Intensive lifestyle modification program on weight loss and metabolic syndrome risk reduction among obese women in rural areas of Thailand

Purpose The purpose of this paper is to examine the effect of the intensive lifestyle modification program on weight and metabolic syndrome risk reduction in rural obese women who have no underlying non-communicable diseases in Thailand. Design/methodology/approach A randomized controlled trial was conducted. In total, 60 healthy obese women aged 30-50 years were recruited and randomly assigned to either the intervention (n=30) or control (n=30) group after health screening. Tailored nutritional counseling, health education and exercise training were included in the lifestyle modification program. Behavioral modification techniques were also incorporated. The intervention was conducted weekly for the first eight weeks, then biweekly until week 16. Findings The student’s t-test was used to compare mean difference between groups. The total weight loss in the intervention group (n=29) was significantly higher, 7.6±2.9 kg, compared with the control group (n=30) who lost 0.7±1.4 kg (p<0.001). The intervention group lost weight 10.2 percent from baseline which was significantly higher than that in the control group (p<0.001). Systolic and diastolic blood pressures, fasting blood sugar, and waist circumference were significantly improved. Triglyceride levels slightly improved while high density lipoprotein cholesterol was slightly lowered. The intervention group showed a statistical reduction in abnormal components of metabolic syndrome compared with the control group, with the relative risk=0.24, 95% confidence interval=0.072-0.791, and p=0.018. Originality/value Compatibility of the program activities conducted by a health professional who had achieved healthy weight loss and accepted as a role model was a key to achieving effective weight loss and metabolic syndrome risk reduction in obese women in rural areas. The program should be integrated into the conventional practice of health care centers.

Download Full-text

Therapeutic Lifestyle Modification Program Reduces Plasma Levels of the Chemokines CRP and MCP-1 in Subjects With Metabolic Syndrome

Biological Research For Nursing ◽

10.1177/1099800411416637 ◽

2011 ◽

Vol 15 (1) ◽

pp. 48-55 ◽

Cited By ~ 13

Author(s):

Eui Geum Oh ◽

So Youn Bang ◽

Soo Hyun Kim ◽

Sa Saeng Hyun ◽

Sang Hui Chu ◽

...

Keyword(s):

Metabolic Syndrome ◽

Lifestyle Modification ◽

Controlled Trial ◽

Intervention Group ◽

Density Lipoprotein ◽

High Sensitivity ◽

Retinol Binding Protein ◽

Control Group ◽

Necrosis Factor Alpha ◽

Hs Crp

Objective: The purpose of this study was to examine the effects of a 6-month therapeutic lifestyle modification (TLM) program on chemokines related to oxidative stress, inflammation, endothelial dysfunction, and arterial stiffness in subjects with metabolic syndrome (MetS). Methods: The authors performed a randomized controlled trial, assigning 52 women (mean age 62.7 ± 9.0 years) with MetS to a TLM intervention group ( n = 31) or a control group ( n = 21). The authors provided the TLM intervention group with health screening, exercise, low-calorie diet, and health education and counseling for 6 months and instructed the control group to maintain their usual lifestyle behaviors. Outcome variables included levels of myeloperoxidase (MPO), oxidized low-density lipoprotein (LDL), adiponectin, leptin, resistin, high-sensitivity C-reactive protein (hs-CRP), interleukin-1β, interleukin-6, tumor necrosis factor-alpha (TNF-α), CD40L, monocyte chemotactic protein-1 (MCP-1), retinol-binding protein 4 (RBP-4), endothelin-1, and brachial-ankle pulse wave velocity. The authors used generalized estimating equation (GEE) analyses to estimate the effects of the TLM program. Results: After the 6-month TLM program, hs-CRP levels decreased significantly, and MCP-1 levels increased at a significantly slower rate in the TLM group than they did in the control group (all p < .05). Conclusion: These results indicate that a TLM program could be effective for improving patient inflammatory states and may also be effective in preventing cardiovascular complications in subjects with MetS.

