Improving Cardiorespiratory Fitness and Cardiometabolic Health among Children with Physical Disabilities through Movement-to-Music Telehealth with Arm-based Sprint-Intensity Interval Training
通过运动音乐远程医疗和基于手臂的冲刺强度间歇训练,改善身体残疾儿童的心肺健康和心脏代谢健康
基本信息
- 批准号:10645848
- 负责人:
- 金额:$ 22.28万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-05-01 至 2025-04-30
- 项目状态:未结题
- 来源:
- 关键词:AddressAdherenceAdolescentAdultAdverse eventAerobicAerobic ExerciseAgeBehaviorBehavioralBloodBlood PressureBody CompositionBody WeightBody measure procedureC-reactive proteinCardiovascular DiseasesCerebral PalsyChildChild WelfareCholesterolCommunity NetworksControl GroupsDevelopmentDisabled ChildrenDoctor of PhilosophyDrynessDual-Energy X-Ray AbsorptiometryEnrollmentEnsureEquipmentExerciseExercise PhysiologyExercise TestFatty acid glycerol estersFingersGeneral PopulationGlycosylated hemoglobin AHealthHealth BenefitHealth ProfessionalHomeImpairmentInsulinInternetInterval trainingInterventionKnowledgeLegLiteratureLongevityMeasuresMetabolicMetabolic syndromeMethodsModalityModelingModificationMonitorMovementMusicOutcomeOxygen ConsumptionParticipantPediatric HospitalsPersonsPhysical EducationPhysical activityPilot ProjectsProceduresProcessProgram AppropriatenessRandom AllocationRandomizedRandomized, Controlled TrialsRecoveryResearchResearch PersonnelRestRoentgen RaysRunningSafetySample SizeSchoolsSiteSphygmomanometersSpirometrySportsSpottingsSupervisionTechniquesTestingThinnessTimeTissuesTraining ProgramsTranslatingTransportationTriglyceridesUnderserved PopulationVideo RecordingVisualWaiting ListsWalkingWheelchairsWorkagedarmcardiometabolic riskcardiometabolismcardiorespiratory fitnesscardiovascular disorder riskcardiovascular fitnesscloud basedcohortcommunity organizationscoronavirus pandemicdesigndisabilityeffectiveness trialefficacy studyefficacy/implementation trialempowermentevidence baseexercise programexperiencefitness interventionfollow-upfunctional disabilityhigh riskimprovedinnovationmortalitymortality risknovelparticipant safetyphysical inactivityphysically handicappedportabilitypost interventionpressurepreventprogramsrecruitscale uptelehealthtelemonitoring
项目摘要
Byron Lai, PhD – R21
Project Summary/Abstract
Due to alarmingly low rates of exercise participation, children with physical disabilities are at substantially high
risk for cardiovascular disease (CVD), related conditions, and CVD mortality as they age into adulthood.
Regular participation in aerobic exercise is an effective non-pharmaceutical method for preventing
cardiovascular disease and metabolic syndrome, but effective modalities such as walking, running, and cycling
are often not suitable for children with disabilities, who have impaired mobility. The growing availability of
internet access and acceptance of telehealth (due to the coronavirus pandemic) create an unprecedented
opportunity to engage large, underserved groups of children with disabilities in exercise behavior. However,
ensuring that they maintain regular participation over periods of time that are necessary to elicit changes in
cardiometabolic health will require enjoyable, accessible, and age-appropriate programs. This application
proposes a pilot project that builds upon our recent feasibility work. The project will pilot an evidence-based,
scale-up movement-to-music (M2M) program that has been newly revised for children with cerebral palsy who
have functional impairments. The program includes three novel components: 1) pre-recorded videos that are
stylized with visual graphics and enjoyable music to themes (e.g., superheroes, sports, pop music) that were
requested by our feasibility participants; 2) arm-based routines with sprint-intensity interval training (SIT),
based on principles from the latest exercise physiology research in the general population; and 3) replicable
cloud-based tele-monitoring procedures. Participants will be recruited from a children’s hospital and network of
community organizations. A total of 50 children with cerebral palsy will be randomized to one of two groups:
12 weeks of SIT-M2M or 12-week waitlist control that undergoes habitual activity before receiving SIT-M2M.
The SIT prescription will include 3 sessions per week of 30 repeated sequences of 4-s of maximal arm
exercise, with active recovery periods (~20-min sessions with a warm-up and cool down period). This study will
compare changes between groups in outcomes related to cardiovascular fitness and core indicators of
cardiometabolic health, namely, body composition, body weight, high sensitivity C-reactive protein, hemoglobin
A1c, triglycerides, cholesterol, and blood pressure. Additionally, the study will record implementation metrics
that will inform the design of a follow-up trial. Study findings will inform the development of a convenient
telehealth efficacy trial for implementation across various sites and settings to improve the health and well-
being of children with disabilities who cannot walk or stand for prolonged periods of time.
