Evidence map›Paper›PMID 31565435›Full record

ArticleJournal of aging research2019

Twelve-Month Retention in and Impact of Enhance®Fitness on Older Adults in Hawai'i.

Michiyo Tomioka, Kathryn L Braun, Yan Yan Wu, Kay Holt, Paula Keele, Lori Tsuhako, Johnny Yago

Abstract read
In one paragraph

Article in Journal of aging research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Michiyo TomiokaCenter on the Family, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.ORCID https://orcid.org/0000-0002-5868-288X
Kathryn L BraunOffice of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.
Yan Yan WuOffice of Public Health Studies, University of Hawai'i at Mānoa, Honolulu, HI 96822, USA.
Kay HoltKaua'i Agency on Elderly Affairs, Pi'ikoi Building, 4444 Rice Street, Suite 330, Lihue, Kaua'i, HI 96766, USA.
Paula KeeleMaui County Office on Aging, Aging and Disability Resource Center, Department of Housing and Human Concerns, J. Walter Cameron Center, 95 Mahalani Street, Room 20, Wailuku, HI 96793, USA.
Lori TsuhakoMaui County Office on Aging, Aging and Disability Resource Center, Department of Housing and Human Concerns, J. Walter Cameron Center, 95 Mahalani Street, Room 20, Wailuku, HI 96793, USA.
Johnny YagoKaua'i Agency on Elderly Affairs, Pi'ikoi Building, 4444 Rice Street, Suite 330, Lihue, Kaua'i, HI 96766, USA.

Funding

The Role of gp120 on Cardiovascular Disease in People Living with HIVU54MD007601 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI Jerris Robert Hedges · 2017 to 2026
$59.5M
RESEARCH DESIGN AND BIOSTATISTICS COREU54MD007584 · NIMHD · UNIVERSITY OF HAWAII AT MANOA · PI MOKUAU, NOREEN, SHIRAMIZU, BRUCE T · 2012 to 2018
$21.1M
NIMHD NIH HHS U54 MD007584NIMHD NIH HHS U54 MD007601
6 · The paper itself

Abstract

introductionEnhance®Fitness is a low-cost group exercise program designed specifically for older adults (60+ years) to improve physical performance. The Hawai'i Healthy Aging Partnership, a statewide health promotion initiative, has continuously offered Enhance®Fitness to Hawai'i's multicultural population since 2007. This study examined 12-month participation in and impact of Enhance®Fitness on physical performance among older adults in Hawai'i.

methodLinear mixed-effects models were applied to analyze the physical performance measures (chair-stands, arm curls, and the up-and-go test) collected at baseline (month 0) and at 4, 8, and 12 months. We also compared the characteristics of participants who participated in the program for 12 months with those who dropped out in order to gain insights on participant retention.

resultsOf 1,202 older adults with baseline data, 427 (35.5%) were continuously enrolled in Enhance®Fitness for 12 months and participated in follow-up data collection. On average, participants attended 63.7% of thrice-weekly classes each month. Participants' physical performance measures improved after 4 months, continued to improve until 8 months, and were maintained thereafter. Besides continuous attendance, performance-measure improvements were associated with younger age, male gender, living with others (vs. alone), and fewer chronic conditions. Compared to those who completed 12 months of the program, the 775 who left the program over the course of the year were more likely to be younger, to be Caucasian (vs. Asian or Pacific Islander), to self-report depression as a chronic condition, and to have lower levels of fitness at baseline. Common reasons for dropping out were illness, relocation, time conflicts, lost interest, and transportation issues.

conclusionsLong-term participants in Enhance®Fitness initially improved and then maintained physical performance. Future research is needed to identify strategies to maintain enrollment of older adults in the exercise programs over time.

Identifiers

PMID31565435
PMCPMC6745157

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.