Adherence to community based group exercise interventions for older people: A mixed-methods systematic review

Farrance, C.; Tsofliou, Fotini; Clark, Carol

doi:10.1016/j.ypmed.2016.02.037

Cited by 184 publications

(170 citation statements)

References 38 publications

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“…Reviews have indicated that poor social relationships can increase mortality risk67, and similar results were also observed in older Japanese adults21. In addition, social connectedness while exercising contributes to exercise adherence22. Previous studies examining the mechanism underlying the relationship between exercising with others and health revealed the possibility that social relationships may contribute to the association between participation in a sports organization and incidence of functional disability917.…”

Section: Discussionmentioning

confidence: 79%

Exercising alone versus with others and associations with subjective health status in older Japanese: The JAGES Cohort Study

Kanamori

Takamiya

Inoue

et al. 2016

Sci Rep

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Although exercising with others may have extra health benefits compared to exercising alone, few studies have examined the differences. We sought to examine whether the association of regular exercise to subjective health status differs according to whether people exercise alone and/or with others, adjusting for frequency of exercise. The study was based on the Japan Gerontological Evaluation Study (JAGES) Cohort Study data. Participants were 21,684 subjects aged 65 or older. Multivariable logistic regression models were used to examine the association. The adjusted odds ratios (ORs) for poor self-rated health were significantly lower for people who exercised compared to non-exercisers. In analyses restricted to regular exercisers the ORs for poor health were 0.69 (95% confidence intervals: 0.60–0.79) for individuals exercising alone more often than with others, 0.74 (0.64–0.84) for people who were equally likely to exercise alone as with others, 0.57 (0.43–0.75) for individuals exercising with others more frequently than alone, and 0.79 (0.64–0.97) for individuals only exercising with others compared to individuals only exercising alone. Although exercising alone and exercising with others both seem to have health benefits, increased frequency of exercise with others has important health benefits regardless of the total frequency of exercise.

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Section: Discussionmentioning

confidence: 79%

Exercising alone versus with others and associations with subjective health status in older Japanese: The JAGES Cohort Study

Kanamori

Takamiya

Inoue

et al. 2016

Sci Rep

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“…Durheim (1964) and Anderson (1983) however argued that contemporary society builds community around co hesion, skills and interest as opposed to locality. Wiesenfeld (1996), Robinson (2014), and Farrance et al (2016) in line with their argument termed community as homogenous groups characterised by an emotional bond. This suggests that communities emerge with the passage of time through a dynamic process.…”

Section: Definition Of a Communitymentioning

confidence: 71%

Who is Who? Identifying the Different Sub-groups of Secondary Stakeholders within a Community: A Case Study of the Niger Delta Region of Nigeria Communities

Osobajo¹,

Moore²

2017

IBR

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The Nigerian oil and gas industry (NOGI) has over time been dominated by the Nigerian government and oil producing companies (OPCs). The influences of the community stakeholder on OPCs in the last three decades have been expressed in diverse ways by different community sub-groups through their concerns and interests, some of which have severely impacted on the NOGI. Community within this context is categorised as a primary stakeholder, while the sub-groups are secondary stakeholders that emerge from within the community. Hence, the success of the NOGI largely depends on the Nigerian government and the oil producing companies, and other players such as Non-Governmental Organisations recognising the community as a key player and having appropriate knowledge of the different sub-groups of secondary stakeholders within the community in order to understand their intentions, behaviour, interests, influences and interrelations. Such knowledge is relevant to the NOGI's formulation of future oil and gas strategy.This study commences with an overview of the primary stakeholders (i.e. the Nigerian government, OPC and the community), their respective activities, participation and the link between these stakeholders with a specific focus on the NOGI context. Subsequently, various sub-groups of secondary stakeholders within the community and their respective interest(s) are identified in detail.

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“…Reviews of community-based group exercise interventions for older people have shown more favourable adherence outcomes with adherence rates of between 69.1–75% [9, 10]. …”

Section: Introductionmentioning

confidence: 99%

“…One key facilitator for influencing older people’s adherence to CBGEP is the role of social support and its ensuing networks [9, 20, 21]. This is important because the quality and quantity of a person’s social relationships are a key health determinant, not only in terms of mental health but also in relation to morbidity and mortality [22].…”

Section: Introductionmentioning

confidence: 99%

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Older people’s adherence to community-based group exercise programmes: a multiple-case study

2017

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BackgroundPhysical inactivity is a global phenomenon, with estimates of one in four adults not being active enough to achieve health benefits, thus heightening the risk of developing non-communicable diseases. In order to realise the health and wellbeing gains associated with physical activity the behaviour must be sustained. Community-based group exercise programmes (CBGEP) utilising social supports have been shown to be one means of not only increasing activity levels for older people, but sustaining physical activity.A gap in the literature was identified around older people’s long-term adherence to real-life CBGEP within a UK context. This study therefore sought to address this gap by understanding older people’s ongoing adherence to CBGEP with a view to gaining further insight about which factors contribute to enabling people to sustain their physical activity levels.MethodsA multiple case study research design was employed to understand older people’s (≥60 years, n = 27) adherence (≥ 69%, for ≥ 1 year) to three current CBGEP in the South- West of England. Qualitative data (participant observation, focus groups, documents, and interviews) were collected and analysed using inductive thematic analysis followed by the analytic technique of explanation building. Quantitative data were analysed using descriptive statistics and used to set the context of the study.ResultsThe current study offers five unique insights into real-life programmes which have been successful in helping older people maintain adherence for a year or longer. These included: factors relating to the individual, the instructor (particularly their personality, professionalism and humanised approach), programme design (including location, affordability, the use of music, and adaptable exercise content), social features which supported a sense of belonging, and participant perceived benefits (physical and psycho-social). These all served to explain older people’s adherence to CBGEP.ConclusionsThese factors related to participant adherence of CBGEP must be considered if we wish to support older people in sustaining a physically active lifestyle as they age. These findings are of interest to practitioners and policy makers in how CBGEP serve to aid older people in maintaining a physically active lifestyle with a view to preventing non-communicable diseases and in maintaining social connectivity.

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Adherence to community based group exercise interventions for older people: A mixed-methods systematic review

Cited by 184 publications

References 38 publications

Exercising alone versus with others and associations with subjective health status in older Japanese: The JAGES Cohort Study

Exercising alone versus with others and associations with subjective health status in older Japanese: The JAGES Cohort Study

Who is Who? Identifying the Different Sub-groups of Secondary Stakeholders within a Community: A Case Study of the Niger Delta Region of Nigeria Communities

Older people’s adherence to community-based group exercise programmes: a multiple-case study

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