Byron Lai,博士-R21
项目摘要/摘要
由于运动参与率低得令人震惊,肢体残疾儿童的比例相当高
随着年龄的增长,心血管疾病(CVD)、相关疾病和心血管疾病死亡率的风险。
经常参加有氧运动是一种有效的非药物预防方法
心血管疾病和代谢综合征,但有效的方式,如步行、跑步和骑自行车
通常不适合行动不便的残疾儿童。日益增长的可用性
互联网接入和对远程医疗的接受(由于冠状病毒大流行)创造了前所未有的
让大量缺乏服务的残疾儿童参与锻炼行为的机会。然而,
确保他们在必要的一段时间内保持定期参与,以促使
心脏新陈代谢健康将需要愉快的、可获得的和适合年龄的计划。此应用程序
在我们最近的可行性工作的基础上提出了一个试点项目。该项目将试行一项基于证据的、
为脑性瘫痪儿童新修订的扩大音乐动作(M2M)计划
有功能障碍。该计划包括三个新颖的组成部分:1)预先录制的视频
以视觉图形和令人愉快的音乐为主题(例如,超级英雄、体育、流行音乐)进行风格化
2)基于ARM的常规训练和短跑强度间歇训练(SIT),
基于普通人群中最新运动生理学研究的原理;以及3)可复制
基于云的远程监测程序。参与者将从一家儿童医院和
社区组织。共有50名脑瘫儿童将被随机分为两组:
12周的SIT-M2M或12周的等待名单对照,在接受SIT-M2M之前进行习惯性活动。
SIT处方将包括每周3次,30次重复序列的4-S最大臂
锻炼,有活跃的恢复期(大约20分钟的热身和冷静期)。这项研究将
比较不同组之间与心血管健康相关的结果和核心指标的变化
心脏代谢健康,即身体成分、体重、超敏C反应蛋白、血红蛋白
A1C、甘油三酯、胆固醇和血压。此外,研究还将记录实施指标
这将为后续试验的设计提供信息。研究结果将为开发一种方便的
远程医疗功效试验,在不同地点和环境中实施,以改善健康和健康
残疾儿童长时间不能走路或站立的。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Byron Lai其他文献
Byron Lai的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Byron Lai', 18)}}的其他基金
A PILOT TRIAL OF TELEHEALTH ACTIVE VIDEO GAMING USING IMMERSIVE VIRTUAL REALITY ON CARDIOMETABOLIC HEALTH AMONG YOUTH WITH CEREBRAL PALSY
利用沉浸式虚拟现实进行远程健康主动视频游戏对脑瘫青少年心脏代谢健康的试点试验
- 批准号:
10375206 - 财政年份:2022
- 资助金额:
$ 22.28万 - 项目类别:
A PILOT TRIAL OF TELEHEALTH ACTIVE VIDEO GAMING USING IMMERSIVE VIRTUAL REALITY ON CARDIOMETABOLIC HEALTH AMONG YOUTH WITH CEREBRAL PALSY
利用沉浸式虚拟现实进行远程健康主动视频游戏对脑瘫青少年心脏代谢健康的试点试验
- 批准号:
10580721 - 财政年份:2022
- 资助金额:
$ 22.28万 - 项目类别:
相似海外基金
Leveraging Technology to Improve Medication Adherence in Adolescent and Young Adult Kidney or Liver Transplant Recipients
利用技术提高青少年和年轻肾移植或肝移植受者的药物依从性
- 批准号:
10369750 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
Leveraging Technology to Improve Medication Adherence in Adolescent and Young Adult Kidney or Liver Transplant Recipients
利用技术提高青少年和年轻肾移植或肝移植受者的药物依从性
- 批准号:
10633248 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
Leveraging Technology to Improve Medication Adherence in Adolescent and Young Adult Kidney or Liver Transplant Recipients
利用技术提高青少年和年轻肾移植或肝移植受者的药物依从性
- 批准号:
10487516 - 财政年份:2021
- 资助金额:
$ 22.28万 - 项目类别:
Understanding and measuring the impact of stigma on PrEP adherence among adolescent girls and young women in Kenya: identifying targets for future interventions
了解和衡量耻辱对肯尼亚少女和年轻女性坚持 PrEP 的影响:确定未来干预措施的目标
- 批准号:
10220170 - 财政年份:2020
- 资助金额:
$ 22.28万 - 项目类别:
Understanding and measuring the impact of stigma on PrEP adherence among adolescent girls and young women in Kenya: identifying targets for future interventions
了解和衡量耻辱对肯尼亚少女和年轻女性坚持 PrEP 的影响:确定未来干预措施的目标
- 批准号:
10330076 - 财政年份:2020
- 资助金额:
$ 22.28万 - 项目类别:
Understanding and measuring the impact of stigma on PrEP adherence among adolescent girls and young women in Kenya: identifying targets for future interventions
了解和衡量耻辱对肯尼亚少女和年轻女性坚持 PrEP 的影响:确定未来干预措施的目标
- 批准号:
10054077 - 财政年份:2020
- 资助金额:
$ 22.28万 - 项目类别:
Investigating Pathways to Medication (Non)Adherence in Adolescent Solid Organ Transplant Patients
调查青少年实体器官移植患者药物(非)依从性的途径
- 批准号:
9758859 - 财政年份:2019
- 资助金额:
$ 22.28万 - 项目类别:
Combining PrEP with contraception: a pilot test of an intervention to increase adherence to PrEP in adolescent girls and young women in Zimbabwe
将 PrEP 与避孕相结合:一项旨在提高津巴布韦少女和年轻女性对 PrEP 依从性的干预措施试点测试
- 批准号:
10018645 - 财政年份:2019
- 资助金额:
$ 22.28万 - 项目类别:
Social and psychological predictors of PrEP adherence among adolescent girls and young women in Eastern and Southern Africa
东部和南部非洲少女和年轻女性坚持 PrEP 的社会和心理预测因素
- 批准号:
10087797 - 财政年份:2019
- 资助金额:
$ 22.28万 - 项目类别:
Combining PrEP with contraception: a pilot test of an intervention to increase adherence to PrEP in adolescent girls and young women in Zimbabwe
将 PrEP 与避孕相结合:一项旨在提高津巴布韦少女和年轻女性对 PrEP 依从性的干预措施试点测试
- 批准号:
10224010 - 财政年份:2019
- 资助金额:
$ 22.28万 - 项目类别:














{{item.name}}会员




