Physical activity, sedentary behavior and total wellness changes among sedentary adults: a 4-week randomized controlled trial

Health and Quality of Life Outcomes

L Michaud Tomson¹  Thomas F Cuddihy²  Faisal A Barwais³ 

[1] School of Education and Professional Studies, Griffith University, Brisbane, Australia;School of Exercise and Nutrition Sciences, Institute of Health and Biomedical Innovation, Queensland University of Technology, Brisbane, Australia;Department of Physical Education and Sports, Umm Al-Qura University, Makkah, Saudi Arabia

关键词: 7-day SLIPA Log;    IPAQ;    Wellness evaluation of lifestyle (WEL);    Sedentary behavior;   

Others  :  822210
DOI  :  10.1186/1477-7525-11-183

 received in 2013-07-10, accepted in 2013-10-24,  发布年份 2013

【 摘 要 】

Background

The construct of total wellness includes a holistic approach to the body, mind and spirit components of life. While the health benefits of reducing sedentary behavior and increasing physical activity are well documented, little is known about the influence on total wellness of an internet-based physical activity monitor designed to help people to achieve higher physical activity levels.

Purpose

The purpose of this four-week, personal activity monitor-based intervention program was to reduce sedentary behavior and increase physical activity levels in daily living for sedentary adults and to determine if these changes would also be associated with improvement in total wellness.

Methods

Twenty-two men and 11 women (27 years ± 4.0) were randomly assigned to either an intervention (n = 18) or control group (n = 15). The intervention group interacted with an online personal activity monitor (Gruve Solution™) designed to reduce sedentary time and increase physical activity during activities of daily living. The control group did not interact with the monitor, as they were asked to follow their normal daily physical activities and sedentary behavior routines. The Wellness Evaluation of Lifestyle (WEL) inventory was used to assess total wellness. Sedentary time, light, walking, moderate and vigorous intensity physical activities were assessed for both intervention and control groups at baseline and at week-4 by the 7-day Sedentary and Light Intensity Physical Activity Log (7-day SLIPA Log) and the International Physical Activity Questionnaire (IPAQ).

Results

Significant increases in pre-post total wellness scores (from 64% ± 5.7 to 75% ± 8.5) (t ₍₁₇₎ = -6.5, p < 0.001) were observed in the intervention group by the end of week four. Intervention participants decreased their sedentary time (21%, 2.3 hours/day) and increased their light (36.7%, 2.5 hours/day), walking (65%, 1057 MET-min/week), moderate (67%, 455 MET-min/week) and vigorous intensity (60%, 442 MET-min/week) physical activity (all p < 0.001). No significant differences for total wellness were observed between the groups at baseline and no pre-post significant differences were observed for any outcome variable in the control group.

Conclusion

Total wellness is improved when sedentary, but sufficiently physically active adults, reduce sedentary time and increase physical activity levels (i.e. light, waking, moderate and vigorous).