Download Full-text

Worksite weight management program

Nutrition & Food Science ◽

10.1108/nfs-08-2016-0132 ◽

2017 ◽

Vol 47 (4) ◽

pp. 490-510 ◽

Cited By ~ 1

Author(s):

Jian Pei Kong ◽

Linda Jok ◽

Azlee Bin Ayub ◽

Rawa Ak Bau

Keyword(s):

Weight Loss ◽

Body Weight ◽

Primary Healthcare ◽

Fasting Blood Glucose ◽

Intervention Group ◽

Healthcare Setting ◽

Control Group ◽

Short Term ◽

Content Type ◽

Worksite Intervention

Purpose This study aims to pilot test a new multi-component worksite intervention for weight loss in a primary healthcare setting. Design/methodology/approach This randomized trial involved 88 participants (43, 45; intervention, control group). The intervention group enrolled in a 12-week lifestyle program that involved modification of dietary intake by community Registered Dietitian (RDs) and increasing high-intensity interval training (HITT) with motivational interviewing (MI) to support changes. The control group received traditional counselling and weekly aerobic exercise from Medical Officer and physiotherapist. The primary outcome measure was the changes in body weight. Secondary measures were changes in blood pressure, fasting blood glucose, fasting blood lipid and dietary changes. Assessments were repeated at a three-month interval. Findings There was a significant reduction in body weight and waist circumference within groups. Intervention group demonstrated a significant improvement in all cardiometabolic risk factors. This study showed that primary healthcare setting can be successful locations in promoting short-term health benefits. RDs were more successful and HITT appeared to be a favorable workout with MI in achieving drastic weight loss. Research limitations/implications The short-term worksite intervention and not recording of body composition were the major drawbacks in this study. Originality/value The efficacy of multi-component worksite intervention (Diet–HITT–MI) in primary healthcare setting has not been clearly defined.

Download Full-text

Effects of a Therapeutic Lifestyle Modification Program on Inflammatory Chemokines and Insulin Resistance in Subjects With Metabolic Syndrome

Biological Research For Nursing ◽

10.1177/1099800410383305 ◽

2010 ◽

Vol 13 (2) ◽

pp. 182-188 ◽

Cited By ~ 7

Author(s):

Eui Geum Oh ◽

Sang Hui Chu ◽

So Youn Bang ◽

Mi Kyung Lee ◽

Soo Hyun Kim ◽

...

Keyword(s):

Insulin Resistance ◽

Metabolic Syndrome ◽

Lifestyle Modification ◽

Intervention Group ◽

Retinol Binding Protein ◽

Control Group ◽

Model Assessment ◽

Fasting Insulin ◽

Short Term ◽

Inflammatory Chemokines

Background. Although therapeutic lifestyle modification (TLM) effectively improves the values of diagnostic biomarkers of metabolic syndrome, less is known about its effects on inflammatory chemokines and insulin resistance (IR) in patients with this syndrome. Objectives. To examine the effects of a short-term TLM program on inflammatory chemokines (monocyte chemoattractant protein-1 [MCP-1], retinol binding protein-4 [RBP-4]) and IR in subjects with metabolic syndrome. Method. Twenty-nine women (aged 66.5 ± 9.5 years) with metabolic syndrome were randomly assigned to the TLM intervention group (n = 16) or control group (n = 13). The TLM intervention group was provided with 4 weeks of health screening, education, exercise, diet, and counseling. Participants in the control group were instructed to maintain their usual lifestyle behavior. Outcome variables measured included MCP-1, RBP-4, fasting glucose, fasting insulin, and homeostasis model assessment (HOMA). An intention-to-treat strategy was not followed, and the final number of subjects in the analysis was 22 (14 in the TLM group and 8 in the control group). Results. After a 4-week TLM program, MCP-1, fasting insulin, and HOMA were significantly decreased in the TLM group compared to those in the control group (all p < .05). Conclusions. We conclude that a short-term TLM program could be effective for improving inflammatory state and IR, which are significant preceding biomarkers for cardiovascular complications in subjects with metabolic syndrome.

Download Full-text

Push Notifications From a Mobile App to Improve the Body Composition of Overweight or Obese Women: Randomized Controlled Trial (Preprint)

10.2196/preprints.13747 ◽

2019 ◽

Cited By ~ 2

Author(s):

Alberto Hernández-Reyes ◽

Fernando Cámara-Martos ◽

Guillermo Molina Recio ◽

Rafael Molina-Luque ◽

Manuel Romero-Saldaña ◽

...

