Adherence, Treatment, Exercise
Conditions
Keywords
web-based exercise, adherence, body composition
Brief summary
The study findings can derive an effective exercise type either web-based or supervise exercise as well as build a series of exercise video that can promote self-exercise at home for health promotion for community residents.
Detailed description
Background: Web-based exercise is effective alternative training for community residents on health improvement; however, adherence to their performance is challenging. Purpose: This study aimed to (1) compare the effectiveness of 16-week exercise on improving blood samples, body composition, and anthropometric parameters between web-based exercise and supervised exercise; and (2) examine the trajectory of exercise adherence of web-based exercise for attendance and intensity over time for community-dwelling adults with high body fat. Design: A two-arm randomized control trial. Method: Participants who received 16-week supervised exercise for aerobic exercise training on 2020 in our previous project was served as one of control groups (n = 34). In present project, purposive sampling will be used to enroll a target of 66 community-dwelling residents aged 40-64 years with inactive habits and body fat percentage ≧ of 25% for males and ≧ 30% for females in study. Eligible participants will be stratified by sex and then block randomly divided into web-based exercise or a control group (without any exercise intervention). The web-based exercise will prescribe a 30-minute of aerobic exercise at least moderate intensity prescription for three times per week. Heart rate reserve and self-perceived exertion will be self-recorded on the web by participants. Generalized estimating equations will be used to explore the effectiveness of web-based exercise. Implications: The study findings can derive an effective exercise type either web-based or supervise exercise as well as build a series of exercise video that can promote self-exercise at home for health promotion for community residents.
Interventions
Our designed AE program involved core muscle training through movements including marching, step touches, lunges, v-steps, box steps, twists, knee-ups, scoops, and scissors.
Sponsors
Study design
Masking description
PI will be blinding.
Intervention model description
we will design a randomized controlled trial comprising two arms of a 16-week exercise web-based aerobic exercise (AE) training and another control group without any exercise intervention.
Eligibility
Inclusion criteria
* aged from 40 to 64 years. * have a body fat percentage of ≧25% if a man or ≧30% if a woman. * can use the internet for watching the exercise video online. * with inactive habit (≤ 3 days of physical activity per week and ≤ 30 min per session).
Exclusion criteria
* blind. * currently under diet control. * with any unsafety concern for their condition, such as pregnancy, myocardial infarction, stroke, or body fat percentage of ≧40%.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The change of triglycerides [TG] | two times (from baseline to the end of 16-week) | the unit is mg/dl |
| The change of cholesterol | two times (from baseline to the end of 16-week) | the unit is mg/dl |
| The change of fasting sugar from blood sample | two times (from baseline to the end of 16-week) | the unit is mg/dl |
| The change of insulin from blood sample | two times (from baseline to the end of 16-week) | the unit is μIU/mL |
| The change of weight | two times (from baseline to the end of 16-week) | weight in kilograms, will be measured using body composition analyzer |
| The change of waist circumference | two times (from baseline to the end of 16-week) | the unit is centimeters |
| The change of body fat percentage | two times (from baseline to the end of 16-week) | the unit is %, will be measured using body composition analyzer |
| The change of visceral fat | two times (from baseline to the end of 16-week) | the unit is square centimeters, will be measured using body composition analyzer |
| The change of hip circumference | two times (from baseline to the end of 16-week) | the unit is centimeters. |
| The change of High-density lipoprotein [HDL] | two times (from baseline to the end of 16-week) | the unit is mg/dl |
| The change of low-density lipoprotein [LDH] | two times (from baseline to the end of 16-week) | the unit is mg/dl |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adherence measurement | Each exercise session | Number of sessions attended/ Number of total sessions prescribed |