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Effectiveness of community-wide promotion of physical activity in middle-aged and elderly people: a 5-year extended study of a cluster RCT

Not Applicable
Conditions
Physical inactivity and musculoskeletal pain
Registration Number
JPRN-UMIN000012464
Lead Sponsor
Physical Education and Medicine Research Center UNNA
Brief Summary

Compared with control communities, adults achieving recommended levels of PA increased in intervention communities [adjusted change difference=4.6 percentage points (95% confidence interval:0.4, 8.8)]. The intervention was effective for promoting all types of recommended PAs, i.e. aerobic (walking, 6.4%), flexibility (6.1%) and muscle strengthening activities (5.7%). However, a bundled approach, which attempted to promote all forms of PAs above simultaneously, was not effective (1.3 to 3.4%, P>0.138). Linear dose response relationships between the CWI awareness and changes in PA were observed (P<0.02). Pain intensity decreased in shoulder (intervention and control) and lower back (intervention only) but there was little change difference in all musculoskeletal pain outcomes between the groups. (Kamada M et al., Int J Epidemiol, dyx248, Epub on 2017)

Detailed Description

Not available

Recruitment & Eligibility

Status
Complete: follow-up complete
Sex
All
Target Recruitment
3000
Inclusion Criteria

Not provided

Exclusion Criteria

Those in assisted living facilities and those who require nursing care

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in the engagement in regular aerobic, flexibility, and/or muscle-strengthening activities from baseline to 5-year follow-up
Secondary Outcome Measures
NameTimeMethod
Changes in VAS (Visual Analogue Scale) pain scores and chronic pains of low back and knee from baseline to 5-year follow-up, certification of needed long-term care, and mortality
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