Show simple item record

dc.contributor.authorDeraas, Trygve Sigvart
dc.contributor.authorHopstock, Laila Arnesdatter
dc.contributor.authorHenriksen, André
dc.contributor.authorMorseth, Bente
dc.contributor.authorSand, Anne-Sofie
dc.contributor.authorNjølstad, Inger
dc.contributor.authorPedersen, Sigurd
dc.contributor.authorSagelv, Edvard Hamnvik
dc.contributor.authorJohansson, Jonas
dc.contributor.authorGrimsgaard, Sameline
dc.date.accessioned2021-11-02T13:47:02Z
dc.date.available2021-11-02T13:47:02Z
dc.date.issued2021-10-27
dc.description.abstractBackground - Physical inactivity and obesity are global public health challenges. Older adults are important to target for prevention and management of disease and chronic conditions. However, many individuals struggle with maintaining increased physical activity (PA) and improved diet. This feasibility study provides the foundation for the RESTART trial, a randomized controlled trial (RCT) to test a complex intervention to facilitate favourable lifestyle changes older adults can sustain. The primary objective of this study was to investigate study feasibility (recruitment, adherence, side-effects, and logistics) using an interdisciplinary approach.<p> <p>Methods - This 1-year prospective mixed-method single-arm feasibility study was conducted in Tromsø, Norway, from September 2017. We invited by mail randomly selected participants from the seventh survey of the Tromsø Study (2015–2016) aged 55–75 years with sedentary lifestyle, obesity, and elevated cardiovascular risk. Participants attended a 6-month complex lifestyle intervention program, comprising instructor-led high-intensive exercise and nutritionist- and psychologist-led counselling, followed by a 6-month follow-up. All participants used a Polar activity tracker for daily activity monitoring during the intervention. Participants were interviewed three times throughout the study. Primary outcome was study feasibility measures.<p> <p>Results - We invited potential participants (n=75) by mail of which 27 % (n=20) agreed to participate. Telephone screening excluded four participants, and altogether 16 participants completed baseline screening. The intervention and test procedures of primary and secondary outcomes were feasible and acceptable for the participants. There were no exercise-induced injuries, indicating that the intervention program is safe. Participants experienced that the dietary and psychological counselling were delivered too early in the intervention and in too close proximity to the start of the exercise program. Minor logistic improvements were implemented throughout the intervention period.<p> <p>Conclusion - This study indicates that it is feasible to conduct a full-scale RCT of a multi-component randomized intervention trial, based on the model of the present study. No dropouts due to exercise-induced injury indicates that the exercises were safe. While minor improvements in logistics were implemented during the intervention, we will improve recruitment and adherence strategies, rearrange schedule of intervention contents (exercise, diet, and psychology), as well as improve the content of the dietary and behavioural counselling to maximize outcome effects in the RESTART protocol.en_US
dc.identifier.citationDeraas TS, Hopstock LA, Henriksen A, Morseth B, Sand A, Njølstad i, Pedersen S, Sagelv EH, Johansson J, Grimsgaard sg. Complex lifestyle intervention among inactive older adults with elevated cardiovascular disease risk and obesity: a mixed-method, single-arm feasibility study for RESTART—a randomized controlled trial. BMC Pilot and Feasibility Studies. 2021en_US
dc.identifier.cristinIDFRIDAID 1949370
dc.identifier.doihttps://doi.org/10.1186/s40814-021-00921-0
dc.identifier.issn2055-5784
dc.identifier.urihttps://hdl.handle.net/10037/22917
dc.language.isoengen_US
dc.publisherBMCen_US
dc.relation.journalBMC Pilot and Feasibility Studies
dc.rights.accessRightsopenAccessen_US
dc.rights.holderCopyright 2021 The Author(s)en_US
dc.subjectVDP::Medical disciplines: 700::Health sciences: 800::Community medicine, Social medicine: 801en_US
dc.subjectVDP::Medisinske Fag: 700::Helsefag: 800::Samfunnsmedisin, sosialmedisin: 801en_US
dc.titleComplex lifestyle intervention among inactive older adults with elevated cardiovascular disease risk and obesity: a mixed-method, single-arm feasibility study for RESTART—a randomized controlled trialen_US
dc.type.versionpublishedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


File(s) in this item

Thumbnail

This item appears in the following collection(s)

Show simple item record