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Effect of exercise referral schemes in primary care on physical activity and improving health outcomes: systematic review and meta-analysis

BMJ, 2011-11, Vol.343 (7831), p.980-980 [Peer Reviewed Journal]

Pavey et al 2011 ;BMJ Publishing Group Ltd 2011 ;Copyright: 2011 © Pavey et al 2011 ;Pavey et al 2011 2011 Pavey et al ;ISSN: 0959-8138 ;ISSN: 0959-8146 ;EISSN: 1468-5833 ;EISSN: 1756-1833 ;DOI: 10.1136/bmj.d6462 ;PMID: 22058134 ;CODEN: BMJOAE

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Title:
Effect of exercise referral schemes in primary care on physical activity and improving health outcomes: systematic review and meta-analysis
Author: Pavey, T G ; Taylor, A H ; Fox, K R ; Hillsdon, M ; Anokye, N ; Campbell, J L ; Foster, C ; Green, C ; Moxham, T ; Mutrie, N ; Searle, J ; Trueman, P ; Taylor, R S
Subjects: Annual reports ; Basic instruction program ; Cardiovascular disease ; Citation indexes ; Clinical Diagnostic Tests ; Clinical trials ; Clinical Trials (Epidemiology) ; Cost-Benefit Analysis ; Data processing ; Evidence-based medicine ; Exercise ; Exercise - physiology ; Exercise - psychology ; Experimentation ; Fitness ; General Practice / Family Medicine ; Health outcomes ; Health Status Indicators ; Humans ; Internet ; Intervention ; Journalology ; Medical referrals ; Mental depression ; Meta-analysis ; Motor Activity ; Physical activity ; Physical Fitness ; Physical training ; Primary care ; Primary health care ; Primary Health Care - economics ; Public health ; Quality of Life ; Referral and Consultation - economics ; Reviews ; Systematic review ; Third party
Is Part Of: BMJ, 2011-11, Vol.343 (7831), p.980-980
Description: Objective To assess the impact of exercise referral schemes on physical activity and health outcomes.Design Systematic review and meta-analysis.Data sources Medline, Embase, PsycINFO, Cochrane Library, ISI Web of Science, SPORTDiscus, and ongoing trial registries up to October 2009. We also checked study references.Study selection Design: randomised controlled trials or non-randomised controlled (cluster or individual) studies published in peer review journals. Population: sedentary individuals with or without medical diagnosis. Exercise referral schemes defined as: clear referrals by primary care professionals to third party service providers to increase physical activity or exercise, physical activity or exercise programmes tailored to individuals, and initial assessment and monitoring throughout programmes. Comparators: usual care, no intervention, or alternative exercise referral schemes. Results Eight randomised controlled trials met the inclusion criteria, comparing exercise referral schemes with usual care (six trials), alternative physical activity intervention (two), and an exercise referral scheme plus a self determination theory intervention (one). Compared with usual care, follow-up data for exercise referral schemes showed an increased number of participants who achieved 90-150 minutes of physical activity of at least moderate intensity per week (pooled relative risk 1.16, 95% confidence intervals 1.03 to 1.30) and a reduced level of depression (pooled standardised mean difference −0.82, −1.28 to −0.35). Evidence of a between group difference in physical activity of moderate or vigorous intensity or in other health outcomes was inconsistent at follow-up. We did not find any difference in outcomes between exercise referral schemes and the other two comparator groups. None of the included trials separately reported outcomes in individuals with specific medical diagnoses. Substantial heterogeneity in the quality and nature of the exercise referral schemes across studies might have contributed to the inconsistency in outcome findings.Conclusions Considerable uncertainty remains as to the effectiveness of exercise referral schemes for increasing physical activity, fitness, or health indicators, or whether they are an efficient use of resources for sedentary people with or without a medical diagnosis.
Publisher: England: British Medical Journal Publishing Group
Language: English
Identifier: ISSN: 0959-8138
ISSN: 0959-8146
EISSN: 1468-5833
EISSN: 1756-1833
DOI: 10.1136/bmj.d6462
PMID: 22058134
CODEN: BMJOAE
Source: BMJ Open Access Journals
MEDLINE
Alma/SFX Local Collection
ProQuest Central

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Effect of exercise referral schemes in primary care on physical activity and improving health outcomes: systematic review and meta-analysis

Pavey et al 2011 ;BMJ Publishing Group Ltd 2011 ;Copyright: 2011 © Pavey et al 2011 ;Pavey et al 2011 2011 Pavey et al ;ISSN: 0959-8138 ;ISSN: 0959-8146 ;EISSN: 1468-5833 ;EISSN: 1756-1833 ;DOI: 10.1136/bmj.d6462 ;PMID: 22058134 ;CODEN: BMJOAE

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