{"id":"https://openalex.org/W4246764646","doi":"https://doi.org/10.1001/jama.1991.03470110081037","title":"Group- vs Home-Based Exercise Training in Healthy Older Men and Women","display_name":"Group- vs Home-Based Exercise Training in Healthy Older Men and Women","publication_year":1991,"publication_date":"1991-09-18","ids":{"openalex":"https://openalex.org/W4246764646","doi":"https://doi.org/10.1001/jama.1991.03470110081037","mag":"3145063467","pmid":"https://pubmed.ncbi.nlm.nih.gov/1880885"},"language":"en","primary_location":{"id":"doi:10.1001/jama.1991.03470110081037","doi":"https://doi.org/10.1001/jama.1991.03470110081037","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.1991.03470110081037","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":false,"oa_status":"closed","oa_url":null,"any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5014587310","display_name":"Abby C. King","orcid":"https://orcid.org/0000-0002-7949-8811","observed_orcids":["https://orcid.org/0000-0002-7949-8811"]},"institutions":[],"countries":[],"is_corresponding":true,"raw_author_name":"Abby C. King","raw_affiliation_strings":[],"raw_orcid":null,"affiliations":[]}],"institutions":[],"countries_distinct_count":0,"institutions_distinct_count":0,"corresponding_author_ids":["https://openalex.org/A5014587310"],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":6.4633,"has_fulltext":false,"cited_by_count":556,"citation_normalized_percentile":{"value":0.97528977,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":95,"max":100},"biblio":{"volume":"266","issue":"11","first_page":"1535","last_page":"1535"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11209","display_name":"Cardiovascular and exercise physiology","score":0.6371999979019165,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11209","display_name":"Cardiovascular and exercise physiology","score":0.6371999979019165,"subfield":{"id":"https://openalex.org/subfields/2737","display_name":"Physiology (medical)"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10352","display_name":"Physical Activity and Health","score":0.36160001158714294,"subfield":{"id":"https://openalex.org/subfields/2739","display_name":"Public Health, Environmental and Occupational Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11083","display_name":"Cardiac Health and Mental Health","score":9.999999747378752e-05,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/exercise-training","display_name":"exercise training","score":0.8410000205039978},{"id":"https://openalex.org/keywords/older-adults","display_name":"older adults","score":0.8970000147819519},{"id":"https://openalex.org/keywords/sedentary-adults","display_name":"sedentary adults","score":0.7730000019073486},{"id":"https://openalex.org/keywords/home-based-exercise","display_name":"home-based exercise","score":0.9580000042915344},{"id":"https://openalex.org/keywords/group-exercise","display_name":"group exercise","score":0.8989999890327454},{"id":"https://openalex.org/keywords/exercise-intensity","display_name":"exercise intensity","score":0.8450000286102295},{"id":"https://openalex.org/keywords/endurance-training","display_name":"endurance training","score":0.8349999785423279},{"id":"https://openalex.org/keywords/exercise-adherence","display_name":"exercise adherence","score":0.8949999809265137},{"id":"https://openalex.org/keywords/heart-disease-risk-factors","display_name":"heart disease risk factors","score":0.9340000152587891},{"id":"https://openalex.org/keywords/community-based-exercise","display_name":"community-based exercise","score":0.6200000047683716},{"id":"https://openalex.org/keywords/cardiorespiratory-fitness","display_name":"cardiorespiratory fitness","score":0.5059999823570251}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9788939952850342},{"id":"https://openalex.org/C1862650","wikidata":"https://www.wikidata.org/wiki/Q186005","display_name":"Physical therapy","level":1,"score":0.6820871233940125},{"id":"https://openalex.org/C168563851","wikidata":"https://www.wikidata.org/wiki/Q1436668","display_name":"Randomized controlled trial","level":2,"score":0.49203917384147644},{"id":"https://openalex.org/C2777211547","wikidata":"https://www.wikidata.org/wiki/Q17141490","display_name":"Training (meteorology)","level":2,"score":0.4833471477031708},{"id":"https://openalex.org/C74909509","wikidata":"https://www.wikidata.org/wiki/Q10387","display_name":"Gerontology","level":1,"score":0.40251070261001587},{"id":"https://openalex.org/C99508421","wikidata":"https://www.wikidata.org/wiki/Q2678675","display_name":"Physical medicine and