
- Journal of Aging and Physical Activity
- Publisher
- Human Kinetics
- Published
- 2001-04
- Volume
- 9
- Issue
- 2
- Pages
- 91-114
- ISSN
- 1063-8652 (ISSN-L)
- 1543-267X
- OpenAlex
- W2490494200
- Cited by
- 186
- References
- 0
- FWCI
- 3.13
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Who Will Stay and Who Will Go? A Review of Older Adults’ Adherence to Randomized Controlled Trials of Exercise. https://app.cochat.ai/papers/10.1123/japa.9.2.91
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- Martin, K. A., & Sinden, A. R. (2001). Who Will Stay and Who Will Go? A Review of Older Adults’ Adherence to Randomized Controlled Trials of Exercise. Journal of Aging and Physical Activity. https://doi.org/10.1123/japa.9.2.91
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
