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Teixeira DS, Bastos V, Andrade AJ, Palmeira AL, Ekkekakis P. Individualized pleasure-oriented exercise sessions, exercise frequency, and affective outcomes: a pragmatic randomized controlled trial. Int J Behav Nutr Phys Act 2024; 21:85. [PMID: 39103923 DOI: 10.1186/s12966-024-01636-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2024] [Accepted: 07/24/2024] [Indexed: 08/07/2024] Open
Abstract
BACKGROUND Affective responses are increasingly recognized as potentially effective intervention targets that may facilitate exercise and physical activity behavior change. While emerging correlational evidence suggests that more pleasant affective responses are associated with higher participation and adherence, experimental evidence remains scarce. In light of this, we conducted a preregistered, pragmatic, single-blinded, superiority randomized controlled trial with two parallel groups, with the goal of determining the impact of an individualized exercise-intensity prescription targeting pleasure on exercise frequency. METHODS Forty-seven non-regular exercisers were randomized into two groups. For both groups, the intervention consisted of three exercise sessions based on the Frequency-Intensity-Time-Type (FITT) principle. However, the experimental group also received an individualized intensity prescription based on prior assessment of preference for and tolerance of exercise intensity, as well as instructions emphasizing the promotion of pleasure as a basis for self-regulating exercise intensity. The primary outcome was gymnasium attendance over an eight-week follow-up period. Secondary outcomes were affective valence and arousal, post-exercise enjoyment, core affective exercise experiences, and anticipated and remembered affect. RESULTS Forty-six participants were retained for analysis (Mage = 32.00; SD = 8.62 years; 56.5% female). Compared to the control group, the experimental group exhibited 77% higher session attendance (14.35 vs. 8.13 sessions) over the eight-week follow-up period (group main effect p = .018, η2p = .120; Cohen's d ranged from 0.28 to 0.91 during follow-up). Also, the experimental group reported higher levels of pleasure during the intervention sessions (for all group main effects, p < .001, η2p from .33 to .37) and higher levels of remembered pleasure (group main effect p = .021, η2p = .116) and anticipated pleasure (group main effect p = .022, η2p = .114). No harm was detected. CONCLUSIONS These results demonstrate the practicality and effectiveness of an intervention aimed at enhancing affective responses to exercise in improving short-term session attendance. TRIAL REGISTRATION ClinicalTrial.gov NCT05416593.
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Affiliation(s)
- Diogo S Teixeira
- Faculty of Physical Education and Sport, Lusófona University, Lisbon, Portugal.
- Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal.
| | - Vasco Bastos
- Faculty of Physical Education and Sport, Lusófona University, Lisbon, Portugal
- Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
| | - Ana J Andrade
- Faculty of Physical Education and Sport, Lusófona University, Lisbon, Portugal
- Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
| | - António L Palmeira
- Faculty of Physical Education and Sport, Lusófona University, Lisbon, Portugal
- Research Center in Sport, Physical Education, and Exercise and Health (CIDEFES), Lisbon, Portugal
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Khayyam U, Rayan M, Hussain Adil I. Prevalence of Cardiovascular Disease (CAD) due to industrial air pollutants in the proximity of Islamabad Industrial Estate (IEI), Pakistan. PLoS One 2024; 19:e0300572. [PMID: 39018282 PMCID: PMC11253970 DOI: 10.1371/journal.pone.0300572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2023] [Accepted: 02/29/2024] [Indexed: 07/19/2024] Open
Abstract
Contaminated air quality, in lieu of massive industrial pollution, is severely attributing to health anomalies in the proximity of industrial units. Cardiovascular Disease (CAD) is rising around industrial units in the planned capital city of Pakistan, Pakistan. To study self-reported CAD in the proximity of Industrial Estate Islamabad (IEI) by equating two distinct study groups as 'Band-I': the residence 0-650 meters and 'Band-II' 650-1300 meters radius around the perimeter of IEI. The perimeters were digitized using Google Earth and GIS. Field survey was conducted on deploying 388 (194 in each Band) close-ended (self-administered) questionnaires at the household level, after adjusting the potential confounding variables. The research calculated odds ratios (ORs) of the CAD at 95% CI. The study's findings of the multiple logistic regression for ORs confirmed a significant increase in CAD problems due to industrial affluents in Band-I than in Band-II which were less severe and less life-threatening. Study confirmed high incidences of high blood pressure and breathing issues (up to 67%), due to accumulation of unhealthy affluents thus leading to heart stroke (Band I = 56.20% and Band II = 60.30%). It is aided by smoking that has increased CAD in Band-I. Societal attributes of knowledge, beliefs, attitudes, and preferences fail to safeguard the local residents amid high concentration of harmful pollutants. As a counter measure the affected respondents engaged in highlighting the issue to the concerned public offices, yet there is a high need on part of the capital government to take mitigative measures to immediately halt the disastrous industrial air emissions to save precious lives.
