Evaluation of a Medical Fitness Referral Program at a Single Institution From 2015 to 2022

IF 1.5 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH American Journal of Lifestyle Medicine Pub Date : 2024-05-13 DOI:10.1177/15598276241254305
Zhen Arthur Lu, Craig Ziegler, Elise Tharp, Darby Cole, James Price
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Abstract

Purpose: To assess whether biometric data of participants (i.e., weight, body mass index (BMI), body fat percentage (BFP), heart rate, and blood pressure) would be statistically different from pre- to post-program assessments after completion of a single institution medical fitness referral program. Methods: This is a retrospective analysis of randomly selected participants from August 2015 to December 2022. Analysis of variance was performed for each outcome with groups separated by gender, age, and time period relative to COVID. Results: Analysis included 984 participants, 653 (66%) were female, mean age was 55.5 years (SD = 14.9) with 297 (30%) of participants ≥65, and 747 (76%) completed the program prior to COVID. Significant mean reductions from pre- to post-program were seen for BMI (−.43, SD = 1.16), weight (-2.69 pounds, SD = 7.44), BFP (.44%, SD = 2.35%), systolic blood pressure (3.33 mmHg, SD = 14.58), and diastolic blood pressure (2.18 mmHg, SD = 8.65). Additional significant interactions identified: weight difference for participants less than age 65 (−3.16, SD = 8.31) vs participants ≥65 (−1.60, SD = 4.66), P = .003. Conclusions: In this analysis, participants of the program from August 2015 to December 2022 were seen to have statistically significant reductions in the delineated biometric parameters. However, due to limitations, specific conclusions regarding causation cannot be drawn.
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2015 至 2022 年单一机构的体格检查转诊计划评估
目的:评估参与者的生物测量数据(即体重、体重指数 (BMI)、体脂百分比 (BFP)、心率和血压)在完成单一机构医疗健身转介计划后,与计划前和计划后的评估结果是否存在统计学差异。方法:这是对 2015 年 8 月至 2022 年 12 月期间随机抽取的参与者进行的回顾性分析。对每项结果进行方差分析,按性别、年龄和相对于 COVID 的时间段进行分组。结果:分析包括 984 名参与者,其中 653 人(66%)为女性,平均年龄为 55.5 岁(SD = 14.9),297 人(30%)≥65 岁,747 人(76%)在 COVID 之前完成了该计划。从计划前到计划后,BMI(-.43,SD = 1.16)、体重(-2.69 磅,SD = 7.44)、BFP(.44%,SD = 2.35%)、收缩压(3.33 mmHg,SD = 14.58)和舒张压(2.18 mmHg,SD = 8.65)的平均值均有显著降低。发现的其他重要交互作用:65 岁以下参与者的体重差异(-3.16,SD = 8.31)与≥65 岁参与者的体重差异(-1.60,SD = 4.66),P = .003。结论:在这项分析中,2015 年 8 月至 2022 年 12 月期间参加该计划的人员在统计意义上显著降低了规定的生物测量参数。然而,由于条件限制,无法得出具体的因果关系结论。
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来源期刊
American Journal of Lifestyle Medicine
American Journal of Lifestyle Medicine PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
4.10
自引率
15.80%
发文量
119
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