Internet-delivered behavior change program increases physical activity and improves cardiometabolic disease risk factors in sedentary adults: Results of a randomized controlled trial

Lucas J. Carr, R. Todd Bartee, Chris Dorozynski, James F. Broomfield, Marci L. Smith, Derek T. Smith

Research output: Contribution to journalArticle

56 Citations (Scopus)

Abstract

Objectives. To determine whether the Active Living Every Day (ALED-I) internet-delivered theory-based physical activity (PA) behavior change program increases PA and improves cardiometabolic disease risk factors (CDRF) in sedentary overweight adults. Methods. The study was a randomized control trial that took place in southern Wyoming and northern Colorado from 2005-2007. Thirty-two men and women (21-65 years) were randomized to a 16-week ALED-I intervention (n = 14; age = 41.4 ± 3.7 years; BMI = 32.3 ± 1.3 kg/m2) or a delayed intent-to-treat control condition (n = 18; age = 49.4 ± 1.7 years; BMI = 30.6 ± 0.8 kg/m2). At baseline and post-intervention, PA by pedometer and CDRFs were measured. Results. Both groups had similar baseline PA levels. ALED-I increased PA by an average of 1384 steps/day (p = 0.03) compared to 816 steps/day (p = 0.14) for the control group. Waist circumference (100.6 ± 2.4 vs. 96.6 ± 2.7 cm) and Coronary Risk Ratio (5.1 ± 0.3 vs. 4.7 ± 0.3) decreased in the ALED-I group and did not change in the control group (99.2 ± 2.2 vs.99.8 ± 2.1 cm) and (3.7 ± 0.1 vs. 3.7 ± 0.1), respectively. Conclusions. The internet-delivered ALED program increased PA and improved some CDRFs in sedentary overweight/obese adults. To our knowledge, this is the first efficacy trial of the internet-delivered ALED program. Further studies are warranted due to the reach and cost-effectiveness of internet-delivered PA programs.

Original languageEnglish (US)
Pages (from-to)431-438
Number of pages8
JournalPreventive Medicine
Volume46
Issue number5
DOIs
StatePublished - May 1 2008

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Internet
Randomized Controlled Trials
Exercise
Control Groups
Waist Circumference
Cost-Benefit Analysis
Odds Ratio

Keywords

  • Cardiometabolic
  • Overweight
  • Pedometer
  • Physical activity
  • Sedentary

ASJC Scopus subject areas

  • Epidemiology
  • Public Health, Environmental and Occupational Health

Cite this

Internet-delivered behavior change program increases physical activity and improves cardiometabolic disease risk factors in sedentary adults : Results of a randomized controlled trial. / Carr, Lucas J.; Bartee, R. Todd; Dorozynski, Chris; Broomfield, James F.; Smith, Marci L.; Smith, Derek T.

In: Preventive Medicine, Vol. 46, No. 5, 01.05.2008, p. 431-438.

Research output: Contribution to journalArticle

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abstract = "Objectives. To determine whether the Active Living Every Day (ALED-I) internet-delivered theory-based physical activity (PA) behavior change program increases PA and improves cardiometabolic disease risk factors (CDRF) in sedentary overweight adults. Methods. The study was a randomized control trial that took place in southern Wyoming and northern Colorado from 2005-2007. Thirty-two men and women (21-65 years) were randomized to a 16-week ALED-I intervention (n = 14; age = 41.4 ± 3.7 years; BMI = 32.3 ± 1.3 kg/m2) or a delayed intent-to-treat control condition (n = 18; age = 49.4 ± 1.7 years; BMI = 30.6 ± 0.8 kg/m2). At baseline and post-intervention, PA by pedometer and CDRFs were measured. Results. Both groups had similar baseline PA levels. ALED-I increased PA by an average of 1384 steps/day (p = 0.03) compared to 816 steps/day (p = 0.14) for the control group. Waist circumference (100.6 ± 2.4 vs. 96.6 ± 2.7 cm) and Coronary Risk Ratio (5.1 ± 0.3 vs. 4.7 ± 0.3) decreased in the ALED-I group and did not change in the control group (99.2 ± 2.2 vs.99.8 ± 2.1 cm) and (3.7 ± 0.1 vs. 3.7 ± 0.1), respectively. Conclusions. The internet-delivered ALED program increased PA and improved some CDRFs in sedentary overweight/obese adults. To our knowledge, this is the first efficacy trial of the internet-delivered ALED program. Further studies are warranted due to the reach and cost-effectiveness of internet-delivered PA programs.",
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