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Self-monitored versus supervised walking programs for older adults.

Ching-Yi Hsu1,2, Hsin-Hsien Wu3, Hung-En Liao1

  • 1Department of Healthcare Administration, Asia University.

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Summary
This summary is machine-generated.

Both self-monitored (SM) and supervised (SU) walking programs improved physical function in older adults. While both interventions showed benefits, pedometer-assisted SM walking is recommended for long-term habit formation, and SU walking for establishing exercise intensity.

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Area of Science:

  • Gerontology
  • Exercise Physiology
  • Public Health

Background:

  • Walking interventions are effective, accessible, and functional for older adults.
  • Comparing self-monitored (SM) and supervised (SU) walking programs is crucial for optimizing physical function in this demographic.

Purpose of the Study:

  • To compare the outcomes and changes in walking behavior between SM and SU walking interventions in older adults.
  • To evaluate the impact of these interventions on step count, body mass index (BMI), and physical function.

Main Methods:

  • Older adults were assigned to either SM or SU walking groups for a 3-month intervention.
  • Participants in both groups exercised and wore pedometers to track daily steps.
  • Outcome measures included BMI, knee extension muscle strength (KEMS), Timed Up and Go test, 30-s sit-to-stand, functional reach, and 5-m gait speed.

Main Results:

  • Both SM and SU groups showed significant improvements in KEMS and other physical function measures.
  • The SU group demonstrated improvements in BMI and functional reach, but a slower gait speed.
  • For participants with high adherence (≥50%), results were similar across groups, except for BMI and 2-minute step (2MS) test performance.

Conclusions:

  • Both self-monitored and supervised walking interventions offer significant benefits for older adults' physical function, particularly lower-extremity strength, balance, and mobility.
  • Pedometer-assisted self-monitored walking is recommended for fostering long-term exercise habits.
  • Supervised walking is effective for establishing appropriate exercise intensity.