{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T06:56:07Z","timestamp":1775458567203,"version":"3.50.1"},"reference-count":35,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"35","license":[{"start":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T00:00:00Z","timestamp":1756425600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,8,29]]},"abstract":"\n Background:<\/jats:title>\n Remote health interventions have been widely adopted during the coronavirus-19 pandemic to support physical and psychosocial health. This study explored the impacts of a 4-week remotely supervised aerobic exercise regimen on physical activity, physical performance, and psychosocial health in adults without coronavirus-19 living in rural settings.<\/jats:p>\n <\/jats:sec>\n \n Methods:<\/jats:title>\n Fifty-six adults living in the rural district of Mu\u015f and Denizli cities were randomized into remotely supervised aerobic exercise (n = 28) and control (n = 28) groups. The intervention group received a 4-week remotely supervised aerobic exercise regimen delivered through WhatsApp by a specialist physical therapist. Primary outcomes included physical activity levels, physical performance, and quality of life; anxiety was assessed as a secondary outcome. Physical activity levels were evaluated using the International Physical Activity Questionnaire-Short Form. Physical performance was assessed through the Short Physical Performance Battery, Single-Leg Standing Test, Four Square Step Test, and Timed Up and Go test. Quality of life was evaluated using the Short Form-36, and anxiety was evaluated using the Beck Anxiety Inventory.<\/jats:p>\n <\/jats:sec>\n \n Results:<\/jats:title>\n \n There were no differences in sociodemographic and clinical characteristics between groups at baseline (\n P<\/jats:italic>\n > .05). Two-way mixed-design repeated-measures analysis of variance test revealed no significant group \u00d7 time interactions for physical performance or psychosocial health outcomes (\n P<\/jats:italic>\n > .05). However, physical activity levels significantly improved in the exercise group (\n P<\/jats:italic>\n = .001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Although 4 weeks of remotely supervised aerobic exercise improved physical activity levels, it did not significantly enhance physical performance or psychosocial health among rural residents. The short-term health benefits of a remotely supervised aerobic exercise regimen may appear limited in rural settings; however, the potential for longer and more intensive aerobic training requires further investigation.<\/jats:p>\n <\/jats:sec>\n \n Level of evidence:<\/jats:title>\n Level I \u2013 randomized-controlled study.<\/jats:p>\n <\/jats:sec>","DOI":"10.1097\/md.0000000000044016","type":"journal-article","created":{"date-parts":[[2025,8,29]],"date-time":"2025-08-29T19:01:47Z","timestamp":1756494107000},"page":"e44016","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Four-week remotely supervised aerobic exercise during the COVID-19 era: Exploring physical performance and psychosocial health in adults without COVID-19 living in rural 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