Preventing Chronic Disease | A Strength Training Program for Primary Care Patients, Central Pennsylvania, 2012 - CDC
A Strength Training Program for Primary Care Patients, Central Pennsylvania, 2012
Christopher N. Sciamanna, MD, MPH; Vijay A. Patel, BS; Jennifer L. Kraschnewski, MD, MPH; Liza S. Rovniak, PhD; Dino A. Messina, MD; Heather L. Stuckey, DEd; William J. Curry, MD, MS; Cynthia H. Chuang, MD, MSc; Lisa L. Sherwood, MD; Stacy L. Hess
Suggested citation for this article: Sciamanna CN, Patel VA, Kraschnewski JL, Rovniak LS, Messina DA, Stuckey HL, et al. A Strength Training Program for Primary Care Patients, Central Pennsylvania, 2012. Prev Chronic Dis 2014;11:130403. DOI:http://dx.doi.org/10.5888/pcd11.130403
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Abstract
Introduction
Primary care providers can recommend strength training programs to use “Exercise as Medicine,” yet few studies have examined the interest of primary care patients in these programs.
Primary care providers can recommend strength training programs to use “Exercise as Medicine,” yet few studies have examined the interest of primary care patients in these programs.
Methods
We conducted a cross-sectional survey of primary care patients in central Pennsylvania. Interest in participating in free group-based strength training and weight control programs was assessed, in addition to patient demographics, medical history, and quality of life.
We conducted a cross-sectional survey of primary care patients in central Pennsylvania. Interest in participating in free group-based strength training and weight control programs was assessed, in addition to patient demographics, medical history, and quality of life.
Results
Among 414 patients, most (61.0%) were aged 54 or older, and 64.0% were female. More patients were interested in a strength training program (55.3%) than in a weight control program (45.4%). Nearly three-quarters (72.8%) of those reporting 10 or more days of poor physical health were interested in a strength training program compared with 49.5% of those reporting no days of poor physical health. After adjusting for potential confounders, those reporting poorer physical health had 2.7 greater odds (95% confidence interval, 1.4–5.1) of being interested in a strength training program compared with those reporting better physical health. Patients with hypertension, diabetes, or high cholesterol were not more interested in a strength training program than those without these conditions.
Among 414 patients, most (61.0%) were aged 54 or older, and 64.0% were female. More patients were interested in a strength training program (55.3%) than in a weight control program (45.4%). Nearly three-quarters (72.8%) of those reporting 10 or more days of poor physical health were interested in a strength training program compared with 49.5% of those reporting no days of poor physical health. After adjusting for potential confounders, those reporting poorer physical health had 2.7 greater odds (95% confidence interval, 1.4–5.1) of being interested in a strength training program compared with those reporting better physical health. Patients with hypertension, diabetes, or high cholesterol were not more interested in a strength training program than those without these conditions.
Conclusion
Primary care practices may consider offering or referring patients to community-based strength training programs. This study observed high levels of interest in these widely available programs. Practices may also consider screening and referring those with poorer physical health, as they may be the most interested and have the most to gain from participating.
Primary care practices may consider offering or referring patients to community-based strength training programs. This study observed high levels of interest in these widely available programs. Practices may also consider screening and referring those with poorer physical health, as they may be the most interested and have the most to gain from participating.
Acknowledgments
Preparation of this manuscript was funded, in part, by the National Institute of Diabetes and Digestive and Kidney Disease, Grant 1R01DK095078, and the Clinical and Translational Science Institute of the Pennsylvania State University, awarded to Dr Christopher Sciamanna; by the National Center for Advancing Translational Sciences, National Institutes of Health (NIH), grants UL1TR000127 (Sinoway) and KL2TR000126, awarded to Dr Jennifer Kraschnewski; by the NIH, grant R00HL088017, awarded to Dr Liza Rovniak; and by the National Institute of Diabetes and Digestive and Kidney Diseases, grant 5 K01 DK090403, awarded to Dr Heather Stuckey. The content is solely the responsibility of the authors and does not necessarily represent the official views of NIH.
Author Information
Corresponding Author: Christopher N. Sciamanna, MD, MPH, Penn State Hershey Medical Center, Division of General Internal Medicine, H034, 500 University Dr, Hershey, PA 17033. Telephone: 717-531-4601. E-mail: cns10@psu.edu.
Author Affiliations: Vijay A. Patel, Jennifer L. Kraschnewski, Liza S. Rovniak, Heather L. Stuckey, William J. Curry, Cynthia H. Chuang, Lisa L. Sherwood, Stacy L. Hess, Penn State Hershey Medical Center, Hershey, Pennsylvania; Dino A. Messina, Danbury Hospital, Danbury, Connecticut.
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