About this trial
Introduction: Regular practice of exercise or physical activity (PA) is a recognized intervention as a determinant of good health acquisition, maintenance, or recovery for a large number of chronic pathologies. Nevertheless, few studies have evaluated adherence to an initial health-adapted PA (APA) program, and persistence of active behavior over the time in individuals with a chronic disease.
The aim of the study is to determine the brakes and levers associated with motivation and long-term compliance. In addition, the investigators aim to evaluate the cost-effectiveness of such program in term of care consumption. Finally, the investigators complete their interest for APA prescription from practitioners agreeing to enroll their patients in the present study.
Method: The investigators perform a prospective monocentric cohort, of 2024 patients affected of a chronic disease or long-term illness (LTI), enrolled from 2021 to 2024 (4 years, 506 per year), for a 16-week APA program, and followed 5 years with an annual fitness and habits of life and care consumption evaluation.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Male or female
18 years of age or older
Speaking and understanding French
Affected by a chronic pathology according to a predefined list (LTI, obesity, HTA, COPD, COVID-19 with persistent symptoms)
Disqualifiers
None
Trial design
Single group
Treatments tested in this trial
Adapted Physical Activity
BehavioralA 16-week health-adapted physical activity program, individualized from baseline evaluation of participants including the specificities of their pathologies
Treatment groups
Trial outcomes
Primary outcomes
5-year persistence of a positive trajectory of active behavior
Study of the brakes and levers associated with the persistence at 5 years of an initial 16-week APA program, of a positive trajectory of the percentages of "moderate to vigorous" AP practice collected by wearing for 7 days a wGT3X-BT type accelerometer (Actigraph, Pensacola, FL, USA), illustrating the persistence of the favorable change in behavior eventually induced
Secondary outcomes
Behavioral analysis: Lifestyle habits: Accelerometer: Daily sedentary time
Changes in daily sedentary time (min) measured by wearing on the belt over 7 days an accelerometer "Actigraph wGT3X-BT"
Behavioral analysis: Lifestyle habits: Accelerometer: Time in sitting, standing or lying down
Changes in Time in sitting, standing or lying down (min) measured by wearing on the belt over 7 days an accelerometer "Actigraph wGT3X-BT"
Behavioral analysis: Lifestyle habits: Accelerometer: Number of steps
Changes in number of steps (n) measured by wearing on the belt over 7 days an accelerometer "Actigraph wGT3X-BT"
Behavioral analysis: Lifestyle habits: Accelerometer: Average daily energy expenditure (KCal)
Changes in average daily energy expenditure (MET-min per day) measured by wearing on the belt over 7 days an accelerometer "Actigraph wGT3X-BT"
Other outcomes
Effects on physical fitness: General measures: Weight
Body mass (Kg) measured on a balance
Effects on physical fitness: General measures: Body mass index "BMI"
BMI (Kg/m²) = Weiht/(Height)²
Effects on physical fitness: General measures: Waist circumference
Waist circumference (cm) measured in standing position with a tape measure
Effects on physical fitness: General measures: Resting blood pressure
Blood pressure (BP) measured after 5 minutes rest in lying position (mm Hg) with an automatic BP device
Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Mon Stade Sports Medicine Centre
Lead sponsor
Laboratory MOVE, Faculty of Sport Sciences, University of Poitiers, France
Collaborator
Public Health Foundation of MGEN, France
Collaborator
General Mutual Insurance of National Education, France
Collaborator