Clinical trial NCT05957861: Exploring the Effectiveness to Web-based Exercise Among Community-dwelling Adults With High Body Fat
Official title: Exploring the Effectiveness and Trajectory of Adherence to Web-based Exercise Among Community-dwelling Adults With High Body Fat
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Adherence, Treatment
Exercise
Keywords: web-based exercise
adherence
body composition
Lead sponsor: National Tainan Junior College of Nursing
Sponsor class: OTHER
First posted: 2023-07-24
Enrollment: 30
Sex: ALL
Minimum age (years): 40
Maximum age (years): 64
Standard ages: ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
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.
Primary purpose: PREVENTION

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.

Eligibility criteria: 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%.

Primary outcomes:
measure: The change of cholesterol
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of fasting sugar from blood sample
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of insulin from blood sample
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of weight
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of waist circumference
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of body fat percentage
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of visceral fat
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of hip circumference
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of High-density lipoprotein [HDL]
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of low-density lipoprotein [LDH]
timeFrame: two times (from baseline to the end of 16-week)
measure: The change of triglycerides [TG]
timeFrame: two times (from baseline to the end of 16-week)
Secondary outcomes:
measure: Adherence measurement
timeFrame: Each exercise session
Other outcomes:
Locations:
Study officials:
affiliation: National Tainan Junior College of Nursing
name: Yu-Hsuan Chang, phD
role: PRINCIPAL_INVESTIGATOR
References: