A physical activity coaching intervention can improve and maintain physical activity and health-related outcomes in adult ambulatory hospital patients: the Healthy4U-2 randomised controlled trial

被引：21
作者：
Barrett, Stephen [1 ,2 ]
Begg, Stephen [1 ]
O'Halloran, Paul [3 ]
Kingsley, Michael [4 ,5 ]
机构：
[1] La Trobe Univ, La Trobe Rural Hlth Sch, POB 199, Bendigo, Vic 3552, Australia
[2] Bendigo Hlth Care Grp, Hlth Promot Dept, POB 126, Bendigo, Vic 3552, Australia
[3] La Trobe Univ, Sch Psychol & Publ Hlth, Bundoora, Vic 3068, Australia
[4] La Trobe Univ, La Trobe Rural Hlth Sch, Holsworth Res Initiat, POB 199, Bendigo, Vic 3552, Australia
[5] Univ Auckland, Dept Exercise Sci, Newmarket 1023, New Zealand
来源：
INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY | 2020年 / 17卷 / 01期
关键词：
Physical activity; Exercise motivation; Accelerometry; Public health; DIETARY BEHAVIOR-CHANGE; CHRONIC DISEASE; RISK-FACTOR; MORTALITY; ADVICE; LIFE; MAINTENANCE; EXERCISE; THERAPY; CARE;
D O I：
10.1186/s12966-020-01063-x
中图分类号：
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号：
100403 ;
摘要：
Background: The Healthy 4 U-2 study sought to evaluate the effect of a twelve-week, physical activity (PA) coaching intervention for changes and maintenance in PA, anthropometrics and health-related outcomes in adults presenting to an ambulatory hospital clinic. Methods: One hundred and twenty insufficiently active adults were recruited from an ambulatory hospital clinic and randomised to an intervention group that received an education session and five 20-min telephone sessions of PA coaching, or to a control group that received the education session only. ActiGraph GT3X accelerometers were used to measure moderate-to-vigorous physical activity (MVPA) at baseline, post-intervention (3-months) and follow-up (9-months). Secondary outcome measures (anthropometrics, PA self-efficacy, and health-related quality of life) were also assessed at the three time points. Results: At baseline, the mean age and body mass index of participants were 53 +/- 8 years and 31 +/- 4 kg/m(2), respectively. Relative to control, the intervention group increased objectively measured MVPA at post-intervention (p < 0.001) and 9 months follow-up (p < 0.001). At the 9-month follow-up the intervention group completed 22 min/day of MVPA (95% CI: 20 to 25 min/day), which is sufficient to meet the recommended PA guidelines. The intervention group exhibited beneficial changes in body mass (p < 0.001), waist circumference (p < 0.001), body mass index (p < 0.001), PA self-efficacy (p < 0.001), and health-related quality of life (p < 0.001) at the 9-month follow-up. Conclusions: This study demonstrates that a low contact PA coaching intervention results in beneficial changes in PA, anthropometrics and health-related outcomes in insufficiently active adults presenting to an ambulatory care clinic. The significant beneficial changes were measured at post-intervention and the 9-month follow-up, demonstrating a maintenance effect of the intervention.
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页数：11
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