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Affiliation(s)
- Umer Khayyam
- Department of Development Studies, School of Social Sciences and Humanities (SH), National University of Sciences and Technology (NUST), Islamabad (ICT), Pakistan
| | - Muhammad Rayan
- School of Spatial Planning, Chair of Landscape Ecology and Landscape Planning (LLP), Technical University Dortmund, Dortmund, Germany
| | - Iftikhar Hussain Adil
- Department of Economics, School of Social Sciences and Humanities (SH), National University of Sciences and Technology (NUST), Islamabad (ICT), Pakistan
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Zenko Z, Hall EE, Bixby WR. The effects of affect-guided interval training on pleasure, enjoyment, and autonomy: A registered report. PSYCHOLOGY OF SPORT AND EXERCISE 2024; 73:102611. [PMID: 38490596 DOI: 10.1016/j.psychsport.2024.102611] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/04/2023] [Revised: 02/09/2024] [Accepted: 02/13/2024] [Indexed: 03/17/2024]
Abstract
This registered report tested the effects of a novel exercise protocol, namely affect-guided interval training, on motivationally relevant variables of remembered pleasure, forecasted pleasure, enjoyment, and autonomy. Affect-guided interval training (AIT) consisted of 60-s intervals that alternated between the highest pleasant intensity and lowest pleasant intensity for 20 min; this was intended to minimize the potential displeasure of traditional high-intensity interval training. The novel protocol was compared to self-selected exercise intensity (30 min) and high-intensity interval training (60-s intervals for 20 min). All sessions were, on average, vigorous in intensity (80-89% peak heart rate). Data indicate that the AIT session was experienced as the most pleasant, had the most pleasant slope of affect, was remembered as the most pleasant, resulted in the most positive affective forecasts, and was the most enjoyable. Both the affect-guided interval session and self-selected exercise session resulted in greater autonomy than high-intensity interval training. Several evaluative and motivationally relevant variables, including (a) remembered pleasure, (b) enjoyment, and (c) forecasted pleasure were predicted by (a) experienced pleasure, the (b) pleasure experienced at the end of exercise, and (c) the slope of pleasure experienced throughout the exercise session. Overall, this study suggests that affect-guided interval training is a feasible and positive alternative that can be included as a viable option for exercise programming.
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Affiliation(s)
- Zachary Zenko
- Department of Kinesiology, California State University, Bakersfield, United States.
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Timm I, Giurgiu M, Ebner-Priemer U, Reichert M. The Within-Subject Association of Physical Behavior and Affective Well-Being in Everyday Life: A Systematic Literature Review. Sports Med 2024; 54:1667-1705. [PMID: 38705972 PMCID: PMC11239742 DOI: 10.1007/s40279-024-02016-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/01/2024] [Indexed: 05/07/2024]
Abstract
BACKGROUND The interplay of physical activity (PA) with affective well-being (AWB) is highly critical to both health behaviors and health outcomes. Current prominent theories presume AWB to be crucial for PA maintenance, and PA is evidenced to foster mental health. However, thus far, PA-AWB associations have mainly been researched in laboratory settings and with interventional designs, but the everyday life perspective had not been focused on, mostly due to technological limitations. In the course of digitization, the number of studies using device-based methods to research the within-subject association of physical activity and affective well-being (PA-AWB) under ecological valid conditions increased rapidly, but a recent comprehensive systematic review of evidence across populations, age groups, and distinct AWB components remained inconclusive. OBJECTIVES Therefore, we aimed to firstly review daily-life studies that assessed intensive longitudinal device-based (e.g., electronic smartphone diaries and accelerometry) and real-time PA-AWB data, secondly to develop and apply a quality assessment tool applicable to those studies, and thirdly to discuss findings and draw implications for research and practice. METHODS To this end, the literature was searched in three databases (Web of Science, PubMed, Scopus) up to November 2022. The systematic review followed the PRISMA guidelines and had been pre-registered (PROSPERO id: CRD42021277327). A modified quality assessment tool was developed to illustrate the risk of bias of included studies. RESULTS The review of findings showed that, in general, already short PA bouts in everyday life, which clearly differ from structured exercise sessions, are positively associated with AWB. In particular, feelings of energy relate to incidental (non-exercise and unstructured) activity, and PA-AWB associations depend on population characteristics. The quality assessment revealed overall moderate study quality; however, the methods applied were largely heterogeneous between investigations. Overall, the reviewed evidence on PA-AWB associations in everyday life is ambiguous; for example, no clear patterns of directions and strengths of PA-AWB relationships depending on PA and AWB components (such as intensity, emotions, affect, mood) emerged. CONCLUSIONS The reviewed evidence can fuel discussions on whether the World Health Organization's notion "every move counts" may be extended to everyday life AWB. Concurrently, the PA-AWB relationship findings endorse prominent theories highlighting the critical role of AWB in everyday PA engagement and maintenance. However, the review also clearly highlights the need to advance and harmonize methodological approaches for more fine-grained investigations on which specific PA/AWB characteristics, contextual factors, and biological determinants underly PA-AWB associations in everyday life. This will enable the field to tackle pressing challenges such as the issue of causality of PA-AWB associations, which will help to shape and refine existing theories to ultimately predict and improve health behavior, thereby feeding into precision medicine approaches.
