Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2010 Nov-Dec;34(6):764-75.
doi: 10.5993/ajhb.34.6.11.

The long and winding road to physical activity maintenance

A Lauren Crain  1 , Brian C Martinson, Nancy E Sherwood, Patrick J O'Connor
Affiliations
Randomized Controlled Trial

The long and winding road to physical activity maintenance

A Lauren Crain et al. Am J Health Behav. 2010 Nov-Dec.

Abstract

Objectives: To build upon state-of-the-art theory and empirical data to estimate the strength of multiple mediators of the efficacious Keep Active Minnesota (KAM) physical activity (PA) maintenance intervention.

Methods: The total, direct, and indirect effects through which KAM helped randomized participants (KAM n = 523; UC n = 526) maintain moderate or vigorous PA (MVPA) for up to 2 years were estimated using structural equation modeling.

Results: Multiple mediators explained half (beta = .052, P = .13) of the effect of KAM on MVPA (beta = .105, P = .004). Self-efficacy was the upstream variable in 2 endogenously mediated effects, and the self-concept mediator emerged as the strongest predictor of MVPA.

Conclusions: KAM positively impacted self-efficacy, which was associated with PA enjoyment, integration into the self-concept, and PA maintenance. Successful long-term PA maintenance appears to be influenced by multiple small interrelated mediational pathways. Future research evaluating maintenance models should specify recursive relationships among mediators and outcomes.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Standardized Structural Path Coefficients and Standard Errors for the Mediators of KAM and Physical Activity
See this image and copyright information in PMC

References

    1. Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Report. Washington, DC: U.S. Department of Health and Human Services; 2008. - PubMed
    1. Angevaren M, Aufdemkampe G, Verhaar H, et al. Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment. Cochrane Database Syst Rev. 2008;(2) CD005381. - PubMed
    1. Weuve J, Kang JH, Manson JE, et al. Physical activity, including walking, and cognitive function in older women. JAMA. 2004;292(12):1454–1461. - PubMed
    1. Liu-Ambrose T, Donaldson MG, Ahamed Y, et al. Otago Home-based strength and balance retraining improves executive functioning in older fallers: a randomized controlled trial. J Am Geriatr Soc. 2008;56(10):1821–1830. - PubMed
    1. Feskanich D, Willett W, Colditz G. Walking and leisure-time activity and risk of hip fracture in postmenopausal women. JAMA. 2002;288(18):2300–2306. - PubMed

Publication types

LinkOut - more resources