The effect of exercise on prescription on physical activity and wellbeing in a multi-ethnic female population: A controlled trial

BMC Public Health

Karien Stronks¹  Karen Hosper¹  Marije Deutekom¹  Maaike GJ Gademan¹ 

[1] Department of Public Health, Academic Medical Center, Meibergdreef 9, Postbus 22660, 1100 DD Amsterdam, The Netherlands

关键词: Physical activity;    Deprived neighborhoods;    Exercise referral program;   

Others  :  1163133
DOI  :  10.1186/1471-2458-12-758

 received in 2012-02-16, accepted in 2012-08-27,  发布年份 2012

【 摘 要 】

Background

In Western countries, individuals from multi-ethnic disadvantaged populations are less physically active than the Western population as a whole. This lack of physical activity (PA) may be one of the factors explaining disparities in health. Exercise on Prescription” (EoP), is an exercise program to which persons are referred by primary care. It has been developed to suit the needs of physically inactive women from diverse ethnic backgrounds living in deprived neighborhoods in the Netherlands. The effectiveness of this program has however, not yet been proven.

Methods

A total of 514 women from diverse ethnic backgrounds were included in this study (192 EoP, 322 control group). Women in the EoP group participated in 18 sessions of supervised PA. The control group received care as usual. At baseline, 6 and 12 months the women attended an interview and a physical examination. Outcome measures were PA, BMI, weight circumference, fat percentage, oxygen uptake, mental well-being, subjective health and use of care.

Results

Of the participants 59% had a low educational level and 90% of the women were overweight or obese. Compliance was high, only 14% dropped out during the course of the program. Total PA did not change, PA during leisure time increased at 6 and at 12 months and PA during household activities increased at 12 months (P_EoPvsControl < 0.05). EoP had no significant effect on the other outcome variables.

Conclusions

EoP was successful in recruiting its target population and compliance was high. The effect of EoP on PA, health and mental well-being was limited. In this format EoP does not seem to be effective for increasing PA and the health status of non-Western migrant women.

Trial registration

Dutch Trial register: NTR1294

【 授权许可】

   
2012 Gademan et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

Figure 2.

