J Phys Act Health. 2019 Apr 1;16(4):288-293. doi: 10.1123/jpah.2018-0442. Epub 2019 Mar 20.
Exercise referral schemes (ERSs) support inactive adults, who have chronic health conditions, to become physically active. Uncertainty exists regarding the effectiveness of ERSs, with few studies evaluating their long-term impact. The aims of this study were to evaluate the long-term impact (12 mo) of participation in an ERS on self-reported physical activity (PA) and a range of health-related outcomes.
Data were analyzed for participants of a 24-week ERS who attended a week 52 follow-up between July 2015 and 2017. PA and health-related outcomes collected at weeks 1, 24, and 52 were analyzed using the Friedman test and Wilcoxon signed-ranks test.
A total of 273 participants attended the week 52 follow-up. Self-reported PA significantly increased by a median of 636 MET minutes at week 52. There were also significant improvements in body mass index, systolic blood pressure, mental well-being, and health-related quality of life.
For every 8 participants referred to this 24-week ERS, 1 participant went on to show long-term improvements in at least 1 health indicator. The evidence base requires further long-term evaluations to confirm these findings across a range of ERS providers. Changes in self-reported PA would be supported by the inclusion of device-based measurment of PA.
运动推荐计划（ERS）支持患有慢性疾病的不活跃成年人变得活跃。ERS 的有效性存在不确定性，很少有研究评估其长期影响。本研究的目的是评估参与 ERS 对自我报告的身体活动（PA）和一系列健康相关结果的长期影响（12 个月）。
对参加 24 周 ERS 并于 2015 年 7 月至 2017 年间参加第 52 周随访的参与者进行数据分析。使用 Friedman 检验和 Wilcoxon 符号秩检验分析第 1、24 和 52 周收集的 PA 和健康相关结果。
共有 273 名参与者参加了第 52 周的随访。自我报告的 PA 在第 52 周时中位数增加了 636 个代谢当量分钟。体重指数、收缩压、心理健康和健康相关生活质量也有显著改善。
每有 8 名被推荐参加这个 24 周 ERS 的参与者中，就有 1 名参与者在至少 1 个健康指标上表现出长期改善。需要进一步的长期评估来确认在一系列 ERS 提供者中发现这些结果。通过使用基于设备的 PA 测量，可以支持自我报告的 PA 的变化。
