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Amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the STRRIDE-PD randomized trial

INTRODUCTION: To determine the relative contributions of various amounts and intensities of exercise alone to a combined lifestyle intervention on health-related quality of life (HrQoL) measures. RESEARCH DESIGN AND METHODS: Participants (n=162) were sedentary, overweight/obese, with pre-diabetes, a...

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Autores principales: Collins, Katherine A, Ross, Leanna M, Piner, Lucy W, Fos, Liezl B, Slentz, Cris A, Bateman, Lori A, Willis, Leslie H, Bales, Connie W, Siegler, Ilene C, Wolever, Ruth Q, Huffman, Kim M, Kraus, William E
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796224/
https://www.ncbi.nlm.nih.gov/pubmed/35086944
http://dx.doi.org/10.1136/bmjdrc-2021-002584
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author Collins, Katherine A
Ross, Leanna M
Piner, Lucy W
Fos, Liezl B
Slentz, Cris A
Bateman, Lori A
Willis, Leslie H
Bales, Connie W
Siegler, Ilene C
Wolever, Ruth Q
Huffman, Kim M
Kraus, William E
author_facet Collins, Katherine A
Ross, Leanna M
Piner, Lucy W
Fos, Liezl B
Slentz, Cris A
Bateman, Lori A
Willis, Leslie H
Bales, Connie W
Siegler, Ilene C
Wolever, Ruth Q
Huffman, Kim M
Kraus, William E
author_sort Collins, Katherine A
collection PubMed
description INTRODUCTION: To determine the relative contributions of various amounts and intensities of exercise alone to a combined lifestyle intervention on health-related quality of life (HrQoL) measures. RESEARCH DESIGN AND METHODS: Participants (n=162) were sedentary, overweight/obese, with pre-diabetes, and randomized to one of four 6-month interventions: (1) high amount/moderate intensity exercise–energy expenditure of 16 kcal/kg of body weight/week (KKW) at 50% oxygen consumption (V̇O(2)) reserve; (2) high/vigorous–16 KKW at 75% V̇O(2) reserve; (3) low/moderate–10 KKW at 50% V̇O(2) reserve; (4) low/moderate plus diet–10 KKW at 50% V̇O(2) reserve plus a calorically restricted diet. The 36-Item Short-Form Survey (SF-36) and Satisfaction with Physical Function and Appearance (SPF/SPA) survey were assessed at baseline and post-intervention. Analyses of covariance determined differences in change scores among groups (p<0.05). Paired t-tests determined significant pre-intervention versus post-intervention scores within groups (p<0.05). RESULTS: Across the intervention, all groups (p<0.05) improved the physical component, SPF, and SPA scores. Only the low/moderate/diet group (p<0.001) significantly improved the mental component score. The high/vigorous group achieved 84.5% of the low/moderate/diet group effect for change in physical component score, and the low/moderate group achieved 83.7% of the low/moderate/diet group effect for change in mental component score. CONCLUSIONS: In general, a low amount of moderate intensity exercise combined with diet was the most effective intervention for improving HrQoL. Of the exercise-only interventions, vigorous intensity exercise provided the greatest impact on changes in physical function. On the other hand, low amounts of moderate intensity exercise provided the greatest impact on mental well-being, potentially being a more attainable exercise dose for previously sedentary individuals with pre-diabetes to achieve.
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spelling pubmed-87962242022-02-07 Amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the STRRIDE-PD randomized trial Collins, Katherine A Ross, Leanna M Piner, Lucy W Fos, Liezl B Slentz, Cris A Bateman, Lori A Willis, Leslie H Bales, Connie W Siegler, Ilene C Wolever, Ruth Q Huffman, Kim M Kraus, William E BMJ Open Diabetes Res Care Psychosocial Research INTRODUCTION: To determine the relative contributions of various amounts and intensities of exercise alone to a combined lifestyle intervention on health-related quality of life (HrQoL) measures. RESEARCH DESIGN AND METHODS: Participants (n=162) were sedentary, overweight/obese, with pre-diabetes, and randomized to one of four 6-month interventions: (1) high amount/moderate intensity exercise–energy expenditure of 16 kcal/kg of body weight/week (KKW) at 50% oxygen consumption (V̇O(2)) reserve; (2) high/vigorous–16 KKW at 75% V̇O(2) reserve; (3) low/moderate–10 KKW at 50% V̇O(2) reserve; (4) low/moderate plus diet–10 KKW at 50% V̇O(2) reserve plus a calorically restricted diet. The 36-Item Short-Form Survey (SF-36) and Satisfaction with Physical Function and Appearance (SPF/SPA) survey were assessed at baseline and post-intervention. Analyses of covariance determined differences in change scores among groups (p<0.05). Paired t-tests determined significant pre-intervention versus post-intervention scores within groups (p<0.05). RESULTS: Across the intervention, all groups (p<0.05) improved the physical component, SPF, and SPA scores. Only the low/moderate/diet group (p<0.001) significantly improved the mental component score. The high/vigorous group achieved 84.5% of the low/moderate/diet group effect for change in physical component score, and the low/moderate group achieved 83.7% of the low/moderate/diet group effect for change in mental component score. CONCLUSIONS: In general, a low amount of moderate intensity exercise combined with diet was the most effective intervention for improving HrQoL. Of the exercise-only interventions, vigorous intensity exercise provided the greatest impact on changes in physical function. On the other hand, low amounts of moderate intensity exercise provided the greatest impact on mental well-being, potentially being a more attainable exercise dose for previously sedentary individuals with pre-diabetes to achieve. BMJ Publishing Group 2022-01-27 /pmc/articles/PMC8796224/ /pubmed/35086944 http://dx.doi.org/10.1136/bmjdrc-2021-002584 Text en © Author(s) (or their employer(s)) 2022. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) .
spellingShingle Psychosocial Research
Collins, Katherine A
Ross, Leanna M
Piner, Lucy W
Fos, Liezl B
Slentz, Cris A
Bateman, Lori A
Willis, Leslie H
Bales, Connie W
Siegler, Ilene C
Wolever, Ruth Q
Huffman, Kim M
Kraus, William E
Amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the STRRIDE-PD randomized trial
title Amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the STRRIDE-PD randomized trial
title_full Amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the STRRIDE-PD randomized trial
title_fullStr Amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the STRRIDE-PD randomized trial
title_full_unstemmed Amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the STRRIDE-PD randomized trial
title_short Amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the STRRIDE-PD randomized trial
title_sort amount and intensity effects of exercise training alone versus a combined diet and exercise lifestyle intervention on health-related quality of life in the strride-pd randomized trial
topic Psychosocial Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8796224/
https://www.ncbi.nlm.nih.gov/pubmed/35086944
http://dx.doi.org/10.1136/bmjdrc-2021-002584
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