【 参考文献 】

• [1]Blair SN: Physical inactivity: the biggest public health problem of the 21st century. Br J Sports Med 2009, 43:1-2.
• [2]Uitenbroek DG, Ujcic-Voortman JK, Janssen AP, Tichelman PJ, Verhoef AP: Gezond Zijn en Gezond Leven in Amsterdam. Amsterdamse Gezondheidsmonitor. Gezondheidsonderzoek 2004 [Being healthy and healthy living in Amsterdam. Amsterdam health monitor. Health research 2004]. GGD Amsterdam, cluster epidemiologie, Amsterdam; 2004.
• [3]Hosper K, Nierkens V, Nicolaou M, Stronks K: Behavioural risk factors in two generations of non-Western migrants: do trends converge towards the host population? Eur J Epidemiol 2007, 22:163-172.
• [4]Droomers M, Wester GP, van Lindert H: Tweede Nationale Studie naar ziekten en verrichtingen in de huisartsenpraktijk. In Een kwestie van verschil: verschillen in zelfgerapporteerde leefstijl, gezondheid en zorggebruik. [Second national study into diseases and actions in general practice]. NIVEL/RIVM, Utrecht/Bilthoven; 2004.
• [5]Agyemang C, Bindraban N, Mairuhu G, Montfrans G, Koopmans R, Stronks K: Prevalence, awareness, treatment, and control of hypertension among Black Surinamese, South Asian Surinamese and White Dutch in Amsterdam, The Netherlands: the SUNSET study. J Hypertens 2005, 23:1971-1977.
• [6]Hollander AEM, Hoeymans N, Melse JM, Van Oers JAM, Polder JJ: Zorg voor gezondheid. Volksgezondheid Toekomst Verkenning 2006 [Care for health. The 2006 Dutch Public Health Status and Forecasts Report ]. RIVM, Bohn Stafleu van Loghum, Bilthoven; 2006.
• [7]Bindraban N: The Cardiovascular Risk Profile of Hindustani and Creole Surinamese in the Netherlands compared to white Dutch people. University of Amsterdam, AMC; 2006.
• [8]Morgan O: Approaches to increase physical activity: reviewing the evidence for exercise-referral schemes. Public Health 2005, 119:361-370.
• [9]Sorensen JB, Skovgaard T, Puggaard L: Exercise on prescription in general practice: a systematic review. Scand J Prim Health Care 2006, 24:69-74.
• [10]Sorensen JB, Kragstrup J, Skovgaard T, Puggaard L: Exercise on prescription: a randomized study on the effect of counseling vs counseling and supervised exercise. Scand J Med Sci Sports 2008, 18:288-297.
• [11]Elley CR, Kerse N, Arroll B, Robinson E: Effectiveness of counselling patients on physical activity in general practice: cluster randomised controlled trial. BMJ 2003, 326:793.
• [12]Kallings LV, Leijon M, Hellenius ML, Stahle A: Physical activity on prescription in primary health care: a follow-up of physical activity level and quality of life. Scand J Med Sci Sports 2008, 18:154-161.
• [13]Williams NH, Hendry M, France B, Lewis R, Wilkinson C: Effectiveness of exercise-referral schemes to promote physical activity in adults: systematic review. Br J Gen Pract 2007, 57:979-986.
• [14]Isaacs AJ, Critchley JA, Tai SS, Buckingham K, Westley D, Harridge SD, et al.: Exercise Evaluation Randomised Trial (EXERT): a randomised trial comparing GP referral for leisure centre-based exercise, community-based walking and advice only. Health Technol Assess 2007, 11:1-iv.
• [15]Schmidt M, Absalah S, Nierkens V, Stronks K: Which factors engage women in deprived neighbourhoods to participate in exercise referral schemes? BMC Publ Health 2008, 8:371. BioMed Central Full Text
• [16]Schmidt M, Absalah S, Stronks K: Wat beweegt de deelnemers? In Een evaluatie van het project 'Bewegen Op Recept' in Den Haag [What moves the participants? An evaluation of Exercise on Prescription in The Hague]. Academisch Medisch Centrum, Amsterdam; 2006.
• [17]Hosper K, Deutekom M, Stronks PK: The effectiveness of "Exercise on Prescription" in stimulating physical activity among women in ethnic minority groups in the Netherlands: protocol for a randomized controlled trial. BMC Publ Health 2008, 8:406. BioMed Central Full Text
• [18]Stamatakis E, Hillsdon M, Primatesta P: Domestic physical activity in relationship to multiple CVD risk factors. Am J Prev Med 2007, 32:320-327.
• [19]Wendel-Vos GC, Schuit AJ, Saris WH, Kromhout D: Reproducibility and relative validity of the short questionnaire to assess health-enhancing physical activity. J Clin Epidemiol 2003, 56:1163-1169.
• [20]Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, et al.: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc 2003, 35:1381-1395.
• [21]Ainsworth BE, Haskell WL, Leon AS, Jacobs DR, Montoye HJ, Sallis JF, et al.: Compendium of physical activities: classification of energy costs of human physical activities. Med Sci Sports Exerc 1993, 25:71-80.
• [22]Pouwer F, Snoek FJ, Van Der Ploeg HM, Ader HJ, Heine RJ: The well-being questionnaire: evidence for a three-factor structure with 12 items (W-BQ12). Psychol Med 2000, 30:455-462.
• [23]Siconolfi SF, Garber CE, Lasater TM, Carleton RA: A simple, valid step test for estimating maximal oxygen uptake in epidemiologic studies. Am J Epidemiol 1985, 121:382-390.
• [24]American College of Sports Medicine Position Stand: The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness, and flexibility in healthy adults. Med Sci Sports Exerc 1998, 30:975-991.
• [25]Lechner L, de Vries H: Starting participation in an employee fitness program: attitudes, social influence, and self-efficacy. Prev Med 1995, 24:627-633.
• [26]Gidlow C, Johnston LH, Crone D, James D: Attendance of exercise referral schemes in the UK: A systematic review. Heal Educ J 2005, 64:168.
• [27]Crone D, Johnston LH, Gidlow C, Henley C, James DV: Uptake and participation in physical activity referral schemes in the UK: an investigation of patients referred with mental health problems. Issues Ment Health Nurs 2008, 29:1088-1097.
• [28]Ross S, Grant A, Counsell C, Gillespie W, Russell I, Prescott R: Barriers to participation in randomised controlled trials: a systematic review. J Clin Epidemiol 1999, 52:1143-1156.