Combining Supervised Exercise And Physical Activity Counselling Might Increase Retention To GP Exercise Referral Programmes.

Abstract

PURPOSE: Evidence for the effectiveness of GP Exercise Referral is weak (1, 2). We examined traditional supervised exercise (TRAD), physical activity counselling (PAC), combined TRAD/PAC (CMB) and wait-list controls (CON) in a community exercise referral programme in South East London, UK. METHODS: PPs (n=141) were identified by their doctors as overweight and at increased risk of Type 2 Diabetes. PPs were randomly assigned to treatment. Measures were blood pressure and body composition at baseline and 12 weeks. RESULTS: One-way ANOVA of absolute change in dependant variables between treatments indicated that body fat mass, body fat % and systolic blood pressure were reduced at 12 weeks for all groups including CONT. No statistically significant between-group effects were observed. Paired sample t-tests indicated that lean mass was significantly increased at 12 weeks for all groups including CON; diastolic blood pressure was significantly decreased for all groups at 12 weeks except PAC. Retention was highest to CMB (75%), followed by CON (68%), with PAC and TRAD both at 55%. CONCLUSIONS: Treatment groups and CON appeared to benefit from the programme, with likely measurement effects partially explaining improvement in CON. High retention to CMB is of significance to future GP Referral programmes.Table 1: Paired samples T-test comparing dependant variables at baseline and 12 weeks1. Beedie C, Mann S, Jimenez A et al. Death by effectiveness: exercise as medicine caught in the efficacy trap! BJSM. 2015. 2. Pavey T, Taylor A, Hillsdon M et al. Levels and predictors of exercise referral scheme uptake and adherence: a systematic review. J Epidemiol Community Health. 2012;66(8):737-44.