{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T02:08:37Z","timestamp":1777428517110,"version":"3.51.4"},"reference-count":60,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T00:00:00Z","timestamp":1598227200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Background: Monitoring and interfacing technologies may increase physical activity (PA) program adherence in older adults, but they should account for aspects influencing older adults\u2019 PA behavior. This study aimed at gathering preliminary wrist-based PA adherence data in free-living and relate these to the influencing factors. Methods: Ten healthy older adults (4 females, aged 70\u201378 years) provided health, fatigue, activity levels, attitude towards pacing, and self-efficacy information and performed a 6 min-walk test to assess their fitness. After a baseline week they followed a two-week walking and exercise intervention. Participants saw their progress via a purposely designed mobile application. Results: Walking and exercise adherence did not increase during the intervention (p = 0.38, p = 0.65). Self-efficacy decreased (p = 0.024). The baseline physical component of the Short Form Health Survey was the most predictive variable of walking adherence. Baseline perceived risk of over-activity and resting heart rate (HRrest) were the most predictive variables of exercise adherence. When the latter two were used to cluster participants according to their exercise adherence, the fitness gap between exercise-adherent and non-adherent increased after the intervention (p = 0.004). Conclusions: Risk of over-activity and HRrest profiled short-term exercise adherence in older adults. If confirmed in a larger and longer study, these could personalize interventions aimed at increasing adherence.<\/jats:p>","DOI":"10.3390\/ijerph17176142","type":"journal-article","created":{"date-parts":[[2020,8,24]],"date-time":"2020-08-24T10:37:32Z","timestamp":1598265452000},"page":"6142","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Factors Influencing Walking and Exercise Adherence in Healthy Older Adults Using Monitoring and Interfacing Technology: Preliminary Evidence"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6306-6432","authenticated-orcid":false,"given":"Andrea","family":"Albergoni","sequence":"first","affiliation":[{"name":"Department of Biomedical Sciences for Health, University of Milan, 20133 Milan, Italy"},{"name":"Centro Polifunzionale di Scienze Motorie, University of Genoa, 16132 Genoa, Italy"},{"name":"Department of Neuroscience (DINOGMI), University of Genoa, 16148 Genoa, Italy"},{"name":"Department of Patient Care and Measurements, Philips Research, 5656AE Eindhoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7027-8126","authenticated-orcid":false,"given":"Florentina J.","family":"Hettinga","sequence":"additional","affiliation":[{"name":"School of Sport Rehabilitation and Exercise Sciences, University of Essex, Colchester CO4 3WA, UK"},{"name":"Department of Sport, Exercise and Rehabilitation, Northumbria University, Newcastle NE1 8ST, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0468-2315","authenticated-orcid":false,"given":"Wim","family":"Stut","sequence":"additional","affiliation":[{"name":"Department of Chronic Disease Management, Philips Research, 5656AE Eindhoven, The Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Sartor","sequence":"additional","affiliation":[{"name":"Department of Patient Care and Measurements, Philips Research, 5656AE Eindhoven, The Netherlands"},{"name":"School of Sport Rehabilitation and Exercise Sciences, University of Essex, Colchester CO4 3WA, UK"},{"name":"College of Health and Behavioural Science, Bangor University, Bangor LL57 2EF, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2020,8,24]]},"reference":[{"key":"ref_1","unstructured":"World Health Organization (2010). 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