Keyword(s):

Physical Activity ◽

Clinical Trial ◽

Weight Loss ◽

Body Composition ◽

Controlled Trial ◽

Intervention Group ◽

The Body ◽

Control Group ◽

Obese Women ◽

Randomized Controlled

BACKGROUND Technology—in particular, access to the Internet from a mobile device—has forever changed the way we relate to others and how we behave in our daily life settings. In recent years, studies have been carried out to analyze the effectiveness of different actions via mobile phone in the field of health: telephone calls, short message service (SMS), telemedicine, and, more recently, the use of push notifications. We have continued to explore ways to increase user interaction with mobile apps, one of the pending subjects in the area of mHealth. By analyzing the data produced by subjects during a clinical trial, we were able to extract behavior patterns and, according to them, design effective protocols in weight loss programs. OBJECTIVE A clinical trial was proposed to (1) evaluate the efficacy of push notifications in an intervention aimed at improving the body composition of adult women who are overweight or obese, through a dietary procedure, and (2) analyze the evolution of body composition based on push notifications and prescribed physical activity (PA). METHODS A two-arm randomized controlled trial was carried out. A sample size of 117 adult obese women attended a face-to-face, 30-minute consultation once a week for 6 months. All patients were supplied with an app designed for this study and a pedometer. The control group did not have access to functionalities related to the self-monitoring of weight at home, gamification, or prescription of PA. The intervention group members were assigned objectives to achieve a degree of compliance with diet and PA through exclusive access to specific functionalities of the app and push notifications. The same diet was prescribed for all patients. Three possible PA scenarios were studied for both the control and intervention groups: light physical activity (LPA), moderate physical activity (MPA), and intense physical activity (IPA). For the analysis of three or more means, the analysis of variance (ANOVA) of repeated means was performed to evaluate the effects of the intervention at baseline and at 3 and 6 months. RESULTS Receiving notifications during the intervention increased body fat loss (mean -12.9% [SD 6.7] in the intervention group vs mean -7.0% [SD 5.7] in the control group; P<.001) and helped to maintain muscle mass (mean -0.8% [SD 4.5] in the intervention group vs mean -3.2% [SD 2.8] in the control group; P<.018). These variations between groups led to a nonsignificant difference in weight loss (mean -7.9 kg [SD 3.9] in the intervention group vs mean -7.1 kg [SD 3.4] in the control group; P>.05). CONCLUSIONS Push notifications have proven effective in the proposed weight loss program, leading women who received them to achieve greater loss of fat mass and a maintenance or increase of muscle mass, specifically among those who followed a program of IPA. Future interventions should include a longer evaluation period; the impact of different message contents, as well as message delivery times and frequency, should also be researched. CLINICALTRIAL ClinicalTrials.gov NCT03911583; https://www.clinicaltrials.gov/ct2/show/NCT03911583

Download Full-text

The effect of an augmented commercial weight loss program on increasing physical activity and reducing psychological distress in women with overweight or obesity: a randomised controlled trial

Journal of Public Mental Health ◽

10.1108/jpmh-08-2018-0055 ◽

2019 ◽

Vol 19 (2) ◽

pp. 145-157

Author(s):

Gavin Breslin ◽

Leeanne Sweeney ◽

Stephen Shannon ◽

Marie Murphy ◽

Donncha Hanna ◽

...

Keyword(s):

Physical Activity ◽

Weight Loss ◽

Psychological Distress ◽

Intervention Group ◽

Weight Loss Program ◽

Control Group ◽

Depression Symptoms ◽

Evidence Based ◽

Content Type ◽

Overweight Or Obesity

Purpose The purpose of this paper is to test the effects of augmenting an evidence-based physical activity intervention within an existing commercial weight loss program to assess effects on increasing physical activity and reducing psychological distress. Design/methodology/approach The CONSORT guidelines were adopted for the study. In total, 49 women with overweight or obesity (M age=39.5, SD:12.4; M Body Mass Index=31.02, SD: 2.10) enrolled in a six week commercial weight loss program were randomized to an intervention or a control group. Participants in the control group received care as usual; participants in the intervention group additionally received an evidence-based intervention to increase physical activity that included behavior change techniques including implementation intentions, goal-setting and self-monitoring. Findings Weekly steps increased in the intervention group (M=31,516.25; SD=9,310.17 to M=62,851.36; SD=13,840.4) significantly more (p<0.001, η p 2 =0.32) than in the control group (M=30,207.67; SD=7,833.29) to M=46,969.33 (SD=9,470.96), along with experiencing significantly lower anxiety (p<0.001, η p 2 =0.15), social dysfunction (p<0.001, η p 2 =0.16) and depression symptoms (p<0.05, η p 2 =0.08) at follow-up. Research limitations/implications This intervention warrants extension to those seeking to improve mental health through physical activity. Originality/value This study took a novel approach of augmenting a commercial weight loss program with a theory-based physical activity module, showing positive effects for physical activity behavior and psychological health.

