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首页> 外文期刊>BMC Public Health >Effectiveness of a physical activity program on cardiovascular disease risk in adult primary health-care users: the “Pas-a-Pas” community intervention trial
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Effectiveness of a physical activity program on cardiovascular disease risk in adult primary health-care users: the “Pas-a-Pas” community intervention trial

机译：体育锻炼计划对成人初级保健使用者心血管疾病风险的有效性：“ Pas-a-Pas”社区干预试验

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Background Physical activity is a major, modifiable, risk factor for cardiovascular disease (CVD) that contributes to the prevention and management of CVD. The aim of this study was to assess the short- and medium-term effectiveness of 9?months of a supervised physical activity program, including sociocultural activities, on CVD risk in adults. Methods Multicentered, randomized, controlled community intervention involving 364 patients in four primary care centers. The participants were randomly assigned to a Control Group (CG?=?104) or Intervention Group (IG?=?260); mean age 65.19?years; 76.8% women. The intervention consisted of 120?min/week walking (396 METs/min/week) and sociocultural gathering once a month. Clinical history, physical activity, dietary intake, CVD risk factors (smoking, systolic and diastolic blood pressure, weight, waist circumference, BMI, total cholesterol, LDL- and HDL-cholesterol, triglycerides, glycosylated hemoglobin and glucose) and global CVD risk were assessed at baseline and at the end of the intervention and multivariate models were applied to the data. Incidence of adverse cardiovascular events and continued adherence to the physical activity were assessed 2?years after intervention. Results At the end of the intervention period, in the IG relative to the CG group, there was a significant increase in physical activity (774.81 METs/min/week), a significant change during the intervention period in systolic blood pressure (?6.63?mmHg), total cholesterol (?10.12?mg/dL) and LDL-cholesterol (?9.05?mg/dL) even after adjustment for potential confounders. At 2?years after the intervention, in the IG, compared with the CG, tthe incidence of adverse cardiovascular events was significantly lower (2.5% vs. 10.5%) and the adherence to regular physical activity was higher (72.8% vs 27.2%) in IG compared to CG. Conclusions This community-based physical activity program improved cardiovascular health in the short- as well as medium-term, and promoted regular physical activity in the medium-term in older Spanish adults. Trials registration Clinicaltrials.gov ID NCT02767739 . Trial registered on May 5th, 2016 . Retrospectively registered
机译：背景技术体育锻炼是心血管疾病（CVD）的主要，可修改的危险因素，有助于心血管疾病的预防和管理。这项研究的目的是评估9个月的有监督体育锻炼计划（包括社会文化活动）对成年人CVD风险的短期和中期有效性。方法采用多中心，随机，对照的社区干预措施，涉及四个初级保健中心的364名患者。参与者被随机分为对照组（CG≥104）或干预组（IG≥260）。平均年龄65.19？岁; 76.8％的女性。干预包括120分钟/周的步行（396 METs /分钟/周）和每月一次的社会文化聚会。临床病史，体育锻炼，饮食摄入，CVD危险因素（吸烟，收缩压和舒张压，体重，腰围，BMI，总胆固醇，LDL和HDL胆固醇，甘油三酸酯，糖基化血红蛋白和葡萄糖）和总体CVD危险在基线和干预结束时进行评估，并将多变量模型应用于数据。干预后2年评估不良心血管事件的发生率和继续坚持体育锻炼。结果在干预期结束时，相对于CG组，IG的体力活动显着增加（774.81 METs / min /周），干预期收缩压显着变化（？6.63？）。 mmHg），总胆固醇（？10.12？mg / dL）和LDL-胆固醇（？9.05？mg / dL），即使在调整了潜在的混杂因素之后也是如此。干预后2年，与CG相比，在IG中，不良心血管事件的发生率显着降低（2.5％对10.5％），对常规体育锻炼的依从性更高（72.8％对27.2％）在IG中比在CG中。结论该基于社区的体育锻炼计划在短期和中期改善了心血管健康，并在中期促进了西班牙老年人的常规体育锻炼。试验注册Clinicaltrials.gov ID NCT02767739。试用于2016年5月5日注册。追溯注册

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