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Physical Activity on Prescription (PAP), in patients with metabolic risk factors: A 6-month follow-up study in primary health care
Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Närhälsan Rehabilitation FaR- teamet central and western Gothenburg, Region Västra Götaland, Gothenburg, Sweden.
Department of Food and Nutrition and Sport Science, Faculty of Education, University of Gothenburg, Gothenburg, Sweden; Institute of Neurosc ience and Physiology, Sahlgrenska Academy, Sahlgrenska University Hospital/Östra, Gothenburg, Sweden.
Department of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Närhälsan Research and Development Primary Health Care, Region Västra Götaland, Gothenburg, Sweden.
Örebro University, School of Health Sciences. Orebro University Hospital. Univ Health Care Research Center, Faculty Medicin & Health, Örebro University Hospital, Örebro, Sweden.
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2017 (English)In: PLoS ONE, ISSN 1932-6203, E-ISSN 1932-6203, Vol. 12, no 4, e0175190Article in journal (Refereed) Published
Abstract [en]

There is strong evidence that inadequate physical activity (PA) leads to an increased risk of lifestyle-related diseases and premature mortality. Physical activity on prescription (PAP) is a method to increase the level of PA of patients in primary care, but needs further evaluation. The aim of this observational study was to explore the association between PAP-treatment and the PA level of patients with metabolic risk factors and the relationship between changes in the PA level and health outcomes at the 6 month follow-up. This study included 444 patients in primary care, aged 27-85 years (56% females), who were physically inactive with at least one component of metabolic syndrome. The PAP-treatment model included: individualized dialogue concerning PA, prescribed PA, and a structured follow-up. A total of 368 patients (83%) completed the 6 months of follow-up. Of these patients, 73% increased their PA level and 42% moved from an inadequate PA level to sufficient, according to public health recommendations. There were significant improvements (p <= 0.05) in the following metabolic risk factors: body mass index, waist circumference, systolic blood pressure, fasting plasma glucose, cholesterol, and low density lipoprotein. There were also significant improvements regarding health-related quality of life, assessed by the Short Form 36, in: general health, vitality, social function, mental health, role limitation-physical/emotional, mental component summary, and physical component summary. Regression analysis showed a significant association between changes in the PA level and health outcomes. During the first 6-month period, the caregiver provided PAP support 1-2 times. This study indicates that an individual-based model of PAP-treatment has the potential to change people's PA behavior with improved metabolic risk factors and self-reported quality of life at the 6 month follow-up. Thus, PAP seems to be feasible in a clinical primary care practice, with minimum effort from healthcare professionals.

Place, publisher, year, edition, pages
Public Library of Science , 2017. Vol. 12, no 4, e0175190
National Category
Gerontology, specializing in Medical and Health Sciences
Identifiers
URN: urn:nbn:se:oru:diva-57776DOI: 10.1371/journal.pone.0175190ISI: 000399955200040PubMedID: 28403151ScopusID: 2-s2.0-85017651246OAI: oai:DiVA.org:oru-57776DiVA: diva2:1097990
Note

Funding Agency:

Närhälsan Research & Development Primary Health Care, Region Västra Götaland

Available from: 2017-05-23 Created: 2017-05-23 Last updated: 2017-05-30Bibliographically approved

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CiteExportLink to record
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