this particular barrier to participation. The cost savings attributable to decreased health care utilization were also explored in the analyses. Methods Muscling Up Against Disability was a stepped-wedge randomized control trial to assess the effect of a progressive resistance plus balance training
Sharon Hetherington, Paul Swinton, Tim Henwood, Justin Keogh, Paul Gardiner, Anthony Tuckett, Kevin Rouse and Tracy Comans
Francisco Alvarez-Barbosa, Jesús del Pozo-Cruz, Borja del Pozo-Cruz, Antonio García-Hermoso and Rosa María Alfonso-Rosa
, activities of daily living , random allocation and randomized controlled trial ( RCT ). The search queries for the eight electronic databases are shown in Supplementary Material (available online). Study Selection The inclusion criteria (a) were RCT investigating the effects of WBV in
Ruben Barakat, Mireia Pelaez, Rocio Montejo, Ignacio Refoyo and Javier Coteron
In spite of an extensive knowledge of the physiologic features of exercise during pregnancy, we still lack a comprehensive understanding of the effects of different types, intensities and duration of exercise throughout pregnancy on maternal and fetal well being. The aim of the current study was to examine the influence of an aerobic exercise program throughout pregnancy on gestational age at the moment of delivery.
This study was a randomized controlled trial. Three hundred and twenty Caucasian (Spanish) healthy pregnant women with singleton gestation were randomly assigned to either an exercise (n = 160) or a control (n = 160) group. Gestational age (weeks) and other outcomes were measured. The exercise program included 85 sessions (general fitness class, 3 times/week, 55–60 min/session from weeks 8–10 to weeks 38–39 of pregnancy).
Two hundred and ninety women were analyzed (exercise group EG, n = 138, control group CG, n = 152). The mean gestational age did not differ between groups (EG= 39.7± 1.3 vs CG= 39.6 ± 1.1 weeks, P = .81). Relative to preterm deliveries in EG we found 6 (4.3%) and 11 (7.2%) in CG, (P = .73).
A supervised program of moderate exercise performed throughout pregnancy is not a risk of preterm delivery for healthy pregnant women.
Alyce T. Barnes, Ronald C. Plotnikoff, Clare E. Collins and Philip J. Morgan
The aim was to assess the feasibility and preliminary efficacy of a community-based physical activity (PA) intervention targeting mothers and daughters.
A randomized controlled trial of 48 primary school-aged girls and their 40 mothers were randomized to (i) Mothers And Daughters Exercising for Life (MADE4Life) (n = 21 mothers, n = 25 daughters) or (ii) wait-list control (n = 19 mothers, n = 23 daughters). The 8-week program involved 8 sessions; 25-minute separate mothers and daughters education sessions and 60-minutes PA together. Assessments were at baseline, postintervention and 3-month postintervention. Primary outcome measure was daughters’ moderateto-vigorous physical activity (MVPA) (accelerometer). Secondary outcomes included accelerometer-assessed light/moderate/vigorous PA, BMI, waist circumference, body composition, blood pressure, resting heart rate, sedentary behaviors and mothers’ self-reported PA, parenting measures, and cognitions. Intention-to-treat analysis used linear mixed models.
Recruitment and retention goals were exceeded. Attendance rates, program acceptability and satisfaction were high. There was no significant group-by-time effect for daughters’ %MVPA (–0.08; 95%CI –1.49, 1.33, d = –0.03) or other secondary outcomes for girls (postintervention range d = 0.01 to –0.46). Significant intervention effects were found for mothers’ %VPA (P = .04, d = 0.25) and role modeling (P = .02, d = 0.66).
MADE4Life was both feasible and acceptable. Although very small effect sizes were found for the daughters, significant changes were seen for mothers (d = 0.25 to 0.66). Future fully powered trials targeting PA in mothers and daughters is warranted.
