Physical activity outcomes of CHAMPS II: A physical activity promotion program for older adults

Background. Despite well-known benefits of physical activity for older adul ts, about two thirds are underactive. Community-based programs are needed t o facilitate increased physical activity. We examine the effectiveness of C HAMPS II, an inclusive, choice-based physical activity promotion program to increase lifetime physical activity levels of seniors. CHAMPS guided parti cipants to choose activities that took into account their health, preferenc es, and abilities. It offered information on ways for them to exercise safe ly, motivate themselves, overcome barriers, and develop a balanced exercise regimen. Methods. A 1-year randomized controlled trial was conducted with physically underactive seniors in a multispecialty group practice, Changes in self-re ported physical activity by group were evaluated using ANCOVA, controlling for age and sex. Results. Of 173 randomized subjects, 164 (95%) completed the trial. Subject s were aged 65 to 90 years (M = 74, SD = 6); 66% were female. The intervent ion group increased estimated caloric expenditure by 487 calories/week in m oderate (or greater) intensity activities (MET greater than or equal to 3.0 ; p < .001) and by 687 calories/week in physical activities of any intensit y (p < .001). Control group changes were negligible. Between-group analyses found that the changes were significantly different in both measures (p va lues < .05). Overweight persons especially benefited from this program. The program was as effective for women, older adults (75 +), and those who did not set aside time to exercise at baseline. Conclusions. The program led to meaningful physical activity increases. Ind ividually tailored programs to encourage lifestyle changes in seniors may b e effective and applicable to health care and community settings.