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| Name | Class |
|---|---|
| McMaster University | OTHER |
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To conduct a randomized control trial to determine the feasibility and preliminary efficacy of a 12-week technology-enabled exercise snacks intervention with behaviour change counselling for improving cardiorespiratory fitness and various markers of cardiometabolic health in previously inactive adults living with obesity.
Participants will be randomized into an Exercise Snacks or a Placebo Exercise group for 12 weeks. The former will involve bodyweight exercises performed with vigorous effort and the latter will involve low-intensity stretching and mobility exercises. Following baseline testing, individualized interventions will be delivered via a customized mobile application ("app") or web platform. Participants will be instructed to perform a minimum of 4 isolated bouts of prescribed exercises per day on at least 5 days per week. Each bout will be one minute in duration. The interventions will be individualized and consider exercise preferences and physical abilities (e.g., fitness, musculoskeletal issues), and be adaptable to multiple environments (e.g., home, work). To facilitate this, participants will have a pre-intervention meeting wherein any physical limitations will be documented, and a research assistant trained in health behaviour change techniques will provide a brief exercise counselling session designed to individualize the intervention to the participant's preferences, abilities, and lifestyle. After 12 weeks, participants will be asked to return to the lab for follow-up testing.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Exercise Snacks | Experimental | Vigorous-intensity bodyweight exercises performed 4 times per day on at least 5 days per week. |
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| Placebo Exercise | Active Comparator | Low-intensity stretching exercises performed 4 times per day on at least 5 days per week. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Exercise Snacks | Other | The "movement breaks" will be individualized to exercise preferences and physical abilities (e.g., fitness, musculoskeletal issues) and adaptable to multiple environments (e.g., home, work) delivered via mobile phone application. Participants will be encouraged to incorporate the movement breaks into their daily schedule based on baseline exercise counselling. |
| Measure | Description | Time Frame |
|---|---|---|
| Determine the number of individuals living with obesity that are eligible to participate in the trial | The number of participants approached and reasons for not joining the study. | through study completion, an average of 18 months |
| Determine the number of eligible participants who would be willing to take part in this trial | The number of participants who enroll. | through study completion, an average of 18 months |
| Determine the number and percentage of participants retained after the 12-week intervention | Number and percentage of participants who drop-out and reasons. | after the 12-week intervention |
| Determine the number of one-minute exercise bouts performed during the 12-week intervention | Number of exercise bouts performed each week of the intervention. | during the 12 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Change in cardiorespiratory fitness measured before and after the 12-week intervention | Cardiorespiratory fitness will be measured using an incremental exercise test on a motorized treadmill at baseline and after the 12-week intervention. | 0-12 weeks |
| Change in lower body muscular endurance before and after the 12-week intervention |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of British Columbia Okanagan | Kelowna | British Columbia | Canada | |||
| McMaster University |
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| ID | Term |
|---|---|
| D009765 | Obesity |
| ID | Term |
|---|---|
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
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| Placebo Exercise | Other | The "movement breaks" will be individualized to exercise preferences and physical abilities (e.g., fitness, musculoskeletal issues) and adaptable to multiple environments (e.g., home, work) delivered via mobile phone application. Participants will be encouraged to incorporate the movement breaks into their daily schedule based on baseline exercise counselling. |
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The 30-second sit-to-stand will be measured at baseline and after the 12-week intervention. |
| 0-12 weeks |
| Change in upper body maximal strength before and after the 12-week intervention | Grip strength test using a hand dynamometer will be measured at baseline and after the 12-week intervention. | 0-12 weeks |
| Change in waist circumference before and after the 12-week intervention | Waist circumference will be measured at baseline and after the 12-week intervention. | 0-12 weeks |
| Change in weight before and after the 12-week intervention | Weight will be measured at baseline and after the 12-week intervention. | 0-12 weeks |
| Change in body mass index before and after the 12-week intervention | Body mass index will be measured at baseline and after the 12-week intervention. | 0-12 weeks |
| Change in fasting glucose measured before and after the 12-week intervention | Fasting glucose will be measured at baseline and after the 12-week intervention. | 0-12 weeks |
| Change in fasting insulin measured before and after the 12-week intervention | Fasting insulin will be measured at baseline and after the 12-week intervention. | 0-12 weeks |
| Change in systolic blood pressure measured before and after the 12-week intervention | Seated systolic blood pressure will be measured at baseline and after the 12-week intervention. | 0-12 weeks |
| Change in diastolic blood pressure measured before and after the 12-week intervention | Seated diastolic blood pressure will be measured at baseline and after the 12-week intervention. | 0-12 weeks |
| Change in physical activity assessed during the first and last weeks of the intervention | Physical activity measured using accelerometry during week 0 and week 12. | weeks 0 and 12 |
| Hamilton |
| Ontario |
| Canada |
| D001835 |
| Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |