sábado, 5 de julio de 2014

Preventing Chronic Disease | A Strength Training Program for Primary Care Patients, Central Pennsylvania, 2012 - CDC

full-text ►

Preventing Chronic Disease | A Strength Training Program for Primary Care Patients, Central Pennsylvania, 2012 - CDC



Preventing Chronic Disease Logo



A Strength Training Program for Primary Care Patients, Central Pennsylvania, 2012

Christopher N. Sciamanna, MD, MPH; Vijay A. Patel, BS; Jennifer L. Kraschnewski, MD, MPH; Liza S. Rovniak, PhD; Dino A. Messina, MD; Heather L. Stuckey, DEd; William J. Curry, MD, MS; Cynthia H. Chuang, MD, MSc; Lisa L. Sherwood, MD; Stacy L. Hess

Suggested citation for this article: Sciamanna CN, Patel VA, Kraschnewski JL, Rovniak LS, Messina DA, Stuckey HL, et al. A Strength Training Program for Primary Care Patients, Central Pennsylvania, 2012. Prev Chronic Dis 2014;11:130403. DOI:http://dx.doi.org/10.5888/pcd11.130403External Web Site Icon.
PEER REVIEWED

Abstract

Introduction
Primary care providers can recommend strength training programs to use “Exercise as Medicine,” yet few studies have examined the interest of primary care patients in these programs.
Methods
We conducted a cross-sectional survey of primary care patients in central Pennsylvania. Interest in participating in free group-based strength training and weight control programs was assessed, in addition to patient demographics, medical history, and quality of life.
Results
Among 414 patients, most (61.0%) were aged 54 or older, and 64.0% were female. More patients were interested in a strength training program (55.3%) than in a weight control program (45.4%). Nearly three-quarters (72.8%) of those reporting 10 or more days of poor physical health were interested in a strength training program compared with 49.5% of those reporting no days of poor physical health. After adjusting for potential confounders, those reporting poorer physical health had 2.7 greater odds (95% confidence interval, 1.4–5.1) of being interested in a strength training program compared with those reporting better physical health. Patients with hypertension, diabetes, or high cholesterol were not more interested in a strength training program than those without these conditions.
Conclusion
Primary care practices may consider offering or referring patients to community-based strength training programs. This study observed high levels of interest in these widely available programs. Practices may also consider screening and referring those with poorer physical health, as they may be the most interested and have the most to gain from participating.

Acknowledgments

Preparation of this manuscript was funded, in part, by the National Institute of Diabetes and Digestive and Kidney Disease, Grant 1R01DK095078, and the Clinical and Translational Science Institute of the Pennsylvania State University, awarded to Dr Christopher Sciamanna; by the National Center for Advancing Translational Sciences, National Institutes of Health (NIH), grants UL1TR000127 (Sinoway) and KL2TR000126, awarded to Dr Jennifer Kraschnewski; by the NIH, grant R00HL088017, awarded to Dr Liza Rovniak; and by the National Institute of Diabetes and Digestive and Kidney Diseases, grant 5 K01 DK090403, awarded to Dr Heather Stuckey. The content is solely the responsibility of the authors and does not necessarily represent the official views of NIH.

Author Information

Corresponding Author: Christopher N. Sciamanna, MD, MPH, Penn State Hershey Medical Center, Division of General Internal Medicine, H034, 500 University Dr, Hershey, PA 17033. Telephone: 717-531-4601. E-mail: cns10@psu.edu.
Author Affiliations: Vijay A. Patel, Jennifer L. Kraschnewski, Liza S. Rovniak, Heather L. Stuckey, William J. Curry, Cynthia H. Chuang, Lisa L. Sherwood, Stacy L. Hess, Penn State Hershey Medical Center, Hershey, Pennsylvania; Dino A. Messina, Danbury Hospital, Danbury, Connecticut.

