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  1. Randomised controlled trial to examine the effects of a GP exercise referral programme in Hailsham, East Sussex, on modifiable coronary heart disease risk factors.

    Article - En anglais

    Objective

    To examine the effects of a GP exercise referral programme on modifiable coronary heart disease risk factors.

    Design-Randomised controlled trial

    A battery of validated measures were carried out at 0,8,16,26, and 37 weeks.

    Setting-Two community health centres and a leisure centre in Hailsham, East Sussex.

    Subjects-389 patients (smokers, hypertensive or overweight) were selected from medical records, screened for contraindications to exercise and 345 were invited into the study.

    Of 142 patients randomly allocated, 40 (41%) completed the study in the exercise group and 31 (69%) in the control group.

    Sixty (35%) invited smokers (48% of non-smokers), 71 (38%) invited hypertensive patients (45% of non-hypertensive patients), and 107 (45%) overweight patients (33% of non-overweight patients) were randomised.

    Of those randomised, 27 (45%) smokers, 52 (48%) overweight, and 43 (61%) hypertensive patients completed the study.

    Intervention-The exercise group was offered 20, half price sessions over 10 weeks at a leisure centre.

    Patients engaged in moderate and vigorous aerobic type activity on various exercise machines, in a semi-supervised, informal environment.

    Results

    87% of those referred used the prescription and 28% (high adherers) (45% of obese patients) did at least 15 sessions.

    The exercise group reduced sum of skinfolds by 8.1% (2.9 to 13.3,95% confidence intervals) more than the control group, up to 16 weeks after baseline. (...)

    Mots-clés Pascal : Cardiopathie coronaire, Exercice physique, Programme sanitaire, Facteur risque, Epidémiologie, Evaluation, Homme, Royaume Uni, Europe, Randomisation, Appareil circulatoire pathologie

    Mots-clés Pascal anglais : Coronary heart disease, Physical exercise, Sanitary program, Risk factor, Epidemiology, Evaluation, Human, United Kingdom, Europe, Randomization, Cardiovascular disease

    Logo du centre Notice produite par :
    Inist-CNRS - Institut de l'Information Scientifique et Technique

    Cote : 98-0454129

    Code Inist : 002B12A03. Création : 25/01/1999.