Adherence to a Strength Training Intervention in Adult Women

Background: The factors influencing exercise adherence are not well characterized in women in their premenopausal years. Methods: The purpose of this report is to provide an analysis of demographic factors contributing to women's adherence to a 2-year twice-weekly weight training intervention. Overweight and obese premenopausal women were randomized to a control or intervention group. Results: During the supervised period of the intervention (months 1 to 4), adherence was significantly lower among those with a higher level of education and among unmarried women with children aged 6 to 12 compared with married women without children (F = 4.83, P = .004). Overall adherence during the supervised and unsupervised periods was 95.4% and 64.5%, respectively (unadjusted mean). During year I, white women were significantly more adherent to the intervention (70.3%) than women of color (48.6%). Nonmarried women with children 13 years or older were significantly less adherent than married women with children 5 years or younger (36.3% versus 75.4%, respectively, P < .007). Overall adherence was 51.4% in year 2. Conclusions: Interventions and public health recommendations need to further consider how to engage communities to provide effective support for long-term adherence to fitness center based exercise of all women, regardless of demographics.