A randomised controlled trial of the effectiveness of pedometers plus systematic advice to increase physical activity levels in sedentary older women

2013 ◽  
Author(s):  
Marion McMurdo
2021 ◽  
pp. BJGP.2021.0172
Author(s):  
Kamlesh Khunti ◽  
Patrick James Highton ◽  
Ghazala Waheed ◽  
Helen Dallosso ◽  
Emma Redman ◽  
...  

Background: Targeted self-management programmes may improve health and increase physical activity in people with multimorbidity. Aim: Investigate the impact of a structured, theoretically-driven self-management group education programme on habitual physical activity levels in people with multimorbidity. Design: Individually randomised controlled trial with 12-month follow-up. Setting: Nine primary care practices within Leicestershire, UK. Methods: N=353 adults with multimorbidity (age 67.8±9 years, 161 male) were randomly assigned (1:1) to intervention (n=180) or control (n=173) groups. Intervention participants were invited to attend four group-based self-management sessions, centred primarily on increasing physical activity. They also received motivational text message support. The primary outcome measure was change from baseline in device-measured (GENEActiv wrist-worn accelerometer) overall volume of daily physical activity at 12 months. Results: At baseline, the total sample was achieving 22mins/day of moderate-to-vigorous intensity physical activity. At 12 months a reduction in daily average physical activity was seen in the intervention group relative to control participants in the complete-case analysis (-0.80 mg; 95% CI: -1.57, -0.03; p=0.04) (primary outcome data available for 71.1% and 79.2% of intervention and control groups respectively). Similar reductions were seen in time spent in moderate-to-vigorous physical activity (-3.86 mins/day; 95% CI:-6.70, -1.03; p=0.01) and time spent at an intensity equivalent to a slow walk (-4.66 mins/day; 95% CI: -8.82, -0.51; p=0.028). Conclusions: The self-management programme elicited a slight reduction in physical activity levels in people with multimorbidity. Future studies should identify and target subgroups of those with multimorbidity at greatest need for physical activity promotion.


2021 ◽  
Vol 7 (3) ◽  
pp. e001140
Author(s):  
Henry T Blake ◽  
Brad J Stenner ◽  
Jonathan David Buckley ◽  
Alyson J Crozier

IntroductionPhysical activity promotes physical, psychological and social health. Despite this, almost half of middle-aged (35–54 years) Australian men are insufficiently active. Exercise adherence is increased with social interaction in a group setting. Team sport can leverage the power of groups and has shown to be more intrinsically motivating than discrete exercise modes. Evaluation of the effect of team sport compared with traditional group exercise on health, particularly psychological and social health, and physical activity levels of middle-aged men is limited. This study aims to compare the effects of team sport participation and group circuit training on physical activity levels and health in insufficiently active middle-aged men.Methods and analysisIn this parallel randomised controlled trial, n=128 men aged 35–54 years will complete a 12-week team sport or group circuit exercise programme. Participants must self-report to not be meeting Australian physical activity guidelines or participating in team sport before recruitment. Health-related quality of life, exercise motivation, psychological needs satisfaction, sleep and physical activity levels (accelerometry), blood lipids, glucose and metabolic syndrome risk score will be assessed at baseline, end of the programme and 12 weeks follow-up. Linear mixed effect models will be used.Ethics and disseminationThe study has received ethical approval from the University of South Australia’s Human Research Ethics Committee (Ethics Protocol 203274). Study results will be disseminated via publication in disciplinary-specific journals, conference presentations, and as part of a Doctoral thesis.Trial registration numberANCTRN12621000483853.


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