The effect of exercise referral schemes upon health and wellbeing: Initial observational insights using individual patient data meta-analysis from The National Referral Database

WADE, M., MANN, S., COPELAND, Robert and STEELE, J. (2019). The effect of exercise referral schemes upon health and wellbeing: Initial observational insights using individual patient data meta-analysis from The National Referral Database. Journal of Epidemiology and Community Health, 74 (32).

[img]
Preview
PDF
Copeland-EffectExerciseReferralSchemes(AM).pdf - Accepted Version
Creative Commons Attribution Non-commercial.

Download (480kB) | Preview
Official URL: https://jech.bmj.com/content/74/1/32.info
Link to published version:: https://doi.org/10.1136/jech-2019-212674
Related URLs:

    Abstract

    Objectives: To examine if exercise referral schemes (ERS)s are associated with meaningful changes in health and wellbeing in a large cohort of individuals throughout England, Scotland, and Wales from The National Referral Database. Methods: Data were obtained from 23,731 participants from 13 different ERSs lasting 6 weeks to 3 months. Changes from pre- to post-ERS in health and wellbeing outcomes were examined including body mass index (BMI), blood pressure (SBP & DBP), resting heart rate (RHR), short Warwick Edinburgh Mental Wellbeing Scale (SWEMWBS), World Health Organization Well-Being Index (WHO-5), Exercise Related Quality of Life scale (ERQoL), and Exercise Self-Efficacy Scale (ESES). Two-stage individual patient data meta-analysis was used to generate effect estimates. Results: Estimates [95%CIs] revealed statistically significant changes occurred compared to point nulls for BMI (-0.55 kg.m2 [-0.69 to -0.41]), SBP (-2.95 mmHg [-3.97 to -1.92]), SWEMWBS (2.99 pts [1.61 to 4.36]), WHO-5 (8.78 pts [6.84 to 10.63]), ERQoL (15.26 pts [4.71 to 25.82]), ESES (2.58 pts [1.76 to 3.40]), but not RHR (0.22 fc [-1.57 to 1.12]), DBP (-0.93 mmHg [-1.51 to -0.35]). However, comparisons of estimates [95%CIs] against null intervals suggested the majority of outcomes may not improve meaningfully. Conclusions: We considered whether meaningful health and wellbeing changes occur in people who are undergoing ERSs? Regarding this broad question, these results demonstrate that, although many health and wellbeing outcomes improved, the changes be not achieve meaningful levels. This suggests the need to consider the implementation of ERSs more critically to discern how to maximize their effectiveness.

    Item Type: Article
    Uncontrolled Keywords: Epidemiology; 1117 Public Health and Health Services; 1604 Human Geography
    Identification Number: https://doi.org/10.1136/jech-2019-212674
    SWORD Depositor: Symplectic Elements
    Depositing User: Symplectic Elements
    Date Deposited: 25 Sep 2019 11:24
    Last Modified: 16 Dec 2019 14:00
    URI: http://shura.shu.ac.uk/id/eprint/25191

    Actions (login required)

    View Item View Item

    Downloads

    Downloads per month over past year

    View more statistics