Wattanapisit Apichai, Hemarachatanon Poramet, Somrak Kamlai, Manunyanon Saranrat, Wattanapisit Sanhapan, Amornsriwatanakul Areekul, Katewongsa Piyawat, Sangkaew Sorawat, Vichitkunakorn Polathep, Lee Ping Yein, Ramdzan Siti Nurkamilla, Salim Hani, Ng Chirk Jenn, Stoutenberg Mark
Department of Clinical Medicine, School of Medicine, Walailak University, Nakhon Si Thammarat, Thailand.
Family Medicine Clinic, Walailak University Hospital, Nakhon Si Thammarat, Thailand.
BMJ Open Sport Exerc Med. 2024 Apr 5;10(2):e001985. doi: 10.1136/bmjsem-2024-001985. eCollection 2024.
Physical activity (PA) effectively prevents and treats non-communicable diseases in clinical settings. PA promotion needs to be more consistent, especially in busy primary care. Sports scientists have the potential to support PA promotion in primary care. The Physical Activity with Sports Scientist (PASS) programme is created to personalise PA promotion led by a sports scientist in a primary care clinic. A pragmatic randomised controlled trial with two parallel groups will be conducted at a family medicine clinic. Physically inactive participants aged 35-70 years who have type 2 diabetes mellitus, hypertension or dyslipidaemia will be invited. The control group (n=60) will receive usual care. The intervention group (n=60) will receive the PASS programme and usual care. The PASS programme will consist of a tailored PA prescription after the physician's consultation at the first visit and monthly phone follow-ups. The primary outcome is the proportion of participants who have achieved the PA goal defined as aerobic activity (≥150 min/week of moderate to vigorous-intensity PA), muscle-strengthening activity (≥2 days/week of moderate or greater intensity) and multicomponent PA (≥2 days/week of moderate or greater intensity). Secondary outcomes are body composition and physical fitness. The primary and secondary outcomes will be measured and compared between the control and intervention groups at visit 1 (month 0: baseline measurements), visit 2 (months 3-4: follow-up measurements), visit 3 (months 6-8: end-point measurements) and visit 4 (months 9-12: continuing measurements). The study protocol was registered with the Thai Clinical Trials Registry. Trial registration number: TCTR20240314001.
体育活动（PA）在临床环境中能有效预防和治疗非传染性疾病。推广体育活动需要更加一致，尤其是在繁忙的初级保健中。体育科学家有潜力支持初级保健中的体育活动推广。“体育科学家参与体育活动”（PASS）项目旨在由体育科学家在初级保健诊所主导个性化的体育活动推广。将在一家家庭医学诊所进行一项有两个平行组的实用随机对照试验。将邀请年龄在35至70岁、患有2型糖尿病、高血压或血脂异常且身体不活跃的参与者。对照组（n = 60）将接受常规护理。干预组（n = 60）将接受PASS项目及常规护理。PASS项目将包括在首次就诊经医生咨询后制定的个性化体育活动处方以及每月的电话随访。主要结局是达到体育活动目标的参与者比例，该目标定义为有氧运动（每周至少150分钟中等至剧烈强度的体育活动）、肌肉强化活动（每周至少2天中等或更高强度）和多成分体育活动（每周至少2天中等或更高强度）。次要结局是身体成分和身体素质。将在第1次就诊（第0个月：基线测量）、第2次就诊（第3 - 4个月：随访测量）、第3次就诊（第6 - 8个月：终点测量）和第4次就诊（第9 - 12个月：持续测量）时对对照组和干预组的主要和次要结局进行测量和比较。该研究方案已在泰国临床试验注册中心注册。试验注册号：TCTR20240314001。
