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在公立医院中,对超重和肥胖人群进行定制化体力活动处方的初步可行性评估。

Pilot Feasibility Assessment of a Tailored Physical Activity Prescription in Overweight and Obese People in a Public Hospital.

机构信息

CONEVID, Unidad de Conocimiento y Evidencia, Facultad de Medicina "Alberto Hurtado", Universidad Peruana Cayetano Heredia, Lima 15102, Peru.

CRONICAS Centre of Excellence in Chronic Diseases, Universidad Peruana Cayetano Heredia, Lima 15102, Peru.

出版信息

Int J Environ Res Public Health. 2022 Aug 30;19(17):10774. doi: 10.3390/ijerph191710774.

DOI:10.3390/ijerph191710774
PMID:36078490
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9517763/
Abstract

We aimed to evaluate the feasibility of a tailored physical activity (PA) prescription in overweight and obese people in a tertiary hospital in Lima, Peru. A feasibility pre-post-pilot study was conducted using mixed methods. Participants received a tailored prescription scheme for PA that lasted twelve weeks. It included two prescription sessions, three follow-up phone calls, and three evaluations. Primary feasibility outcomes were recruitment, visits, and phone call adherence. Primary intervention outcomes were self-reported PA levels and the 6 min walk test. Out of 228 people invited to participate, 30 were enrolled and received the first session of prescription, 11 went to the second session, and 21 went to the final evaluation; phone call participation decreased progressively during follow-up. There were no differences in the 6th week and the 12th week compared to the baseline for all the measures, except in the 6 min walk test. The participants considered the intervention was well designed, but they suggested complementing it with dietary instructions. The prescription of PA in overweight and obese people is feasible for promoting PA, but its implementation requires refinements to anticipate possible barriers to changing behavior.

摘要

我们旨在评估秘鲁利马一家三级医院超重和肥胖人群中量身定制的身体活动(PA)处方的可行性。采用混合方法进行了一项可行性预前后试点研究。参与者接受了为期十二周的量身定制的 PA 处方方案。该方案包括两次处方会议、三次随访电话和三次评估。主要可行性结果是招募、就诊和电话随访依从性。主要干预结果是自我报告的 PA 水平和 6 分钟步行测试。在邀请参加的 228 人中,有 30 人入组并接受了第一次处方,11 人参加了第二次处方,21 人参加了最终评估;随访期间,电话参与率逐渐下降。除了 6 分钟步行测试外,所有措施在第 6 周和第 12 周与基线相比均无差异。参与者认为该干预措施设计良好,但他们建议补充饮食指导。为促进 PA,对超重和肥胖人群开具 PA 处方是可行的,但实施需要改进,以预测改变行为的可能障碍。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cc2/9517763/14362017e53d/ijerph-19-10774-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cc2/9517763/d4aad6820ecd/ijerph-19-10774-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cc2/9517763/14362017e53d/ijerph-19-10774-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cc2/9517763/d4aad6820ecd/ijerph-19-10774-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cc2/9517763/14362017e53d/ijerph-19-10774-g002.jpg

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