• Atencion primaria · Apr 2019

    Randomized Controlled Trial Multicenter Study

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

    • Felipe Villalobos, Angels Vinuesa, Roser Pedret, Alicia Reche, Eva Domínguez, Victoria Arija, and Equipo de investigación «Pas a Pas».
    • Grupo de investigación en Nutrición y Salud Mental (NUTRISAM), Facultad de Medicina y Ciencias de la Salud, Instituto de Investigación Sanitaria Pere Virgili (IISPV), Universidad Rovira i Virgili, Tarragona, España.
    • Aten Primaria. 2019 Apr 1; 51 (4): 236-244.

    AimTo 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.DesignMulticenter, randomized, controlled community intervention.Location4 Primary care centers in Reus-Tarragona, Spain.Participants364 subjects, randomized to the Control Group (CG=104) and Intervention Group (IG=260).InterventionSupervised walking program of 120min/week with sociocultural activities once a month.Main MeasurementsAt 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.ResultsThe 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.ConclusionThe 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.Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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