The spinal stenosis pedometer and nutrition lifestyle intervention (SSPANLI) randomized controlled trial protocol
| Autor: | Christy Tomkins-Lane, Richard Hu, Yvette M Andreas, Jill A. Parnell, Stephanie Moriartey, Philip M. Wilson, Ashok Krishnamurthy, Jocelyn Rempel, Kent Stuber, Lynne M. Z. Lafave, Luciana G. Macedo |
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| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Male
Sports medicine Nutrition Education Psychological intervention Pilot Projects Overweight law.invention Study Protocol 0302 clinical medicine Spinal Stenosis Randomized controlled trial law Orthopedics and Sports Medicine Single-Blind Method 030212 general & internal medicine 2. Zero hunger education.field_of_study Middle Aged Diet Records 3. Good health Female medicine.symptom Inactivity medicine.medical_specialty Population Health Promotion Motor Activity 03 medical and health sciences Rheumatology medicine Humans Obesity education Exercise Nutrition business.industry Physical activity Actigraphy Feeding Behavior Lumbar spinal stenosis Treatment Nutrition Assessment Pedometer Physical therapy business Risk Reduction Behavior 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | BMC Musculoskeletal Disorders |
| ISSN: | 1471-2474 |
| Popis: | Background Because of symptoms, people with lumbar spinal stenosis (LSS) are often inactive, and this sedentary behaviour implies risk for diseases including obesity. Research has identified body mass index as the most powerful predictor of function in LSS. This suggests that function may be improved by targeting weight as a modifiable factor. An e-health lifestyle intervention was developed aimed at reducing fat mass and increasing physical activity in people with LSS. The main components of this intervention include pedometer-based physical activity promotion and nutrition education. Methods/Design The Spinal Stenosis Pedometer and Nutrition Lifestyle Intervention (SSPANLI) was developed and piloted with 10 individuals. The protocol for a randomized controlled trail comparing the SSPANLI intervention to usual non-surgical care follows. One hundred six (106) overweight or obese individuals with LSS will be recruited. Baseline and follow-up testing includes dual energy x-ray absorptiometry, blood draw, 3-day food record, 7-day accelerometry, questionnaire, maximal oxygen consumption, neurological exam, balance testing and a Self-Paced Walking Test. Intervention: During Week 1, the intervention group will receive a pedometer, and a personalized consultation with both a Dietitian and an exercise specialist. For 12 weeks participants will log on to the e-health website to access personal step goals, walking maps, nutrition videos, and motivational quotes. Participants will also have access to in-person Coffee Talk meetings every 3 weeks, and meet with the Dietitian and exercise specialist at week 6. The control group will proceed with usual care for the 12-week period. Follow-up testing will occur at Weeks 13 and 24. Discussion This lifestyle intervention has the potential to provide a unique, non-surgical management option for people with LSS. Through decreased fat mass and increased function, we may reduce risk for obesity, chronic diseases of inactivity, and pain. The use of e-health interventions provides an opportunity for patients to become more involved in managing their own health. Behaviour changes including increased physical activity, and improved dietary habits promote overall health and quality of life, and may decrease future health care needs in this population. Trial registration Clinicaltrials.gov, NCT01902979 |
| Databáze: | OpenAIRE |
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