Function-based risk reduction intervention for lifestyle-related disorders among inactive 40-year-old people: a pilot randomised controlled trial.

Autor: Bornhöft L; Unit of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. lena.bornhoft@vgregion.se.; Research, Education, Development, and Innovation Primary Health Care, Region Västra Götaland, Gothenburg, Borås, Vänersborg and Skövde, Sweden. lena.bornhoft@vgregion.se.; Närhälsan Torslanda Rehabilitation Clinic, Primary Care Rehabilitation, Region Västra Götaland, Torslanda, Sweden. lena.bornhoft@vgregion.se.; General Practice - Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. lena.bornhoft@vgregion.se., Arvidsson D; Center for Health and Performance, Department of Food and Nutrition and Sports Science, University of Gothenburg, Gothenburg, Sweden., Bergenheim A; Unit of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Research, Education, Development, and Innovation Primary Health Care, Region Västra Götaland, Gothenburg, Borås, Vänersborg and Skövde, Sweden., Börjesson M; Department of Molecular and Clinical Medicine, Sahlgrenska Academy at University of Gothenburg, Gothenburg, Sweden.; Center for Lifestyle Intervention, Department of MGAÖ, Sahlgrenska University Hospital, Region Västra Götaland, Gothenburg, Sweden., Fridolfsson J; Center for Health and Performance, Department of Food and Nutrition and Sports Science, University of Gothenburg, Gothenburg, Sweden., Hellgren M; General Practice - Family Medicine, School of Public Health and Community Medicine, Institute of Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; The Skaraborg Institute, Skövde, Sweden., Nordeman L; Unit of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Research, Education, Development, and Innovation Primary Health Care, Region Västra Götaland, Gothenburg, Borås, Vänersborg and Skövde, Sweden., Larsson MEH; Unit of Physiotherapy, Department of Health and Rehabilitation, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.; Research, Education, Development, and Innovation Primary Health Care, Region Västra Götaland, Gothenburg, Borås, Vänersborg and Skövde, Sweden.
Jazyk: angličtina
Zdroj: BMC public health [BMC Public Health] 2024 Oct 13; Vol. 24 (1), pp. 2799. Date of Electronic Publication: 2024 Oct 13.
DOI: 10.1186/s12889-024-20301-6
Abstrakt: Background:  Interventions for preventing or reducing the development of lifestyle-related disorders should be investigated as these conditions are becoming increasingly prevalent and having large effects on quality of life and life expectancy globally. The aim of this pilot study was to prepare for a full-scale randomised controlled trial by evaluating the short-term changes resulting from a function-based preventive intervention aimed at lifestyle-related disorders on a small group of physically inactive 40-year-old people. Change in objectively measured physical activity, functional capacity according to a risk profile, and goal attainment were main outcomes.
Methods: Participants (n = 27) underwent functional examinations including tests of fitness, strength, mobility, balance, and posture as well as standard medical examinations including weight measures, blood pressure and blood tests and were randomised to two groups. The intervention group (n = 15) received feedback from all the examinations and lifestyle counselling based on a functional profile. The control group (n = 12) received feedback only from the standard medical examination. Follow-up was at 3-4 months. Changes in physical activity measured with accelerometers, functional levels on the functional profile, goal attainment and subjective assessments of health-related quality of life, motivation, function, and physical activity were examined, as were standard medical parameters.
Results: Change in mean time in moderate or more intense physical activity was 9 min higher in the intervention group (95% confidence interval -6.35, 24.51) and change in sedentary time was 42 min lower (-95.24, 11.32). The intervention group showed a higher increase in motivation for change 1.58 on 10-point scale (0.20, 2.97) and indicated more improvement on the functional risk levels concerning fitness (-0.06, 0.90). Correlation between objectively measured and self-assessed physical activity and function increased after the intervention. Most participants in the intervention group achieved some or all of their goals.
Conclusions: This small-scale pilot intervention with functional examinations and lifestyle counselling showed positive tendencies for change in short-term physical activity level. It seemed to lead to better understanding of personal functional capacity and increased motivation for lifestyle changes. Setting and fulfilling meaningful goals for lifestyle-related changes seemed to influence levels on the functional profile in positive directions. Research on larger and more diverse populations will be necessary to better understand the implications of the intervention.
Trial Registration: ClinicalTrials.gov: NCT05535296 first posted on 10/09/2022.
(© 2024. The Author(s).)
Databáze: MEDLINE
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