Community-based, supervised, group exercise for people living with chronic conditions and multimorbidity: a cohort study.
Introduction Exercise is a safe, effective intervention for improving health-related outcomes in people living with chronic conditions and multimorbidity. ExWell Medical is a community-based, medically designed group exercise programme for people living with chronic conditions in Ireland. Aims We ai...
| Publicado en: | Age & Ageing Vol. 55; no. 6; pp. 1 - 10 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
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Oxford University Press / USA
Jun2026
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=195099722&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 195099722 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jun2026 vid: 55 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 195099722 10.1093/ageing/afag174 ppf: 1 ppct: 9 formats: tig: atl: Community-based, supervised, group exercise for people living with chronic conditions and multimorbidity: a cohort study. aug: au: O'Shea, Muireann Doody, Paul McCaffrey, Noel O'Deashunaigh, Aodhaghan Skelly, Fiona Kelly, Lisa Kennelly, Sean P McCarthy, Noel Smith, Susan M affil: Trinity College Dublin–Department of Public Health and Primary Care, Dublin, Ireland Trinity College Dublin–The Irish Longitudinal study on Ageing (TILDA), School of Medicine, Dublin, Ireland ExWell Medical, Dublin, Leinster, Ireland Technological University of the Shannon Midlands Midwest–Athlone Campus–Department of Sport and Health Science, Athlone, Westmeath, Ireland Department of Age Related Healthcare, Tallaght University Hospital, Dublin, Leinster, Ireland su: Ireland Patient compliance Supervision of employees Exercise Self-efficacy Evaluation of medical care Chronic diseases Health behavior Quality of life Sociodemographic factors Alcohol drinking Community-based social services Body mass index Independent living T-test (Statistics) Data analysis Research funding Questionnaires Logistic regression analysis Functional status Descriptive statistics Mann Whitney U Test Longitudinal method Health outcome assessment Walking speed Data analysis software Comorbidity Physical activity sug: subj: Patient compliance Supervision of employees Exercise Self-efficacy Evaluation of medical care Chronic diseases Health behavior Quality of life Sociodemographic factors Alcohol drinking Community-based social services Ireland Drinking Places (Alcoholic Beverages) Other Individual and Family Services Body mass index Independent living T-test (Statistics) Data analysis Research funding Questionnaires Logistic regression analysis Functional status Descriptive statistics Mann Whitney U Test Longitudinal method Health outcome assessment Walking speed Data analysis software Comorbidity Physical activity keyword: body mass index procedure chronic disease community copyrightHolder:British Geriatrics Society copyrightYear:2026 exercise fear of falling health behavior https://dx.doi.org/10.1093/ageing/afag174 inLanguage:en multimorbidity older people physical activity physical function primary care publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42328804/ self efficacy walking speed body mass index procedure chronic disease community copyrightHolder:British Geriatrics Society copyrightYear:2026 exercise fear of falling health behavior https://dx.doi.org/10.1093/ageing/afag174 inLanguage:en multimorbidity older people physical activity physical function primary care publisher:Oxford University Press sameAs:https://pubmed.ncbi.nlm.nih.gov/42328804/ self efficacy walking speed ab: Introduction Exercise is a safe, effective intervention for improving health-related outcomes in people living with chronic conditions and multimorbidity. ExWell Medical is a community-based, medically designed group exercise programme for people living with chronic conditions in Ireland. Aims We aimed to evaluate the longitudinal association of ExWell with health-related outcomes and to explore the association of these outcomes with programme adherence. Methods We employed a prospective cohort study design. All participants attending an ExWell Medical induction in the Dublin/Kildare regions January–September 2023 were invited to participate. At baseline, 12 and 24 weeks we collected data on socio-demographics; health status, health behaviours; measures of physical function, patient-reported outcomes. Results Of the 2219 patients referred to ExWell, 1364 attended an induction and 1289 agreed to participate, mean age 69 years (SD: 10.90 CI: 68.84–70.06), 60% female, living with a mean of 3.29 (SD: 2.17 CI: 3.17–3.40) chronic conditions. 725 (56%) completed assessments at the primary endpoint (24 weeks). There were significant improvements in body mass index, gait speed, a range of timed tests, health related quality of life, self-efficacy, stages of adopting exercise, a modest reduction in alcohol consumption, no significant change in smoking, an increase in physical activity but not sufficient to meet current guidelines, with programme adherence significantly associated with better outcomes. There were no improvements in grip strength, fear of falling, pain, smoking prevalence. Conclusion Participation in the ExWell programme was associated with significant improvements in some health-related outcomes in community-dwelling adults living with one or more chronic conditions. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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