rehabilitation","level":1,"score":0.3597831726074219},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.14768850803375244},{"id":"https://openalex.org/C153294291","wikidata":"https://www.wikidata.org/wiki/Q25261","display_name":"Meteorology","level":1,"score":0.0},{"id":"https://openalex.org/C121332964","wikidata":"https://www.wikidata.org/wiki/Q413","display_name":"Physics","level":0,"score":0.0}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D002140","descriptor_name":"California","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D003153","descriptor_name":"Community Health Services","qualifier_ui":"Q000706","qualifier_name":"statistics & numerical data","is_major_topic":true},{"descriptor_ui":"D005080","descriptor_name":"Exercise Test","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006331","descriptor_name":"Heart Diseases","qualifier_ui":"Q000209","qualifier_name":"etiology","is_major_topic":false},{"descriptor_ui":"D006339","descriptor_name":"Heart Rate","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":"Q000502","qualifier_name":"physiology","is_major_topic":true},{"descriptor_ui":"D010043","descriptor_name":"Outcome and Process Assessment, Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D010806","descriptor_name":"Physical Education and Training","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D010807","descriptor_name":"Physical Endurance","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D012307","descriptor_name":"Risk Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D015444","descriptor_name":"Exercise","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1001/jama.1991.03470110081037","doi":"https://doi.org/10.1001/jama.1991.03470110081037","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.1991.03470110081037","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"journal-article"},{"id":"doi:10.1001/jama.266.11.1535","doi":"https://doi.org/10.1001/jama.266.11.1535","is_oa":false,"landing_page_url":"https://doi.org/10.1001/jama.266.11.1535","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA: The Journal of the American Medical Association","raw_type":"journal-article"},{"id":"pmid:1880885","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/1880885","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"JAMA","raw_type":"Clinical Trial"},{"id":"mag:3145063467","doi":null,"is_oa":false,"landing_page_url":"http://bdsp-ehesp.inist.fr/vibad/index.php?action=getRecordDetail&idt=49454","pdf_url":null,"source":{"id":"https://openalex.org/S172573765","display_name":"JAMA","issn_l":"0002-9955","issn":["0002-9955","0098-7484","1538-3598","2376-8118"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["anvur-scientific","cwts-core","dongbi-a","doyens","jufo-3","ki-jl-3","medline","norway-2","poland-200","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320259","host_organization_name":"American Medical Association","host_organization_lineage":["https://openalex.org/P4310320259"],"host_organization_lineage_names":["American Medical Association"],"type":"journal"},"license":null,"license_id":null,"version":null,"is_accepted":false,"is_published":false,"raw_source_name":"JAMA","raw_type":null}],"best_oa_location":null,"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":1.0}],"study_designs":[{"id":"https://openalex.org/study-designs/randomized-controlled-trial","display_name":"Randomized Controlled Trial"},{"id":"https://openalex.org/study-designs/clinical-trial","display_name":"Clinical Trial"}],"awards":[{"id":"https://openalex.org/G1070990547","display_name":null,"funder_award_id":"AG-00440","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G5720639793","display_name":"EXERCISE AND STRESS RELATED RESPONSE IN OLDER ADULTS","funder_award_id":"K01AG000440","funder_id":"https://openalex.org/F4320337337","funder_display_name":"National Institute on Aging"},{"id":"https://openalex.org/G6033302168","display_name":"OPTIMAL EXERCISE PROGRAMS FOR PERSONS AT INCREASED RISK","funder_award_id":"R01HL036272","funder_id":"https://openalex.org/F4320337338","funder_display_name":"National Heart, Lung, and Blood Institute"}],"funders":[{"id":"https://openalex.org/F4320337337","display_name":"National Institute on Aging","ror":"https://ror.org/049v75w11"},{"id":"https://openalex.org/F4320337338","display_name":"National Heart, Lung, and Blood