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Affiliation(s)
- Irina Timm
- Mental mHealth Lab, Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Hertzstr. 16, 76187, Karlsruhe, Germany.
| | - Marco Giurgiu
- Mental mHealth Lab, Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Hertzstr. 16, 76187, Karlsruhe, Germany
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
| | - Ulrich Ebner-Priemer
- Mental mHealth Lab, Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Hertzstr. 16, 76187, Karlsruhe, Germany
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany
- German Center for Mental Health (DZPG), partner site Mannheim, Mannheim, Germany
| | - Markus Reichert
- Mental mHealth Lab, Institute of Sports and Sports Science, Karlsruhe Institute of Technology, Hertzstr. 16, 76187, Karlsruhe, Germany.
- Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Medical Faculty Mannheim/Heidelberg University, Mannheim, Germany.
- Department of eHealth and Sports Analytics, Faculty of Sport Science, Ruhr University Bochum, Gesundheitscampus-Nord 10, 44801, Bochum, Germany.
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Oliveira GTA, Costa EC, Santos TM, Bezerra RA, Lemos TMAM, Mortatti AL, Elsangedy HM. Effect of High-Intensity Interval, Moderate-Intensity Continuous, and Self-Selected Intensity Training on Health and Affective Responses. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2024; 95:31-46. [PMID: 36638528 DOI: 10.1080/02701367.2022.2141674] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/24/2020] [Accepted: 10/23/2022] [Indexed: 06/17/2023]
Abstract
Purpose: To compare the effects of 12-week high-intensity interval (HIIT), moderate-intensity continuous (MICT), and self-selected intensity training (SSIT) on health outcomes and affective responses. Methods: Seventy-three overweight/obese inactive adults (62% woman; age, 31.4 ± 7.2 years; height, 1.66 ± 0.09 cm; Body mass index, 28.9 ± 2.7 kg.m-2) who were randomized into HIIT (n = 23), MICT (n = 24) and SSIT (n = 26) groups. The training was conducted three times per week in an outdoor environment, with 4 weeks under direct supervision and 8 weeks with semi-supervision. Cardiorespiratory fitness, body composition, and metabolic profile were evaluated at baseline and at the end of the 4th and 12th weeks. Core affect was measured during all training sessions. Results: Peak oxygen uptake improved in all groups after 4 and 12 weeks compared with baseline. Only the SSIT had reductions in body fat throughout the intervention. No improvements were observed in the metabolic profile across all groups. SSIT was perceived as more pleasurable than HIIT; however, there were no differences in affective responses between SSIT and MICT. Affective responses in-task (e.g. negative and positive peak, rate of change and affect at the end of the exercise session) predicted the HIIT and SSIT exercises attendance rate. Conclusion: Regardless of the exercise training protocol, overweight/obese inactive adults improved health outcomes, which suggests the prescribing HIIT, MICT, and SSIT in outdoor environments. SSIT should be considered in order to optimize the pleasure during training sessions. Affective response more positive in-task of the HIIT and SSIT is associated with greater attendance rate in these exercise protocols.
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Majed L, Ibrahim R, Lock MJ, Jabbour G. Walking around the preferred speed: examination of metabolic, perceptual, spatiotemporal and stability parameters. Front Physiol 2024; 15:1357172. [PMID: 38405123 PMCID: PMC10884095 DOI: 10.3389/fphys.2024.1357172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2023] [Accepted: 01/30/2024] [Indexed: 02/27/2024] Open
Abstract
Walking is the most accessible and common type of physical activity. Exercising at one's self-selected intensity could provide long-term benefits as compared to following prescribed intensities. The aim of this study was to simultaneously examine metabolic, perceptual, spatiotemporal and stability parameters at an absolute 3 km·h-1 speed range around the individual preferred walking speed (PWS). Thirty-four young sedentary adults (18 women) volunteered to walk at seven speeds relative to their PWS in 3-min trials interspaced with 3-min rest intervals. Results indicated a significant main effect of speed on all studied variables. While metabolic, perceptual and spatiotemporal values were sensitive to the smallest change in speed (i.e., 0.5 km·h-1), a significant increase in the rate of carbohydrate oxidation and decrease in %fat oxidation were only observed at speeds above PWS. Results also revealed significantly higher coefficients of variation for stride characteristics at speeds below PWS only. Moreover, analyses of best fit models showed a quadratic relationship between most variables and speed, with the exceptions of metabolic cost of transport, rating of perceived exertion and stride duration that changed exponentially with speed. PWS coincided with optimized mechanical efficiency, fuel oxidation and gait stability. This indicated that walking below PWS decreased both mechanical efficiency and stability of gait, while walking above PWS increased carbohydrate oxidation. Those factors seem to play an important role as determinants of PWS. We suggest that walking at PWS may provide benefits in terms of fat oxidation while optimizing gait stability.
