Longitudinal comparison of a physiotherapist-led home-based and group-based program for increasing physical activity in community-dwelling middle-aged adults

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Abstract

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.

Original languageEnglish
Pages (from-to)189-196
Number of pages8
JournalAustralian Journal of Primary Health
Volume21
Issue number2
DOIs
Publication statusPublished - 2015

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Group Homes
Independent Living
Physical Therapists
Exercise
Waist Circumference
Intention to Treat Analysis
Waist-Hip Ratio
Exercise Test
Body Mass Index

Cite this

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title = "Longitudinal comparison of a physiotherapist-led home-based and group-based program for increasing physical activity in community-dwelling middle-aged adults",
abstract = "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.",
keywords = "Healthy sedentary adherence, cost evaluation, exercise, adherence",
author = "Nicole FREENE and Gordon WADDINGTON and Rachel DAVEY and Tom COCHRANE",
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AU - COCHRANE, Tom

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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.

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