Abstract
Introduction: The lack of physical activity in obese subjects, which is a major problem, can be explained by the presence of several brakes including non-medical. The objective of this study is to evaluate the impact of a physical activity education program during a week of hospitalization that was created at the University Hospital of Tours in the department of PRM in the context of the management of obese patients.
Material and Methods: This was a prospective, single-center, routine care study. Included were 30 adult obese patients, assessed 1 to 3 months prior to their admission to the clinic, where oral counseling was given (T0), day of hospitalization (T1) and 1 month of hospitalization (T2). The primary endpoint was the evaluation of kinesiophobia by TSK. The secondary judgment criteria were the assessment of beliefs in anxious avoidance by the FABQ, quality of life by the IWQOL-Lite questionnaire and physical activity practice with the IPAQ and the Dijon score. Our hypothesis was that variation in primary and secondary outcomes was greater after one week of physical activity education than after consultation with oral counsel.
Results: The change in the kinesiophobia score between T1 and T0 was -1.3 (p=0.1029), the change in this score between T2 and T1 was -4.4 (p=0.0001) with Δ2 (T2-T1) significantly greater than Δ1 (T1-T0), p=0.003448.
Conclusion: This work highlights that a week of physical activity education in hospitalization proposed to obese patients allows a significant improvement superior kinesiophobia compared to a medical consultation with oral counseling.
Citation
Allard-Saint-Albin O, Fouquet B, Nardoux J and Doury-Panchout F. Obesity and Physical Education: Whose interests? SM Phys Med Rehabil. 2018; 2(1): 1003.