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Comparing Self-paced Versus Moderate Intensity Physical Activity Recommendation for Midlife Adults
Comparing a Recommendation for Self-paced Versus Moderate Intensity Physical Activity for Midlife Adults: an RCT
Exercise
Self-pacing
| Teilnehmergruppe/Studienarm | Intervention/Behandlung |
|---|---|
ExperimentellSelf-Paced Intensity Physical Activity | Self-paced Intensity Physical Activity Participants are given a prescription to engage in 150-300 minutes per week of structured exercise with an emphasis on walking. For this study arm, participants are given the explicit recommendation to engage in self-selected intensity PA. |
Aktives VergleichspräparatPrescribed Moderate Intensity Physical Activity | Prescribed Moderate Intensity Physical Activity Participants are given a prescription to engage in 150-300 minutes per week of structured exercise with an emphasis on walking. For this study arm, participants are given the explicit recommendation to engage in moderate intensity PA consistent with national guidelines. |
| Ergebnismessung | Beschreibung der Messung | Zeitrahmen |
|---|---|---|
Change in total volume of structured PA | Minutes of PA weighted by intensity, expressed in metabolic equivalent (MET) minutes as determined by accelerometers (Actigraph \[model wGT3x-BT\]) worn during one-week periods. | Measured at baseline, and months 3, 6, 9, and 12. |
Minutes per week of PA | Participants will be instructed to indicate, in real time, each time they begin and end a PA session via EMA. | Measured daily from date of randomization for 52 weeks based on participant initiation of exercise |
| Ergebnismessung | Beschreibung der Messung | Zeitrahmen |
|---|---|---|
Changes in Body Weight | Assessment of self-reported body weight by study-provided scales | Measured at baseline, and months 3, 6, 9, and 12. |
- ages 50-64
- BMI 25-40
- Sedentary or low-active, defined as participating in < 60 min/week of structured exercise
- Has a smart phone that can connect to the internet at least once every few days and is compatible with smartphone app
Medical symptoms/conditions that may make unsupervised exercise unsafe (specific exclusion criteria were developed in consultation with a cardiologist and are listed below):
- Past 3-month overnight hospitalization
- Past 3-month treatment for heart disease, including bypass or valve surgery, interventional procedure(s) such as angioplasty (stent), or a pacemaker or other implanted device to control your heart rate or rhythm
- Past 3-month inability to walk without assistance due to stroke, transient ischemic attack (TIA), or neurologic or spinal injury
- Past 6-month angina, chest pain, or chest discomfort either at rest or with exertion/activity
- Past 6-month peripheral vascular disease such as claudication which causes pain in the legs when walking briskly
- Past 6-month seizure
- Past 6-month overnight hospitalization due to respiratory disease
- Past 6-month lightheadedness, vertigo, dizziness, or fainting
- Heart, lung, abdominal, joint, or orthopedic surgeries in the past 12-months, or pending or scheduled in the next 12 months
- Takes insulin and/or medication that affects the secretion of insulin
- Exercise-induced asthma that prevents brisk walking
- Takes anticonvulsant medication or medication to treat/control seizures
- Diagnosed with cystic fibrosis
- Bone or joint problems that make you unable to walk for at least 30 minutes
- Physician has said not to exercise because of bone or joint problems
- Physician has said a hip or knee replacement will be needed in the next 12 months
- Anything other medical symptoms/condition that prevents participant from being physical unable to walk without assistance continuously for 30 minutes
Currently taking or planning on taking medications that affect HR, such as beta or calcium channel blockers or digoxin, as HR will be used to determine the moderate intensity range for participants assigned to that condition
Past 12-month overnight psychiatric hospitalization
Currently pregnant or planning to become pregnant in the next year
Currently participating in any exercise or weight-loss research studies
Household member is participating in this study
Does not have a Rhode Island mailing address OR if only Rhode Island mailing address is a PO box
Unable to receive materials in the mail at residential mailing address
Does not plan to live in Rhode Island for the next 12 months
Unable to speak, read, and/or write fluently in English
Smokers will be eligible, but smoking status will be included as a covariate in analyses
Rhode Island