Jocelyn Kernot, Lucy Lewis, Tim Olds and Carol Maher
additional secondary aim was to assess the feasibility and engagement of the MSIU program. Methods Overview A 3-arm cluster randomized controlled trial (allocation ratio 1∶1∶1) was undertaken in Adelaide, South Australia, between September 2013 and October 2014. Postpartum women were recruited in teams, with
Rebekka Pomiersky, Bastian Abel, Christian Werner, André Lacroix, Klaus Pfeiffer, Martina Schäufele and Klaus Hauer
. Also, a detailed documentation by a subclassification of PA (e.g., total PA vs. sportive, leisure, household, professional PA) was not provided, while assessment methods were partly not adequate or validated for older impaired persons with and without cognitive impairment. Randomized controlled trials
Ulrika Olsson Möller, Jimmie Kristensson, Patrik Midlöv, Charlotte Ekdahl and Ulf Jakobsson
To investigate the effects of a home-based one-year case management intervention in older people with functional dependency and repeated contact with the health care services on self-reported falls and self-reported injurious falls.
The study was a randomized controlled trial with repeated follow-ups. The sample (n = 153) was consecutively and randomly assigned to the intervention group (n = 80, mean age = 81.4 [SD 5.9]) or control group (n = 73, mean age = 81.6 [SD 6.8]). The intervention group received a case management intervention which comprised monthly home visits during 12 months by nurses and physiotherapists employing a multifactorial preventive approach.
In the intervention group, 96 falls occurred during the intervention period compared with 85 falls in the control group (p = .900). There were 40 and 38 injurious falls (p = .669) in the intervention and control groups, respectively.
This home-based case management intervention was not able to prevent falls or injurious falls.
Nicholas Gilson, Jim McKenna and Carlton Cooke
This study explored the experiences of university employees recruited to a 10-week randomized controlled trial (n = 64). The trial compared “walking routes” with “walking-while-working” on daily step totals, showing that, compared with controls, interventions resulted in around 1000 extra steps per day.
A subsample of 15 academic and administrative employees from intervention groups completed interviews at the end of intervention. Interviews were transcribed verbatim and subject to inductive coding within the major themes of benefits/positives and problems/barriers.
Both interventions benefited employee health and work productivity but were difficult to implement in the workplace. Involvement in walking routes was challenged by the difficulties of managing time pressures, and individuals assigned to walking-while-working had to deal with local management subcultures favoring physical presence and inactivity.
Findings highlight the need for further research, advocate the value of walking at work, and provide insights into the challenges that face staff in workplace interventions.
Kathleen A. Martin and Adrienne R. Sinden
This study examined exercise-adherence rates and their predictors across 21 randomized controlled trials (RCTs) involving older adults (age ≥ 55 years). On average, participants completed 78% of their prescribed exercise bouts. Adherence tended to be greater in strength- and flexibility-exercise training programs (M = 87%) than in aerobic-exercise training programs (M = 75%). The best adherers were individuals who were fitter at baseline, had a history of a physically active lifestyle, were nonsmokers, and had higher exercise self-efficacy. Different variables predicted adherence (a) at different time points in a RCT. (b) to different types of exercise, and (c) to different aspects of the exercise prescription (i.e., frequency, intensity, and duration). The findings suggest that older adults might be more adherent to exercise prescriptions than younger adults are. There is also a need for more theory-based research to examine predictors of adherence to various aspects of the exercise prescription.
Valter C. Barbosa Filho, Kelly Samara da Silva, Jorge Mota, Carmem Beck and Adair da Silva Lopes
Promoting physical activity (PA) in low- and middle-income countries is an important public health topic as well as a challenge for practice. This study aimed to assess the effect of a school-based intervention on different PA-related variables among students.
This cluster-randomized-controlled trial included 548 students in the intervention group and 537 in the control group (11–18 years-old) from 6 schools in neighborhoods with low Human Development Index (0.170–0.491) in Fortaleza, Brazil. The intervention included strategies focused on training teachers, opportunities for PA in the school environment and health education. Variables measured at baseline and again at the 4-months follow-up included the weekly time in different types of moderate-to-vigorous PA (MVPA), preference for PA during leisure-time, PA behavioral change stage and active commuting to school. Generalized linear models and binary logistic regressions were used.
An intervention effect was found by increasing the weekly time in MVPA (effect size = 0.17), popular games (effect size = 0.35), and the amount of PA per week (effect size = 0.27) among students (all P < .05).
The intervention was effective in promoting improvements in some PA outcomes, but the changes were not sufficient to increase the proportion of those meeting PA recommendations.