The Effect of a physical activity program on the total number of primary care visits in inactive patients : A 27-month randomized controlled trial
Giné-Garriga, Maria (Universitat Ramon Llull. Departament de Ciències de l'Esport)
Martín Borràs, Carme (Universitat Ramon Llull. Departament de Ciències del'Activitat Física i l'Esport)
Puig Ribera, Anna (Universitat de Vic. Departament de Ciències de l'activitat física i l'esport)
Martín-Cantera, Carlos (Universitat Autònoma de Barcelona. Departament de Medicina)
Solà, Mercè (Institut Universitari d'Investigació en Atenció Primària Jordi Gol)
Cuesta-Vargas, Antonio I (Universidad de Málaga)
PPAF Group

Data:	2013
Resum:	Background: Effective promotion of exercise could result in substantial savings in healthcare cost expenses in terms of direct medical costs, such as the number of medical appointments. However, this is hampered by our limited knowledge of how to achieve sustained increases in physical activity. Objectives: To assess the effectiveness of a Primary Health Care (PHC) based physical activity program in reducing the total number of visits to the healthcare center among inactive patients, over a 15-month period. Research Design: Randomized controlled trial. Subjects: Three hundred and sixty-two (n = 362) inactive patients suffering from at least one chronic condition were included. One hundred and eighty-three patients (n = 183; mean (SD); 68. 3 (8. 8) years; 118 women) were randomly allocated to the physical activity program (IG). One hundred and seventy-nine patients (n = 179; 67. 2 (9. 1) years; 106 women) were allocated to the control group (CG). The IG went through a three-month standardized physical activity program led by physical activity specialists and linked to community resources. Measures: The total number of medical appointments to the PHC, during twelve months before and after the program, was registered. Self-reported health status (SF-12 version 2) was assessed at baseline (month 0), at the end of the intervention (month 3), and at 12 months follow-up after the end of the intervention (month 15). Results: The IG had a significantly reduced number of visits during the 12 months after the intervention: 14. 8 (8. 5). The CG remained about the same: 18. 2 (11. 1) (P = . 002). Conclusions: Our findings indicate that a 3-month physical activity program linked to community resources is a short-duration, effective and sustainable intervention in inactive patients to decrease rates of PHC visits.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Assaigs clínics ; Exercici ; Assisència primària ; Qualitat de vida ; Exercise ; Morbidity ; Primary care ; Quality of life ; Randomized controlled trials ; Sports and exercise medicine ; Professions ; Sustainability science
Publicat a:	PloS one, Vol. 8, Num. 6 (2013) , p. e66392, ISSN 1932-6203

DOI: 10.1371/journal.pone.0066392
PMID: 23805219

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