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Br J Gen Pract. Oct 1, 2006; 56(531): 791–793.
PMCID: PMC1920721
Is the promotion of physical activity in vulnerable older people feasible and effective in general practice?
Susie Dinan, Research Fellow and Penny Lenihan, MSc, Dip C Psychol, Research Fellow
Department of Primary Care and Population Sciences, Royal Free and UCL Medical School, London
Trish Tenn, Team Leader
Camden Active Health Team, Camden Leisure and Community Services
Steve Iliffe, FRCGP, Reader In General Practice
Address for correspondence Susie Dinan, Department of Primary Care and Population Sciences, Royal Free and UCL Medical School, Rowland Hill Street, London NW3 2PF. E-mail: s.dinan/at/pcps.ucl.ac.uk
Received February 19, 2005; Revised May 26, 2005; Accepted February 21, 2006.
Abstract
There is convincing evidence about the benefits of exercise training in community dwelling frailer older people, but little evidence that this intervention can be delivered in general practice. In this prospective cohort study in 14 general practices in north London we assessed the feasibility and effectiveness of a tailored exercise referral programme for frail elderly patients delivered within a variety of inner city primary care settings. One hundred and twenty-six women and 32 men aged 75 years and older, deemed borderline frail by their GPs, took part in a two-phase progressive exercise programme (Stage 1 — primary care setting; Stage II — leisure/community centre setting) using the Timed Up And Go (TUG) test as the primary outcome measure. Baseline TUG measures confirmed that the participants were borderline frail and that GP selection was accurate. Of those referred by their GP or practice nurse 89% took up the exercise programme; 73% completed Stage I and 63% made the transition to the community Stage II programme. TUG improved in Stage I with a mean difference of 3.5 seconds (P<0.001). An individually tailored progressive exercise programme following GP referral, delivered in weekly group sessions by specialist exercise instructors within general practices, was effective in achieving participation in exercise sessions and in improving TUG values in a significant number of frailer older citizens.
Keywords: exercise, general practice, older people
Articles from The British Journal of General Practice are provided here courtesy of
Royal College of General Practitioners