Physical training program for people at risk of cardiovascular disorders in the primary care setting: A randomized clinical trial.
Actividad física
Cardiovascular risk
Clinical trial
Ensayo clínico
Entrenamiento físico
Physical activity
Physical training program
Riesgo cardiovascular
Journal
Medicina clinica
ISSN: 1578-8989
Titre abrégé: Med Clin (Barc)
Pays: Spain
ID NLM: 0376377
Informations de publication
Date de publication:
25 11 2022
25 11 2022
Historique:
received:
22
07
2021
revised:
12
01
2022
accepted:
17
01
2022
pubmed:
24
3
2022
medline:
16
11
2022
entrez:
23
3
2022
Statut:
ppublish
Résumé
The impact of a physical training program on moderate-vigorous physical activity is still poorly known in primary cardiovascular prevention. Our objective was to determine the efficacy of a physical training program to promote moderate-vigorous physical activity and exercise in individuals at risk of suffering a cardiovascular event. Randomized, parallel group controlled trial performed from October 2014 to July 2016. Sedentary patients at risk of suffering a cardiovascular event were randomized to the control group (CG) (72) or the intervention group (IG) (75). Intervention consisted of a 2-month physical training program. The main outcome was the proportion of patients achieving a "relevant response to Physical Activity" (increase≥240METs-min/week in moderate-vigorous Physical Activity using the International Physical Activity Questionnaire (IPAQ)). Secondary outcomes included the proportion of patients performing an "adequate amount of exercise" (≥360METs-min/week in moderate-vigorous exercise using the IPAQ). Of the 147 patients randomized, 132 (90%) completed the follow-up. Adherence to exercise performance was 91% and no adverse effects were recorded. The proportion of patients in the IG versus CG achieving the main outcome was 34.9% vs 11.6%; OR [95%CI]: 4.2 [1.7-10.4]. Furthermore, more patients in the IG performed an adequate amount of exercise (33.3% vs. 11.6%; OR: 4.1 [1.6-10.5]). A short-duration physical training program performed in the primary care setting is efficacious and safe in promoting moderate-vigorous physical activity and exercise in the short-term, in a population at risk of suffering a cardiovascular event. "Training Programme in Physical Activity". NCT03717363. Clinicaltrials.gov.
Sections du résumé
BACKGROUND AND OBJECTIVE
The impact of a physical training program on moderate-vigorous physical activity is still poorly known in primary cardiovascular prevention. Our objective was to determine the efficacy of a physical training program to promote moderate-vigorous physical activity and exercise in individuals at risk of suffering a cardiovascular event.
PATIENTS AND METHODS
Randomized, parallel group controlled trial performed from October 2014 to July 2016. Sedentary patients at risk of suffering a cardiovascular event were randomized to the control group (CG) (72) or the intervention group (IG) (75). Intervention consisted of a 2-month physical training program. The main outcome was the proportion of patients achieving a "relevant response to Physical Activity" (increase≥240METs-min/week in moderate-vigorous Physical Activity using the International Physical Activity Questionnaire (IPAQ)). Secondary outcomes included the proportion of patients performing an "adequate amount of exercise" (≥360METs-min/week in moderate-vigorous exercise using the IPAQ).
RESULTS
Of the 147 patients randomized, 132 (90%) completed the follow-up. Adherence to exercise performance was 91% and no adverse effects were recorded. The proportion of patients in the IG versus CG achieving the main outcome was 34.9% vs 11.6%; OR [95%CI]: 4.2 [1.7-10.4]. Furthermore, more patients in the IG performed an adequate amount of exercise (33.3% vs. 11.6%; OR: 4.1 [1.6-10.5]).
CONCLUSION
A short-duration physical training program performed in the primary care setting is efficacious and safe in promoting moderate-vigorous physical activity and exercise in the short-term, in a population at risk of suffering a cardiovascular event.
TRIAL REGISTRATION
"Training Programme in Physical Activity". NCT03717363.
TRIAL REGISTRATION
Clinicaltrials.gov.
Identifiants
pubmed: 35318946
pii: S0025-7753(22)00079-3
doi: 10.1016/j.medcli.2022.01.020
pii:
doi:
Banques de données
ClinicalTrials.gov
['NCT03717363']
Types de publication
Randomized Controlled Trial
Journal Article
Langues
eng
spa
Sous-ensembles de citation
IM
Pagination
475-482Informations de copyright
Copyright © 2022 Elsevier España, S.L.U. All rights reserved.