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Randomized Controlled Trial
. 2019 Apr;51(4):236-244.
doi: 10.1016/j.aprim.2017.11.011. Epub 2018 May 1.

[Effect of a Physical activity program on self-esteem in subjects with chronic diseases. 'Pas a Pas' community intervention trial]

[Article in Spanish]
Felipe Villalobos  1 , Angels Vinuesa  2 , Roser Pedret  2 , Alicia Reche  2 , Eva Domínguez  2 , Victoria Arija  3 ; Equipo de investigación «Pas a Pas»
Affiliations
Randomized Controlled Trial

[Effect of a Physical activity program on self-esteem in subjects with chronic diseases. 'Pas a Pas' community intervention trial]

[Article in Spanish]
Felipe Villalobos et al. Aten Primaria. 2019 Apr.

Abstract
in English, Spanish

Aim: To evaluate the effectiveness of a 9 months of supervised Physical Activity (PA) Program with sociocultural activities, on self-esteem and its association on the control of chronic diseases in adult primary care users.

Design: Multicenter, randomized, controlled community intervention.

Location: 4 Primary care centers in Reus-Tarragona, Spain.

Participants: 364 subjects, randomized to the Control Group (CG=104) and Intervention Group (IG=260).

Intervention: Supervised walking program of 120min/week with sociocultural activities once a month.

Main measurements: At baseline and at post-intervention we assessed: PA (IPAQ-S), self-esteem (Rosenberg scale) and cardiovascular indicators: smoking, systolic (SBP) and diastolic (DBP) blood pressure, serum LDL and HDL cholesterol, and serum glucose. Sociodemographic characteristics and diagnostic of chronic diseases are recorded.

Results: The Program increased the PA in the IG (P=.001), while it decreased in the CG (P=.002), and also the self-esteem in the group of participants (1.28 points, P=.006) and in the groups with diagnoses of hypertension (1.60 points, P=.005), dyslipidemia (1.62 points, P=.012), excess weight (1.24 points, P=.011) or anxiety/depression (1.53 points, P=.045), assessed by multivariate statistical models. The increase in self-esteem during the intervention decreased SBP -0.5mmHg (P=.030) in the hypertension group, regardless of baseline SBP and the effect of the intervention.

Conclusion: The PA program increased the PA and self-esteem in adult primary care users. The increase of self-esteem improved the control of SBP in hypertensive patients.

Objetivo: Evaluar la efectividad de un Programa de actividad física (AF) supervisado, con actividades socioculturales y de 9 meses de duración, sobre la autoestima y su asociación sobre el control de las enfermedades crónicas en adultos usuarios de atención primaria.

Diseño: Ensayo de intervención comunitaria, aleatorizado, controlado y multicéntrico.

Emplazamiento: Cuatro centros de atención primaria de Reus-Tarragona, España.

Participantes: Un total de 364 sujetos, aleatorizados al grupo control (GC = 104) y grupo intervención (GI = 260).

Intervención: Programa supervisado de caminatas de 120 min/semana con actividades socioculturales mensuales.

Mediciones principales: En los momentos basal y postintervención se valoró: AF (IPAQ-S), autoestima (escala de Rosenberg) e indicadores cardiovasculares: tabaquismo, presión arterial sistólica (PAS) y diastólica (PAD), colesterol LDL y HDL séricos, y glucosa sérica. Se registran características sociodemográficas y diagnósticos de enfermedades crónicas.

Resultados: El Programa incrementó la AF en el GI (p = 0,001), mientras que disminuyó en el GC (p = 0,002), y también la autoestima en el conjunto de participantes (1,28 puntos; p = 0,006) y en los grupos con diagnósticos de hipertensión (1,60 puntos; p = 0,005), dislipidemia (1,62 puntos; p = 0,012), exceso de peso (1,24 puntos; p = 0,011) o ansiedad/depresión (1,53 puntos; p = 0,045), valorados mediante modelos estadísticos multivariantes. El incremento de la autoestima durante la intervención disminuyó la PAS −0,5 mmHg (p = 0,030) en el grupo de hipertensos, independientemente de la PAS basal y del efecto de la intervención.

Conclusión: El Programa de AF realizado incrementó la AF y la autoestima en adultos usuarios de atención primaria. El incremento de la autoestima mejoró el control de la PAS en hipertensos.

Keywords: Actividad física; Autoestima; Community intervention trial; Ensayo clínico aleatorizado; Ensayo de intervención comunitaria; Physical activity; Randomized clinical trial; Self-esteem.

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Figures

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Esquema general del estudio. Ensayo de intervención comunitaria, aleatorizado, controlado y multicéntrico para evaluar la efectividad de un Programa de actividad física sobre la autoestima y su asociación con el control de las enfermedades crónicas en adultos usuarios de atención primaria.
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