A community-wide intervention to promote physical activity: A five-year quasi-experimental study

PREVENTIVE MEDICINE

卷:150

Article

Saito, Yoshinobu^1,2  Tanaka, Ayumi³  Tajima, Takayuki^1,4  Ito, Tomoya⁵  Aihara, Yoko⁶  Nakano, Kaoko⁶  Kamada, Masamitsu⁷  Inoue, Shigeru⁸  Miyachi, Motohiko⁹  Lee, I-Min^10,11  Oguma, Yuko^1,5 

[1] Keio Univ, Sports Med Res Ctr, Kohoku Ku, 4-1-1 Hiyoshi, Yokohama, Kanagawa 2238521, Japan

[2] Kanagawa Univ Human Serv, Ctr Innovat Policy, Kawasaki Ku, Res Gate Bldg TONOMACHI 2-A,3-25-10 Tonomachi, Kawasaki, Kanagawa 2100821, Japan

[3] Fujisawa City Hlth & Med Fdn, Div Hlth Promot, 5527-1 Oba, Fujisawa, Kanagawa 2510861, Japan

[4] Tokyo Metropolitan Univ, Grad Sch Hlth Sci, Dept Phys Therapy, 7-2-10 Higashiogu, Tokyo 1168551, Japan

[5] Keio Univ, Grad Sch Hlth Management, 4411 Endo, Fujisawa, Kanagawa 2520883, Japan

[6] Hlth & Welf Dept, Hlth Promot Div, 2131-1 Kugenuma, Fujisawa, Kanagawa 2510022, Japan

[7] Univ Tokyo, Grad Sch Med, Sch Publ Hlth, Dept Hlth Educ & Hlth Sociol,Bunkyo Ku, 7-3-1 Hongo, Tokyo 1130033, Japan

[8] Tokyo Med Univ, Dept Prevent Med & Publ Hlth, Shinjuku Ku, 6-1-1 Shinjuku, Tokyo 1608402, Japan

[9] NIBIOHN, Natl Inst Hlth & Nutr, Dept Phys Act Res, Shinjuku Ku, 1-23-1 Toyama, Tokyo 1628636, Japan

[10] Harvard Med Sch, Brigham & Womens Hosp, Div Prevent Med, 900 Commonwealth Ave East, Boston, MA 02215 USA

[11] Harvard TH Chan Sch Publ Hlth, Dept Epidemiol, 677 Huntington Ave, Boston, MA 02115 USA

关键词: Exercise;    Population health management;    Health communication;    Dissemination;    Implementation;    RE-AIM;   

DOI  :  10.1016/j.ypmed.2021.106708

来源: Elsevier

【 摘 要 】

Evidence on the effects of a community-wide intervention (CWI) on population-level physical activity (PA), especially in the long term, is limited. Therefore, we evaluated the five-year effect of CWI on promoting PA through information dissemination, education, and community support primarily targeting older adults, by incorporating Japanese guidelines, in Fujisawa City, from 2013. To assess the effect of the whole-city intervention, we distributed questionnaires in 2013, 2015, and 2018 to three independent random samples of 3,000 community-dwelling adults (aged >= 20 years) using a quasi-experimental study design. Three separate samples responded to the survey (41% at baseline, 46% at the two-year mark, and 48% at the five-year follow-up). The primary outcome was change in PA participation. At the five-year follow-up, PA (median: 120 minutes/day) was significantly higher than at baseline (86 minutes/day) and the two-year follow-up (90 minutes/day). The results of the multivariate analysis indicated that PA among older adults-the primary target population of the CWI-increased significantly at the five-year follow-up, compared to those aged 20-64 (mean difference of change between groups: 14.7 minutes/day, P= 0.029). Among older adults, PA was significantly lower in those with poorer perceived economic status than in their more well-off counterparts at the two-year follow-up (P= 0.003); however, there was no significant difference at the five-year follow-up (P= 1.000). There was a positive interaction between group and period (mean difference of change between groups: 40.9 minutes/day, P= 0.001). In conclusion, the five-year CWI targeting older adults, incorporating national guidelines, improved population level PA.

【 授权许可】

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