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Determinants of Dropout from and Variation in Adherence to an Exercise Intervention: The STRRIDE Randomized Trials.

Publication ,  Journal Article
Collins, KA; Huffman, KM; Wolever, RQ; Smith, PJ; Siegler, IC; Ross, LM; Hauser, ER; Jiang, R; Jakicic, JM; Costa, PT; Kraus, WE
Published in: Transl J Am Coll Sports Med
2022

PURPOSE: This study aimed to characterize the timing and self-reported determinants of exercise dropout among sedentary adults with overweight or obesity. We also sought to explore variations in adherence among individuals who completed a 6- to 8-month structured exercise intervention. METHODS: A total of 947 adults with dyslipidemia [STRRIDE I, STRRIDE AT/RT] or prediabetes [STRRIDE-PD] were enrolled to either control or to one of 10 exercise interventions, ranging from doses of 8-23 kcal/kg/week; intensities of 50%-75% V̇O2 peak; and durations of 6-8 months. Two groups included resistance training and one included dietary intervention (7% weight loss goal). Dropout was defined as an individual who withdrew from the study due a variety of determinants. Timing of intervention dropout was defined as the last session attended and categorized into phases. Exercise training adherence was calculated by dividing weekly minutes or total sets of exercise completed by weekly minutes or total sets of exercise prescribed. General linear models were used to characterize the associations between timing of dropout and determinant category. RESULTS: Compared to exercise intervention completers (n=652), participants who dropped out (n=295) were on average non-white (98% vs. 80%, p<0.01), had higher body mass index (31.0 kg/m2 vs. 30.2 kg/m2; p<0.01), and were less fit at baseline (25.0 mg/kg/min vs. 26.7 ml/kg/min, p<0.01). Of those who dropped out, 67% did so prior to the start of or while ramping up to the prescribed exercise volume and intensity. The most commonly reported reason for dropout was lack of time (40%). Notably, among individuals who completed the ramp training period, subsequent exercise intervention adherence did not waiver over the ensuing 6-8 months of training. CONCLUSION: These findings are some of the first to delineate associations between the timing of dropout and dropout determinants, providing guidance to future exercise interventions to better support individuals at-risk for dropout.

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Published In

Transl J Am Coll Sports Med

DOI

ISSN

2379-2868

Publication Date

2022

Volume

7

Issue

1

Location

United States

Related Subject Headings

  • 4207 Sports science and exercise
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Collins, K. A., Huffman, K. M., Wolever, R. Q., Smith, P. J., Siegler, I. C., Ross, L. M., … Kraus, W. E. (2022). Determinants of Dropout from and Variation in Adherence to an Exercise Intervention: The STRRIDE Randomized Trials. Transl J Am Coll Sports Med, 7(1). https://doi.org/10.1249/tjx.0000000000000190
Collins, Katherine A., Kim M. Huffman, Ruth Q. Wolever, Patrick J. Smith, Ilene C. Siegler, Leanna M. Ross, Elizabeth R. Hauser, et al. “Determinants of Dropout from and Variation in Adherence to an Exercise Intervention: The STRRIDE Randomized Trials.Transl J Am Coll Sports Med 7, no. 1 (2022). https://doi.org/10.1249/tjx.0000000000000190.
Collins KA, Huffman KM, Wolever RQ, Smith PJ, Siegler IC, Ross LM, et al. Determinants of Dropout from and Variation in Adherence to an Exercise Intervention: The STRRIDE Randomized Trials. Transl J Am Coll Sports Med. 2022;7(1).
Collins, Katherine A., et al. “Determinants of Dropout from and Variation in Adherence to an Exercise Intervention: The STRRIDE Randomized Trials.Transl J Am Coll Sports Med, vol. 7, no. 1, 2022. Pubmed, doi:10.1249/tjx.0000000000000190.
Collins KA, Huffman KM, Wolever RQ, Smith PJ, Siegler IC, Ross LM, Hauser ER, Jiang R, Jakicic JM, Costa PT, Kraus WE. Determinants of Dropout from and Variation in Adherence to an Exercise Intervention: The STRRIDE Randomized Trials. Transl J Am Coll Sports Med. 2022;7(1).

Published In

Transl J Am Coll Sports Med

DOI

ISSN

2379-2868

Publication Date

2022

Volume

7

Issue

1

Location

United States

Related Subject Headings

  • 4207 Sports science and exercise
  • 3202 Clinical sciences