Download Full-text

Push Notifications From a Mobile App to Improve the Body Composition of Overweight or Obese Women: Randomized Controlled Trial

JMIR mhealth and uhealth ◽

10.2196/13747 ◽

2020 ◽

Vol 8 (2) ◽

pp. e13747 ◽

Cited By ~ 7

Author(s):

Alberto Hernández-Reyes ◽

Fernando Cámara-Martos ◽

Guillermo Molina Recio ◽

Rafael Molina-Luque ◽

Manuel Romero-Saldaña ◽

...

Keyword(s):

Physical Activity ◽

Clinical Trial ◽

Weight Loss ◽

Body Composition ◽

Controlled Trial ◽

Intervention Group ◽

The Body ◽

Control Group ◽

Obese Women ◽

Randomized Controlled

Background Technology—in particular, access to the Internet from a mobile device—has forever changed the way we relate to others and how we behave in our daily life settings. In recent years, studies have been carried out to analyze the effectiveness of different actions via mobile phone in the field of health: telephone calls, short message service (SMS), telemedicine, and, more recently, the use of push notifications. We have continued to explore ways to increase user interaction with mobile apps, one of the pending subjects in the area of mHealth. By analyzing the data produced by subjects during a clinical trial, we were able to extract behavior patterns and, according to them, design effective protocols in weight loss programs. Objective A clinical trial was proposed to (1) evaluate the efficacy of push notifications in an intervention aimed at improving the body composition of adult women who are overweight or obese, through a dietary procedure, and (2) analyze the evolution of body composition based on push notifications and prescribed physical activity (PA). Methods A two-arm randomized controlled trial was carried out. A sample size of 117 adult obese women attended a face-to-face, 30-minute consultation once a week for 6 months. All patients were supplied with an app designed for this study and a pedometer. The control group did not have access to functionalities related to the self-monitoring of weight at home, gamification, or prescription of PA. The intervention group members were assigned objectives to achieve a degree of compliance with diet and PA through exclusive access to specific functionalities of the app and push notifications. The same diet was prescribed for all patients. Three possible PA scenarios were studied for both the control and intervention groups: light physical activity (LPA), moderate physical activity (MPA), and intense physical activity (IPA). For the analysis of three or more means, the analysis of variance (ANOVA) of repeated means was performed to evaluate the effects of the intervention at baseline and at 3 and 6 months. Results Receiving notifications during the intervention increased body fat loss (mean -12.9% [SD 6.7] in the intervention group vs mean -7.0% [SD 5.7] in the control group; P<.001) and helped to maintain muscle mass (mean -0.8% [SD 4.5] in the intervention group vs mean -3.2% [SD 2.8] in the control group; P<.018). These variations between groups led to a nonsignificant difference in weight loss (mean -7.9 kg [SD 3.9] in the intervention group vs mean -7.1 kg [SD 3.4] in the control group; P>.05). Conclusions Push notifications have proven effective in the proposed weight loss program, leading women who received them to achieve greater loss of fat mass and a maintenance or increase of muscle mass, specifically among those who followed a program of IPA. Future interventions should include a longer evaluation period; the impact of different message contents, as well as message delivery times and frequency, should also be researched. Trial Registration ClinicalTrials.gov NCT03911583; https://www.clinicaltrials.gov/ct2/show/NCT03911583

Download Full-text

Efficacy of Brief Lifestyle Change in conjunction with Dental Care (Brief-LCDC) Programs on glycemic and periodontal status among DM patients

Journal of Health Research ◽

10.1108/jhr-09-2018-0092 ◽

2019 ◽

Vol 33 (3) ◽

pp. 247-259

Author(s):

Saruta Saengtipbovorn

Keyword(s):