References

  1. Nelson ME, Fiatarone MA, Morganti CM, Trice I, Greenberg RA, Evans WJ. Effects of high-intensity strength training on multiple risk factors for osteoporotic fractures. A randomized controlled trial. JAMA 1994;272(24):1909–14. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  2. Fiatarone MA, O’Neill EF, Ryan ND, Clements KM, Solares GR, Nelson ME, et al. Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med 1994;330(25):1769–75. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  3. Candow DG, Chilibeck PD, Abeysekara S, Zello GA. Short-term heavy resistance training eliminates age-related deficits in muscle mass and strength in healthy older males. J Strength Cond Res 2011;25(2):326–33. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  4. Finley CE, Barlow CE, Greenway FL, Rock CL, Rolls BJ, Blair SN. Retention rates and weight loss in a commercial weight loss program. Int J Obes (Lond) 2007;31(2):292–8. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  5. Seguin RA, Economos CD, Palombo R, Hyatt R, Kuder J, Nelson ME. Strength training and older women: a cross-sectional study examining factors related to exercise adherence. J Aging Phys Act 2010;18(2):201–18. PubMedExternal Web Site Icon
  6. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, et al. Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007;116(9):1081–93. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  7. Garber CE, Blissmer B, Deschenes MR, Franklin BA, Lamonte MJ, Lee IM, et al. American College of Sports Medicine position stand. Quantity and quality of exercise for developing and maintaining cardiorespiratory, musculoskeletal, and neuromotor fitness in apparently healthy adults: guidance for prescribing exercise. Med Sci Sports Exerc 2011;43(7):1334–59. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  8. Carlson SA, Fulton JE, Schoenborn CA, Loustalot F. Trend and prevalence estimates based on the 2008 Physical Activity Guidelines for Americans. Am J Prev Med 2010;39(4):305–13. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  9. ACSM and AMA launch “Exercise is Medicine” program. American College of Sports Medicine, American Medical Association; 2007. http://exerciseismedicine.org/images/PressReleaseNov07.pdf. Accessed February 26, 2014.
  10. Seguin RA, Economos CD, Hyatt R, Palombo R, Reed PN, Nelson ME. Design and national dissemination of the StrongWomen community strength training program. Prev Chronic Dis 2008;5(1):A25. PubMedExternal Web Site Icon
  11. Wallace JI, Buchner DM, Grothaus L, Leveille S, Tyll L, LaCroix AZ, et al. Implementation and effectiveness of a community-based health promotion program for older adults. J Gerontol A Biol Sci Med Sci 1998;53(4):M301–6. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  12. Nguyen HQ, Maciejewski ML, Gao S, Lin E, Williams B, Logerfo JP. Health care use and costs associated with use of a health club membership benefit in older adults with diabetes. Diabetes Care 2008;31(8):1562–7. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  13. Nguyen HQ, Ackermann RT, Maciejewski M, Berke E, Patrick M, Williams B, et al. Managed-Medicare health club benefit and reduced health care costs among older adults. Prev Chronic Dis 2008;5(1):A14. http://www.cdc.gov/pcd/issues/2008/jan/07_0148.htm. Accessed February 26, 2014. PubMedExternal Web Site Icon
  14. Moriarty DG, Zack MM, Kobau R. The Centers for Disease Control and Prevention’s Healthy Days Measures — population tracking of perceived physical and mental health over time. Health Qual Life Outcomes 2003;1:37. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  15. DeSalvo KB, Jones TM, Peabody J, McDonald J, Fihn S, Fan V, et al. Health care expenditure prediction with a single item, self-rated health measure. Med Care 2009;47(4):440–7. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  16. Greenwood JL, Joy EA, Stanford JB. The Physical Activity Vital Sign: a primary care tool to guide counseling for obesity. J Phys Act Health 2010;7(5):571–6. PubMedExternal Web Site Icon
  17. Behavioral Risk Factor Surveillance System. Atlanta (GA): Centers for Disease Control and Prevention; 2013. http://www.cdc.gov/brfss/. Accessed February 26, 2014.
  18. Kraschnewski JL, Sciamanna CN, Stuckey HL, Chuang CH, Lehman EB, Hwang KO, et al. A silent response to the obesity epidemic: decline in US physician weight counseling. Med Care 2013;51(2):186–92. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  19. Andreyeva T, Long MW, Henderson KE, Grode GM. Trying to lose weight: diet strategies among Americans with overweight or obesity in 1996 and 2003. J Am Diet Assoc 2010;110(4):535–42. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  20. Schoenborn CA, Heyman KM. Health characteristics of adults aged 55 years and over: United States, 2004–2007. Natl Health Stat Report 2009;(16):1–31. PubMedExternal Web Site Icon
  21. Ciccolo JT, Pettee Gabriel KK, Macera C, Ainsworth BE. Association between self-reported resistance training and self-rated health in a national sample of U.S. men and women. J Phys Act Health 2010;7(3):289–98. PubMedExternal Web Site Icon
  22. Attitudes of seniors and baby boomers on aging in place. Nashville (TN): Prince Market Research; 2007. http://americareinfo.com/site/wp-content/uploads/2009/09/Clarity_Aging_in_Place_2007.pdf. Accessed February 26, 2014.
  23. Robroek SJ, van Lenthe FJ, van Empelen P, Burdorf A. Determinants of participation in worksite health promotion programmes: a systematic review. Int J Behav Nutr Phys Act 2009;6:26. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon
  24. Yan T, Curtin R, Jans M. Trends in income nonresponse over two decades. J Off Stat 2010;26(1):145–64.
  25. Singer N. Your recycled resolutions are a boon for business. New York Times 2011 December 31. http://www.nytimes.com/2012/01/01/business/new-years-resolutions-recycled-are-a-boon-for-business.html. Accessed February 26, 2014.
  26. Layne JE, Sampson SE, Mallio CJ, Hibberd PL, Griffith JL, Das SK, et al. Successful dissemination of a community-based strength training program for older adults by peer and professional leaders: the People Exercising Program. J Am Geriatr Soc 2008;56(12):2323–9. CrossRefExternal Web Site Icon PubMedExternal Web Site Icon

No hay comentarios: