Exercise interventions have small clinical benefits on  PA  levels in community-dwelling older adults , with a decline in the observed improvement after six months of the intervention cessation
Exercise is a form of physical activity ( PA ) .
PA is an important marker of health and quality of life in older adults .
The purpose of this study was to conduct a systematic review of the literature to assess the effect of exercise-based interventions on an at least six-month follow up PA measure , and to describe the specific strategies implemented during the intervention to strengthen the sustainability of PA in community-dwelling 65 + year-old adults .
Prompting primary providers to increase community exercise referrals for older adults: a randomized trial.
OBJECTIVES To determine whether a clinic-based physical activity promotion intervention can lead to more community-based exercise referrals by providers and higher exercise motivation in patients . DESIGN Cluster r and omized , controlled trial . SETTING Seattle Veterans Affairs General Internal Medicine Clinic . PARTICIPANTS Thirty-one physicians and nurse practitioners were r and omized to a physical activity counseling intervention  or control condition ( counseling about tobacco cessation ) . Three hundred thirty-six patients aged 50 and older and visiting a study provider were enrolled . INTERVENTION Intervention providers were trained to offer referrals to community exercise programs for patients who reported before their clinic visit that they were " contemplative " about regular exercise . MEASUREMENTS Process measures of health behavior assessment and provider advice , exercise stage-of-change , proportion of participants reporting regular physical activity . RESULTS At baseline , 172 intervention patients and 164 controls were similar with respect to sex , age , comorbidity score , and exercise motivation level . Forty-five percent of all intervention patients and 35 % of controls reported receiving exercise advice ( P=.07 ) . Intervention patients who were contemplative about exercise were even more likely to receive  exercise advice than contemplative controls ( 59 % vs 38 % ; P=.02 ) . After 4 months , 35 % of all intervention patients reported regular exercise , compared with 28 % of controls ( P=.06 ) . CONCLUSION Primary providers are more likely to offer exercise advice when informed whether patients are contemplative about exercise . Patients may be more likely to start regular exercise as a result of this advice
Exercise interventions have small clinical benefits on  PA  levels in community-dwelling older adults , with a decline in the observed improvement after six months of the intervention cessation
Exercise is a form of physical activity ( PA ) .
PA is an important marker of health and quality of life in older adults .
The purpose of this study was to conduct a systematic review of the literature to assess the effect of exercise-based interventions on an at least six-month follow up PA measure , and to describe the specific strategies implemented during the intervention to strengthen the sustainability of PA in community-dwelling 65 + year-old adults .