25 research outputs found
Effectiveness of a healthcare-based mobile intervention on sedentary patterns, physical activity, mental well-being and clinical and productivity outcomes in office employees with type 2 diabetes: study protocol for a randomized controlled trial
Background: Prolonged sedentary time is associated with an increased incidence of chronic disease including
type 2 diabetes mellitus (DM2). Given that occupational sedentary time contributes signifcantly to the total amount
of daily sedentariness, incorporating programmes to reduce occupational sedentary time in patients with chronic
disease would allow for physical, mental and productivity benefts. The aim of this study is to evaluate the short-,
medium- and long-term efectiveness of a mHealth programme for sitting less and moving more at work on habitual
and occupational sedentary behaviour and physical activity in ofce staf with DM2. Secondary aims. To evaluate the
efectiveness on glycaemic control and lipid profle at 6- and 12-month follow-up; anthropometric profle, blood pres‑
sure, mental well-being and work-related post-intervention outcomes at 3, 6 and 12months.
Methods: Multicentre randomized controlled trial. A sample size of 220 patients will be randomly allocated into
a control (n=110) or intervention group (n=110), with post-intervention follow-ups at 6 and 12months. Health
professionals from Spanish Primary Health Care units will randomly invite patients (18–65 years of age) diagnosed with
DM2, who have sedentary ofce desk-based jobs. The control group will receive usual healthcare and information on
the health benefts of sitting less and moving more. The intervention group will receive, through a smartphone app
and website, strategies and real-time feedback for 13weeks to change occupational sedentary behaviour. Variables:
(1) Subjective and objective habitual and occupational sedentary behaviour and physical activity (Workforce Sit‑
ting Questionnaire, Brief Physical Activity Assessment Tool, activPAL3TM); 2) Glucose, HbA1c; 3) Weight, height, waist
circumference; 4) Total, HDL and LDL cholesterol, triglycerides; (5) Systolic, diastolic blood pressure; (6) Mental well being (Warwick-Edinburgh Mental Well-being); (7) Presenteeism (Work Limitations Questionnaire); (8) Impact of work
on employees´ health, sickness absence (6th European Working Conditions Survey); (9) Job-related mental strain (Job Content Questionnaire). Diferences between groups pre- and post- intervention on the average value of the vari‑
ables will be analysed.
Discussion: If the mHealth intervention is efective in reducing sedentary time and increasing physical activity in
ofce employees with DM2, health professionals would have a low-cost tool for the control of patients with chronic
disease.The study was funded by Fondo de Investigación Sanitaria, Instituto de Salud Carlos III (PI17/01788) and the predoctoral research grant Isabel Fernández 2020 from the Spanish Society of Family and Community Medicine (semFYC). The funders had no role in the design, analysis, data interpretation or writing of the manuscript
Patterns of sedentary behavior in overweight and moderately obese users of the Catalan primary-health care system
Background and objectives Prolonged sitting time (ST) has negative consequences on health. Changing this behavior is paramount in overweight/obese individuals because they are more sedentary than those with normal weight. The aim of the study was to establish the pattern of sedentary behavior and its relationship to health, socio-demographics, occupation, and education level in Catalan overweight/obese individuals. Methods A descriptive study was performed at 25 healthcare centers in Catalonia (Spain) with 464 overweight/moderately obese patients, aged25 to 65 years. Exclusion criteria were chronic diseases which contraindicated physical activity and language barriers. Face-to-face interviews were conducted to collect data on age, gender, educational level, social class, and marital status. Main outcome was ‘sitting time’ (collected by the Marshall questionnaire); chronic diseases and anthropometric measurements were registered. Results 464 patients, 58.4% women, mean age 51.9 years (SD 10.1), 76.1% married, 60% manual workers, and 48.7% had finished secondary education. Daily sitting time was 6.2 hours on working days (374 minutes/day, SD: 190), and about 6 hours on non-working ones (357 minutes/day, SD: 170). 50% of participants were sedentary 6 hours. The most frequent sedentary activities were: working/academic activities around 2 hours (128 minutes, SD: 183), followed by watching television, computer use, and commuting. Men sat longer than women (64 minutes more on working days and 54 minutes on non-working days), and individuals with office jobs (91 minutes), those with higher levels of education (42 minutes), and younger subjects (25 to 35 years) spent more time sitting. Conclusions In our study performed in overweight/moderately obese patients the mean sitting time was around 6 hours which was mainly spent doing work/academic activities and watching television. Men, office workers, individuals with higher education, and younger subjects had longer sitting time. Our results may help design interventions targeted at these sedentary patients to decrease sitting time.
The Effect of a Physical Activity Program on the Total Number of Primary Care Visits in Inactive Patients: A 15-Month Randomized Controlled Trial
Abstract
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 shortduration,
effective and sustainable intervention in inactive patients to decrease rates of PHC visits.