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Affiliation(s)
- Lina Majed
- Exercise Science, Health and Epidemiology Division, College of Health and Life Sciences, Hamad Bin Khalifa University, Doha, Qatar
| | - Rony Ibrahim
- Physical Education Department, College of Education, Qatar University, Doha, Qatar
| | - Merilyn Jean Lock
- Exercise Science, Health and Epidemiology Division, College of Health and Life Sciences, Hamad Bin Khalifa University, Doha, Qatar
| | - Georges Jabbour
- Physical Education Department, College of Education, Qatar University, Doha, Qatar
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Bohlen LC, LaRowe LR, Dunsiger SI, Dionne L, Griffin E, Kim AE, Marcus BH, Unick J, Wu WC, Williams DM. Comparing a recommendation for self-paced versus moderate intensity physical activity for midlife adults: Rationale and design. Contemp Clin Trials 2023; 128:107169. [PMID: 36972866 PMCID: PMC10183157 DOI: 10.1016/j.cct.2023.107169] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2023] [Revised: 03/22/2023] [Accepted: 03/24/2023] [Indexed: 03/29/2023]
Abstract
Current U.S. guidelines recommend that adults obtain 150 min per week of moderate intensity physical activity (PA), 75 min of vigorous intensity PA, or some equivalent combination. However, less than half of U.S. adults reach this goal, with the proportion even smaller among adults with overweight or obesity. Moreover, regular PA declines after age 45-50. Previous research suggests a shift in national guidelines to emphasize PA of a self-selected intensity (i.e., self-paced), instead of prescribed moderate intensity PA, may result in better adherence to PA programs, particularly among midlife adults with overweight or obesity. The present paper presents the protocol for a field-based RCT testing the hypothesis that adherence to PA programs is improved when PA is explicitly recommended to be self-paced rather than prescribed at moderate intensity among midlife (ages 50-64) adults (N = 240) with overweight or obesity. All participants receive a 12-month intervention designed to help them overcome barriers to regular PA and are randomly assigned to either self-paced or prescribed moderate intensity PA. The primary outcome is total volume of PA (minutes by intensity) as measured by accelerometry. Secondary outcomes include self-reported min/week of PA and changes in bodyweight. Additionally, using ecological momentary assessment, we examine putative mediators of treatment effects. We hypothesize self-paced PA will lead to a more positive affective response to PA, more perceived autonomy, and lower perceived exertion during PA, and thus greater increases in PA behavior. Findings will have direct implications for PA intensity recommendations among midlife adults with overweight or obesity.
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Affiliation(s)
- Lauren Connell Bohlen
- Brown University School of Public Health, Center for Health Promotion and Health Equity, Providence, RI, USA
| | - Lisa R LaRowe
- Division of Palliative Care and Geriatric Medicine, Massachusetts General Hospital, USA
| | - Shira I Dunsiger
- Brown University School of Public Health, Center for Health Promotion and Health Equity, Providence, RI, USA
| | - Laura Dionne
- Brown University School of Public Health, Center for Health Promotion and Health Equity, Providence, RI, USA
| | - Elizabeth Griffin
- Brown University School of Public Health, Center for Health Promotion and Health Equity, Providence, RI, USA
| | - Alison E Kim
- Brown University School of Public Health, Center for Health Promotion and Health Equity, Providence, RI, USA
| | - Bess H Marcus
- Brown University School of Public Health, Center for Health Promotion and Health Equity, Providence, RI, USA
| | - Jessica Unick
- The Miriam Hospital, Weight Control and Diabetes Research Center, Providence, RI, USA
| | - Wen-Chih Wu
- The Miriam Hospital, Lifespan Cardiovascular Wellness and Prevention Center, Providence, RI, USA
| | - David M Williams
- Brown University School of Public Health, Center for Health Promotion and Health Equity, Providence, RI, USA.
