对心血管风险因素的全科医院患者进行体育活动处方与口头建议的比较:PEPPER随机对照试验的结果
William Bellanger1, Matthieu Peurois2,3, Laurent Connan1
1Department of General Practice, University of Angers, 49000, Angers, France.
BMC public health
|July 20, 2023
概括
在患有心血管风险因素的患者中,带有步计的书面体育活动处方增加了中等强度的活动和步数. 这一策略鼓励久坐不动的人增加身体活动水平.
科学领域:
- 心脏病学 心脏病学
- 预防医学 预防医学
- 运动生理学 运动生理学
背景情况:
- 对于患有心血管风险因素的人来说,定期体育活动至关重要.
- 有效的医疗保健策略来促进体育活动是有限的.
- 心血管疾病的危险因素包括高血压,脂质失调和糖尿病.
研究的目的:
- 为了比较书面体育活动处方加上计步器与口头建议在增加体育活动方面的有效性.
- 评估12个月的初级保健患者心血管疾病风险的结果.
- 评估对每周能源总支出,步数和生活质量的影响.
主要方法:
- 长达12个月的PEPPER研究是一项随机对照试验,涉及35-74岁的患有心血管风险因素的患者.
- 参与者可以通过脚步计获得书面个性化的步骤处方,也可以通过口头建议获得关于日常活动的建议.
- 主要结果是每周总能耗的变化;次要结果包括步数和生活质量.
主要成果:
- 群体之间每周能源总支出没有显著差异.
- 处方组在12个月内显著增加了中等强度活动 (4分钟/周) 和步数 (5256步/周).
- 在处方组中,久坐不动的参与者 (<5000步/天) 的步数增加了8868步/周.
结论:
- 带有计步器的书面体育活动处方可以适度增加中等强度的活动和步数.
- 这一策略对于有心血管风险因素的久坐不动患者尤其有效.
- 个性化的体育活动目标设定可以激励不活动的个人.
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