Clinical trial NCT06297304: Sedentary Behaviors Reduction and Physical Activity Promotion for Optimal Medical StudentS
Official title: Determining the Influence of an Intervention Based on Sedentary Behavior Reduction and Physical Activity Promotion Among Medical Students.
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Health Behavior
Health-Related Behavior
Physical Inactivity
Sedentary Behavior
Sedentary Time
Keywords: Health
Student
Curriculum
Behaviour
Medical
Physical activity
Sedentary
Lead sponsor: Research on Healthcare Performance Lab U1290
Sponsor class: OTHER
First posted: 2024-03-07
Enrollment: 45
Sex: ALL
Minimum age (years): 18
Maximum age (years): 80
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Intervention model description: All volunteers will receive a physical activity and sedentary management intervention.
Primary purpose: HEALTH_SERVICES_RESEARCH

Brief summary: Medical students are under great competitive pressure throughout their studies. Our field surveys conducted in 2022 and 2023 at the Lyon Est Faculty of Medicine revealed that 78% of 482 students showed an excessive sedentary lifestyle compared to the threshold set by WHO. It is expected that a low level of physical activity and/or too high a sedentary lifestyle deteriorates significantly their quality of life and their health. In 2014, a British survey of 356 students in Medicine showed that lack of physical activity was an major predictor of burnout symptoms. Numerous studies show that regular physical activity improves the mental health of students and their cognitive performance.

The PROMESS - PHYSICAL ACTIVITY project aims to offer solutions to students to decrease their sedentary behavior and to improve their physical activity level during their medical studies through an intervention program. From a long term perspective, this intervention may also prevent disorders related to inadequate levels of physical activity and/or sedentary behavior. It responds to a demand expressed by students : our previous field study showed that 45% of fourth-year students declared being "very interested and/or interested" in following an intervention that aimed at improving physical activity. The objective of this study is to determine the influence of an intervention based on sedentary behavior reduction and physical activity promotion among medical students.

Detailed description: Our project aims to help future healthcare professionals to adopt health-promoting behaviors during their studies in a preventive approach. This support will be provided through an intervention of physical activity management during their curriculum. Specifically, 4th and 5th-year students at the Faculty of Medicine of Lyon Est will have the opportunity to participate in the PROMESS PHYSICAL ACTIVITY project. This intervention will span 11 weeks. At the end of this period, we expect improvements in both subjective and objective indicators of physical activity and sedentary.

METHODS.

PRE-INTERVENTION. Week 1-3. Students will undergo a two-hour session, during which, they will complete questionnaires on physical activity and sedentary behavior. Bioimpedance measurements will be recorded. Students will also perform three physical fitness tests (vertical jump, maximal isometric strength and endurance). Then, they will wore actimeters to record sedentary behaviors and physical activity levels during three weeks (from week 1 to week 3).

INTERVENTION. From week 5 to week 11. The intervention will consist of three individual sessions, each lasting one hour, with approximately 15 days between each session. Each session includes individual interview between a physical activity expert and the participant (i.e. student).The sessions will be scheduled as follow: week 5 and 6 (session 1), week 7 and 8 (session 2), week 9, 10, and 11 (session 3). During the interview, the expert will realize an initial assessment of student physical activity and sedentary behavior levels and will give personalized goals to student. Subsequent sessions will follow the same structure.

Eligibility criteria: Inclusion Criteria:

* Being a 4th-year or a 5th-year medical student at the Faculty of Medicine Lyon East during the academic year 2023-2024.
* Having read the information note.
* Having signed the written consent.

Exclusion Criteria:

-No exclusion criteria will be applied.

