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September 18, 1991JAMA

Group- vs home-based exercise training in healthy older men and women. A community-based clinical trial

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Authors

AKAndrea C. KingUniversity of Chicago

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Implication

Randomized trial demonstrates that home-based exercise improves fitness with higher adherence than group training in older adults, indicating home programs are an effective alternative.

Key Points

  • To evaluate the effectiveness of group- versus home-based exercise training across higher and lower intensities on physical fitness and heart disease risk factors in healthy, sedentary older adults.
  • Conducted a year-long randomized controlled trial in northern California involving 357 sedentary adults aged 50 to 65 years (160 women and 197 men) without cardiovascular disease.
  • Assigned participants to higher-intensity group-based training (three 40-minute sessions per week at 73%–88% peak heart rate), higher-intensity home-based training, lower-intensity home-based training (five 30-minute sessions per week at 60%–73% peak heart rate), or an assessment-only control.
  • All three exercise groups showed significant improvements in treadmill exercise test performance compared with controls at 6 and 12 months (P < .03), with lower-intensity training yielding improvements comparable to higher-intensity regimens.
  • Twelve-month exercise adherence rates were significantly higher for both home-based exercise conditions than for the group-based condition (P < .0005).
  • No significant intervention-induced changes were observed across groups for lipid levels, body weight, or blood pressure.

Cite This Study

Andrea C. King (1991) studied this question.

synapsesocial.com/papers/6ab89b927bdee0ea1bca5468https://doi.org/10.1001/jama.266.11.1535
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Group- vs Home-Based Exercise Training in Healthy Older Men and Women1991 · 408 citations
  2. 2Gym-based exercise and home-based exercise with telephone support have similar outcomes when used as maintenance programs in adults with chronic health conditions: a randomised trial2017 · 38 citations
  3. 3Effects of moderate and low intensity long‐term exercise by older adults1990 · 105 citations
  4. 4Improved metabolic fitness, but no cardiovascular health effects, of a low‐frequency short‐term combined exercise programme in 50–70‐year‐olds with low fitness: A randomized controlled trial2021 · 6 citations
  5. 5Home versus center based physical activity programs in older adults2005 · 371 citations