Effect of a 1-year intervention comprising brief counselling sessions and low-dose physical activity recommendations in Japanese adults, and retention of ... View Full Text


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Article Info

DATE

2021-10-25

AUTHORS

Julien Tripette, Yuko Gando, Haruka Murakami, Ryoko Kawakami, Kumpei Tanisawa, Harumi Ohno, Kana Konishi, Michiya Tanimoto, Noriko Tanaka, Hiroshi Kawano, Kenta Yamamoto, Akie Morishita, Motoyuki Iemitsu, Kiyoshi Sanada, Nobuyuki Miyatake, Motohiko Miyachi

ABSTRACT

BackgroundIn an effort to increase people’s adherence to active lifestyles, contemporary physical activity (PA) guidelines now include low-dose PA.MethodsPA was evaluated in 583 participants of the Nutritional and Physical Activity Intervention Study (NEXIS) cohort (30–65 years old); 349 inactive participants (MVPA, 2.7 ± 1.0 MET-h/day) were randomly assigned to the intervention or control groups, and 235 active participants participated in follow-up visits. The intervention aimed to increase MVPA and comprised five brief counseling sessions over 1 year. The 1-year target for the participant was increasing their step-count to 10,000 steps/d or +3000 steps/d, relative to the baseline score. The counseling sessions were designed to stimulate progressive changes in physical behaviors by recommendations promoting small and/or light-intensity bouts of PA. PA was measured at baseline, the end of the intervention, and 1 year after the intervention ended. Additionally, several nutrition, health, and fitness parameters were measured.ResultsParticipants in the intervention group significantly increased their step-count from 8415 ± 1924 at baseline to 9493 ± 2575 at the end of the 1-year period. During the same period, MVPA significantly increased by 0.9 MET-h. The daily time spent in ≥ 3, ≥ 4 and ≥ 5 MET activities increased by 11, 6, and 3 min, respectively. This increase in PA remained observable 1 year after intervention concluded. The active group maintained higher physical activity levels throughout the two years. The intervention group showed smaller energy intakes at the end of the 2-year period. Significant correlations were noted between the 1-year change in MVPA and the change in resting heart rate (r = − 0.22), and between the 2-year change in MVPA and the change in waist circumference (r = − 0.08) and peak oxygen consumption capacity (r = 0.23) in the intervention group only.ConclusionsA prolonged and progressive PA intervention promoting small bouts of light-to-moderate PA may be used in healthy, not-optimally-active people to increase PA beyond the strict period of the intervention. Further studies are necessary to understand whether low-dose PA messages can be effective in initiating a progressive increase toward larger amounts of PA.Trial registration: Clinical Trials.gov, NCT00926744, retrospectively registered. More... »

PAGES

133

Identifiers

URI

http://scigraph.springernature.com/pub.10.1186/s13102-021-00360-7

DOI

http://dx.doi.org/10.1186/s13102-021-00360-7

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1142130538

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/34696811


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9 schema:description BackgroundIn an effort to increase people’s adherence to active lifestyles, contemporary physical activity (PA) guidelines now include low-dose PA.MethodsPA was evaluated in 583 participants of the Nutritional and Physical Activity Intervention Study (NEXIS) cohort (30–65 years old); 349 inactive participants (MVPA, 2.7 ± 1.0 MET-h/day) were randomly assigned to the intervention or control groups, and 235 active participants participated in follow-up visits. The intervention aimed to increase MVPA and comprised five brief counseling sessions over 1 year. The 1-year target for the participant was increasing their step-count to 10,000 steps/d or +3000 steps/d, relative to the baseline score. The counseling sessions were designed to stimulate progressive changes in physical behaviors by recommendations promoting small and/or light-intensity bouts of PA. PA was measured at baseline, the end of the intervention, and 1 year after the intervention ended. Additionally, several nutrition, health, and fitness parameters were measured.ResultsParticipants in the intervention group significantly increased their step-count from 8415 ± 1924 at baseline to 9493 ± 2575 at the end of the 1-year period. During the same period, MVPA significantly increased by 0.9 MET-h. The daily time spent in ≥ 3, ≥ 4 and ≥ 5 MET activities increased by 11, 6, and 3 min, respectively. This increase in PA remained observable 1 year after intervention concluded. The active group maintained higher physical activity levels throughout the two years. The intervention group showed smaller energy intakes at the end of the 2-year period. Significant correlations were noted between the 1-year change in MVPA and the change in resting heart rate (r =  − 0.22), and between the 2-year change in MVPA and the change in waist circumference (r =  − 0.08) and peak oxygen consumption capacity (r = 0.23) in the intervention group only.ConclusionsA prolonged and progressive PA intervention promoting small bouts of light-to-moderate PA may be used in healthy, not-optimally-active people to increase PA beyond the strict period of the intervention. Further studies are necessary to understand whether low-dose PA messages can be effective in initiating a progressive increase toward larger amounts of PA.Trial registration: Clinical Trials.gov, NCT00926744, retrospectively registered.
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16 schema:keywords BackgroundIn
17 ConclusionsA
18 Further studies
19 Japanese adults
20 MET activity
21 MVPA
22 MetS
23 MethodsPA
24 PA
25 PA interventions
26 PA messages
27 ResultsParticipants
28 active group
29 active lifestyle
30 active participants
31 active people
32 activity
33 activity guidelines
34 activity levels
35 activity recommendations
36 adherence
37 adults
38 amount
39 baseline
40 baseline scores
41 behavior
42 bouts
43 brief counseling session
44 brief counselling session
45 capacity
46 changes
47 circumference
48 cohort
49 consumption capacity
50 control group
51 correlation
52 counseling sessions
53 counselling sessions
54 daily time
55 effect
56 efforts
57 end
58 energy intake
59 fitness parameters
60 follow
61 group
62 guidelines
63 health
64 heart rate
65 higher physical activity levels
66 inactive participants
67 increase
68 intake
69 intervention
70 intervention group
71 large amount
72 levels
73 lifestyle
74 light
75 messages
76 min
77 moderate PA
78 nutrition
79 nutritional
80 oxygen consumption capacity
81 parameters
82 participants
83 people
84 people's adherence
85 period
86 physical activity guidelines
87 physical activity levels
88 physical activity recommendations
89 physical behavior
90 progressive changes
91 progressive increase
92 rate
93 recommendations
94 retention
95 same period
96 scores
97 sessions
98 significant correlation
99 small bouts
100 smaller energy intake
101 steps/d
102 strict periods
103 study
104 study cohort
105 target
106 time
107 trials
108 visits
109 waist circumference
110 years
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