Clinical trial NCT04630561: Great Posture, Great Health
Official title: Great Posture, Great Health - A Community-Based Postural Intervention for Improving Holistic Health
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Healthy
Keywords: posture
exercise
community
Lead sponsor: Mayo Clinic
Sponsor class: OTHER
First posted: 2020-11-16
Enrollment: 114
Sex: ALL
Minimum age (years): 12
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of this study is to examine the effect of a posture intervention on specific areas of daily function and health: physical, psychological, cognitive, social, and environmental characteristics.

Detailed description: This project promotes community health through postural movement to demonstrate strong physical and mental health benefits. Specifically, Great Posture, Great Health will address two of the top five priorities of general health concerns: 1) obesity and 2) mental health. First, obesity is on the rise although more individuals are meeting or exceeding the current federal physical activity guidelines based on the data provided by the US Department of Health and Human Services (2020). Obesity is a common problem in adults with all socioeconomic status and all races, except Asians. In fact, Asians have low rates of heart disease, asthma, cancer, and a longer life expectancy than other races, potentially due to health behaviors, environment, and stress coping strategies (Acciai et al., 2015). Therefore, we should not overlook the importance of stress coping strategies practiced in Asian countries on obesity. It is becoming more evident that chronic stress (such as elevated cortisol levels) and steroid-based medications are strongly associated with obesity and chronic diseases. It is critical to develop and validate community health strategies to address both priorities. Great Posture, Great Health will introduce one of the most common mind-body postural exercises practiced in Asian countries to a large and diverse population.

Eligibility criteria: Inclusion Criteria:

* Participants must be physically capable (defined as easy to moderate physical activities daily at least 60 minutes).
* Participants also must have a normal (18.5-24.9kg/m2) or overweight BMI (25-29.9kg/m2).
* Participants must be able to speak, listen, read, and understand sentences written in English.

Exclusion Criteria:

* More than two risk factors for coronary artery disease (high blood pressure, high blood cholesterol level (LDL), family history (a close relative with heart disease), diabetes mellitus, chronic kidney disease
* History of falls, osteoporosis, osteoarthritis, or orthopedic or neurological conditions (i.e., stroke)
* Medications that cause dizziness or slow movement
* Smoke
* Body mass to height squared ratio greater than 30kg/m2 or less than 18.4kg/m2, blood pressure greater than 140/90 mmHg, or a history of heart conditions.
* Individuals with progressive cognitive, neurologic disorders, cancer treatment, chronic heart failure, or unstable medical conditions

Primary outcomes:
measure: Thigh Strength
timeFrame: 12-week differences (Pre- and Post-intervention measures)
measure: Posture
timeFrame: 12-week differences (Pre- and Post-intervention measures)
measure: Bone density
timeFrame: 12-week differences (Pre- and Post-intervention measures)
Secondary outcomes:
measure: PROMIS - Physical Activity
timeFrame: 12-week differences (Pre- and Post-intervention measures)
measure: PROMIS - Physical Function
timeFrame: 12-week differences (Pre- and Post-intervention measures)
measure: PROMIS - Pain Interference
timeFrame: 12-week differences (Pre- and Post-intervention measures)
measure: Mindful Attention Awareness Scale (MAAS)
timeFrame: 12-week differences (Pre- and Post-intervention measures)
measure: Perceived Stress Scale (PSS-10)
timeFrame: 12-week differences (Pre- and Post-intervention measures)
measure: Generalized Anxiety Disorder (GAD7)
timeFrame: 12-week differences (Pre- and Post-intervention measures)
measure: Patient Health Questionnaire Depression Scale (PHQ)
timeFrame: 12-week differences (Pre- and Post-intervention measures)
measure: Sex
timeFrame: Through study completion, an average of 1 year
measure: Age
timeFrame: Through study completion, an average of 1 year
measure: BMI
timeFrame: 12-week differences (Pre- and Post-intervention measures)
Other outcomes:
Locations:
city: Rochester
country: United States
facility: Mayo Clinic in Rochester
state: Minnesota
Study officials:
affiliation: Mayo Clinic
name: Benjamin Holmes, DC, PhD
role: PRINCIPAL_INVESTIGATOR
References: