A strength training program for primary care patients, central Pennsylvania, 2012.

A strength training program for primary care patients, central Pennsylvania, 2012.
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DOI:
10.5888/pcd11.130403
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发表时间:
2014-06-26
影响因子:
5.5
通讯作者:
Hess SL
Hess SL
中科院分区:
医学3区
文献类型:
--
作者:
Sciamanna CN;Patel VA;Kraschnewski JL;Rovniak LS;Messina DA;Stuckey HL;Curry WJ;Chuang CH;Sherwood LL;Hess SL

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初级保健提供者可以推荐力量训练项目来使用“运动作为药物”,但很少有研究调查初级保健患者对这些项目的兴趣。我们对宾夕法尼亚州中部的初级保健病人进行了横断面调查。除了患者的人口统计、病史和生活质量外,还评估了参与免费团体力量训练和体重控制计划的兴趣。414例患者中,年龄≥54岁的占61.0%,女性占64.0%。更多的患者对力量训练计划感兴趣(55.3%),而对体重控制计划感兴趣(45.4%)。报告10天或以上身体状况不佳的人中,近四分之三(72.8%)的人对力量训练项目感兴趣,而报告没有身体状况不佳的人中,这一比例为49.5%。在调整了潜在的混杂因素后,那些身体健康状况较差的人对力量训练项目感兴趣的几率比那些身体健康状况较好的人高2.7倍(95%置信区间为1.4-5.1)。患有高血压、糖尿病或高胆固醇的患者对力量训练项目的兴趣并不比没有这些疾病的患者大。初级保健实践可以考虑提供或推荐病人参加社区力量训练项目。这项研究观察到人们对这些广泛使用的程序有很高的兴趣。实践也可以考虑筛选和转诊那些身体健康状况较差的人,因为他们可能最感兴趣,并从参与中获益最多。
Primary care providers can recommend strength training programs to use “Exercise as Medicine,” yet few studies have examined the interest of primary care patients in these programs. We conducted a cross-sectional survey of primary care patients in central Pennsylvania. Interest in participating in free group-based strength training and weight control programs was assessed, in addition to patient demographics, medical history, and quality of life. Among 414 patients, most (61.0%) were aged 54 or older, and 64.0% were female. More patients were interested in a strength training program (55.3%) than in a weight control program (45.4%). Nearly three-quarters (72.8%) of those reporting 10 or more days of poor physical health were interested in a strength training program compared with 49.5% of those reporting no days of poor physical health. After adjusting for potential confounders, those reporting poorer physical health had 2.7 greater odds (95% confidence interval, 1.4–5.1) of being interested in a strength training program compared with those reporting better physical health. Patients with hypertension, diabetes, or high cholesterol were not more interested in a strength training program than those without these conditions. Primary care practices may consider offering or referring patients to community-based strength training programs. This study observed high levels of interest in these widely available programs. Practices may also consider screening and referring those with poorer physical health, as they may be the most interested and have the most to gain from participating.
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