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2012年宾夕法尼亚州中部针对初级保健患者的一项力量训练计划。

A strength training program for primary care patients, central Pennsylvania, 2012.

作者信息

Sciamanna Christopher N, Patel Vijay A, Kraschnewski Jennifer L, Rovniak Liza S, Messina Dino A, Stuckey Heather L, Curry William J, Chuang Cynthia H, Sherwood Lisa L, Hess Stacy L

机构信息

Penn State Hershey Medical Center, Division of General Internal Medicine, H034, 500 University Dr, Hershey, PA 17033. E-mail:

Penn State Hershey Medical Center, Hershey, Pennsylvania.

出版信息

Prev Chronic Dis. 2014 Jun 26;11:E107. doi: 10.5888/pcd11.130403.

Abstract

INTRODUCTION

Primary care providers can recommend strength training programs to use "Exercise as Medicine," yet few studies have examined the interest of primary care patients in these programs.

METHODS

We conducted a cross-sectional survey of primary care patients in central Pennsylvania. Interest in participating in free group-based strength training and weight control programs was assessed, in addition to patient demographics, medical history, and quality of life.

RESULTS

Among 414 patients, most (61.0%) were aged 54 or older, and 64.0% were female. More patients were interested in a strength training program (55.3%) than in a weight control program (45.4%). Nearly three-quarters (72.8%) of those reporting 10 or more days of poor physical health were interested in a strength training program compared with 49.5% of those reporting no days of poor physical health. After adjusting for potential confounders, those reporting poorer physical health had 2.7 greater odds (95% confidence interval, 1.4-5.1) of being interested in a strength training program compared with those reporting better physical health. Patients with hypertension, diabetes, or high cholesterol were not more interested in a strength training program than those without these conditions.

CONCLUSION

Primary care practices may consider offering or referring patients to community-based strength training programs. This study observed high levels of interest in these widely available programs. Practices may also consider screening and referring those with poorer physical health, as they may be the most interested and have the most to gain from participating.

摘要

引言

初级保健提供者可以推荐力量训练计划以践行“运动即良药”理念,但很少有研究考察初级保健患者对这些计划的兴趣。

方法

我们对宾夕法尼亚州中部的初级保健患者进行了一项横断面调查。除了患者的人口统计学特征、病史和生活质量外,还评估了他们参与免费的基于小组的力量训练和体重控制计划的兴趣。

结果

在414名患者中,大多数(61.0%)年龄在54岁及以上,64.0%为女性。对力量训练计划感兴趣的患者(55.3%)多于对体重控制计划感兴趣的患者(45.4%)。报告身体健康不佳达10天或以上的患者中,近四分之三(72.8%)对力量训练计划感兴趣,而报告无身体健康不佳天数的患者中这一比例为49.5%。在对潜在混杂因素进行调整后,与身体健康状况较好的患者相比,报告身体健康较差的患者对力量训练计划感兴趣的可能性高2.7倍(95%置信区间,1.4 - 5.1)。患有高血压、糖尿病或高胆固醇的患者对力量训练计划的兴趣并不高于没有这些疾病的患者。

结论

初级保健机构可考虑为患者提供或推荐社区力量训练计划。本研究发现患者对这些广泛可得的计划兴趣浓厚。初级保健机构还可考虑对身体健康较差的患者进行筛查和推荐,因为他们可能最感兴趣,且参与后获益最大。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5cbc/4075490/b55f5937c81f/PCD-11-E107s01.jpg

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