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[The effectiveness and lessons learned from UK exercise referral systems].

Paquito Bernard

    Sante Publique (Vandoeuvre-Les-Nancy, France)
    |December 10, 2014
    PubMed
    Summary

    UK Exercise Referral Systems (ERS) encourage physical activity but show limited long-term health benefits. ERS are more cost-effective for those with medical conditions, with adherence improving effectiveness.

    Area of Science:

    • Public Health
    • Exercise Science
    • Health Services Research

    Background:

    • UK Exercise Referral Systems (ERS) aim to increase population physical activity.
    • This review assesses ERS effectiveness, cost-effectiveness, and influencing factors.

    Purpose of the Study:

    • Evaluate the effectiveness and cost-effectiveness of ERS.
    • Identify factors impacting ERS uptake, adherence, and success.

    Main Methods:

    • Systematic review of studies from Medline, Cochrane, and Pascal databases.
    • Included randomized controlled trials, controlled trials, experimental/qualitative studies, and meta-analyses.

    Main Results:

    • ERS increased short-term physical activity (90-150 min/week) compared to usual care.

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  • No significant long-term improvements in quality of life, BMI, or anxiety were found.
  • ERS were more cost-effective for patients with co-morbidities; higher adherence correlated with better outcomes.

    • Conclusions:

    • Limited evidence supports ERS efficacy for sustained physical activity or health improvements.
    • Findings can inform the development of effective ERS, particularly in France.