Institute","ror":"https://ror.org/012pb6c26"}],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":37,"referenced_works":["https://openalex.org/W8523801","https://openalex.org/W63471410","https://openalex.org/W149747484","https://openalex.org/W194145145","https://openalex.org/W572483128","https://openalex.org/W645827274","https://openalex.org/W1506796605","https://openalex.org/W1581494538","https://openalex.org/W1964235678","https://openalex.org/W1969000587","https://openalex.org/W1979853222","https://openalex.org/W1988896061","https://openalex.org/W1999498029","https://openalex.org/W1999547241","https://openalex.org/W2007316542","https://openalex.org/W2013444603","https://openalex.org/W2030060533","https://openalex.org/W2031545744","https://openalex.org/W2042182164","https://openalex.org/W2071025192","https://openalex.org/W2072930561","https://openalex.org/W2073717414","https://openalex.org/W2080193350","https://openalex.org/W2088678558","https://openalex.org/W2094236337","https://openalex.org/W2095084963","https://openalex.org/W2121236713","https://openalex.org/W2121271474","https://openalex.org/W2123977609","https://openalex.org/W2135925527","https://openalex.org/W2169602262","https://openalex.org/W2213199353","https://openalex.org/W2326400675","https://openalex.org/W2338226229","https://openalex.org/W2402506949","https://openalex.org/W4230363790","https://openalex.org/W4233400457"],"related_works":["https://openalex.org/W4293192444","https://openalex.org/W3145063467","https://openalex.org/W2913077205","https://openalex.org/W2074899698","https://openalex.org/W154914040","https://openalex.org/W6923824817","https://openalex.org/W1847649042","https://openalex.org/W4387948898","https://openalex.org/W1607556574","https://openalex.org/W3041680939"],"abstract_inverted_index":{"OBJECTIVE:":[0],"--To":[1],"determine":[2],"the":[3,199,207,277,282],"effectiveness":[4],"of":[5,11,65,72,77,110,132,188],"group-":[6],"vs":[7],"home-based":[8,34,39,201,253],"exercise":[9,30,35,40,95,117,141,144,160,168,181,190,193,202,209,236,254,260,267,274,283],"training":[10,100,122,161,182,203,210,237,268,275],"higher":[12],"and":[13,58,70,87,147,173,280],"lower":[14],"intensities":[15],"among":[16,247],"healthy,":[17],"sedentary":[18,69],"older":[19,250],"adults.":[20],"DESIGN:":[21],"--Year-long":[22],"randomized,":[23],"controlled":[24],"trial":[25],"comparing":[26],"(1)":[27,233],"higher-intensity":[28,33,94,189,273],"group-based":[29,208],"training;":[31,36,41],"(2)":[32,252],"(3)":[37,265],"lower-intensity":[38,116,266],"or":[42,226],"(4)":[43,281],"assessment-only":[44],"control.":[45],"SETTING:":[46],"--General":[47],"community":[48,83],"located":[49],"in":[50,157,166,222,261,276],"northern":[51],"California.":[52],"PARTICIPANTS:":[53],"--One":[54],"hundred":[55],"sixty":[56],"women":[57],"197":[59],"men":[60],"50":[61],"to":[62,108,130,206],"65":[63],"years":[64],"age":[66],"who":[67],"were":[68,90,104,126,196,217,285],"free":[71],"cardiovascular":[73],"disease.":[74],"One":[75],"out":[76],"nine":[78],"persons":[79],"contacted":[80],"through":[81],"a":[82],"random-digit-dial":[84],"telephone":[85],"survey":[86],"citywide":[88],"promotion":[89],"randomized.":[91],"INTERVENTIONS:":[92],"--For":[93],"training,":[96,118],"three":[97,159],"40-minute":[98],"endurance":[99,121],"sessions":[101,123],"per":[102,124],"week":[103,125],"prescribed":[105,127],"at":[106,128,171],"73%":[107,131],"88%":[109],"peak":[111,133],"treadmill":[112,134,167],"heart":[113,135,148,243],"rate.":[114,136],"For":[115],"five":[119],"30-minute":[120],"60%":[129],"MAIN":[137],"OUTCOME":[138],"MEASURES:":[139],"--Treadmill":[140],"test":[142,169],"performance,":[143],"participation":[145],"rates,":[146],"disease":[149,244],"risk":[150,245],"factors.":[151],"RESULTS:":[152],"--Compared":[153],"with":[154,186],"controls,":[155],"subjects":[156],"all":[158],"conditions":[162,204],"showed":[163],"significant":[164,219],"improvements":[165],"performance":[170],"6":[172],"12":[174],"months":[175],"(P":[176,212],"less":[177,213],"than":[178,214],".03).":[179],"Lower-intensity":[180],"achieved":[183],"changes":[184,221],"comparable":[185],"those":[187],"training.":[191],"Twelve-month":[192],"adherence":[194],"rates":[195],"better":[197],"for":[198],"two":[200],"relative":[205],"condition":[211],".0005).":[215],"There":[216],"no":[218],"training-induced":[220],"lipid":[223],"levels,":[224],"weight,":[225],"blood":[227],"pressure.":[228],"CONCLUSIONS:":[229],"--We":[230],"conclude":[231],"that":[232],"this":[234],"community-based":[235],"program":[238],"improved":[239],"fitness":[240],"but":[241],"not":[242],"factors":[246],"sedentary,":[248],"healthy":[249],"adults;":[251],"was":[255,269],"as":[256,258,270,272],"effective":[257,271],"group":[259],"producing":[262],"these":[263],"changes;":[264],"home":[278],"setting;":[279],"programs":[284],"relatively":[286],"safe.":[287]},"counts_by_year":[{"year":2026,"cited_by_count":2},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":6},{"year":2023,"cited_by_count":8},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":19},{"year":2020,"cited_by_count":14},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":10},{"year":2017,"cited_by_count":10},{"year":2016,"cited_by_count":12},{"year":2015,"cited_by_count":11},{"year":2014,"cited_by_count":12},{"year":2013,"cited_by_count":22},{"year":2012,"cited_by_count":16}],"updated_date":"2026-11-08T12:12:28.789561","created_date":"2022-05-12T00:00:00"}