Abstract/Details

An Internet physical activity intervention to reduce coronary heart disease risk in the metabolic syndrome population


2007 2007

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Abstract (summary)

The National Cholesterol Education Program (NCEP) emphasizes regular physical activity to reduce coronary heart disease (CHD) risk associated with the metabolic syndrome. Despite the clear health benefits, most adults do not engage in physical activity (PA) at the recommended level. The purpose of this pilot study was to evaluate the effects of a physical activity Internet intervention on: (1) PA minutes per week, and kilocalories expended per week, (2) lipid, and hsCRP biomarkers, and (3) self-efficacy to engage in PA, and self-efficacy to overcome barriers to PA participation in the metabolic syndrome population. A secondary purpose was to evaluate participants' acceptance and perceptions of the Internet intervention for a larger study. The theoretical framework of the intervention was Bandura's Social Cognitive Theory. An experimental repeated measures design was used to examine outcomes pre and post intervention (6 week duration). Participants were randomly assigned to the usual care group (n=10) or the Internet intervention group (n=12). Participants were 16 males and 6 females recruited from a cardiology clinic, ranging in age from 32-66 years. PA minutes per week and kilocalories expended per week in moderate or greater intensity PA were measured by the 7-Day Physical Activity Recall. Total kilocalories expended per week at all intensity levels were measured by the RT3 Accelerometer. Analyses involved calculating change scores (post minus pre intervention scores) and using non-parametric statistics to compare group differences. Although no significant differences were found in the intent-to-treat analysis due to the small sample size, trends favoring the intervention group were found in adherence with PA minutes per week, kilocalories expended per week, card iorespiratory fitness, HDL cholesterol, and self-efficacy for PA. Significant improvements were found in the per-protocol analysis in the intervention group in HDL cholesterol (z=-2.024; p=.04), and self-efficacy for PA (-1.970; p=.04). Participants reported overall positive perceptions of the intervention. Further development and testing of this evidence-based Internet intervention in a larger study is needed to fully investigate the effect on PA outcomes, and thus reduce CHID risk in the metabolic syndrome population.

Indexing (details)


Subject
Nursing;
Public health;
Sports medicine;
Internet;
Exercise;
Cardiovascular disease;
Sports
Classification
0569: Nursing
0573: Public health
0575: Sports medicine
Identifier / keyword
Health and environmental sciences; Adherence; Behavior change; Coronary heart disease; Metabolic syndrome; Physical activity; Self-efficacy
Title
An Internet physical activity intervention to reduce coronary heart disease risk in the metabolic syndrome population
Author
Bosak, Kelly A. Shull
Number of pages
166
Publication year
2007
Degree date
2007
School code
0367
Source
DAI-B 68/11, Dissertation Abstracts International
Place of publication
Ann Arbor
Country of publication
United States
ISBN
9780549324713
Advisor
Yates, Bernice C.
University/institution
University of Nebraska Medical Center
University location
United States -- Nebraska
Degree
Ph.D.
Source type
Dissertations & Theses
Language
English
Document type
Dissertation/Thesis
Dissertation/thesis number
3289621
ProQuest document ID
304778207
Copyright
Database copyright ProQuest LLC; ProQuest does not claim copyright in the individual underlying works.
Document URL
http://search.proquest.com/docview/304778207
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