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Peer-reviewedCC BY-NC 4.0French Academic Journal of Primary Care

Beyond the sessions: assessing physical activity level after an adapted physical activity programme in primary care

Abstract

Background. Physical activity (PA) contributes to the prevention and management of chronic diseases. A substantial proportion of the population, however, remains insufficiently active. This population, mostly followed in primary care, may benefit from an adapted physical activity (APA) prescription. An APA programme was developed within a university-affiliated multidisciplinary primary care practice in the Hauts-de-France region. Objective. To assess changes in PA level and sedentary time among patients participating in this programme. Method. A prospective, single-centre observational study included adult patients between September 2025 and January 2026. PA and sedentary behaviour were assessed using the ONAPS-PAQ questionnaire before the programme, at its completion, and three months later. The primary outcome was the change in weekly moderate-to-vigorous physical activity (MVPA), expressed in MET-minutes/week. Comparisons used the Friedman test with post-hoc analyses. Results. Forty-eight patients were included. MVPA differed significantly across the three time points (χ² = 14.9; p < 0.001), with an increase between baseline and programme completion (p = 0.001) and between baseline and three months (p < 0.001), with no significant difference between the two post-programme assessments (p = 0.469). Sedentary time also differed significantly (χ² = 7.75; p = 0.021), decreasing at three months compared with baseline (p = 0.013) and programme completion (p = 0.015). Walking activity also increased significantly (χ² = 11.8; p = 0.003). Conclusion. Participation in this APA programme was associated with an increase in PA level that persisted three months after completion, while the reduction in sedentary time emerged later. These findings support further evaluation of such programmes in primary care.

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BibTeX
@article{baron2026beyond,
  title = {{Beyond the sessions: assessing physical activity level after an adapted physical activity programme in primary care}},
  author = {Camille Baron and Lucile Fauquette and Thomas Rizzo and Eiya Ayed and Charles Cauet and Matthieu Calafiore and Jan Baran},
  journal = {French Academic Journal of Primary Care},
  year = {2026},
  month = oct,
  url = {https://hal.science/hal-05751087v1},
  note = {CC BY-NC 4.0},
}
RIS
TY  - JOUR
TI  - Beyond the sessions: assessing physical activity level after an adapted physical activity programme in primary care
AU  - Camille Baron
AU  - Lucile Fauquette
AU  - Thomas Rizzo
AU  - Eiya Ayed
AU  - Charles Cauet
AU  - Matthieu Calafiore
AU  - Jan Baran
PY  - 2026
DA  - 2026/10/14
JO  - French Academic Journal of Primary Care
UR  - https://hal.science/hal-05751087v1
AB  - Background. Physical activity (PA) contributes to the prevention and management of chronic diseases. A substantial proportion of the population, however, remains insufficiently active. This population, mostly followed in primary care, may benefit from an adapted physical activity (APA) prescription. An APA programme was developed within a university-affiliated multidisciplinary primary care practice in the Hauts-de-France region. Objective. To assess changes in PA level and sedentary time among patients participating in this programme. Method. A prospective, single-centre observational study included adult patients between September 2025 and January 2026. PA and sedentary behaviour were assessed using the ONAPS-PAQ questionnaire before the programme, at its completion, and three months later. The primary outcome was the change in weekly moderate-to-vigorous physical activity (MVPA), expressed in MET-minutes/week. Comparisons used the Friedman test with post-hoc analyses. Results. Forty-eight patients were included. MVPA differed significantly across the three time points (χ² = 14.9; p < 0.001), with an increase between baseline and programme completion (p = 0.001) and between baseline and three months (p < 0.001), with no significant difference between the two post-programme assessments (p = 0.469). Sedentary time also differed significantly (χ² = 7.75; p = 0.021), decreasing at three months compared with baseline (p = 0.013) and programme completion (p = 0.015). Walking activity also increased significantly (χ² = 11.8; p = 0.003). Conclusion. Participation in this APA programme was associated with an increase in PA level that persisted three months after completion, while the reduction in sedentary time emerged later. These findings support further evaluation of such programmes in primary care.
SN  - 3130-334X
ER  -