Primary outcomes:
measure: Perceived level of sedentary : Evolution of the score obtained at the Rapid Physical Activity Questionnaire (RPAQ) on sedentary behaviors.
timeFrame: From week 5 to week 11.
Secondary outcomes:
measure: Perceived level of physical activity : Score obtained at the Global Physical Activity Questionnaire (GPAQ) on physical activity levels.
timeFrame: Week 1 (Pre-intervention)
measure: Perceived level of sedentary : Score obtained at the Rapid Physical Activity Questionnaire (RPAQ) on sedentary behaviors.
timeFrame: Week 1 (Pre-intervention)
measure: Actimetry records.Total activity during the pre-intervention.
timeFrame: From week 1 to week 3 (pre-intervention).
measure: Actimetry records. Moderate-to-vigorous Physical Activity (MVPA) during the pre-intervention.
timeFrame: From week 1 to week 3 (pre-intervention).
measure: Actimetry records. Light Physical Activity during the pre-intervention.
timeFrame: From week 1 to week 3 (pre-intervention).
measure: Actimetry records. Steps count during the pre-intervention.
timeFrame: From week 1 to week 3 (pre-intervention).
measure: Actimetry records. Energy expenditure during the pre-intervention.
timeFrame: From week 1 to week 3 (pre-intervention).
measure: Actimetry records. Number of sedentary breaks during the pre-intervention.
timeFrame: From week 1 to week 3 (pre-intervention).
measure: Actimetry records. Sedentary time during the pre-intervention.
timeFrame: From week 1 to week 3 (pre-intervention).
measure: Actimetry records. Number of prolonged sedentary bouts during the pre-intervention.
timeFrame: From week 1 to week 3 (pre-intervention).
measure: Actimetry records.Vector of the dynamic body acceleration (VeDBA) during the pre-intervention.
timeFrame: From week 1 to week 3 (pre-intervention).
measure: Body composition markers. Body Mass Index (BMI) during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Body composition markers. Skeletal muscle mass measured by bioimpedancemetry during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Body composition markers. Fat mass measured by bioimpedancemetry during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Body composition markers. Total body hydration measured by bioimpedancemetry during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Physical Fitness markers - Strength. The force developed during a maximal isometric contraction of the quadriceps during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Physical Fitness markers markers - Power. Height of jump during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Physical Fitness markers - Power. Time of flight during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Physical Fitness markers - Power. Relative Power during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Physical Fitness markers - Endurance. Speed through the endurance test during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Physical Fitness markers - Endurance. VO2max through the endurance test during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Physical Fitness markers - Endurance. Heart rate during the endurance test during the pre-intervention.
timeFrame: Week 1 (Pre-intervention)
measure: Perceived level of physical activity : Evolution of the score obtained at the Global Physical Activity Questionnaire (GPAQ) on physical activity level.
timeFrame: From week 5 to week 11.
measure: Actimetry records. Evolution in Total activity during the intervention.
timeFrame: From week 5 to week 11.
measure: Actimetry records. Evolution in Moderate-to-vigorous physical activity (MVPA) during the intervention.
timeFrame: From week 5 to week 11.
measure: Actimetry records. Evolution in Light physical activity measured in min/day during the intervention.
timeFrame: From week 5 to week 11.
measure: Actimetry records. Evolution in Step Count during the intervention.
timeFrame: From week 5 to week 11.
measure: Actimetry records. Evolution in Energy expenditure during the intervention.
timeFrame: From week 5 to week 11.
measure: Actimetry records. Evolution in number of sedentary breaks during the intervention.
timeFrame: From week 5 to week 11.
measure: Actimetry records. Evolution in Number of prolonged sedentary bouts during the intervention.
timeFrame: From week 5 to week 11.
measure: Actimetry records. Evolution in the vector of the dynamic body acceleration (VeDBA) during the intervention.
timeFrame: From week 5 to week 11.
measure: Body composition markers. Evolution in BMI during the intervention.
timeFrame: From week 5 to week 11.
measure: Body composition markers. Evolution in fat mass measured by bioimpedancemetry during the intervention.
timeFrame: From week 5 to week 11.
measure: Body composition markers: Impedance metric measures. Evolution in skeletal muscle mass measured by bioimpedancemetry during the intervention.
timeFrame: From week 5 to week 11.
measure: Body composition markers: Impedance metric measures. Evolution in total body hydration measured by bioimpedancemetry during the intervention.
timeFrame: From week 5 to week 11.
measure: VAS - physical fitness: Evolution of the score obtained at the 100-mm Visual Analogue Scale (VAS) assessing the perceived level of physical fitness.
timeFrame: From week 5 to week 11.
measure: VAS - physical activity. Evolution of the score obtained at the 100-mm Visual Analogue Scale (VAS) assessing the perceived level of physical activity.
timeFrame: From week 5 to week 11.
measure: VAS - sedentary behaviours. Evolution of the scores obtained at the 100-mm Visual Analogue Scale (VAS) assessing the perceived level of sedentary behaviours.
timeFrame: From week 5 to week 11.
measure: Advices given by the expert. Score obtained on a Likert scale ranging from 1 to 5 characterizing the nature of the advices given by the expert.
timeFrame: From week 5 to week 11.
measure: Likert - expert estimation of student's achievements. Score obtained on a Likert scale ranging from 1 to 3 accessing if the expert estimates that the student has achieve the goals previously set.
timeFrame: From week 7 to week 11.
measure: Likert - expert satisfaction. Scores obtained on a Likert scale ranging from 1 to 5 accessing the expert's satisfaction of his/her intervention.
timeFrame: From week 5 to week 11.
measure: Likert - expert level of comfort. Score assessing the expert comfort levels in participant relationships on a likert scale ranging from 1 to 5.
timeFrame: From week 5 to week 11.
measure: Likert - expert estimation of the overall student's achievements. Score obtained on a Likert scale ranging from 1 to 5 accessing the expert's level of satisfaction on the student's progress.
timeFrame: Week 9-10-11
measure: Composite score - Student's satisfaction. Score ranging from 0 to 100 accessing the student's level of satisfaction of the all intervention.
timeFrame: Week 9-10-11
Other outcomes:
Locations:
city: Lyon
country: France
facility: RESHAPE
Study officials:
affiliation: RESHAPE U1290 INSERM UCBL-LYON 1 Rockfeller, Lyon France.
name: Sophie Schlatter, Dr.
role: PRINCIPAL_INVESTIGATOR
References: