%0期刊文章%@ 1438- 8871% I JMIR出版物%V 24卡塔尔世界杯8强波胆分析% N 6% P e29640% T为期12个月的基于网络和智能手机的计划对改善参加水疗治疗的患者的长期身体活动的可能影响:随机对照试验%A Fillol,Florie %A Paris,Ludivine %A Pascal,Sébastien %A Mulliez,Aurélien %A Roques,Christian-François %A Rousset,Sylvie %A Duclos,Martine %+ Biomouv SAS Inc, 259 Rue Saint Honoré，巴黎，75001，法国，33 0664421389，florie.fillol@gmail.com %K体育活动%K spa %K手机%K老年人%K互联网%K运动%K老年人%K久坐行为%K生活质量%K随访研究%D 2022 %7 16.6.2022 %9原始论文%J J医学互联网Res %G英语%X背景:缺乏体育活动(PA)和久坐行为是非传染性疾病(NCDs)的主要危险因素。基于网络和智能手机的干预措施对于提高老年人和非传染性疾病患者的PA是有效的。在许多国家，通常为非传染性疾病患者开出的水疗疗法是开始改变生活方式的理想环境。目的:本研究旨在评估接受spa治疗的患者，在spa治疗结束12个月后，结合面对面指导和基于网络和智能手机的PA项目对PA指南(PAG)实现的干预效果。方法:这是一项为期12个月、前瞻性、平行组随机对照试验。在spa治疗期间，患者被随机分为干预组和对照组，分别接受PA常规建议。从spa治疗结束开始，每2个月对参与者的PA、体重、腰围和生活质量进行电话评估。主要结局是在12个月达到PAG (PA≥600代谢当量的任务)。 Secondary outcomes were meeting current PAG at 6 months; sedentary time, weight, waist circumference, PA, and quality of life at 6 and 12 months. Objective use data of the web- and smartphone-based PA program were collected. Analytic methods included intention to treat and constrained longitudinal data analyses. Results: The study sample included 228 participants (n=176, 77.2% females) with a mean age of 62.4 (SD 6.7) years and a mean BMI of 28.2 (SD 4.2) kg/m2. Approximately 53.9% (123/228) of the participants were retired. No group differences were found for any baseline variable. At 12 months, the proportion of patients achieving PAG was significantly higher in intervention group than in the control group (81% vs 67% respectively, odds ratio 2.34, 95% CI 1.02-5.38; P=.045). No difference between intervention and control group was found neither in achieving PAG at 6 months nor for sedentary time, weight, and waist circumference at 6 and 12 months. Regarding quality of life, the physical component subscale score was significantly higher at 12 months in the intervention group than in the control group (mean difference: 4.1, 95% CI 1.9-6.3; P<.001). The mean duration use of the program was 7.1 (SD 4.5) months. Attrition rate during the first 2 months was 20.4% (23/113) whereas 39.8% (45/113) of the participants used the program for at least 10 months. Conclusions: PA increased in both the intervention group and the control group. However, at 12 months, more participants met PAG in the intervention group compared with the controls. This indicates that the web- and smartphone-based program could have maintained PA in the intervention group. In addition, a spa therapy seems to be an ideal time and framework to implement PA education. Trial Registration: ClinicalTrials.gov NCT02694796; https://clinicaltrials.gov/ct2/show/NCT02694796 %M 35708743 %R 10.2196/29640 %U //www.mybigtv.com/2022/6/e29640 %U https://doi.org/10.2196/29640 %U http://www.ncbi.nlm.nih.gov/pubmed/35708743