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European Journal of General Practice Volume 26 ,Issue 1 ,2020-12-16
Feasibility of implementing a preventive physical exercise programme recommended by general practitioners in cardiovascular risk patients: A pre-post comparison study
Original Article
Francisco Javier López-Román 1 Francisca I. Tornel-Miñarro 2 Eloisa Delsors-Merida-Nicolich 3 Lourdes Fernández-López 4 María Teresa Martínez-Ros 1 Esther García Sánchez 5 Asensio López-Santiago 6
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DOI:10.1080/13814788.2020.1760836
Received 2019-2-28, accepted for publication 2020-4-17, Published 2020-12-16
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摘要

Background: Physical inactivity implies a significant individual and society health burden.Objectives: To assess the feasibility of implementing a preventive physical exercise (PE) programme for the general population and to analyse changes in fitness-related variables and quality of life.Methods: Pre-post comparison study in which general practitioners and nurses recommended PE to participants with sedentary behaviour and hypertension or dyslipidaemia attending in primary care for primary prevention of ischaemic cardiovascular disease. Eligible participants were referred to a PE programme (10 weeks, three days a week, a total of 30 sessions of one-hour duration). Data was collected for five years (2013–2017). Outcome measures were body weight, body mass index (BMI), physical condition (aerobic fitness, muscle strength, flexibility, balance), and quality of life (SF-36).Results: The PE programme was offered to 6,140 eligible subjects; 5,077 (82.7%) accepted to participate and received a recommendation; 3,656 (69.6% women) started the programme and 2,962 subjects (80.9% women) finished the programme. After 10 weeks, there were significant improvements (mean difference, 95% CI) in aerobic fitness (2.55 ml/min/kg, 2.32–2.79), muscle strength (0.62 m, 0.57 to 0.67), flexibility (2.34 cm, 2.06 to 2.63) and balance (−0.46 falls, −0.60 to −0.33) as well as significant decreases in body weight (−0.41 kg, −0.64 to −0.17) and BMI (−0.27 kg/m2, −0.34 to −0.20).Conclusion: Implementation of a government-supported PE programme for the general population recruited in the primary care setting and recommended by healthcare professionals is feasible, and was associated with health benefits, mainly improvements in physical fitness.

关键词

dyslipidaemia;hypertension;primary care;health promotion programmes;Physical exercise

授权许可

© 2020 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

图表

(A) Changes in physical fitness in men and women at 10 weeks as compared with baseline. (B) Changes in mood in men and women at 10 weeks as compared with baseline.

通讯作者

Francisco Javier López-Román.Family Medicine, Dirección General de Planificación, Investigación, Farmacia y Atención al Ciudadano, Consejería de Salud, Murcia, Spain.javier.lopez@ffis.es

推荐引用方式

Francisco Javier López-Román,Francisca I. Tornel-Miñarro,Eloisa Delsors-Merida-Nicolich,Lourdes Fernández-López,María Teresa Martínez-Ros,Esther García Sánchez,Asensio López-Santiago. Feasibility of implementing a preventive physical exercise programme recommended by general practitioners in cardiovascular risk patients: A pre-post comparison study. European Journal of General Practice ,Vol.26, Issue 1(2020)

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