TY - JOUR
T1 - Longitudinal comparison of a physiotherapist-led home-based and group-based program for increasing physical activity in community-dwelling middle-aged adults
AU - FREENE, Nicole
AU - WADDINGTON, Gordon
AU - DAVEY, Rachel
AU - COCHRANE, Tom
PY - 2015
Y1 - 2015
N2 - Few studies have compared the longer-term effects of physical activity interventions. Here we compare a 6-month physiotherapist-led, home-based physical activity program to a community group exercise program over 2 years. Healthy, sedentary community-dwelling 50-65 year olds were recruited to a non-randomised community group exercise program (G, n≤93) or a physiotherapist-led, home-based physical activity program (HB, n≤65). Outcomes included 'sufficient' physical activity (Active Australia Survey), minutes of moderate-vigorous physical activity (ActiGraph GT1M), aerobic capacity (2-min step-test), quality of life (SF-12v2), blood pressure, waist circumference, waist-to-hip ratio and body mass index. Outcome measures were collected at baseline, 6, 12, 18 and 24 months. Using intention-to-treat analysis, both interventions resulted in significant and sustainable increases in the number of participants achieving 'sufficient' physical activity (HB 22 v. 41%, G 22 v. 47%, P≤0.001) and decreases in waist circumference (HB 90 v. 89cm, G 93 v. 91cm, P<0.001) over 2 years. The home-based program was less costly (HB A$47 v. G $84 per participant) but less effective in achieving the benefits at 2 years. The physiotherapist-led, home-based physical activity program may be a low-cost alternative to increase physical activity levels for those not interested in, or unable to attend, a group exercise program.
AB - Few studies have compared the longer-term effects of physical activity interventions. Here we compare a 6-month physiotherapist-led, home-based physical activity program to a community group exercise program over 2 years. Healthy, sedentary community-dwelling 50-65 year olds were recruited to a non-randomised community group exercise program (G, n≤93) or a physiotherapist-led, home-based physical activity program (HB, n≤65). Outcomes included 'sufficient' physical activity (Active Australia Survey), minutes of moderate-vigorous physical activity (ActiGraph GT1M), aerobic capacity (2-min step-test), quality of life (SF-12v2), blood pressure, waist circumference, waist-to-hip ratio and body mass index. Outcome measures were collected at baseline, 6, 12, 18 and 24 months. Using intention-to-treat analysis, both interventions resulted in significant and sustainable increases in the number of participants achieving 'sufficient' physical activity (HB 22 v. 41%, G 22 v. 47%, P≤0.001) and decreases in waist circumference (HB 90 v. 89cm, G 93 v. 91cm, P<0.001) over 2 years. The home-based program was less costly (HB A$47 v. G $84 per participant) but less effective in achieving the benefits at 2 years. The physiotherapist-led, home-based physical activity program may be a low-cost alternative to increase physical activity levels for those not interested in, or unable to attend, a group exercise program.
KW - Healthy sedentary adherence
KW - cost evaluation
KW - exercise
KW - adherence
UR - http://www.scopus.com/inward/record.url?scp=84929312927&partnerID=8YFLogxK
UR - http://www.mendeley.com/research/longitudinal-comparison-physiotherapistled-homebased-groupbased-program-increasing-physical-activity-1
U2 - 10.1071/PY13114
DO - 10.1071/PY13114
M3 - Article
SN - 1448-7527
VL - 21
SP - 189
EP - 196
JO - Australian Journal of Primary Health
JF - Australian Journal of Primary Health
IS - 2
ER -