Trial Registration: ClinicalTrials.gov NCT0071483
Prolonged Sitting Time: Barriers, Facilitators and Views on Change among Primary Healthcare Patients Who Are Overweight or Moderately Obese
Background and Objectives
Prolonged sitting time has negative consequences on health, although the population is not well aware of these harmful effects. We explored opinions expressed by primary care patients diagnosed as overweight or moderately obese concerning their time spent sitting, willingness to change, and barriers, facilitators, goals and expectations related to limiting this behaviour.
Methods
A descriptive-interpretive qualitative study was carried out at three healthcare centres in Barcelona, Spain, and included 23 patients with overweight or moderate obesity, aged 25 to 65 years, who reported sitting for at least 6 hours a day. Exclusion criteria were inability to sit down or stand up from a chair without help and language barriers that precluded interview participation. Ten in-depth, semi-structured interviews (5 group, 5 individual) were audio recorded from January to July 2012 and transcribed. The interview script included questions about time spent sitting, willingness to change, barriers and facilitators, and the prospect of assistance from primary healthcare professionals. An analysis of thematic content was made using ATLAS.Ti and triangulation of analysts.
Results
The most frequent sedentary activities were computer use, watching television, and motorized journeys. There was a lack of awareness of the amount of time spent sitting and its negative consequences on health. Barriers to reducing sedentary time included work and family routines, lack of time and willpower, age and sociocultural limitations. Facilitators identified were sociocultural change, free time and active work, and family surroundings. Participants recognized the abilities of health professionals to provide help and advice, and reported a preference for patient-centred or group interventions.
Conclusions
Findings from this study have implications for reducing sedentary behaviour. Patient insights were used to design an intervention to reduce sitting time within the frame of the SEDESTACTIV clinical trial
Cómo identificar la inactividad fÃsica en atención primaria: validación de las versiones catalana y española de 2 cuestionarios breves
Objetivo: El Brief Physical Activity Assessment Tool (BPAAT) y General Practice Physical
Activity Questionnaire (GPPAQ) son instrumentos breves y válidos para identificar pacientes
«fÃsicamente inactivos» en consulta. Este estudio evalúa la fiabilidad y validez de su versión
catalana (CBPAAT-CGPPAQ) y espaËœnola (CBPAAT-EGPPAQ) ante la inexistencia de instrumentos
similares validados en nuestro medio.
DiseËœno: Evaluación psicométrica de la adaptación cultural y lingüÃstica al catalán/espaËœnol de
2 instrumentos de medida. Emplazamiento: centros de atención primaria.
Participantes: La carga de administración de los cuestionarios se evaluó en 7 profesionales
sanitarios y 44 pacientes. Su validez de constructo y fiabilidad test-retest se evaluó en
105 pacientes (58 aËœnos
±
20; 37% hombres) sin contraindicaciones para hacer actividad
fÃsica (AF).
Mediciones principales: Después de efectuar la traducción directa e inversa, la validez de constructo
midió el grado de acuerdo de dichas versiones con el Cuestionario Internacional de AF
(IPAQ) versión corta. La fiabilidad test-retest se evaluó repitiendo el cuestionario en un intervalo
de 14-28 dÃas.Resultados: El CBPAAT-EBPAAT mostró un grado de acuerdo moderado con el IPAQ coincidiendo
en un 80 y 83% de los casos «inactivos». Presentaron una buena fiabilidad test-retest, coincidiendo
en un 86 y un 88% de la clasificación. El CGPPAQ-EGPPAQ mostró un grado de acuerdo
moderado con el IPAQ, coincidiendo en un 70 y 60% de los casos «inactivos». Presentaron una
buena fiabilidad test-retest, coincidiendo en la clasificación de un 82 y 72% de los casos.
Conclusiones: El CBPAAT-CGPPAQ y EBPAAT-EGPPAQ presentan una validez aceptable para identificar
en consulta a pacientes fÃsicamente inactivos.Objective: The Brief Physical Activity Assessment Tool (BPAAT) and the General Practice Physical
Activity Questionnaire (GPPAQ) are valid and reliable assessment tools to identify ‘‘inactive’’
patients in primary care. No similar tools exist for the Spanish population. The study aimed
to evaluate the reliability and validity of the Catalan and Spanish versions (CBPAAT-CGPPAQ;
CBPAAT-EGPPAQ) of such tools.
Design: Validation study of the linguistic and cultural adaptation of two questionnaires into
Catalan/Spanish. Setting: Centres of Primary Care.
Participants: The load for administering the questionnaires was evaluated by 7 general practitioners
and 44 patients. Construct validity and reliability was assessed in 105 patients (58 years
old
±
20; 37% men) without any contraindication for physical activity (PA).
Main variables: After carrying out the translation and back-translation, construct validity was
assessed against the International Physical Activity Questionnaire (IPAQ short form). Reliability
was assessed administering the questionnaires again within 14 to 28 days.