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Shea MG, Headley S, Mullin EM, Brawner CA, Schilling P, Pack QR. Comparison of Ratings of Perceived Exertion and Target Heart Rate-Based Exercise Prescription in Cardiac Rehabilitation: A RANDOMIZED CONTROLLED PILOT STUDY. J Cardiopulm Rehabil Prev 2022; 42:352-358. [PMID: 35383680 PMCID: PMC10037230 DOI: 10.1097/hcr.0000000000000682] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
PURPOSE Although ratings of perceived exertion (RPE) are widely used to guide exercise intensity in cardiac rehabilitation (CR), it is unclear whether target heart rate ranges (THRRs) can be implemented in CR programs that predominantly use RPE and what impact this has on changes in exercise capacity. METHODS We conducted a three-group pilot randomized control trial (#NCT03925493) comparing RPE of 3-4 on the 10-point modified Borg scale, 60-80% of heart rate reserve (HRR) with heart rate (HR) monitored by telemetry, or 60-80% of HRR with a personal HR monitor (HRM) for high-fidelity adherence to THRR. Primary outcomes were protocol fidelity and feasibility. Secondary outcomes included exercise HR, RPE, and changes in functional exercise capacity. RESULTS Of 48 participants randomized, four patients dropped out, 20 stopped prematurely (COVID-19 pandemic), and 24 completed the protocol. Adherence to THRR was high regardless of HRM, and patients attended a median (IQR) of 33 (23, 36) sessions with no difference between groups. After randomization, HR increased by 1 ± 6, 6 ± 5, and 10 ± 9 bpm ( P = .02); RPE (average score 3.0 ± 0.05) was unchanged, and functional exercise capacity increased by 1.0 ± 1.0, 1.9 ± 1.5, 2.0 ± 1.3 workload METs (effect size between groups, ηp2 = 0.11, P = .20) for the RPE, THRR, and THRR + HRM groups, respectively. CONCLUSIONS We successfully implemented THRR in an all-RPE CR program without needing an HRM. Patients randomized to THRR had higher exercise HR but similar RPE ratings. The THRR may be preferable to RPE in CR populations for cardiorespiratory fitness gains, but this needs confirmation in an adequately powered trial.
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Affiliation(s)
- Meredith G Shea
- Division of Cardiovascular Medicine
- Springfield College Department of Exercise Science and Athletic Training, Springfield MA
- Mayo Clinic Arizona, Scottsdale AZ
| | - Samuel Headley
- Institute for Healthcare Delivery and Population Science
- Springfield College Department of Exercise Science and Athletic Training, Springfield MA
| | - Elizabeth M. Mullin
- Springfield College Department of Exercise Science and Athletic Training, Springfield MA
| | | | | | - Quinn R. Pack
- Division of Cardiovascular Medicine
- Institute for Healthcare Delivery and Population Science
- Department of Medicine, University of Massachusetts Medical School – Baystate, Springfield, MA
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Lyra MJ, Barros TADR, Tenório TRDS, Gomes WDS, Germano-Soares AH, Freitas-Dias R, De-Mello MT, Santos MAM, do Prado WL. Aerobic training with a self-selected or predetermined intensity on sleep parameters in adolescents with obesity: a randomized clinical trial. Sleep Sci 2022; 15:156-163. [PMID: 35273762 PMCID: PMC8889977 DOI: 10.5935/1984-0063.20220015] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2021] [Accepted: 09/22/2021] [Indexed: 11/20/2022] Open
Abstract
Objectives To compare the effects of self-selected and predetermined intensity on sleep quality and duration, daytime sleepiness, and sleep efficiency of adolescents with obesity after 12 weeks of aerobic training. Material and Methods Thirty-seven adolescents (12 girls), 13-18 years old, with obesity (BMI = 95th) were randomized into a predetermined intensity group (PIG), exercise intensity around 60-70% of heart rate reserve; or self-selected intensity group (SIG), the adolescents chose the speed/intensity at the beginning of each session and were able to change it every 5 minutes. The Pittsburgh Sleep Quality Index (PSQI) and Epworth Sleepiness Scale (ESS) were used to assess sleep outcomes. Results No differences were observed for PSQI [0.00 ± 2.00 vs 1.38 ± 2.7; p=0.195; d=0.60 (moderate effect)], sleep duration [-0.95 ± 1.2 vs -0.35 ± 1.6; p=0.358; d=0.41 (small effect)], ESS [(2.10 ± 3.9 vs 1.15 ± 4.5; p=0.195; d=0.23 (small effect)], and sleep efficiency [(81.5 ± 24.0 vs 79.4 ± 17.0; p=0.8.14; d=0.10 (trivial effect)] for the PIG and SIG groups, respectively. Conclusion Aerobic training at a self- selected or predetermined intensity does not modulate sleep quality, sleep duration and efficiency, and daytime sleepiness, independent of intensity.