Type 2 Diabetes ◽

Dental Care ◽

Lifestyle Modification ◽

Intervention Group ◽

Lifestyle Change ◽

Control Group ◽

Content Type ◽

Periodontal Status ◽

Glycemic Level

Purpose A global trend of type 2 diabetes prevalence is rising. Preventing and managing of systemic and dental complications is crucial to decrease negative effects on glycemic control. The purpose of this paper is to estimate the efficacy of Brief Lifestyle Change in conjunction with Dental Care (Brief-LCDC) Programs to decrease glycemic level and improve periodontal status in patients with type 2 diabetes. Design/methodology/approach Health Center 54 conducted randomized controlled trial among 192 patients (96 intervention and 96 control) from February to August 2018. Group education for lifestyle modification, individual oral hygiene instruction and lifestyle counseling by motivational interviewing was provided to the intervention group at baseline. Motivation of lifestyle modification every month by multimedia was also provided to the intervention group. The usual program was provided to the control group. At baseline and a six-month follow-up, glycemic level and periodontal status were assessed from participants. Data were analyzed by descriptive statistic, t-test, χ2 test, Fisher’s exact test, Repeated measure ANOVA and multiple linear regression. Findings Glycemic level and periodontal status were lower in the intervention group than the control group at the sixth-month followed up with statistical significances. Glycemic level and periodontal status had negatively correlated to intervention group with statistically significant. Originality/value Brief-LCDC Program which incorporated lifestyle modification and oral health care had efficacious to decrease glycemic level and improve periodontal status in patients with type 2 diabetes. Early prevention program by Brief-LCDC Program is crucial to prevent dental complications.

Download Full-text

The Efficacy of an Intensive Lifestyle Modification Program on Psychosocial Outcomes among Rural Women with Prior Gestational Diabetes Mellitus: Six Months Follow-Up of a Randomized Controlled Trial

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041519 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1519

Author(s):

Jia Guo ◽

Qing Long ◽

Jundi Yang ◽

Qian Lin ◽

James Wiley ◽

...

Keyword(s):

Diabetes Mellitus ◽

Social Support ◽

Gestational Diabetes ◽

Gestational Diabetes Mellitus ◽

Perceived Stress ◽

Lifestyle Modification ◽

Intervention Group ◽

Control Group ◽

Significant Group ◽

Lifestyle Modification Program

Women with prior gestational diabetes mellitus (GDM) are at a higher risk of type 2 diabetes and other health issues after delivery. They may have a lower quality of life (QoL), experience more medical-related stress, and need more support than those without it. This study aimed to examine the six-month efficacy of an intensive lifestyle modification program on perceived stress, social support, and QoL among women with prior GDM in rural China. A total of 320 women with prior GDM were randomly assigned to an intervention group (n = 160) and a control group (n = 160). Participants in the intervention group received an intensive lifestyle modification (ILSM) program, including a series of six biweekly face-to-face sessions and five biweekly phone sessions delivered by trained local health workers. The control group received the usual care. Data about perceived stress, social support, QoL, and HbA1c were collected at baseline, at three months, and at six-month follow-ups. Generalized estimating equation analysis was used to assess the efficacy of the intervention. There were significant improvements in the psychological domain (β = 0.479 ± 0.153, p = 0.002) and environmental domain (β = 0.462 ± 0.145, p = 0.001) of QoL over six months; there were significant group effects (β = −0.718 ± 0.280, p = 0.010) and time effects (β = 0.453 ± 0.211, p = 0.032) in physiological domain, and there were significant group effects in the social relations domain (β = −0.669 ± 0.321, p = 0.037). The ILSM group had a more pronounced downward trend in HbA1c than the control group (β = −0.050 ± 0.026, p = 0.059). The ILSM program can help women with GDM improve their psychological and environmental domain of QoL. It can be recommended as a form of health promotion for improving QoL among women with prior GDM in rural primary care settings in developing countries.

