Promoting Physical Activity in Patients with Colon Adenomas A Randomized Pilot Intervention Trial 英文参考文献.docVIP
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Promoting Physical Activity in Patients with Colon Adenomas A Randomized Pilot Intervention Trial 英文参考文献
PromotingPhysicalActivityinPatientswithColon
Adenomas:ARandomizedPilotInterventionTrial
KathleenY.Wolin*,CaseyFagin,AimeeS.James,DaynaS.Early
WashingtonUniversitySchoolofMedicineandSitemanCancerCenter,StLouis,Missouri,UnitedStatesofAmerica
Abstract
Background: Physical activity decreases risk of colon polyps and colon cancer and might reduce risk of colon cancer
recurrence.Focusingonrecentcallsfortranslationofepidemiologicevidenceintoclinicalcare,ourpilotstudydeliveredan
evidence-based physical activity intervention in adults with polyps, who are thus at elevated risk of developing colon
cancer.Theobjectivewastoevaluatechangeinphysicalactivity,measuredbystepsperdayandminutesofmoderate/
vigorousphysicalactivity.
Methods: Sixteen adults with adenomas detected and removed at screening colonoscopy were recruited to a 12-week
physicalactivityintervention.Participantswererandomizedtoreceiveastandard(30minutes/day)orhigh(60minutes/day)
walking program. Physical activity was measured via blinded pedometer and accelerometer at baseline and follow-up.
Intervention messages focused on self-monitoring using pedometers and overcoming barriers to engaging in physical
activity.
Results: Participants in both arms significantly increased objectively measured minutes of moderate/vigorous physical
activity over the course of the intervention. Both arms exceeded the intervention goal, but there was not a significant
difference between arms at follow-up. Results were similar for pedometer measured physical activity, with a significant
overallincreaseinsteps/dayfrombaselinetofollow-up,butnobetweenarmdifferenceinchange.
Conclusion:Simpleinterventionsofminimalcontacttimefocusingonwalkingcansignificantlyincreasephysicalactivityin
individualsatincreasedriskofdevelopingcoloncancer.
TrialRegistration:ClinicalTNCCitation:WolinKY,FaginC,JamesAS,EarlyDS(2012)PromotingPhysicalActivityinPatientswithColonAdenomas:ARandomizedPilotInterventionTrial.PLoS
ONE7(7):e39719.doi:10.1371/journal.p
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