TY - JOUR AU - Fillol, Florie AU - Paris, Ludivine AU - Pascal, Sébastien AU - Mulliez, Aurélien AU - Roques, Christian-François AU - Rousset, Sylvie AU - Duclos, Martine PY - 2022 DA - 2022/6/16 TI -一个为期12个月的基于网络和智能手机的项目对改善参加水疗治疗的患者长期身体活动的可能影响:随机对照试验JO - J Med Internet Res SP - e29640 VL - 24is - 6kw -体力活动KW - spa KW -手机KW -老年人KW -互联网KW -锻炼KW -老年人KW -久坐行为KW -生活质量KW -随访研究AB -背景:缺乏体力活动(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在增加老年人和非传染性疾病患者的PA方面是有效的。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:本研究旨在评估在接受水疗治疗的患者中，在水疗治疗结束12个月后，结合面对面指导和回家时，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:本研究为一项为期12个月的前瞻性、平行、随机对照试验。患者在spa治疗期间随机1:1分为干预组和对照组，对照组接受PA常规建议。从水疗治疗结束开始，每2个月通过电话评估参与者的PA、体重、腰围和生活质量。主要结局是在12个月时达到PAG (PA≥600代谢当量任务)。次要结果是在6个月时达到目前的PAG; 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 SN - 1438-8871 UR - //www.mybigtv.com/2022/6/e29640 UR - https://doi.org/10.2196/29640 UR - http://www.ncbi.nlm.nih.gov/pubmed/35708743 DO - 10.2196/29640 ID - info:doi/10.2196/29640 ER -