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      The green prescription study: a randomized controlled trial of written exercise advice provided by general practitioners.

      , , , ,
      American Journal of Public Health
      American Public Health Association

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          Abstract

          The purpose of this study was to determine whether written advice from general practitioners increases physical activity among sedentary people more than verbal advice alone. Sedentary patients (n = 456) received verbal advice on increasing physical activity and were then randomized to an exercise prescription (green prescription) group or a verbal advice group. The number of people engaging in any recreational physical activity at 6 weeks increased substantially, but significantly more so in the green prescription group. Also, more participants in the green prescription group increased their activity over the period. A written goal-oriented exercise prescription, in addition to verbal advice, is a useful tool for general practitioners in motivating their parents to increase physical activity.

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          Editorial

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            Physical activity, all-cause mortality, and longevity of college alumni.

            We examined the physical activity and other life-style characteristics of 16,936 Harvard alumni, aged 35 to 74, for relations to rates of mortality from all causes and for influences on length of life. A total of 1413 alumni died during 12 to 16 years of follow-up (1962 to 1978). Exercise reported as walking, stair climbing, and sports play related inversely to total mortality, primarily to death due to cardiovascular or respiratory causes. Death rates declined steadily as energy expended on such activity increased from less than 500 to 3500 kcal per week, beyond which rates increased slightly. Rates were one quarter to one third lower among alumni expending 2000 or more kcal during exercise per week than among less active men. With or without consideration of hypertension, cigarette smoking, extremes or gains in body weight, or early parental death, alumni mortality rates were significantly lower among the physically active. Relative risks of death for individuals were highest among cigarette smokers and men with hypertension, and attributable risks in the community were highest among smokers and sedentary men. By the age of 80, the amount of additional life attributable to adequate exercise, as compared with sedentariness, was one to more than two years.
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              Reproducibility and responsiveness of health status measures statistics and strategies for evaluation

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                Author and article information

                Journal
                American Journal of Public Health
                Am J Public Health
                American Public Health Association
                0090-0036
                1541-0048
                February 1998
                February 1998
                : 88
                : 2
                : 288-291
                Article
                10.2105/AJPH.88.2.288
                1508188
                9491025
                e0adf18e-46f3-4c1c-9b67-aa84175f81fa
                © 1998
                History

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