Results: The validity of the CBPAAT-EBPAAT showed a moderate percentage agreement, correctly
classifying over 80% and 83% of the ‘‘inactive’’ cases. Reliability was also good, correctly
classifying over 86% and 88% of the cases. The validity of the CGPPAQ-EGPPAQ showed a moderate
percentage agreement, correctly classifying over 70% and 60% of the ‘‘inactive’’ cases.
Reliability was good, correctly classifying over 82% and 72% of the cases.
Conclusions: The CBPAAT-CGPPAQ and EBPAAT-EGPPAQ are valid instruments to identify
‘‘inactive’’ patients that should receive advice on PA
Effectiveness of a primary care-based intervention to reduce sitting time in overweight and obese patients (SEDESTACTIV): a randomized controlled trial; rationale and study design
Prolonged Sitting Time: Barriers, Facilitators and Views on Change among Primary Healthcare Patients Who Are Overweight or Moderately Obese
Prolonged sitting time has negative consequences on health, although the population is not
well aware of these harmful effects. We explored opinions expressed by primary care patients
diagnosed as overweight or moderately obese concerning their time spent sitting, willingness
to change, and barriers, facilitators, goals and expectations related to limiting
this behaviou
Prolonged Sitting Time: Barriers, Facilitators and Views on Change among Primary Healthcare Patients Who Are Overweight or Moderately Obese
Prolonged Sitting Time: Barriers, Facilitators and Views on Change among Primary Healthcare Patients Who Are Overweight or Moderately Obese
Background and Objectives: Prolonged sitting time has negative consequences on health, although the population is not well aware of these harmful effects. We explored opinions expressed by primary care patients diagnosed as overweight or moderately obese concerning their time spent sitting, willingness to change, and barriers, facilitators, goals and expectations related to limiting this behaviour. Methods: A descriptive-interpretive qualitative study was carried out at three healthcare centres in Barcelona, Spain, and included 23 patients with overweight or moderate obesity, aged 25 to 65 years, who reported sitting for at least 6 hours a day. Exclusion criteria were inability to sit down or stand up from a chair without help and language barriers that precluded interview participation. Ten in-depth, semi-structured interviews (5 group, 5 individual) were audio recorded from January to July 2012 and transcribed. The interview script included questions about time spent sitting, willingness to change, barriers and facilitators, and the prospect of assistance from primary healthcare professionals. An analysis of thematic content was made using ATLAS.Ti and triangulation of analysts. Results: The most frequent sedentary activities were computer use, watching television, and motorized journeys. There was a lack of awareness of the amount of time spent sitting and its negative consequences on health. Barriers to reducing sedentary time included work and family routines, lack of time and willpower, age and sociocultural limitations. Facilitators identified were sociocultural change, free time and active work, and family surroundings. Participants recognized the abilities of health professionals to provide help and advice, and reported a preference for patient-centred or group interventions. Conclusions: Findings from this study have implications for reducing sedentary behaviour. Patient insights were used to design an intervention to reduce sitting time within the frame of the SEDESTACTIV clinical trial
Patterns of sedentary behavior in overweight and moderately obese users of the Catalan primary-health care system
Background and objectives
Prolonged sitting time (ST) has negative consequences on health. Changing this behavior is
paramount in overweight/obese individuals because they are more sedentary than those
with normal weight. The aim of the study was to establish the pattern of sedentary behavior
and its relationship to health, socio-demographics, occupation, and education level in Catalan
overweight/obese individuals.
Methods
A descriptive study was performed at 25 healthcare centers in Catalonia (Spain) with 464
overweight/moderately obese patients, aged25 to 65 years. Exclusion criteria were chronic
diseases which contraindicated physical activity and language barriers. Face-to-face interviews
were conducted to collect data on age, gender, educational level, social class, and
marital status. Main outcome was ‘sitting time’ (collected by the Marshall questionnaire);
chronic diseases and anthropometric measurements were registered.
Results
464 patients, 58.4% women, mean age 51.9 years (SD 10.1), 76.1% married, 60% manual
workers, and 48.7% had finished secondary education. Daily sitting time was 6.2 hours on
working days (374 minutes/day, SD: 190), and about 6 hours on non-working ones (357
minutes/day, SD: 170). 50% of participants were sedentary 6 hours. The most frequent
sedentary activities were: working/academic activities around 2 hours (128 minutes, SD:
183), followed by watching television, computer use, and commuting. Men sat longer than
women (64 minutes more on working days and 54 minutes on non-working days), and individuals
with office jobs (91 minutes),those with higher levels of education (42 minutes), and
younger subjects (25 to 35 years) spent more time sitting.
Conclusions
In our study performed in overweight/moderately obese patients the mean sitting time was
around 6 hours which was mainly spent doing work/academic activities and watching television.
Men, office workers, individuals with higher education, and younger subjects had longer
sitting time. Our results may help design interventions targeted at these sedentary
patients to decrease sitting time