Repositori URV

Author, as appears in the article.: Arija, Victoria; Villalobos, Felipe; Pedret, Roser; Vinuesa, Angels; Timon, Merce; Basora, Teresa; Aguas, Dolors; Basora, Josep;Pas-a-Pas Res Grp

Department: Ciències Mèdiques Bàsiques

URV's Author/s: Arija Val, Maria Victoria / Basora Gallisa, Josep

Keywords: Women Reduced mortality Randomized controlled-trial Primary care program Prevention Physical activity Metabolic syndrome Men Life-style Intervention program General-practice Exercise Coronary-heart-disease Cardiovascular disease risk prevention physical activity intervention program cardiovascular disease risk prevention

Abstract: Background: Physical activity is a major, modifiable, risk factor for cardiovascular disease (CVD) that contributes to the prevention and management of CVD. The aim of this study was to assess the short-and medium-term effectiveness of 9 months of a supervised physical activity program, including sociocultural activities, on CVD risk in adults. Methods: Multicentered, randomized, controlled community intervention involving 364 patients in four primary care centers. The participants were randomly assigned to a Control Group (CG = 104) or Intervention Group (IG = 260); mean age 65.19 years; 76.8% women. The intervention consisted of 120 min/week walking (396 METs/min/week) and sociocultural gathering once a month. Clinical history, physical activity, dietary intake, CVD risk factors (smoking, systolic and diastolic blood pressure, weight, waist circumference, BMI, total cholesterol, LDL-and HDL-cholesterol, triglycerides, glycosylated hemoglobin and glucose) and global CVD risk were assessed at baseline and at the end of the intervention and multivariate models were applied to the data. Incidence of adverse cardiovascular events and continued adherence to the physical activity were assessed 2 years after intervention. Results: At the end of the intervention period, in the IG relative to the CG group, there was a significant increase in physical activity (774.81 METs/min/week), a significant change during the intervention period in systolic blood pressure (-6.63 mmHg), total cholesterol (-10.12 mg/dL) and LDL-cholesterol (-9.05 mg/dL) even after adjustment for potential confounders. At 2 years after the intervention, in the IG, compared with the CG, tthe incidence of adverse cardiovascular events was significantly lower (2.5% vs. 10.5%) and the adherence to regular physical activity was higher (72.8% vs 27.2%) in IG compared to CG. Conclusions: This community-based physical activity program improved cardiovascular health in the short-as well as medium-term, and promoted regular physical activity in the medium-term in older Spanish adults.

Thematic Areas: Zootecnia / recursos pesqueiros Sociología Serviço social Saúde coletiva Química Public, environmental & occupational health Public health, environmental and occupational health Psicología Planejamento urbano e regional / demografia Odontología Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar Geociências Farmacia Ensino Enfermagem Educação física Educação Economia Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciência de alimentos Biotecnología Astronomia / física Antropologia / arqueologia Administração, ciências contábeis e turismo Administração pública e de empresas, ciências contábeis e turismo

licence for use: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 14712458

Author's mail: josep.basora@urv.cat victoria.arija@urv.cat josep.basora@urv.cat

Author identifier: 0000-0002-1758-0975

Record's date: 2024-05-11

Papper version: info:eu-repo/semantics/publishedVersion

Link to the original source: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-017-4485-3

Licence document URL: http://repositori.urv.cat/ca/proteccio-de-dades/

Papper original source: Bmc Public Health. 17 (576): 576-

APA: Arija, Victoria; Villalobos, Felipe; Pedret, Roser; Vinuesa, Angels; Timon, Merce; Basora, Teresa; Aguas, Dolors; Basora, Josep;Pas-a-Pas Res Grp (2017). Effectiveness of a physical activity program on cardiovascular disease risk in adult primary health-care users: the "Pas-a-Pas" community intervention trial. Bmc Public Health, 17(576), 576-. DOI: 10.1186/s12889-017-4485-3

Article's DOI: 10.1186/s12889-017-4485-3

Entity: Universitat Rovira i Virgili

Journal publication year: 2017

Publication Type: Journal Publications