Evidence map›Paper›PMID 32933577›Full record

Trial reportTrials2020

Long-term physical activity on prescription intervention for patients with insufficient physical activity level-a randomized controlled trial.

Stefan Lundqvist, Mats Börjesson, Åsa Cider, Lars Hagberg, Camilla Bylin Ottehall, Johan Sjöström, Maria E H Larsson

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Trials, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03012516 (Physical Activity on Prescription With Two Different Strategies. One Year Follow-up Regarding Physical Activity Level, Metabolic Health and Health-related Quality of Life. A Randomized Controlled Trial.), which is not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.2field-weighted citation impact, top 21% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03012516 nacompletednot on this map

Physical Activity on Prescription With Two Different Strategies. One Year Follow-up Regarding Physical Activity Level, Metabolic Health and Health-related Quality of Life. A Randomized Controlled Trial.

TypeinterventionalSponsorVastra Gotaland RegionRan2010 to 2020Enrolled190ConditionsHealth Behavior, Activities of Daily Living, Metabolic Syndrome X, Quality of LifeArmsPAP-treatment by physiotherapist, Ordinary PAP-treatment at the health care center
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. A systematic review and narrative synthesis of physical activity referral schemes' components.The international journal of behavioral nutrition and physical activity · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Stefan LundqvistDepartment of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. stefan.lundqvist@vgregion.se.ORCID http://orcid.org/0000-0002-3467-8499
Mats BörjessonCenter for Health and Performance (CHP), University of Gothenburg, Gothenburg, Sweden.
Åsa CiderDepartment of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Lars HagbergUniversity Health Care Research Center, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Camilla Bylin OttehallCentrum för fysisk aktivitet Göteborg, Gothenburg, Region Västra Götaland, Sweden.
Johan SjöströmCentrum för fysisk aktivitet Göteborg, Gothenburg, Region Västra Götaland, Sweden.
Maria E H LarssonDepartment of Health and Rehabilitation, Unit of Physiotherapy, Institute of Neuroscience and Physiology, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Region Västra Götaland · SEÖrebro University · SEQuviq (Sweden) · SESahlgrenska University Hospital · SEUniversity of Gothenburg · SE

Funding

Research and Development Primary Health Care, Region Västra Götaland, Gothenburg, Sweden -
6 · The paper itself

Abstract

backgroundPhysical activity (PA) can be used to prevent and treat diseases. In Sweden, licensed healthcare professionals use PA on prescription (PAP) to support patients to increase their PA level. The aim of this randomized controlled trial was to evaluate a 2-year intervention of two different strategies of PAP treatment for patients with insufficient PA level, after a previous 6-month period of ordinary PAP treatment in a primary health care setting.

methodsWe included 190 patients, 27-77 years, physically inactive with metabolic risk factors where the patients were not responding to a previous 6-month PAP treatment with increased PA. The patients were randomized to either enhanced support from a physiotherapist (PT group) or continued ordinary PAP treatment at the health care centre (HCC group). The PAP treatment included an individualized dialogue; an individually dosed PA recommendation, including a written prescription; and a structured follow-up. In addition to PAP, the PT group received aerobic fitness tests and more frequent scheduled follow-ups. The patient PA level, metabolic health, and health-related quality of life (HRQOL) were measured at baseline and at 1- and 2-year follow-ups.

resultsAt the 2-year follow-up, 62.9% of the PT group and 50.8% of the HCC group had increased their PA level and 31.4% vs. 38.5% achieved ≥ 150 min of moderate-intensity PA/week (difference between groups n.s.). Over 2 years, both groups displayed increased high-density lipoproteins (HDL) (p = 0.004 vs. baseline), increased mental health status (MCS) (p = 0.036), and reduced body mass index (BMI) (p = 0.001), with no difference between groups.

conclusionDuring long-term PAP interventions, the PA level, metabolic health, and HRQOL increased in patients at metabolic risk without significant differences between groups. The results indicate to be independent of any changes in pharmacological treatment. We demonstrated that the PAP treatment was feasible in ordinary primary care. Both the patients and the healthcare system benefitted from the improvement in metabolic risk factors. Future studies should elucidate effective long-term PAP-treatment strategies.

trial registrationClinicalTrials.gov NCT03012516 . Registered on 30 December 2016-retrospectively registered.

Indexed as

Carcinoma, HepatocellularLiver NeoplasmsExerciseHumansPrescriptionsQuality of LifeSwedenHealth behaviourMetabolic syndromePhysical activityPhysical therapyPrimary health careQuality of life

Identifiers

PMID32933577
PMCPMC7493144
OpenAlexW3085315853

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.