Metabolic Disease
Conditions
Keywords
Dancing, South Asian People, Metabolic Diseases, Cultural Competency, Randomized Controlled Trial
Brief summary
You are invited to take part in a research project. Before you decide if you would like to take part, please read this information sheet carefully. You can also ask the lead researcher if you have any questions (please see contact details at the end of this sheet). Title of Project: Investigating the feasibility of a twelve week Bhangra dance intervention on metabolic health, physical function and mental well-being among 40-70 years old adults identifying as coming from the Indian diaspora: What is the purpose of the research? To understand whether a twelve-week Bhangra dance course has a positive influence on your metabolic health, physical function and mental well-being. To understand your experiences with the dance classes? What will participation in the project involve? This 12-week course of Bhangra dance, run by qualified instructors, consists of two classes a week and is free for you. Classes will run on Tuesday and Wednesday at 7:30pm for 45 minutes in dance room on the second floor of the Performance Hub, University of Wolverhampton, Walsall Campus. First aiders are on site if there are any mishaps or you get into trouble. Ideally we would love it if you did every class but we understand that this is probably not achievable. Also we don't expect you to stop doing other exercise, these classes can be an added extra. As this is a research project we would like to collect some health information from you before and after the course. This will require you to come in to the University (Walsall Campus) to complete some tests and questionnaires, we will contact you to arrange a suitable day and time. There is also an opportunity to be a part of a discuss group so you can feedback about how you find the classes and you they are affecting you. Questionnaires: These measure your quality of life including your mental wellbeing (Warwick-Edinburgh Mental Well-being Scale), your physical wellbeing (EQ-5D) and mental acuity (MMSE). You will also be asked every now and again to complete a short questionnaire on how you are feeling before and after a class (BRUMS). Physical Health: Your blood pressure and body composition at the start and end of the course will be measured. The blood pressure uses an automatic machine that will be placed over your left upper arm. It will inflate and then slowly deflate. The body composition machine will require you to stand barefoot on some scales and hold onto a sensor with each hand. Two small blood samples (5ml) will be taken from your preferred arm by a trained phlebotomist. These will be used to measure a number of health markers including triglycerides, glucose and cholesterol. Physical function: Your balance and muscle strength will be measured. The first uses the Y-balance test. You will be asked to stand at the centre of the Y on one leg and then reach with the opposite leg in the specified direction as far as possible, lightly touching the furthest point without losing balance. The strength test uses an isometric pull: you will stand on a platform with a chain attached to a bar. Holding onto the bar and keeping your arms straight participants will pull with your arms and push down with your legs as hard as possible for 3-5 seconds Why have I been invited to take part? You have been invited to take part in this study because you are between 40-70 years old and identify as coming from the Indian diaspora. Do I have to take part? The decision to take part in the study is completely up to you and you can withdraw at any time without any consequences. What will happen to the data I provide? Your data will be anonymised by providing you with a unique identifying code (UIC) and we will monitor how your data changes before and after the dance classes. Your personal data will be available to you at the end of the study What are the benefits and risks of taking part? There are minimum physical risks involved in partaking in a dance class but the use of qualified instructors will minimise this. The blood test may cause localised bruising around the area the sample is taken. How will confidentiality be assured? Measures to ensure confidentiality include anonymization of data, your name and personal details will be substituted with a unique identity code. Only the Principal Investigator will have access to both. During the research, data will be stored in an encrypted file on the only device which belongs to the leading researcher. Afterwards, information linked to personal identity will be deleted and only the data related to the research will be preserved anonymously. What will happen to the results of the research? If you volunteer for the project your results will also be used for to help inform future health interventions and the anonymous group data will also be used for conference presentation and journal publication(s).
Detailed description
Physical activities, such as dance, have long been utilised as a non-pharmacological method for promoting general health; dance is believed to be a safe, relaxed and moderate intensity form of physical activity . Dance as a common 'language' of human beings, exists worldwide with various genres in different cultures and countries. It has been used as a tool for healing and health throughout human history with an illustration of this being shamanic dance healing. Evidence regarding the effects of each physical activity mode on health promotion is mainly positive. For example, previous research found that participating in dance activity could produce physical, psychological and social benefits, and improve quality of life. People from an Indian heritage have significant increased risks of chronic physical and mental diseases compared to the Caucasian population, but the population has a low exercise adherence with a number of perceived barriers some of which involve culture and sex. This research will explore the feasibility of conducting a culturally appropriate dance intervention for female adults. Bhangra is an energetic folk dance and music form that originated from Punjab, India. Today, it is the newest dance, music, and fitness phenomenon spreading all over the world. Bhangra has made its way to America's Got Talent, the London Olympics, and even the White House. In examining feasibility, this project will also investigate the adherence and enjoyment rates of a 12-week dance intervention alongside changes in metabolic health, physical function and mental health. Participants' experiences of the sessions will be qualitatively examined in order to enhance future intervention delivery.
