Effects of Activity Tracker Use With Health Professional Support or Telephone Counseling on Maintenance of Physical Activity and Health Outcomes in Older Adults: Randomized Controlled Trial.
Effects of Activity Tracker Use With Health Professional Support or Telephone Counseling on Maintenance of Physical Activity and Health Outcomes in Older Adults: Randomized Controlled Trial.
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DOI：
10.2196/18686
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发表时间：
2021-01-05
影响因子：
5
通讯作者：
Williams AD
中科院分区：
文献类型：
--
作者：
Brickwood KJ;Ahuja KDK;Watson G;O'Brien JA;Williams AD
尽管澳大利亚为增加身体活动参与做出了一系列努力，但近几十年来，老年人的不活动水平仍然很高，导致慢性健康状况的发病率上升。生活方式干预，包括电话咨询（TC），改善身体活动的参与和相关的健康结果在短期内;然而，需要持续的反馈和支持，以保持这些变化。诸如可穿戴活动跟踪器（AT）之类的较新技术可以提供用于提供持续支持的替代方法。本研究旨在调查可穿戴AT等新技术是否有助于提供持续支持，以维持身体活动水平和健康结果。年龄>60岁的老年人刚刚在澳大利亚塔斯马尼亚完成了为期12周的面对面个性化社区锻炼计划，他们参加了这项研究。他们随机接受AT、TC或常规治疗（UC）。所有组都接受了家庭锻炼计划和社区锻炼计划的可选转介。AT组还收到了来自认可的运动生理学家（AEP）的AT和短信反馈。TC组在整个12个月的干预中收到了来自AEP的电话。主要结果是在基线和3、6和12个月时通过ActivPAL（TM）加速计测量的每日步数。次要结果指标包括身体成分、血压、10次坐立（TTSTS）试验、定时起身和行走试验和心肺功能。本试验已获得塔斯马尼亚健康和医学人类研究伦理委员会（H 0014713）的批准。共有117名参与者被随机分配到研究中（AT，n=37; TC，n=38; UC，n=42）。基线时，参与者（75/117，64.1%女性;平均年龄72.4岁，SD 6.4）平均每天完成6136步（SD 2985）。尽管两组之间没有显著差异，但TC组和AT组保持了每日步数（平均差[MD]-79步，95%CI-823至663步; P= 0.81;和MD-588步，95%CI-1359至182步; P= 0.09），UC在12个月期间显示每日步数减少（MD 981步，95% CI-1668至294步; P= 0.003）。AT后的舒张压显著高于UC后（MD 5.62 mmHg，95% CI 1.30 - 9.94 mmHg; P=.01），TC组的TTSTS显著低于UC组（MD 2.36秒，95% CI −0.14 - 4.87秒; P=.03）。在12个月的时间内，使用具有AEP支持或TC的AT可有效维持老年人的每日步数，这表明可穿戴AT与TC一样有效。进一步研究哪种选择更具成本效益将是有益的。澳大利亚和新西兰临床试验注册中心ACTRN 12615001104549; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?电话：+86-021 - 88888888
Despite a range of efforts to increase physical activity participation in Australia, inactivity levels in older adults have remained high over recent decades, contributing to increased rates of chronic health conditions. Lifestyle interventions, including telephone counseling (TC), improve physical activity participation and associated health outcomes over the short term; however, ongoing feedback and support is required to maintain these changes. Newer technologies such as wearable activity trackers (ATs) may offer an alternative method for providing ongoing support. This study aims to investigate whether newer technologies such as wearable ATs assist in providing ongoing support to maintain physical activity levels and health outcomes. Older adults aged >60 years who had just completed a 12-week face-to-face individualized community exercise program in Tasmania, Australia, participated in the study. They were randomized to receive AT, TC, or usual care (UC). All groups received a home exercise program and an optional referral to a community-based exercise program. The AT group also received an AT and text message feedback from an accredited exercise physiologist (AEP). The TC group received phone calls from an AEP throughout the 12-month intervention. The primary outcome was daily steps measured by an ActivPAL (TM) accelerometer at baseline and at 3, 6, and 12 months. Secondary outcome measures included body composition, blood pressure, 10-time sit-to-stand (TTSTS) test, timed up and go test, and cardiorespiratory fitness. This trial was approved by the Tasmanian Health and Medical Human Research Ethics Committee (H0014713). A total of 117 participants were randomized to the study (AT, n=37; TC, n=38; UC, n=42). At baseline, the participants (75/117, 64.1% female; mean age 72.4 years, SD 6.4) completed an average of 6136 steps (SD 2985) per day. Although there were no significant differences between groups, the TC and AT groups maintained daily step counts (mean difference [MD] −79 steps, 95% CI −823 to 663 steps; P=.81; and MD −588 steps, 95% CI −1359 to 182 steps; P=.09), and UC showed a reduction in daily steps (MD 981 steps, 95% CI −1668 to −294 steps; P=.003) during the 12-month period. Diastolic blood pressure was significantly higher after AT than after UC (MD 5.62 mm Hg, 95% CI 1.30 to 9.94 mm Hg; P=.01), and TTSTS was significantly slower on TC compared with UC (MD 2.36 seconds, 95% CI −0.14 to 4.87 seconds; P=.03). The use of an AT with AEP support or TC is effective at maintaining daily step count in older adults over a 12-month period, suggesting that wearable ATs are as effective as TC. Further research to investigate which option is more cost-effective would be beneficial. Australian New Zealand Clinical Trial Registry ACTRN12615001104549; https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=369118
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DOI：
10.1177/1740774515602688
发表时间：
2016-04
期刊：
Clinical trials (London, England)
影响因子：
--
作者：
Lachin JM
通讯作者：
Lachin JM
影响因子：
3.7
作者：
Fielding, Roger A.;Guralnik, Jack M.;Rejeski, W. Jack
通讯作者：
Rejeski, W. Jack
DOI：
10.1111/1753-6405.12733
发表时间：
2018-02-01
影响因子：
3.5
作者：
Ewald, Ben;Stacey, Fiona;James, Erica L.
通讯作者：
James, Erica L.
影响因子：
4.2
作者：
Castro, CM;King, AC;Brassington, GS
通讯作者：
Brassington, GS
影响因子：
5.4
作者：
Ashton LM;Morgan PJ;Hutchesson MJ;Rollo ME;Collins CE
通讯作者：
Collins CE