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[Effect of a Physical activity program on self-esteem in subjects with chronic diseases. 'Pas a Pas' community
Felipe Villalobos1, Angels Vinuesa2, Roser Pedret2
1Grupo de investigación en Nutrición y Salud Mental (NUTRISAM), Facultad de Medicina y Ciencias de la Salud, Instituto de Investigación Sanitaria Pere Virgili (IISPV), Universidad Rovira i Virgili, Tarragona, España.
Aim:
To evaluate the effectiveness of a 9 months of supervised Physical Activity (PA) Program with sociocultural activities, on self-esteem and its association on the control of chronic diseases in adult primary care users.
Design:
Multicenter, randomized, controlled community intervention.
Location:
4 Primary care centers in Reus-Tarragona, Spain.
Participants:
364 subjects, randomized to the Control Group (CG=104) and Intervention Group (IG=260).
Intervention:
Supervised walking program of 120min/week with sociocultural activities once a month.
Main Measurements:
At baseline and at post-intervention we assessed: PA (IPAQ-S), self-esteem (Rosenberg scale) and cardiovascular indicators: smoking, systolic (SBP) and diastolic (DBP) blood pressure, serum LDL and HDL cholesterol, and serum glucose. Sociodemographic characteristics and diagnostic of chronic diseases are recorded.
Results:
The Program increased the PA in the IG (P=.001), while it decreased in the CG (P=.002), and also the self-esteem in the group of participants (1.28 points, P=.006) and in the groups with diagnoses of hypertension (1.60 points, P=.005), dyslipidemia (1.62 points, P=.012), excess weight (1.24 points, P=.011) or anxiety/depression (1.53 points, P=.045), assessed by multivariate statistical models. The increase in self-esteem during the intervention decreased SBP -0.5mmHg (P=.030) in the hypertension group, regardless of baseline SBP and the effect of the intervention.
Conclusion:
The PA program increased the PA and self-esteem in adult primary care users. The increase of self-esteem improved the control of SBP in hypertensive patients.