Home-based resistance training: predictors of participation and adherence

Area of Science:

• Gerontology
• Exercise Science
• Rehabilitation Medicine

Background:

• Sedentary lifestyles and functional limitations are prevalent in older adults.
• Home-based exercise programs offer a feasible approach for this demographic.
• Understanding factors influencing participation and adherence is crucial for program success.

Purpose of the Study:

• To identify factors associated with exercise participation.
• To identify factors associated with exercise adherence.
• To examine these factors in functionally limited, community-dwelling older adults in a home-based resistance training program.

Main Methods:

• 102 sedentary, functionally limited, community-dwelling adults aged 60-94 years participated.
• A home-based resistance training program was implemented.
• Stepwise regression analyses were used to identify significant factors.

Main Results:

• Baseline physical factors (mobility, muscle strength, new medical conditions) predicted participation.
• Psychological factors (positive attitudes, sense of control, mood, fewer new medical problems) predicted adherence.
• Physical factors influenced participation, while psychological factors were key for adherence.

Conclusions:

• Physical health status is important for initiating home-based exercise in older adults.
• Psychological well-being and attitudes are critical for sustained adherence to these programs.
• Tailoring interventions to address both physical and psychological needs can enhance exercise engagement in older populations.