Empowered with Movement to Prevent ObesityWeight Regain (EMPOWER): Design and methods
| Autor: | Jason Fanning, Barbara J. Nicklas, Walter J. Rejeski, Maria Theresa D. Opina, Iris Leng, Mary F. Lyles |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Psychological intervention 030209 endocrinology & metabolism Sitting law.invention Body Weight Maintenance 03 medical and health sciences 0302 clinical medicine Quality of life Randomized controlled trial Weight loss law Intervention (counseling) Medicine Humans Pharmacology (medical) 030212 general & internal medicine Obesity Exercise Aged Aged 80 and over business.industry General Medicine Physical Functional Performance medicine.disease Telemedicine Weight Reduction Programs Physical therapy Lean body mass medicine.symptom Power Psychological Sedentary Behavior business |
| Zdroj: | Contemporary clinical trials. 72 |
| ISSN: | 1559-2030 |
| Popis: | Promoting lasting weight loss among older adults is an important public health challenge. Participation in physical activity aids in weight loss and is important for the maintenance of physical function and quality of life. However, traditional intensive lifestyle interventions place a focus on discrete bouts of structured activity, leaving much of the remainder of the day for sedentary behavior. Structured exercise and weight loss programs often produce short-term weight loss that is typically followed by weight regain, and older adults are more likely to regain weight as fat mass rather than lean mass. Preliminary evidence suggests a focus on day-long movement intended to minimize time spent sitting produces better short-term weight loss and weight maintenance. Herein we describe the design and methods for a three-arm randomized controlled trial comparing mHealth-supported weight loss (WL) + structured exercise (EX); WL + a novel daily movement intervention (SitLess); and WL + EX + SitLess. Older adults (N = 180) will be randomly assigned to one of the three interventions, each comprised of a 6-month intensive phase; a 3-month transition phase; and a 9-month maintenance phase. The primary aim of the study is to determine whether the addition of SitLess to a traditional intensive lifestyle intervention comprised of dietary weight loss and structured exercise produces a larger 18-month reduction in body weight relative to WL + EX and WL + SitLess. |
| Databáze: | OpenAIRE |
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