Effectiveness of a Supervised Hospital-based Physical Exercise

Study Overview
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Brief Summary
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To assess if physical activity is effective in reducing stress and anxiety in healthcare professionals.

Detailed Description
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To assess if physical activity is effective in reducing stress and anxiety in healthcare professionals. To evaluate if physical activity is effective in improving the physical and mental state of health care professionals and improving several blood parameters (lipid profile and blood glucose).

Official Title
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Effectiveness of a Supervised Hospital-based Physical Exercise Intervention to Reduce Stress in Health Care Professionals

Conditions
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Stress, Psychological, Anxiety

Intervention / Treatment
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* Other: supervised physical exercise sessions
* Other: unsupervised physical exercise


Participation Criteria
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Eligibility Criteria
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Inclusion criteria Apt for sports practice after review by the corresponding health professional of the Occupational Health Service, Motivation for sports practice (could be self-referred or on an EVA scale from a score for example of 6) being 0 not motivated at all and 10 totally motivated. One could extrapolate the score limits of the EVA scale pain no motivation=0; mild motivation=1,2; moderate=3-5; high from 6. Professionals whose working day does not coincide with the hours during which the sessions are to be given. Professionals who do not work shifts. Exclusion Criteria: Any type of contraindication for sports practice (Annex I), Staff who, due to their activity, have greater mobility in the hospital (orderlies). Osteoarticular injuries, cervical and lumbalgias. Withdrawal criteria -Within the intervention group - absence maximum two weeks to the exercises. This will not be taken into account during the summer period.
Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: supervised physical exercise sessions<br>Participants assigned to the supervised exercise group will perform a supervised routine of approximately 30 minutes, 2 days per week (Monday and Wednesday at the Txagorritxu hospital, and Tuesday and Thursday at the Santiago hospital from 7:15 to 7:45 and from 15:15 to 15:45). | Other: supervised physical exercise sessions<br>* Participants assigned to the supervised exercise group will perform a supervised routine of approximately 30 minutes, 2 days per week (Monday and Wednesday at the Txagorritxu hospital, and Tuesday and Thursday at the Santiago hospital from 7:15 to 7:45 and from 15:15 to 15:45).<br>|
| Other: unsupervised physical exercise sessions<br>For the non-supervised group, we will propose climbing the stairs from floor 0 to floor 7 three times during the working day and doing planks and stretching exercises outside of work. For the latter, an educational session will be given at the beginning of the study to explain how to perform them correctly. | Other: unsupervised physical exercise<br>* For the non-supervised group, we will propose climbing the stairs from floor 0 to floor 7 three times during the working day and doing planks and stretching exercises outside of work. For the latter, an educational session will be given at the beginning of the study to explain how to perform them correctly.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Perceived Stress | Perceived stress scale-PSS. PSS scores are obtained by inverting the responses (e.g. 0 = 4, 1 = 3, 2 = 2, 3 = 1 and 4 = 0) to the four positive items (items 4, 5, 7 and 8) and then adding up all the points on the scale. | at six months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Goldberg anxiety questionnaire | Goldberg anxiety questionnaire. This questionnaire has a total of 9 items. A score greater than or equal to 4 is indicative of anxiety. | at six months | 
| Short Form Survey_Mental health | Mental component of the SF12 questionnaire. For each of the 8 dimensions, the items are coded, aggregated and transformed into a scale ranging from 0 (worst health status for that dimension) to 100 (best health status). The number of response options ranges from three to six, depending on the item. | at six months | 
| Short Form Survey_Physical condition | Physical component of the SF12 questionnaire. For each of the 8 dimensions, the items are coded, aggregated and transformed into a scale ranging from 0 (worst health status for that dimension) to 100 (best health status). The number of response options ranges from three to six, depending on the item. | at six months | 
| Ruffier index | The Ruffier test is a test performed to measure short-term aerobic endurance and cardiac recovery capacity, and therefore the level of physical fitness in individuals. An index below 0 indicates a good physical condition. Its average value is between 5 and 10. Above 10 the patient is considered to have a poor adaptation to exertion. | at six months | 
| Weight | Weight | at six months | 
| Body mass index | Body mass index | at six months | 
| lipid profile | Colesterol, HDL, LDL, triglycerides | at six months | 
| glycosylated hemoglobin | glycosylated hemoglobin | at six months | 
| work absenteeism | work absenteeism | at six months |