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Affiliation(s)
- Maria Julia Lyra
- University of Pernambuco, Associate PostGraduate Program in Physical Education - Recife - Pernambuco - Brazil
| | - Tércio Araújo do Rego Barros
- University of Pernambuco, Hebiatrics Program: Health Determinants in Adolescence - Recife - Pernambuco - Brazil
- Faculdade de Comunicação Tecnologia e Turismo de Olinda, Physical Education departament - Olinda - Pernambuco - Brazil
| | - Thiago Ricardo dos Santos Tenório
- University of Pernambuco, Associate PostGraduate Program in Physical Education - Recife - Pernambuco - Brazil
- Federal Institute from Alagoas - Maragogi - Alagoas - Brazil
| | - Willemax dos Santos Gomes
- Federal University of Pernambuco, Physical Education Post-Graduate Program - Recife - Pernambuco - Brazil
| | | | - Ricardo Freitas-Dias
- University of Pernambuco, Hebiatrics Program: Health Determinants in Adolescence - Recife - Pernambuco - Brazil
- University of Pernambuco, Department of Physiotherapy - Petrolina - Pernambuco - Brazil
| | - Marco Túlio De-Mello
- Federal University of Minas Gerais, Department of Sports Science - Belo Horizonte - Minas Gerais - Brazil
| | - Marcos André Moura Santos
- University of Pernambuco, Associate PostGraduate Program in Physical Education - Recife - Pernambuco - Brazil
- University of Pernambuco, Hebiatrics Program: Health Determinants in Adolescence - Recife - Pernambuco - Brazil
| | - Wagner Luiz do Prado
- California State University San Bernardino, Department of Kinesiology - San Bernardino - California - United States
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Stevens CJ, Gillman AS, Giordano GR, Bryan AD. Modeling longitudinal variation in affective response to exercise across a 16-week randomized control trial (RCT). Health Psychol 2021; 40:928-939. [PMID: 32969699 PMCID: PMC7987890 DOI: 10.1037/hea0001023] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Objective: Consistent with the Science of Behavior Change (SOBC) experimental medicine approach, this early phase intervention development study examines the influence of an intervention strategy (exercise training) on a behavioral health outcome (exercise engagement) in the service of addressing a widespread threat to public health (physical inactivity). Method: Physically inactive participants (N = 201) were randomly assigned to one of four exercise training conditions fully crossed on intensity (moderate, vigorous) and duration (short, long). Training occurred over 16-weeks and in-bout assessments of affective response (valence) and ratings of perceived exertion (RPE) were collected during Weeks 1, 4, 8, and 16. Cardiorespiratory fitness (VO₂max) was assessed pre- or postintervention and exercise behavior was assessed at 6-months postintervention follow-up. Results: Across conditions, affective response to exercise did not change, on average, over 16-weeks. Conversely, RPE decreased slightly, on average, over time. Participants completing vigorous intensity exercise reported more negatively valenced affective response and higher RPE, on average, across weeks. Greater total exercise volume completed and greater change in VO₂max were associated with more negatively valenced affective response, on average. Baseline affective response scores were positively associated with exercise minutes at follow-up; however, average affective response scores across the intervention were not associated with minutes of exercise at follow-up. Conclusions: Affective response to exercise did not become more positive in valence over time as a function of training volume or change in VO₂max. Implications for translating these findings to inform future intervention development efforts are discussed. (PsycInfo Database Record (c) 2022 APA, all rights reserved).
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Baillot A, Chenail S, Barros Polita N, Simoneau M, Libourel M, Nazon E, Riesco E, Bond DS, Romain AJ. Physical activity motives, barriers, and preferences in people with obesity: A systematic review. PLoS One 2021; 16:e0253114. [PMID: 34161372 PMCID: PMC8221526 DOI: 10.1371/journal.pone.0253114] [Citation(s) in RCA: 44] [Impact Index Per Article: 14.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2020] [Accepted: 05/30/2021] [Indexed: 12/28/2022] Open
Abstract
Background Although the benefits of physical activity (PA) are well known, physical inactivity is highly prevalent among people with obesity. The objective of this systematic review was to i) appraise knowledge on PA motives, barriers, and preferences in individuals with obesity, and ii) quantify the most frequently reported PA motives, barriers and preferences in this population. Methods Six databases (Pubmed, CINAHL, Psyarticle, SportDiscus, Web of science and Proquest) were searched by independent reviewers to identify relevant quantitative or qualitative articles reporting PA motives, barriers or preferences in adults with body mass index ≥ 30 kg/m2 (last searched in June 2020). Risk of bias for each study was assessed by two independent reviewers with the Mixed Methods Appraisal Tool (MMAT). Results From 5,899 papers identified, a total of 27 studies, 14 quantitative, 10 qualitative and 3 mixed studies were included. About 30% of studies have a MMAT score below 50% (k = 8). The three most reported PA motives in people with obesity were weight management, energy/physical fitness, and social support. The three most common PA barriers were lack of self-discipline/motivation, pain or physical discomfort, and lack of time. Based on the only 4 studies available, walking seems to be the preferred mode of PA in people with obesity. Conclusions Weight management, lack of motivation and pain are key PA motives and barriers in people with obesity, and should be addressed in future interventions to facilitate PA initiation and maintenance. Further research is needed to investigate the PA preferences of people with obesity.
