There was no evidence for a relationship between intervention effectiveness and mode of delivery or number of intervention contacts ; however , interventions which involved individually tailoring with personalized activity goals or provision of information about local opportunities in the environment may be more effective .
Conclusions Interventions in adults aged 55 to 70 years led to long term improvements in physical activity at 12 months ; however , maintenance beyond this is unclear .
Identified physical activity improvements are likely to have substantial health benefits in reducing the risk of age-related illnesses .
Background Retirement represents a major transitional life stage in middle to older age .
Changes in physical activity typically accompany this transition , which has significant consequences for health and well-being .
The aim of this systematic review was to evaluate the evidence for the effect of interventions to promote physical activity in adults aged 55 to 70 years , focusing on studies that reported long-term effectiveness .
Rationale, design and baseline data from the Pre-diabetes Risk Education and Physical Activity Recommendation and Encouragement (PREPARE) programme study: a randomized controlled trial.
OBJECTIVE The PREPARE programme study is a r and omized controlled trial which aims to determine whether structured education can be used to increase physical activity and improve glucose tolerance in individuals with impaired glucose tolerance ( IGT ) . This paper outlines the rationale , design and baseline data from the PREPARE programme study . METHODS Individuals with IGT were recruited from ongoing diabetes screening programmes . Outcomes included an oral glucose tolerance test , physical activity ( piezoelectric pedometer ) and psychological determinants . RESULTS 103 individuals ( male n = 65 ; female n = 38 ) were recruited , 28 % of whom were from a South Asian ethnic background . At baseline the participants ' mean age and BMI were 64 + /- 9 years and 29.4 + /- 4.5 kg/m2 respectively . Steps per day were associated with 2-h glucose ( p = -0.22 , p = 0.03 ) , fasting glucose ( p = 0.22 , p = 0.04 ) , HDL-cholesterol ( p = 0.23 , p = 0.02 ) , triglycerides ( p = -0.22 , p = 0.03 ) and body fat percentage ( p = -0.26 , p = 0.01 ) . Mean self-efficacy scores were significantly ( p < 0.01 ) higher for walking than for any other form of exercise . Participants reported high levels of concern about their IGT status but were confident that exercise would help treat/control IGT . CONCLUSION This study demonstrates the importance of developing effective physical activity and self-management programmes for individuals with IGT . PRACTICE IMPLICATION S This study provides a detailed framework for the promotion of physical activity in a population identified with an increased risk of developing type 2 diabetes which , if successful , could feasibly be implemented in a primary health care or community setting
There was no evidence for a relationship between intervention effectiveness and mode of delivery or number of intervention contacts ; however , interventions which involved individually tailoring with personalized activity goals or provision of information about local opportunities in the environment may be more effective .
Conclusions Interventions in adults aged 55 to 70 years led to long term improvements in physical activity at 12 months ; however , maintenance beyond this is unclear .
Identified physical activity improvements are likely to have substantial health benefits in reducing the risk of age-related illnesses .
Background Retirement represents a major transitional life stage in middle to older age .
Changes in physical activity typically accompany this transition , which has significant consequences for health and well-being .
The aim of this systematic review was to evaluate the evidence for the effect of interventions to promote physical activity in adults aged 55 to 70 years , focusing on studies that reported long-term effectiveness .