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Project GYM: A randomized feasibility study investigating effect on motivation of personal trainer-led exercise in young men with hemophilia

机译:Project健身房:随机可行性研究调查对血友病的年轻男性私人教练主导运动的动机

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Introduction Many young men with hemophilia engage in physical activity and sport but face challenges to participation because of their hemophilia. Project GYM aimed to investigate the feasibility of a hemophilia-specific fitness program led by a personal trainer (PT) and its impact on gym activity, motivation, and adherence to exercise. Methods This was a nonblinded, randomized feasibility study, recruiting participants aged 18 to 25?years with hemophilia A or B (all severities, ± inhibitor) from three London hemophilia centers. All participants were given an activity tracker and free gym membership. Participants were randomized to a “gym only” or “gym and PT” arm. Participants completed questionnaires evaluating motivation to exercise, quality of life, physical activity levels, self-efficacy, and self-esteem at study start and study end. Results Of 142 eligible individuals, 19 agreed to participate. Participants were healthy, with mean body mass index and adiposity slightly lower than the UK average. They reported low bleed numbers and had good joint health (median Hemophilia Joint Health Score [HJHS], 0; range, 0-13). The gym and PT group had more gym attendance than the gym-only group. Seven participants increased their activity levels and nine stayed the same, with no statistical difference between groups. HJHS scores improved in 3 participants and were unchanged in 12. There was no bleeding associated with gym activity. Conclusion Project GYM has demonstrated the safety and feasibility of a tailored physical training program in young men with hemophilia. Increased gym attendance, with and without support from a PT, is associated with increased physical activity.
机译:介绍许多年轻人血友病从事体育活动和体育,而是因为他们的血友病而面临挑战。项目健身房旨在探讨由私人教练(PT)领导的血友病特定健身计划的可行性及其对健身房活动,动机和遵守锻炼的影响。方法这是一种非粘性,随机可行性研究,招募18至25岁的参与者与来自三个伦敦血友病中心的血友病A或B(所有严重主义率,抑制剂)。所有参与者都获得了活动追踪者和免费健身房会员资格。参与者随机被随机分为“仅限健身房”或“健身房和PT”手臂。与会者完成了调查问卷评估运动,生活质量,身体活动水平,自我效能,以及在学习开始和学习结束时的自尊。结果142个合格的个人,19人同意参加。参与者健康,平均体重指数和肥胖略低于英国平均值。他们报告了低流血数并具有良好的联合健康(中位血友病联合健康评分[HJHS],0;范围,0-13)。健身房和PT集团的健身房也比仅限健身房群体更多。七位参与者增加了他们的活动水平,九个保持不变,群体之间没有统计学差异。 HJHS分数在3名参与者中得到改善,12人不变。没有与健身活动相关的出血。结论项目健身房展示了在血友病的年轻人身体训练计划的安全性和可行性。增加了与PT的支持,不受PT的体育运动力,与身体活动增加有关。

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