Exercise referral for drug users aged 40 and over: results of a pilot study in the UK

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Publicado en:BMJ Open vol. 3, no. 5 (2013), p. e002619
Autor principal: Beynon, Caryl M
Otros Autores: Luxton, Amy, Whitaker, Rhiannon, Cable, N Tim, Frith, Lucy, Taylor, Adrian H, Zou, Lu, Angell, Peter, Robinson, Scott, Holland, Dave, Holland, Sharon, Gabbay, Mark
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022 |a 2044-6055 
024 7 |a 10.1136/bmjopen-2013-002619  |2 doi 
035 |a 1783527503 
045 2 |b d20130101  |b d20131231 
084 |a 269834  |2 nlm 
100 1 |a Beynon, Caryl M  |u Centre for Public Health Research Directorate, Liverpool John Moores University, Liverpool, UK 
245 1 |a Exercise referral for drug users aged 40 and over: results of a pilot study in the UK 
260 |b BMJ Publishing Group LTD  |c 2013 
513 |a Journal Article 
520 3 |a ObjectivesTo test whether older drug users (aged 40 and over) could be recruited to an exercise referral (ER) scheme, to evaluate the feasibility and acceptability and measure the impact of participation on health.DesignObservational pilot.SettingLiverpool, UK.Participants(1) 12 men and 5 women recruited to ER. (2) 7 specialist gym instructors.Outcome measuresLogistic feasibility and acceptability of ER and associated research, rate of recruitment, level of participation over 8 weeks and changes in health.Results22 gym inductions were arranged (recruitment time: 5 weeks), 17 inductions were completed and 14 participants began exercising. Attendance at the gym fluctuated with people missing weeks then re-engaging; in week 8, seven participants were in contact with the project and five of these attended the gym. Illness and caring responsibilities affected participation. Participants and gym instructors found the intervention and associated research processes acceptable. In general, participants enjoyed exercising and felt fitter, but would have welcomed more support and the offer of a wider range of activities. Non-significant reductions in blood pressure and heart rate and improvements in metabolic equivalents (METs; a measure of fitness) and general well-being were observed for eight participants who completed baseline and follow-up assessments. The number of weeks of gym attendance was significantly associated with a positive change in METs.ConclusionsIt is feasible to recruit older drug users into a gym-based ER scheme, but multiple health and social challenges affect their ability to participate regularly. The observed changes in health measures, particularly the association between improvements in METs and attendance, suggest further investigation of ER for older drug users is worthwhile. Measures to improve the intervention and its evaluation include: better screening, refined inclusion/exclusion criteria, broader monitoring of physical activity levels, closer tailored support, more flexible exercise options and the use of incentives. 
651 4 |a United Kingdom--UK 
653 |a Research 
653 |a Exercise 
653 |a Physical fitness 
653 |a Metabolism 
653 |a Fitness equipment 
653 |a Blood pressure 
653 |a Participation 
653 |a Health services 
653 |a Intervention 
653 |a Drug use 
653 |a Narcotics 
653 |a Heart rate 
700 1 |a Luxton, Amy  |u Centre for Public Health Research Directorate, Liverpool John Moores University, Liverpool, UK 
700 1 |a Whitaker, Rhiannon  |u North Wales Organisation for Randomised Trials in Health (and Social Care), Bangor University, Bangor, Wales, UK 
700 1 |a Cable, N Tim  |u Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK 
700 1 |a Frith, Lucy  |u Department of Health Services Research, University of Liverpool, Liverpool, UK 
700 1 |a Taylor, Adrian H  |u Department of Sport and Health Sciences, University of Exeter, Exeter, UK 
700 1 |a Zou, Lu  |u North Wales Organisation for Randomised Trials in Health (and Social Care), Bangor University, Bangor, Wales, UK 
700 1 |a Angell, Peter  |u Research Institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK 
700 1 |a Robinson, Scott  |u School of Sport and Exercise Sciences, University of Birmingham, Birmingham, UK 
700 1 |a Holland, Dave  |u Centre for Public Health Research Directorate, Liverpool John Moores University, Liverpool, UK 
700 1 |a Holland, Sharon  |u Centre for Public Health Research Directorate, Liverpool John Moores University, Liverpool, UK 
700 1 |a Gabbay, Mark  |u Department of Health Services Research, University of Liverpool, Liverpool, UK 
773 0 |t BMJ Open  |g vol. 3, no. 5 (2013), p. e002619 
786 0 |d ProQuest  |t Consumer Health Database 
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856 4 0 |3 Full Text + Graphics  |u https://www.proquest.com/docview/1783527503/fulltextwithgraphics/embedded/CH9WPLCLQHQD1J4S?source=fedsrch 
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