Cargando…

Maintenance of cardiorespiratory fitness, body composition, and a physically active lifestyle after structured exercise interventions in individuals with overweight and obesity: A mixed-method follow-up study

OBJECTIVES: The aim of this mixed-method study was to explore maintenance of physical activity and health effects one year after completion of exercise interventions in transport and leisure-time domains of everyday life. We hypothesised that routinisation of active commuting would lead to better ma...

Descripción completa

Detalles Bibliográficos
Autores principales: Quist, J.S., Winther, J., Friis, A.L., Gram, A.S., Blond, M.B., Rosenkilde, M., Jespersen, A.P., Stallknecht, B.M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9773044/
https://www.ncbi.nlm.nih.gov/pubmed/36570402
http://dx.doi.org/10.1016/j.puhip.2022.100293
_version_ 1784855114266181632
author Quist, J.S.
Winther, J.
Friis, A.L.
Gram, A.S.
Blond, M.B.
Rosenkilde, M.
Jespersen, A.P.
Stallknecht, B.M.
author_facet Quist, J.S.
Winther, J.
Friis, A.L.
Gram, A.S.
Blond, M.B.
Rosenkilde, M.
Jespersen, A.P.
Stallknecht, B.M.
author_sort Quist, J.S.
collection PubMed
description OBJECTIVES: The aim of this mixed-method study was to explore maintenance of physical activity and health effects one year after completion of exercise interventions in transport and leisure-time domains of everyday life. We hypothesised that routinisation of active commuting would lead to better maintenance of physical activity and health effects compared with leisure-time exercise. STUDY DESIGN: Mixed-methods follow-up study. METHODS: Individuals with overweight/obesity, who completed a 6-month exercise intervention (active commuting by bike (BIKE), moderate (MOD) or vigorous intensity leisure-time exercise (VIG)), were after one year invited to participate in a follow-up visit which included measurements of cardiorespiratory fitness during an incremental bicycle test and body composition using dual-energy X-ray absorptiometry. Variability in maintenance practices was assessed in a sub-sample of participants who experienced the greatest improvements (‘VO(2)peak improvers’) and reductions (‘VO(2)peak reducers’), respectively, in cardiorespiratory fitness. Semi-structured interviews were conducted (15–30 min) and analysed using systematic text condensation to identify barriers and facilitators associated with maintenance of physical activity. RESULTS: Out of the 74 participants completing an exercise intervention, 46 (62%) completed follow-up (BIKE: n = 14; MOD: n = 14; VIG: n = 18). Improvements in VO(2)peak and reductions in fat mass were maintained in BIKE and VIG. Body weight decreased in BIKE and fat free mass increased in VIG. Changes in VO(2)peak and anthropometry at follow-up did not differ between BIKE and MOD + VIG. Fat mass decreased and recreational physical activity increased in ‘VO(2)peak improvers’. Findings from the interviews suggested that self-monitoring, collective exercising, and new personal exercise challenges facilitate maintenance of a physically active lifestyle. CONCLUSION: Completion of a structured exercise intervention consisting of 6 months of active commuting or vigorous intensity leisure-time exercise was associated with long-term maintenance of improvements in VO(2)peak and body composition, whereas moderate intensity leisure-time exercise was not. In contrast to our hypothesis, active commuting was not associated with better maintenance of physical activity and health effects after the intervention compared with leisure-time exercise.
format Online
Article
Text
id pubmed-9773044
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Elsevier
record_format MEDLINE/PubMed
spelling pubmed-97730442022-12-23 Maintenance of cardiorespiratory fitness, body composition, and a physically active lifestyle after structured exercise interventions in individuals with overweight and obesity: A mixed-method follow-up study Quist, J.S. Winther, J. Friis, A.L. Gram, A.S. Blond, M.B. Rosenkilde, M. Jespersen, A.P. Stallknecht, B.M. Public Health Pract (Oxf) Original Research OBJECTIVES: The aim of this mixed-method study was to explore maintenance of physical activity and health effects one year after completion of exercise interventions in transport and leisure-time domains of everyday life. We hypothesised that routinisation of active commuting would lead to better maintenance of physical activity and health effects compared with leisure-time exercise. STUDY DESIGN: Mixed-methods follow-up study. METHODS: Individuals with overweight/obesity, who completed a 6-month exercise intervention (active commuting by bike (BIKE), moderate (MOD) or vigorous intensity leisure-time exercise (VIG)), were after one year invited to participate in a follow-up visit which included measurements of cardiorespiratory fitness during an incremental bicycle test and body composition using dual-energy X-ray absorptiometry. Variability in maintenance practices was assessed in a sub-sample of participants