中高年者を対象にした運動習慣確立プログラムによる健康増進効果-札幌市国保ヘルスアップモデル事業の結果から-

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Background: Regular physical activity has been promoted as a necessary and important component of disease evention, health promotion, and improved quality of live. However, significant gaps in knowledge remain concerning the most effective means for increasing exercise among sedentary adults in the community.Objective: To compare the effect of, and adherence to, a home-based exercise training program.Design: Intervention study. Follow up for 6 monthsSetting: A community-based health projectSubjects: A total of 296 men and women (48-86 years old; mean age 67.6 ± 6.4 years) who were sedentary and met 2 or more of the following 4 criteria (high blood pressure, hyperlipidemia, overweight, high level of glucose) in 2003-2004. For every subject, two control subjects were selected. Age strata (5-year interval) and sex were used as matching variables. Subjects were recruited through citywide promotion.Main outcome measures: Exercise adherence rates, lifestyle modification, and body mass index (BMI), blood pressure, levels of glucose, cholesterol, triglyceride, and hemoglobin A1C.Results: At 6 months, 86.5% (260/296) of the subjects had completed the exercise training program. Total cholesterol levels were reduced significantly (p=0.03) from baseline in the intervention group. Compared with the control group, the fasting blood sugar level decreased in the intervention group (p=0.03).Conclusions: We conclude that this community-based exercise-training program may offer health benefits for sedentary middle-aged and older adults. Individually prescribed home-based regimens that are supervised by telephone and mail have proven effective in maintaining high levels of exercise participation in middle-aged and older men and women.
札幌医科大学の論文
2005-12-01

中高年者を対象にした運動習慣確立プログラムによる健康増進効果-札幌市国保ヘルスアップモデル事業の結果から-

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