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Affiliation(s)
- Aurélie Baillot
- Department of Nursing, University of Québec en Outaouais, Gatineau, QC, Canada
- Institut du savoir Montfort-Recherche, Ottawa, ON, Canada
- Centre de recherche du Centre Intégré de Santé et Services Sociaux de l’Outaouais, Gatineau, QC, Canada
- * E-mail:
| | | | - Naiara Barros Polita
- Department of Nursing, State University of Northern Paraná, Bandeirantes, PR, Brazil
| | - Mylène Simoneau
- Faculty of Health Sciences, School of Human Kinetics, University of Ottawa, Ottawa, ON, Canada
| | - Mathilde Libourel
- Faculty of Physical Activity Sciences, University of Sherbrooke and Research Center on Aging, CIUSSS de l’Estrie–CHUS, Sherbrooke, QC, Canada
- Institut des Sciences et Industries du vivant et de l’environnement, AgroParisTech, Paris, France
| | - Evy Nazon
- Department of Nursing, University of Québec en Outaouais, Gatineau, QC, Canada
| | - Eléonor Riesco
- Faculty of Physical Activity Sciences, University of Sherbrooke and Research Center on Aging, CIUSSS de l’Estrie–CHUS, Sherbrooke, QC, Canada
| | - Dale S. Bond
- Department of Psychiatry and Human Behavior, Weight Control and Diabetes Research Center, The Miriam Hospital/Brown Alpert Medical School, Providence, RI, United States of America
| | - Ahmed J. Romain
- Faculty of Medicine, School of Kinesiology and Physical Activity Sciences, Université de Montréal, Montréal, QC, Canada
- Centre de Recherche de l’Institut Universitaire en Santé Mentale de Montréal, Montréal, QC, Canada
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12
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Cardiovascular Effects of Aerobic Exercise With Self-Selected or Predetermined Intensity in Adolescents With Obesity. Pediatr Exerc Sci 2021; 33:125-131. [PMID: 34010805 DOI: 10.1123/pes.2020-0104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/14/2020] [Revised: 02/05/2021] [Accepted: 02/10/2021] [Indexed: 11/18/2022]
Abstract
This study compared the effects of self-selected exercise intensity (SEI) versus predetermined exercise intensity (PEI) on blood pressure (BP) and arterial stiffness in adolescents with obesity. A total of 37 adolescents, 14.7 (1.6) years old, body mass index ≥95th percentile were randomly allocated into SEI (n = 18; 12 boys) or PEI (n = 19; 13 boys). Both groups exercised for 35 minutes on a treadmill, 3 times per week, for 12 weeks. The SEI could set the speed at the beginning of the sessions and make changes every 5 minutes. The PEI adolescents were trained at an intensity set at 60% to 70% of heart rate reserve. Brachial and central BP, pulse pressure, augmentation index, and carotid-femoral pulse wave were determined at baseline and after 12 weeks. Both groups reduced brachial systolic BP (SEI, Δ = -9 mm Hg; PEI, Δ = -4 mm Hg; P < .01), central systolic BP (SEI, Δ = -4 mm Hg; PEI, Δ = -4 mm Hg; P = .01), and central pulse pressure (SEI, Δ = -4 mm Hg; PEI, Δ = -3 mm Hg; P = .02) without differences between groups. No changes in the augmentation index and carotid-femoral pulse wave were observed in either group. The SEI induced similar changes in various cardiovascular outcomes compared with PEI in adolescents with obesity.
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13
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Stevens CJ, Baldwin AS, Bryan AD, Conner M, Rhodes RE, Williams DM. Affective Determinants of Physical Activity: A Conceptual Framework and Narrative Review. Front Psychol 2020; 11:568331. [PMID: 33335497 PMCID: PMC7735992 DOI: 10.3389/fpsyg.2020.568331] [Citation(s) in RCA: 62] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2020] [Accepted: 11/09/2020] [Indexed: 12/23/2022] Open
Abstract
The literature on affective determinants of physical activity (PA) is growing rapidly. The present paper aims to provide greater clarity regarding the definition and distinctions among the various affect-related constructs that have been examined in relation to PA. Affective constructs are organized according to the Affect and Health Behavior Framework (AHBF), including: (1) affective response (e.g., how one feels in response to PA behavior) to PA; (2) incidental affect (e.g., how one feels throughout the day, unrelated to the target behavior); (3) affect processing (e.g., affective associations, implicit attitudes, remembered affect, anticipated affective response, and affective judgments); and (4) affectively charged motivational states (e.g., intrinsic motivation, fear, and hedonic motivation). After defining each category of affective construct, we provide examples of relevant research showing how each construct may relate to PA behavior. We conclude each section with a discussion of future directions for research.
