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Exercise is Medicine™: A pilot study linking primary care with community physical activity support
Gregory W Heath1, Victor O Kolade2, James W Haynes3
1Department of Health and Human Performance, University of Tennessee at Chattanooga, Chattanooga, TN, USA; Department of Internal Medicine, UT College of Medicine Chattanooga, Chattanooga, TN, USA; UT College of Medicine Chattanooga, Chattanooga, TN, USA.
Exercise is Medicine (EIM) plus community programs significantly boosted physical activity in inactive adults. This approach enhances patient physical activity more effectively than EIM alone.
Area of Science:
- Public Health
- Exercise Science
- Clinical Practice
Background:
- Exercise is Medicine (EIM) promotes clinic-based physical activity (PA).
- Healthcare and fitness professionals' feedback informed protocol modifications.
- A pilot study compared EIM with EIM plus community PA programming.
Purpose of the Study:
- Assess provider and fitness professional acceptability of EIM protocols.
- Pilot test modified EIM protocols integrated with community PA referrals.
- Compare PA and Health-related Quality of Life (HRQoL) outcomes.
Main Methods:
- Modified EIM protocols were integrated into electronic health records.
- Providers and fitness professionals were trained on EIM protocols.
- Adult patients were assigned to EIM+ (community PA) or EIM alone groups.
- PA and HRQoL were assessed at baseline and 3-month follow-up.
Main Results:
- 18 participants in EIM+ and 18 in EIM were analyzed.
- EIM+ participants showed a significant net increase in PA (+250 min/week).
- EIM-only participants showed a decrease in PA (-38.6 min/week).
Conclusions:
- EIM+ significantly increased physical activity levels in participants.
- This integrated approach is more effective for inactive adults than EIM alone.
- Modified EIM protocols show promise for improving population PA.
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