【 授权许可】

   
2013 Barwais et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1.

【 参考文献 】

• [1]Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, Pate RR, Troiano RP: Amount of time spent in sedentary behaviors in the United States, 2003–2004. Am J Epidemiol 2008, 167(7):875.
• [2]Norton K, Norton L, Sadgrove D: Position statement on physical activity and exercise intensity terminology. J Sci Med Sport 2010, 13(5):496-502.
• [3]Grøntved A, Hu FB: Television viewing and risk of type 2 diabetes, cardiovascular disease, and all-cause mortality. J Am Med Assoc 2011, 305(23):2448.
• [4]Wijndaele K, Brage S, Besson H, Khaw K-T, Sharp SJ, Luben R, Bhaniani A, Wareham NJ, Ekelund U: Television viewing and incident cardiovascular disease: prospective associations and mediation analysis in the EPIC Norfolk study. PLoS One 2011, 6(5):e20058.
• [5]Bankoski A, Harris TB, McClain JJ, Brychta RJ, Caserotti P, Chen KY, Berrigan D, Troiano RP, Koster A: Sedentary activity associated with metabolic syndrome independent of physical activity. Diabetes Care 2011, 34(2):497-503.
• [6]Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB: Changes in diet and lifestyle and long-term weight gain in women and men. New Eng J Med 2011, 364(25):2392-2404.
• [7]Sugiyama T, Ding D, Owen N: Commuting by car: weight gain among physically active adults. Am J Prev Med 2013, 44(2):169-173.
• [8]Banks E, Jorm L, Rogers K, Clements M, Bauman A: Screen-time, obesity, ageing and disability: findings from 91 266 participants in the 45 and up study. Public Health Nutr 2011, 14(1):34-43.
• [9]Duncan MJ, Vandelanotte C, Caperchione C, Hanley C, Mummery WK: Temporal trends in and relationships between screen time, physical activity, overweight and obesity. BMC Public Health 2012, 12(1):1060. BioMed Central Full Text
• [10]Freak-Poli R, Wolfe R, Backholer K, De Courten M, Peeters A: Impact of a pedometer-based workplace health program on cardiovascular and diabetes risk profile. Prev Med 2011, 53(3):162-171.
• [11]Kim J, Tanabe K, Yoshizawa Y, Yokoyama N, Suga Y, Kuno S: Lifestyle-based physical activity intervention for one year improves metabolic syndrome in overweight male employees. Tohoku J Exp Med 2012, 229(1):11-17.
• [12]Myers J, Sweeney T, Witmer J: The wheel of wellness counseling for wellness: a holistic model for treatment planning. J Couns Dev 2000, 78(3):251-266.
• [13]Corbin CB, Lindsey R, Welk G, Corbin WR: Concepts of fitness and wellness: A comprehensive lifestyle approach. 9 th edition. Boston: McGraw-Hill; 2013.
• [14]Hettler B: Wellness promotion on a university campus. Fam Community Health 1980, 3(1):77-95.
• [15]Greenberg JS: Health and wellness: a conceptual differentiation. J Sch Health 1985, 55(10):403-406.
• [16]Myers JE, Sweeney TJ: Counseling for wellness: Theory, research, and practice. Alexandria, VA: Amer Counseling Assn; 2005.
• [17]Haskell W, Lee I, Pate R, Powell K, Blair S, Franklin B, Macera C, Heath G, Thompson P, Bauman A: Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Circulation 2007, 116(9):1423-1434.
• [18]Rosenberg DE, Bull FC, Marshall AL, Sallis JF, Bauman AE: Assessment of sedentary behavior with the international physical activity questionnaire. J Phys Act Health 2008, 5(Suppl 1):S30-S44.
• [19]Tremblay M, Colley R, Saunders T, Healy G, Owen N: Physiological and health implications of a sedentary lifestyle. Appl Physiol Nutr Metab 2010, 35(6):725-740.
• [20]Gruve Technologies™ http://www.gruvetechnologies.com/ webcite
• [21]Levine J, Lanningham-Foster L, McCrady S, Krizan A, Olson L, Kane P, Jensen M, Clark M: Interindividual variation in posture allocation: possible role in human obesity. Science 2005, 307(5709):584-586.
• [22]Manohar CU, Koepp GA, McCrady-Spitzer SK, Levine JA: A stand-alone accelerometer system for free-living individuals to measure and promote physical activity. ICAN: Infant, Child, & Adolescent Nutrition 2012, 4(4):222-229.
• [23]Manohar C, Koepp G, Mc Crady-Spitzer S, Levine J: Validation of the gruve triaxial accelerometer system for measuring physical activity. Obesity 2010, 18(2):133.
• [24]Wilmot EG, Davies MJ, Edwardson CL, Gorely T, Khunti K, Nimmo M, Yates T, Biddle SJH: Rationale and study design for a randomised controlled trial to reduce sedentary time in adults at risk of type 2 diabetes mellitus: project STAND (sedentary time and diabetes). BMC Public Health 2011, 11(1):908. BioMed Central Full Text
• [25]Barwais FA, Cuddihy TF, Washington TL, Tomson LM, Brymer E: Development and validation of a new self-report Instrument for measuring sedentary behaviors and light-intensity physical activity in adults. J Phys Act Health 2013. (In Press)
• [26]Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sport Exercise 2003, 35(8):1381-1395.
• [27]Myers JE, Sweeney T, Witmer JM: Wellness Evaluation of Lifestyle. 2004. Mindgarden. http://www.mindgarden.com webcite
• [28]Witmer J, Sweeney T, Myers J: The Wellness Evaluation of Lifestyle, Form O (Original). Greensboro, NC: Authors; 1993.
• [29]LaFountaine J, Neisen M, Parsons R: Wellness factors in first year college students. Am J Health Stud 2006, 21(3/4):214-218.
• [30]Cohen J: Statistical power analysis for the behavioral sciences. 2nd edition. Hillsdale, NJ: Lawrence Erlbaum; 1988.
• [31]Gill JM, Cooper AR: Physical activity and prevention of type 2 diabetes mellitus. Sport Med 2008, 38(10):807-824.
• [32]Buman MP, Hekler EB, Haskell WL, Pruitt L, Conway TL, Cain KL, Sallis JF, Saelens BE, Frank LD, King AC: Objective light-intensity physical activity associations with rated health in older adults. Am J Epidemiol 2010, 172(10):1155-1165.
• [33]Dunstan DW, Howard B, Healy GN, Owen N: Too much sitting–a health hazard. Diabetes Res Clin Pract 2012, 97(3):368-376.
• [34]Rejeski W, Brawley LR, Shumaker SA: Physical activity and health-related quality of life. Exerc Sport Sci Rev 1996, 24(1):71-108.
• [35]Levine J: Nonexercise activity thermogenesis (NEAT): environment and biology. Am J Physiol Endocrinol Metab 2004, 286(5):E675.
• [36]Bezner JR, Adams TB, Whistler LS: The relationship between physical activity and indicators of perceived wellness. Am J Health Stud 1999, 15(3):130-138.