Exercise Adherence

This randomized controlled trial aims to evaluate the effectiveness of a smartphone-based chatbot in improving adherence to a 12-week home-based multicomponent exercise program in community-dwelling older adults. Participants will be randomly assigned to receive either a chatbot-supported exercise program delivered through Telegram or an equivalent paper-based exercise program. Both groups will perform the same exercise program, including strength, balance, flexibility, and walking exercises. The primary outcome is exercise adherence. Secondary outcomes include physical function, physical activity, participant satisfaction, usability of the chatbot, and adverse events. The study seeks to determine whether chatbot-based support can enhance adherence and improve health outcomes in older adults.

The main objective of this study is to know if the application of both therapies, neuroscience pain education plus therapeutic exercise will modify pain, catastrophizing and quality of life in endometriosis.

Sarcopenic obesity refers to a condition characterized by high body fat percentage and insufficient muscle mass, posing significant risks to physical and mental health. This issue is not limited to the elderly; it is increasingly common among younger populations as well. According to the National Nutrition and Health Survey conducted between 2017 and 2020, high rates of eating out due to study and work lifestyles in Taiwan result in limited access to nutritious food. The Ministry of Health and Welfare's statistics from 2021 show that only 33.9% of the population engages in regular exercise. Sarcopenic obesity is associated with physical activity and nutritional intake. The European Working Group on Sarcopenia in Older People has urged the public to maintain a balanced diet and establish exercise habits early to reduce the risk of sarcopenic obesity. Younger individuals are more likely to increase muscle mass with interventions in exercise and nutrition compared to older adults, making college students a key demographic for fostering healthy behaviors. Therefore, it is essential to address how to enhance their health awareness and behaviors. Based on this, the present study aims to explore the impact of a multimedia intervention combined with a peer support model on the awareness and behaviors of college students at risk of being overweight. The research methodology involves a randomized controlled trial, participants from a medical university in central Taiwan. Body composition will be measured first, and eligible participants will be randomly assigned to either an experimental group or a control group, followed by a 12-week intervention and subsequent post-test. The study will analyze the effects of multimedia combined with peer support on the awareness and behaviors of at-risk college students, as well as assess muscle mass changes through grip strength measurements. The goal is to enhance college students' awareness of their health behaviors, improve their dietary and exercise habits, fill knowledge and application gaps, and provide an evidence-based foundation for future strategies to promote healthy behaviors among young populations.

Only 50% of sedentary adults that start an exercise training program adhere to the program after 6 months. Exercise variety may improve adherence. The goal of this study is to examine different exercise interventions that include a variety of exercise on adherence.