Adherence
A structured primary care exercise prescription program (Green Prescription) significantly increases moderate-to-vigorous physical activity levels and improves quality of life in inactive middle-aged and older women over two years, but does not significantly improve clinical biochemical markers (blood pressure, lipids, glycemic control) and is associated with a statistically significant increase in falls and injuries.
If you are a woman between 40 and 74 who isn't currently active, talk to your doctor about a 'Green Prescription.' This isn't just a piece of paper; it involves a nurse helping you set a goal of 30 minutes of brisk walking, five days a week. They will check in with you by phone and in person to keep you motivated. While this won't necessarily change your blood pressure or cholesterol numbers right away, it will likely help you feel better mentally and physically. Be aware that starting a new routine might slightly increase your risk of falls or minor injuries, so start slowly and focus on consistency.
This programme of exercise on prescription increased physical activity and quality of life over two years, although falls and injuries also increased.
Why this rating
Randomized controlled trial with high retention rates (89-93%) and large sample size (n=1089), but self-reported outcomes for activity and adverse events introduce potential bias.
Source
Exercise on prescription for women aged 40-74 recruited through primary care: two year randomised controlled trial
Beverley Lawton et al. · BMJ · 2008
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