Cardiorespiratory Fitness, Insulin Resistance
Conditions
Keywords
paediatric, cardiorespiratory fitness, telemedicine, insulin resistance
Brief summary
The goal of this clinical trial is to learn if telemedicine exercise programme can improve the cardiorespiratory fitness (how well your body delivers oxygen to muscles and organs) and insulin resistance in Asian children with low cardiorespiratory fitness levels. The main questions it aims to answers are: * Does telemedicine exercise programme improve the number of 20-metre laps the participant is able to run? * Does telemedicine exercise programme improve the insulin sensitivity using the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) formula? Researchers will compare the telemedicine exercise programme to current active lifestyle programme (e.g., daily step count monitoring) to see if telemedicine exercise programme is more effective in improving cardiorespiratory fitness. Participants will: * participate in weekly telemedicine exercise programme or adhere to current active lifestyle recommendations through daily step count reporting for 10 weeks * visit the clinic for pre- and post-programme cardiorespiratory fitness assessments and blood taking
Detailed description
This study is to investigate the effectiveness of delivering exercise intervention programme to improve cardiorespiratory fitness through telemedicine for paediatric patients with low cardiorespiratory fitness levels. Conventionally, exercise programme for these patients are conducted within hospital premises. However, some challenges may deter patients from enrolling into these programmes, such as long travelling distance, lack of available caregiver and unsuitable timings. Understanding the impact of a shorter-term programme (i.e., 10-week programme) on cardiorespiratory fitness and glucose metabolism also allows us to customise programmes of appropriate length to deliver the require health impact instead of subjecting all patients to a lengthy programme. Therefore, evaluating the effectiveness of telemedicine-based exercise programme will enable us to fine-tune our programme and provide an alternative mode of exercise intervention so as to cater for a wider range of paediatric patients.
Interventions
BEHAVIORALTelemedicine
A 10-week telemedicine-based exercise programme consisting of 90-minute sessions conducted weekly via a video conferencing platform. All participants will also be educated on physical activity recommendations, including achieving a minimum of 12,000 steps daily, and required to perform weekly check-in for number of daily steps via online survey form.
BEHAVIORALLifestyle
All participants will be educated on physical activity recommendations, including achieving a minimum of 12,000 steps daily, and required to perform weekly check-in for number of daily steps via online survey form.
Sponsors
KK Women's and Children's Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
12 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* 12 to 17 years (secondary school students) * able to participate in school physical education lessons
Exclusion criteria
* less than 12 years or 18 years and older (non-secondary school students) * has medical or musculoskeletal condition(s) preventing participation in school physical education lessons or exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Cardiorespiratory fitness assessment | At the end of 10-week programme | Cardiorespiratory fitness (CRF) is defined by the number of completed laps in Progressive Aerobic Cardiovascular Endurance Run (PACER) test, corresponding to the respective CRF levels for gender |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Insulin resistance | At the end of the 10-week programme | Insulin sensitivity is defined by the HOMA-IR formula \[(fasting insulin in µU/ml) x (fasting glucose in mmol/L) / 22.5\]; normal is \< 2.5 |
Countries
Singapore
Contacts
CONTACTNabil Abdul Rahim
CONTACTBenny Loo
PRINCIPAL_INVESTIGATORBenny Loo
KK Women's and Children's Hospital
Outcome results
None listed