who experienced the greatest improvements (‘VO(2)peak improvers’) and reductions (‘VO(2)peak reducers’), respectively, in cardiorespiratory fitness. Semi-structured interviews were conducted (15–30 min) and analysed using systematic text condensation to identify barriers and facilitators associated with maintenance of physical activity. RESULTS: Out of the 74 participants completing an exercise intervention, 46 (62%) completed follow-up (BIKE: n = 14; MOD: n = 14; VIG: n = 18). Improvements in VO(2)peak and reductions in fat mass were maintained in BIKE and VIG. Body weight decreased in BIKE and fat free mass increased in VIG. Changes in VO(2)peak and anthropometry at follow-up did not differ between BIKE and MOD + VIG. Fat mass decreased and recreational physical activity increased in ‘VO(2)peak improvers’. Findings from the interviews suggested that self-monitoring, collective exercising, and new personal exercise challenges facilitate maintenance of a physically active lifestyle. CONCLUSION: Completion of a structured exercise intervention consisting of 6 months of active commuting or vigorous intensity leisure-time exercise was associated with long-term maintenance of improvements in VO(2)peak and body composition, whereas moderate intensity leisure-time exercise was not. In contrast to our hypothesis, active commuting was not associated with better maintenance of physical activity and health effects after the intervention compared with leisure-time exercise. Elsevier 2022-07-09 /pmc/articles/PMC9773044/ /pubmed/36570402 http://dx.doi.org/10.1016/j.puhip.2022.100293 Text en © 2022 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Original Research
Quist, J.S.
Winther, J.
Friis, A.L.
Gram, A.S.
Blond, M.B.
Rosenkilde, M.
Jespersen, A.P.
Stallknecht, B.M.
Maintenance of cardiorespiratory fitness, body composition, and a physically active lifestyle after structured exercise interventions in individuals with overweight and obesity: A mixed-method follow-up study
title Maintenance of cardiorespiratory fitness, body composition, and a physically active lifestyle after structured exercise interventions in individuals with overweight and obesity: A mixed-method follow-up study
title_full Maintenance of cardiorespiratory fitness, body composition, and a physically active lifestyle after structured exercise interventions in individuals with overweight and obesity: A mixed-method follow-up study
title_fullStr Maintenance of cardiorespiratory fitness, body composition, and a physically active lifestyle after structured exercise interventions in individuals with overweight and obesity: A mixed-method follow-up study
title_full_unstemmed Maintenance of cardiorespiratory fitness, body composition, and a physically active lifestyle after structured exercise interventions in individuals with overweight and obesity: A mixed-method follow-up study
title_short Maintenance of cardiorespiratory fitness, body composition, and a physically active lifestyle after structured exercise interventions in individuals with overweight and obesity: A mixed-method follow-up study
title_sort maintenance of cardiorespiratory fitness, body composition, and a physically active lifestyle after structured exercise interventions in individuals with overweight and obesity: a mixed-method follow-up study
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9773044/
https://www.ncbi.nlm.nih.gov/pubmed/36570402
http://dx.doi.org/10.1016/j.puhip.2022.100293
work_keys_str_mv AT quistjs maintenanceofcardiorespiratoryfitnessbodycompositionandaphysicallyactivelifestyleafterstructuredexerciseinterventionsinindividualswithoverweightandobesityamixedmethodfollowupstudy
AT wintherj maintenanceofcardiorespiratoryfitnessbodycompositionandaphysicallyactivelifestyleafterstructuredexerciseinterventionsinindividualswithoverweightandobesityamixedmethodfollowupstudy
AT friisal maintenanceofcardiorespiratoryfitnessbodycompositionandaphysicallyactivelifestyleafterstructuredexerciseinterventionsinindividualswithoverweightandobesityamixedmethodfollowupstudy
AT gramas maintenanceofcardiorespiratoryfitnessbodycompositionandaphysicallyactivelifestyleafterstructuredexerciseinterventionsinindividualswithoverweightandobesityamixedmethodfollowupstudy
AT blondmb maintenanceofcardiorespiratoryfitnessbodycompositionandaphysicallyactivelifestyleafterstructuredexerciseinterventionsinindividualswithoverweightandobesityamixedmethodfollowupstudy
AT rosenkildem maintenanceofcardiorespiratoryfitnessbodycompositionandaphysicallyactivelifestyleafterstructuredexerciseinterventionsinindividualswithoverweightandobesityamixedmethodfollowupstudy
AT jespersenap maintenanceofcardiorespiratoryfitnessbodycompositionandaphysicallyactivelifestyleafterstructuredexerciseinterventionsinindividualswithoverweightandobesityamixedmethodfollowupstudy
AT stallknechtbm maintenanceofcardiorespiratoryfitnessbodycompositionandaphysicallyactivelifestyleafterstructuredexerciseinterventionsinindividualswithoverweightandobesityamixedmethodfollowupstudy