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Faculty of Medical Sciences

Higher adherence rates in supervised versus unsupervised trainings programs for healthy old adults and the results on motivation, strength and balance

Assies, N. (Natascha) (2017) Higher adherence rates in supervised versus unsupervised trainings programs for healthy old adults and the results on motivation, strength and balance. thesis, Human Movement Sciences.

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Abstract

Background It is unclear whether old adults adhere in supervised or unsupervised trainings programs at higher rate. Few studies report higher adherence in supervised group. High adherence relates to a higher motivation. Exercising, either supervised or unsupervised, has beneficial effects on cognitive and physical function in healthy old adults. Therefore, the purpose of the current study is to examine the effects of supervision versus no supervision on adherence to an exercise program for healthy old adults. Methods Three groups were formed: supervised exercise at Medisch Centrum Zuid (N=5), unsupervised exercise at home (N=4) and a no-intervention control (N=6). Both the supervised and unsupervised group trained twice a week for six weeks. A motivation questionnaire (BREQ- 2) and different strength and balance tests were performed at pretest and posttest. Results The adherence was higher in the supervised group compared to the unsupervised group. No significant differences between the groups or over time were found in motivation aspects. The outcomes on the six-minute walking test (6MWT), handgrip strength in the left hand, the Short Physical Performance Battery (SPPB) chair stand test and total score on SPPB improved significantly. By performing repeated measures ANOVA, time effects were found on the 6MWT and total score on the SPPB. There was a group effect on the 6MWT. Conclusions Supervised trainings programs have a higher adherence to six-weeks trainings programs for healthy old adults than unsupervised trainings programs, but both have a high adherence (>80%). This results in significant improvement on the 6MWT, handgrip strength, SPPB chair stand test and the total score of the SPPB, implying both programs have positive outcomes on strength.

Item Type: Thesis (UNSPECIFIED)
Supervisor name: Hortobágyi, prof. dr. T. and Gokeler, dr. A.
Faculty: Medical Sciences
Date Deposited: 04 May 2022 08:47
Last Modified: 04 May 2022 08:47
URI: https://umcg.studenttheses.ub.rug.nl/id/eprint/3218

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