Download Full-text

Impact of a walking intervention during pregnancy on post-partum weight retention and infant anthropometric outcomes

Journal of Developmental Origins of Health and Disease ◽

10.1017/s2040174414000117 ◽

2014 ◽

Vol 5 (3) ◽

pp. 259-267 ◽

Cited By ~ 10

Author(s):

K. L. Kong ◽

C. Campbell ◽

K. Wagner ◽

A. Peterson ◽

L. Lanningham-Foster

Keyword(s):

Lifestyle Modification ◽

Post Partum ◽

Child Outcomes ◽

Intervention Group ◽

Control Group ◽

Weight Retention ◽

Obese Women ◽

Growth Trend ◽

Walking Intervention ◽

The Impact

Few studies have investigated the impact of lifestyle interventions during pregnancy on post-partum weight retention and infant growth. Thirty seven previously non-exercising, overweight or obese pregnant women were randomly assigned to a walking intervention or non-intervention control. For the follow-up study, weight of the mother and weight, length and body composition of the infant were collected at 1 month post-partum (n=37) and 6 months post-partum (n=33). Analysis of variance and linear regression were conducted to determine the differences and association in maternal post-partum weight retention and child outcomes. At 6 months post-partum, weight retention of obese women in the intervention group (Int-OB) was −0.10±8.11 kg; while, obese women in the control group (Con-OB) was 6.35±7.47 kg. A significantly higher percentage of Con-OB women retained more than 5 kg at 6 months post-partum (P=0.046). Even though statistically non-significant between the groups, the growth trend observed among offspring of obese women in the control group was consistently higher than the offspring of obese women in the intervention group from birth to 6-months. Third trimester gestational weight gain rate significantly predicted 6-m weight-for-length z-score after controlling for birth weight, treatment group and pre-pregnancy body mass index (r2=0.31, β=1.75, P=0.03). The reduced post-partum weight retention observed among the obese women in the intervention group may be explained in part by the lifestyle modification during pregnancy.

Download Full-text

Workplace health programme among individuals with metabolic syndrome

International Journal of Workplace Health Management ◽

10.1108/ijwhm-09-2014-0036 ◽

2015 ◽

Vol 8 (3) ◽

pp. 175-188

Author(s):

Chee Huei Phing ◽

Hazizi Abu Saad ◽

Barakatun Nisak Mohd Yusof ◽

Mohd Nasir Mohd Taib

Keyword(s):

Physical Activity ◽

Metabolic Syndrome ◽

Physical Activity Intervention ◽

Intervention Group ◽

Step Count ◽

Control Group ◽

Post Intervention ◽

Content Type ◽

Step Counts

Purpose – The purpose of this paper is to ascertain the effect of a physical activity intervention using a combination of Facebook and standing banners on improvements in metabolic syndrome. Design/methodology/approach – In all, 120 (82.8 per cent) government employees with metabolic syndrome completed the programme. A Lifecorder e-STEP accelerometer (Suzuken Company Limited, Nagoya, Japan) was utilized to quantify physical activity. Metabolic syndrome was defined according to “Harmonized” definition at baseline, post-intervention and follow-up. Findings – There were significantly higher step counts in the intervention group as compared to the control group over time. There were significant within-group differences in the step count at the baseline, post-intervention and follow-up assessments (p < 0.001) in both the intervention and control groups. The step count of the intervention group increased by 4,522 steps in the post-intervention assessment compared to the assessment at baseline. The step count of the intervention group in the follow-up assessment was lower than in the post-intervention assessment, but it was still 2,126 steps higher than at baseline. For control group, the difference between the post-intervention assessment and the assessment at baseline was 520 steps per day, while the difference between the follow-up assessment and assessment at baseline was 379 steps per day. The greatest decrease in the percentage of metabolic syndrome was observed in the intervention group, with a reduction of 88.6 per cent in the post-intervention assessment as compared to that at baseline. Research limitations/implications – Future studies should incorporate measures which will be of interest to employers. Greater understanding and assessment of desirable employer-related outcomes are warranted, such as decreased job stress, turnover, absenteeism and improved job satisfaction, productivity and exploration of how these associated with physical activity. Practical implications – The findings show that delivering information on physical activity through an easily implemented and low-cost physical activity intervention via a combination of Facebook and standing banners was successful in improving step counts and metabolic parameters among individuals with metabolic syndrome. Social implications – The findings draw on supporting evidence for advocacy, which is about influencing the larger environment of public policy, and raising awareness of a single programme is insufficient to create lasting social change. Public policy must be shaped in a way that will sustain change across institutions. Originality/value – Despite the well-documented health benefits of physical activity, a growing number of people not achieving the recommended levels of physical activity necessary for good health. Importantly, the study provides a new insight on lifestyle-based physical activity interventions capable of improving step counts and metabolic parameters.

Download Full-text