Médecine du Sport SOFMER/SFMES
Le 16/10/2021 de 11:00 à 12:30
Mise en place et évaluation du dispositif "Sport sur ordonnance" pour les individus atteints de maladies chroniques au sein de la ville de Caen
Lelandais Paul (Caen, France), Antoine Desvergée (Caen, France), Agostini Caroline (Caen, France), Decker Leslie (Caen, France), Bruno Burel (Rouen, France), Sonia Dollfus (Caen, France), Joffrey Drigny (Caen, France)
Objective : This study aimed to evaluate the implementation and the impact of a community-based Exercise on Prescription program on physical capacities and quality of life of adults with chronic diseases.
Material / Patients and Methods : The program consisted in 30 supervised physical activity (PA) group sessions (75 min) over 4 months. The study population was the prescribing physicians and the patients referred to the program. Selected chronic diseases were type 2 diabetes, mental disorders, musculoskeletal disorders, childhood and adult obesity and stabilized cardiovascular diseases. Physical tests (6-MWT, TUG, 30s sit-to-stand, unipodal support and flexibility tests), Ricci and Gagnon and SF12 questionnaires were performed before and after the program. Personal and medical objectives were collected before the program.
Results : 138 physicians referred 330 patients and 262 were included (53.91 ±16.18 years, 69.1% female). Participants had mostly mental illness (29.0%) and musculoskeletal disorders (28.6%) but 14.9% were referred for multiple diseases. 105 participants were interrupted due to the coronavirus pandemic. Among the remaining 157 participants, 72 (45.9%) dropped out prematurely and 85 (54.1%) completed the program with a significant improvement for all physical tests and self-questionnaires (p<.001 to .009). Younger participants (p<.001) and those living in priority neighborhoods (p=.011) were less likely to honor the exercise prescription. Participants with multiple disease were less likely to complete the program (p=.020) and reach their personal goals (p=.030).
Discussion - Conclusion : This community-based Exercise on Prescription program for adults with chronic diseases has positive impacts on physical capacities and quality of life, but some barriers remain (young age, priority neighborhoods and individuals with multiple diseases).
Keywords : Physical activity ; Chronic disease ; Exercise prescription ; Physical Tests ; Quality of life