Adherence
A 5-year Physical Activity on Prescription (PAP) intervention significantly improves metabolic health and mental quality of life in patients with metabolic risk factors, despite a 52% dropout rate.
Engage in a structured, long-term physical activity program (like Sweden's PAP) that includes regular follow-ups and a written prescription. Aim for approximately 3 hours of moderate-intensity activity per week. This approach has been shown to significantly improve metabolic health markers (blood pressure, glucose, lipids) and mental well-being over 5 years, even if adherence is challenging.
This first evaluation of a 5-year PAP intervention in primary care demonstrated positive long-term (5 years) effects regarding PA level, metabolic health, and HRQoL.
Why this rating
Longitudinal prospective cohort study with a large sample size (n=444) and long follow-up (5 years), though limited by a high dropout rate (52%).
Source
The effects of a 5-year physical activity on prescription (PAP) intervention in patients with metabolic risk factors
Stefan Lundqvist et al. · PLoS ONE · 2022
DOI 10.1371/journal.pone.0276868
Related findings · Adherence
- Regular physical activity (at least 150 minutes/week of moderate-intensity) reduces all-cause and cardiovascular mortality by 20-30% and lowers the risk of type 2 diabetes by 25-35%.Strong
- Increasing physical activity from a sedentary lifestyle to an active one in middle adulthood significantly reduces the risk of coronary events compared to remaining sedentary.Strong
- Resistance exercise is the only intervention capable of consistently restoring muscle function and strength in sarcopenia, partially overcoming age-related anabolic resistance.Strong
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