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Master Thesis

Programme « Sport sur Ordonnance » : de son intérêt sur l’augmentation au long court du niveau d’activité physique de patients normands

Abstract : Background: The promotion of physical activities among the public is a crucial challenge for the public health. The program “Prescribing Sport” (in French: Sport sur Ordonnance/SSO) sponsors the yearly subscription to a sports club for patients who have been through a preliminary medical exam. This study aims to evaluate the modification in the level of physical activity (main criteria) and of selfesteem (secondary criteria) of patients benefiting from this program after one year.
Methodology:
The study “Prescribing sport” is a prospective, observational and descriptive study. It focuses on patients who have at least one factor of cardiovascular risk and do not practice any physical activity as a recreational hobby. The inclusion process involves a cardiovascular checkup and a 6-minutes walking test. The measure of the Marshall score (physical activity) and Rosenberg score (selfesteem) after 6 months and 1 year allow us to follow the modification in the level of physical activity and of self-esteem. For the patients lost to follow up, it has been decided to keep their initial scores. Our main findings are the following:
- The difference of average for Marshall and Rosenberg scores,
- The proportion of patients who maintained or increased their physical activities in comparison with a theoretical proportional fixed arbitrarily at 25%,
- The proportion of patients changing of WHO categories during the year,
- The proportion of patients who reaches a “normal self-esteem” level after 1 year,
- The proportion of patients who respects the WHO physical activity recommendations at the beginning of the study in comparison to those who do so after 1 year.
Results:
The protocol/program is highly efficient to increase the long-term level of physical activity. After 1 year: - Over 63 patients at the beginning of the study, 22 were lost to follow up (35%) and 33 patients (52%) didn’t answer the self-esteem/Rosenberg questionnaire,
- Overall, the Marshall score for the patients increased of 1.56 points (IC95% = [1.01–2.09], p<0.001).
- More than 25% of patients maintained or increased their physical activity.
- 22% of patients change their WHO categories (IC95% = [0.11–0.34], p =0.0003).
- Significative proportion of patients who were inactive became physically active after 1 year,
- The Rosenberg score increased of 2.52 points (IC95% = [1.36–3,69], p<0.001), et 21% of patients reached an average self-esteem (IC95% = [0.09–0.32], p<0.001). Discussion These results are similar to those of the study “Chablais Sport Santé sur Ordonnance”, which monitored similar patients. In order to improve the impact of such programs, it seems important to focus the approach on the patient, which means:
- personalizing the way of doing sports by extending the choices of sporting disciplines and the time period to do them,
- personalizing sport objectives and strengthening the medical monitoring in order to prevent the patient difficulties and factors to give up. The price of this politic would probably be soften by the gain in term of life expectancy and public heath.
Document type :
Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-03253646
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Submitted on : Tuesday, June 8, 2021 - 1:34:05 PM
Last modification on : Tuesday, October 19, 2021 - 4:16:44 PM
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Brieuc Halgand. Programme « Sport sur Ordonnance » : de son intérêt sur l’augmentation au long court du niveau d’activité physique de patients normands. Médecine humaine et pathologie. 2021. ⟨dumas-03253646⟩

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