Unit of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Research, Education, Development, and Innovation Primary Health Care, Region Västra Götaland, Gothenburg, Borås, Vänersborg and Skövde, Sweden.
BMC Public Health. 2024 Oct 13;24(1):2799. doi: 10.1186/s12889-024-20301-6.
Interventions for preventing or reducing the development of lifestyle-related disorders should be investigated as these conditions are becoming increasingly prevalent and having large effects on quality of life and life expectancy globally. The aim of this pilot study was to prepare for a full-scale randomised controlled trial by evaluating the short-term changes resulting from a function-based preventive intervention aimed at lifestyle-related disorders on a small group of physically inactive 40-year-old people. Change in objectively measured physical activity, functional capacity according to a risk profile, and goal attainment were main outcomes.
Participants (n = 27) underwent functional examinations including tests of fitness, strength, mobility, balance, and posture as well as standard medical examinations including weight measures, blood pressure and blood tests and were randomised to two groups. The intervention group (n = 15) received feedback from all the examinations and lifestyle counselling based on a functional profile. The control group (n = 12) received feedback only from the standard medical examination. Follow-up was at 3-4 months. Changes in physical activity measured with accelerometers, functional levels on the functional profile, goal attainment and subjective assessments of health-related quality of life, motivation, function, and physical activity were examined, as were standard medical parameters.
Change in mean time in moderate or more intense physical activity was 9 min higher in the intervention group (95% confidence interval -6.35, 24.51) and change in sedentary time was 42 min lower (-95.24, 11.32). The intervention group showed a higher increase in motivation for change 1.58 on 10-point scale (0.20, 2.97) and indicated more improvement on the functional risk levels concerning fitness (-0.06, 0.90). Correlation between objectively measured and self-assessed physical activity and function increased after the intervention. Most participants in the intervention group achieved some or all of their goals.
This small-scale pilot intervention with functional examinations and lifestyle counselling showed positive tendencies for change in short-term physical activity level. It seemed to lead to better understanding of personal functional capacity and increased motivation for lifestyle changes. Setting and fulfilling meaningful goals for lifestyle-related changes seemed to influence levels on the functional profile in positive directions. Research on larger and more diverse populations will be necessary to better understand the implications of the intervention.
ClinicalTrials.gov: NCT05535296 first posted on 10/09/2022.
由于生活方式相关疾病的发病率不断上升，对生活质量和全球预期寿命的影响也越来越大，因此应该对预防或减少这些疾病发生的干预措施进行研究。本研究旨在通过评估一项针对生活方式相关疾病的基于功能的预防干预措施对一小群不活跃的 40 岁人群的短期影响，为全面的随机对照试验做准备。主要结果是客观测量的身体活动、根据风险状况的功能能力和目标实现的变化。
参与者（n=27）接受了功能检查，包括体能、力量、活动能力、平衡和姿势测试，以及包括体重测量、血压和血液测试在内的标准体检，并被随机分为两组。干预组（n=15）接受了来自所有检查和基于功能档案的生活方式咨询的反馈。对照组（n=12）仅接受标准体检的反馈。随访时间为 3-4 个月。使用加速度计测量的身体活动变化、功能档案上的功能水平、目标实现以及健康相关生活质量、动机、功能和身体活动的主观评估，以及标准体检参数都进行了检查。
干预组的中度或更剧烈体力活动时间增加了 9 分钟（95%置信区间-6.35，24.51），久坐时间减少了 42 分钟（-95.24，11.32）。干预组的改变动机评分提高了 1.58 分（0-10 分制，0.20，2.97），在与体能相关的功能风险水平上的改善更为明显（-0.06，0.90）。干预后，客观测量和自我评估的身体活动和功能之间的相关性增加。干预组的大多数参与者实现了部分或全部目标。
这项小规模的试点干预措施结合了功能检查和生活方式咨询，在短期身体活动水平上显示出积极的变化趋势。它似乎使人们更好地了解个人的功能能力，并增加了对生活方式改变的动机。为生活方式改变设定和实现有意义的目标似乎以积极的方式影响功能档案上的水平。需要对更大和更多样化的人群进行研究，以更好地了解干预措施的影响。
ClinicalTrials.gov：NCT05535296 于 2022 年 10 月 9 日首次注册。
