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

BACKGROUND: In an effort to increase people's adherence to active lifestyles, contemporary physical activity (PA) guidelines now include low-dose PA. METHODS: PA 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. RESULTS: Participants 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. CONCLUSIONS: A 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 BACKGROUND: In an effort to increase people's adherence to active lifestyles, contemporary physical activity (PA) guidelines now include low-dose PA. METHODS: PA 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. RESULTS: Participants 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. CONCLUSIONS: A 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 Activity Intervention Study (NEXIS) cohort
17 Further studies
18 Intervention Study (NEXIS) cohort
19 Japanese adults
20 MVPA
21 Met activity
22 MetS
23 NCT00926744
24 PA
25 PA interventions
26 PA messages
27 Physical Activity Intervention Study (NEXIS) cohort
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 contemporary physical activity (PA) guidelines
51 control group
52 correlation
53 counseling sessions
54 counselling sessions
55 daily time
56 effect
57 efforts
58 end
59 energy intake
60 fitness parameters
61 follow
62 group
63 guidelines
64 health
65 heart rate
66 higher physical activity levels
67 inactive participants
68 increase
69 intake
70 intervention
71 intervention group
72 large amount
73 levels
74 lifestyle
75 light
76 light-intensity bouts
77 low-dose PA
78 low-dose PA messages
79 low-dose physical activity recommendations
80 messages
81 min
82 moderate PA
83 nutrition
84 nutritional
85 oxygen consumption capacity
86 parameters
87 participants
88 people
89 people’s adherence
90 period
91 physical activity guidelines
92 physical activity levels
93 physical activity recommendations
94 physical behavior
95 progressive PA intervention
96 progressive changes
97 progressive increase
98 rate
99 recommendations
100 retention
101 same period
102 scores
103 sessions
104 significant correlation
105 small bouts
106 smaller energy intakes
107 steps/d
108 strict periods
109 study
110 study cohort
111 target
112 time
113 trials
114 visits
115 waist circumference
116 years
117 schema:name Effect of a 1-year intervention comprising brief counselling sessions and low-dose physical activity recommendations in Japanese adults, and retention of the effect at 2 years: a randomized trial
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