Beneficial effects of individualized physical activity on prescription on body composition and cardiometabolic risk factors: Results from a randomized controlled trial

Department of Neurobiology, Health Care Sciences and Society, Karolinska Institutet, Huddinge, Sweden.
European journal of cardiovascular prevention and rehabilitation: official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology (Impact Factor: 3.69). 03/2009; 16(1):80-4. DOI: 10.1097/HJR.0b013e32831e953a
Source: PubMed


Insufficient physical activity (PA), overweight and abdominal obesity are increasing global public health problems.
Randomized controlled 6-month intervention study.
One hundred and one 68-year-old individuals (57% female) with low PA, overweight (BMI 25-40 kg/m) and abdominal obesity (waist circumference >88 cm in women and >102 cm in men), were randomized to PA on prescription (PAP) or a minimal intervention. PA measured by several methods, anthropometric parameters, body composition and cardiometabolic risk factors were measured at baseline and after intervention.
Favourable changes in anthropometrics, body composition, S-glucose, glycosolated haemoglobin (HbA1c), blood lipids and apolipoproteins were seen in the PAP group. In the control group, however, some positive changes were also noted. Bodyweight, neck circumference, fat mass, S-cholesterol and HbA1c decreased significantly more in the PAP group.
Individualized PAP improves body composition and cardiometabolic risk factors in sedentary older overweight individuals. PAP might be useful in clinical practice to counteract the epidemic of sedentary lifestyle and concomitant cardiometabolic disorders.

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Available from: Erik Hemmingsson, Apr 24, 2015
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    • "2 months (Leijon et al, 2009). The self-reported adherence to the prescription was 65% at 6 months (Kallings et al, 2009a), a fraction well in correspondence with the known compliance rate of medications . In a randomized controlled study, physical activity on prescription significantly improved body composition and reduced metabolic risk factors (Kallings et al,. 2009b)."
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    ABSTRACT: In 1996, the first Report of the US Surgeon General on Physical Activity and Health provided an extensive knowledge overview about the positive effects of physical activity (PA) on several health outcomes and PA recommendations. This contributed to an enhanced interest for PA in Sweden. The Swedish Professional Associations for Physical Activity (YFA) were appointed to form a Scientific Expert Group in the project "Sweden on the Move" and YFA created the idea of Physical Activity on Prescription (FaR) and the production of a handbook (FYSS) for healthcare professionals. In Swedish primary care, licensed healthcare professionals, i.e. physicians, physiotherapists and nurses, can prescribe PA if they have sufficient knowledge about the patient's current state of health, how PA can be used for promotion, prevention and treatment and are trained in patient-centred counselling and the FaR method. The prescription is followed individually or by visiting local FaR providers. These include sport associations, patient organisations, municipal facilities, commercial providers such as gyms, sports clubs and walking clubs or other organisations with FaR educated staff such as health promoters or personal trainers. In clinical practice, the FaR method increases the level of PA in primary care patients, at 6 and at 12 months. Self-reported adherence to the prescription was 65% at 6 months, similar to the known compliance for medications. In a randomised controlled trial, FaR significantly improved body composition and reduced metabolic risk factors. It is suggested that a successful implementation of PA in healthcare depends on a combination of a systems approach (socio-ecological model) and the strengthening of individual motivation and capability. General support from policymakers, healthcare leadership and professional associations is important. To lower barriers, tools for implementation and structures for delivery must be readily available. Examples include handbooks such as FYSS, the FaR system and the use of pedometers.
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    • "Information on exercise time was obtained, and physical activity of at least moderate intensity was assessed as described [3]. The intervention group received patient-centred counselling and individualized written prescription of physical activity, as described [3]. In brief, the intervention aimed to achieve a daily physical activity level of at least 30 min of moderate intensity and included both aerobic and strength training. "
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    • "Therefore, the standardised MST could be useful both to identify consequences of sarcopenia [33] and to support follow-up of treatment. Further studies are needed to investigate the effects of prescribed physical activity [34] on an individual's MSH, most likely corresponding to changes in knee extension function and self-reported physical function. In studies with older community dwelling populations objective measures of physical capability are predictors of all cause mortality [35]. "
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