Interventions
OTHERBhangra for Health 1
Participants will carry out one 45-minute dance class a week for 12-weeks. All intervention workouts have warm-up, cooldown and stretch segments build in around the 'main component' of the class in 45 mins. The main component of the class is the exercise performed to the Bhangra tracks using specific moves to deliver the cardio and strength output(s). Therefore, the Bhangra music, moves and structure combined deliver the exercise outputs. Where a 'strength' segment is delivered towards the end of the class, this may consist of squats, lunges, boxing and/or abs to focus on specific areas of the body for additional health benefits. Interventions start off 'slow' - i.e. with easy-to-perform moves, broken down to their most basic form and progressed up through intensification of levels (1=basic, 2= mid and 3-higher level). Not only are the moves intensified in each class to provide intensity options, more tracks and Bhangra moves are added to increase complexity and challenge
OTHERBhangra Dance class
Participants will carry out two 45-minute dance classes a week for 12 weeks. All intervention workouts have warm-up, cooldown and stretch segments build in around the 'main component' of the class in 45 mins. The main component of the class is the exercise performed to the Bhangra tracks using specific moves to deliver the cardio and strength output(s). Therefore, the Bhangra music, moves and structure combined deliver the exercise outputs. Where a 'strength' segment is delivered towards the end of the class, this may consist of squats, lunges, boxing and/or abs to focus on specific areas of the body for additional health benefits. Interventions start off 'slow' - i.e. with easy-to-perform moves, broken down to their most basic form and progressed up through intensification of levels (1=basic, 2= mid and 3-higher level). Not only are the moves intensified in each class to provide intensity options, more tracks and Bhangra moves are added to increase complexity and challenge
Sponsors
University of Wolverhampton
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Intervention model description
Mixed methods random controlled trial feasibility study: 2 intervention arms and control group
Eligibility
Sex/Gender
FEMALE
Age
40 Years to 70 Years
Healthy volunteers
Yes
Inclusion criteria
* a negative PAR-Q response, self-identification as South Asian, and ability to participate without high fall risk
Exclusion criteria
* NHS patients currently undergoing treatment, unstable medical conditions or contraindications to exercise
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Intervention Feasibility | From enrolment to end of intervention at 12 weeks | Feasibility of intervention as monitored by participant adherence (number of sessions attended as a percentage 0-100%) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Metabolic health (cholesterol) | From enrolment to end of intervention at 12-weeks | Exploratory assessment of changes in cholesterol (mmol.L) - decreased scores indicate improvement) |
| Metabolic Health (HDL) | From enrolment to end of intervention at 12-weeks | Exploratory changes in HDL over the intervention period (mmol.L) - increased scores indicate improvement |
| Metabolic Health (Glucose) | From enrolment to end of intervention at 12-weeks | Exploratory changes in glucose (mmol.L)- decreased scores indicate improvement |
| Metabolic Health (TC/HDL ratio) | From enrolment to end of intervention at 12-weeks | Exploratory changes in the TC/HDL ratio - decreased ratio scores indicate improvement |
| Metabolic Health (BMI) | From enrolment to end of intervention at 12-weeks | Exploratory assessment of changes in BMI (kg/m2) - decreased scores indicate improvement |
| Perceived changes in Quality of life (Warwick-Edinburgh Mental Well-being Scale) | From enrolment o end of intervention at 12-weeks | Exploratory assessment of changes in quality of life (WEMWBS) scores between 14-70. Increased scores indicate greater positive wellbeing |
| Perceived changes in Quality of life (EQ-5D) | From enrolment o end of intervention at 12-weeks | Exploratory assessment of changes in quality of life (EQ-5D) Evaluated across levels of severity (5 levels ranging from no problems to extreme problems) that equate to a specific health state profile; and EQ VAS 0 (worst imaginable) to 100 (best imaginable) |
| Physical performance (Leg strength) | From enrolment to end of intervention at 12-weeks | Exploratory assessment of changes in leg strength (kg) increased scores indicate improvement |
| Physical Performance (Balance) | From enrolment to end of intervention at 12-weeks | Exploratory changes in Y-balance scores (cm) increased scores indicate improvement |
| Acceptability of Intervention | From enrolment o end of intervention at 12-weeks | Participant experiences of the intervention via semi-structured interviews |
Countries
United Kingdom
Contacts
PRINCIPAL_INVESTIGATORMatthew Wyon, PhD
University of Wolverhampton
Outcome results
None listed