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Master Thesis

L’observance de la prescription d’activité physique en médecine générale : étude descriptive prospective chez des patients porteurs de facteurs de risque cardiovasculaires

Abstract : Background: The benefits of physical exercise and its preventative and therapeutic roles have already been demonstrated in numerous research studies. These roles are important in the prevention of cardio-vascular disease and in the management of type 2 diabetes. According to recommendations by the "HAS" (French Healthcare Authority), the prescription of exercise should be a current practice in the primary health care setting. However, the prescription of 'non-medical' treatment may suggest lower rates of patient compliance. The primary aim of our study is to determine patient compliance, in a primary health care setting, of the prescription of exercise as a first-line preventative treatment amongst those at risk of cardio-vascular disease. A secondary aim is to determine any influencing factors. Method: We have undertaken an observational, cross-sectionnal and prospective study, describing a patient cohort that have received the prescription of exercise as a treament option. Data collection was done via telephone follow-up amongst this population at one month after the prescription of exercise. Results: We have included 75 patients in our study. The patient compliance of exercise at one month after its prescription was found to be at 76%. Few factors were found to influence patient compliance. Amongst obèse patients compliance with an exercise regime was found to be reduced. Female health practitioners were found to increase compliance rates amongst patients receiving exercise as a treatment option. Discussion: We have demonstrated a higher rate of patient compliance as compared to current available studies, probably explained by the inclusion of patients who already undertook regular exercise, before the prescription of exercise in our study. However, the excellent patient response rate (100%) in our study, shows that future research in this field measuring the impact of the same prescription amongst patients who do not currently adhere to an exercise programme, may be beneficial and would serve as a follow-up to our current research. Conclusion: Knowing that the prescription of exercise by primary health care practitioners is then followed with good patient compliance, should boost health practitioners, to practise to their advantage, the prescription of physical exercise, for which the benefits have well been demonstrated.
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Master Thesis
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Contributor : Bu Carreire Université de Bordeaux <>
Submitted on : Tuesday, February 17, 2015 - 9:48:19 AM
Last modification on : Monday, December 21, 2020 - 5:12:32 PM
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  • HAL Id : dumas-01117417, version 1



Marine Rolland. L’observance de la prescription d’activité physique en médecine générale : étude descriptive prospective chez des patients porteurs de facteurs de risque cardiovasculaires. Médecine humaine et pathologie. 2015. ⟨dumas-01117417⟩



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