Community Physical Exercise Program in Chronic Disease

Launched by ASSOCIAÇÃO PARA O DESENVOLVIMENTO DO CENTRO ACADÉMICO DE INVESTIGAÇÃO E FORMAÇÃO BIOMÉDICA DO ALGARV · Jan 8, 2025

Keywords

ClinConnect Summary

The implementation of exercise programs in chronic disease is important as a means of modifying risk factors, however it is essential to study not only the direct effects of exercise on health and well-being outcomes, but also to quantify the load that it is most appropriate considering multimorbidity.

This is a non-pharmacological clinical study that includes 2 parallel intervention groups with a pre- and post-test analysis. In the Community Program Group (CP_Group), the participants received a 12 weeks of a supervised physical exercise program and in the control group (C_Group) there was...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 50 or more years old;
• • The current amount of physical activity does not correspond to WHO recommendations (\<150 min of moderate-intensity physical activity/week or \<75 min of vigorous-intensity physical activity/week);
• • No cardio/cerebrovascular, respiratory and musculoskeletal contraindications to physical exercise, according to ACSS;
• • Independent gait AND
• • High risk level in SCORE2 or SCORE2 O.P. cardiovascular risk algorithm or prior cardiovascular disease; AND/OR
• • Post Stroke ischemic or hemorrhagic type with a defined and treated etiology. AND/OR
• • Type 2 DM diagnosed at least 6 months ago; AND/OR
• • Clinical diagnosis of osteoarthritis (OA) according to National Institute for Health and Care Excellence (NICE) guidelines.
• Exclusion Criteria:
• • Cognitive impairment- Montreal Cognitive Assessment (MoCA);
• • Participation in supervised dietary intervention;
• • Occurrence of acute myocardial infarction with less than 12 months;
• • Class III or IV angina according to Canadian Cardiovascular Society criteria;
• • Class III or IV symptoms according to New York Heart Association criteria;
• • Type 2 Myocardial Infarction;
• • Uncontrolled and symptomatic cardiac arrythmia with hemodynamic impact; Severe and symptomatic aortic valve stenosis; Uncontrolled and symptomatic heart failure; Active myocarditis, pericarditis or endocarditis; Acute aortic syndrome; Known or suspected desiccant aneurism; Acute systemic infection;
• • Presence of neurological disorders that influence gait;
• • Major complications of DM that does not allow exercise practice (poor metabolic control, diabetic foot, diabetic retinopathy, diabetic nephropathy and diabetic autonomic neuropathy);
• • Taking insulin or sulphonylureas for less than three months;
• • Pacemaker device;
• • Internal prosthesis;
• • Untreated stroke etiology: indication for revascularization; non-hypocagulated atrial fibrillation, intracranial atheromatous occlusive disease.