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Affiliation(s)
- Courtney J. Stevens
- Department of Psychiatry, Dartmouth-Hitchcock Medical Center, Geisel School of Medicine, Dartmouth College, Lebanon, NH, United States
| | - Austin S. Baldwin
- Department of Psychology, Southern Methodist University, Dallas, TX, United States
| | - Angela D. Bryan
- Department of Psychology and Neuroscience, University of Colorado Boulder, Boulder, CO, United States
| | - Mark Conner
- School of Psychology, University of Leeds, Leeds, United Kingdom
| | - Ryan E. Rhodes
- School of Exercise Science, Physical & Health Education, University of Victoria, Victoria, BC, Canada
| | - David M. Williams
- Department of Behavioral and Social Sciences, Department of Psychiatry and Human Behavior, School of Public Health, Brown University, Providence, RI, United States
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14
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Elsangedy HM, Oliveira GTA, Machado DGDS, Tavares MPM, Araújo ADO, Krinski K, Browne RAV, Gregório da Silva S. Effects of Self-selected Resistance Training on Physical Fitness and Psychophysiological Responses in Physically Inactive Older Women: A Randomized Controlled Study. Percept Mot Skills 2020; 128:467-491. [PMID: 33115322 DOI: 10.1177/0031512520967610] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
This study aimed to investigate the effects of a 12-week self-selected resistance training (SSRT) program on physical fitness and psychophysiological responses among physically inactive older women. We randomly allocated 32 inactive older women (M age = 66.0 years, SD = 3.0) into either an SSRT (n = 16) or control group (n = 16). Participants performed SSRT three times per week over 12 weeks. We assessed maximal isotonic and isokinetic muscle strength, functional capacity, flexibility, cardiorespiratory fitness, and body composition at baseline and after the intervention. Affective responses and perceived exertion were evaluated after each exercise set throughout the training program. The SSRT group significantly improved their maximal muscle strength in all exercises (Cohen's d ranging from 1.4-3.3; all p's < .001), peak torque (knee flexors: d = 1.7; knee extensors: d = 1.6; all p < .001), flexibility (knee flexors: d = 1.7; single hip flexors: d = 1.6; all p < .001; bilateral hip flexors: d = 1.1, p = .001), fat-free mass (d = .9, p = .008), and cardiorespiratory fitness (d = .9, p = .014), compared to the control group. All components of functional capacity improved compared to the control group (Cohen's d ranging from .8 to 5.5; all p's ≤ .001). Participants perceived the exercise training sessions as pleasant and of low to moderate effort. Thus, a 12-week SSRT program was effective at improving physical fitness and inducing feelings of pleasure among inactive older women.
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Affiliation(s)
- Hassan Mohamed Elsangedy
- Department of Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil.,Graduate Program in Physical Education, Federal University of Rio Grande do Norte, Natal, Brazil
| | | | | | | | | | - Kleverton Krinski
- Graduate Program in Collective Health, Federal University of Rio Grande do Norte, Natal, RN, Brazil
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15
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Boyle HK, Dunsiger SI, Bohlen LC, Emerson JA, Lee HH, Stevens CJ, Williams DM. Affective response as a mediator of the association between the physical and social environment and physical activity behavior. J Behav Med 2020; 43:773-782. [PMID: 31734890 PMCID: PMC7228837 DOI: 10.1007/s10865-019-00118-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2019] [Accepted: 11/09/2019] [Indexed: 10/25/2022]
Abstract
Perceptions of the physical and social environment have been shown to be predictive of physical activity (PA) behavior. However, the mechanisms of this association have not been examined. Affective response to PA was examined as a putative mediator of the association between perceptions of the PA environment and subsequent PA behavior. As part of a PA promotion study, 59 low-active overweight or obese but otherwise healthy adults completed real-time assessments of the perceived physical and social PA environment, affective response to PA, and PA behavior over a 6-month period. As hypothesized, decreased latency to and greater duration of subsequent PA was predicted by engaging in PA with a partner (b = 17.24, SE = .45, p < .01), engaging in PA outdoors versus indoors (b = 3.70, SE = 0.67, p < .01), and perceived pleasantness of the physical (b = 0.59, SE = .17, p < .01) and social settings (b = 0.68, SE = .16, p < .01). Affective response to PA (a shift toward feeling good versus bad during PA) mediated the association between engaging in PA with a partner (a path: 0.53(.11), p < .01, b path: 0.42(.12), p < .01, ab path: 0.22(.08), 95% CI .09-.41) and perceived pleasantness of the physical (a path: .38(.02), p < .01; b path: .65(.23), p = .01; ab path: .25(.09), 95% CI .08-.43) and social setting (a path: .35(.02), p < .01; b path: .57(.23), p = .01; ab path: .20(.08), 95% CI .03-.37) and PA behavior, but not the association between engaging in PA outdoors versus indoors and PA behavior. These findings suggest that perceived environmental variables may have their effects on PA through the process of psychological hedonism.
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Affiliation(s)
- Holly K Boyle
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA
| | - Shira I Dunsiger
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA
| | | | - Jessica A Emerson
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA
| | - Harold H Lee
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA
| | - Courtney J Stevens
- Dartmouth Centers for Health and Aging, Geisel School of Medicine, Lebanon, NH, USA
| | - David M Williams
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA.
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16
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Flairty JE, Scheadler CM. Perceived and Heart Rate-based Intensities during Self-paced Walking: Magnitudes and Comparison. INTERNATIONAL JOURNAL OF EXERCISE SCIENCE 2020; 13:677-688. [PMID: 32509131 PMCID: PMC7241645] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 06/11/2023]
Abstract
There is limited research on self-paced walking and whether healthy individuals reach perceived exertion- (RPE) and/or heart rate- (HR) based moderate intensities. Study purpose was to determine if achieved RPE and HR intensities during a self-paced walk are of equivalent magnitude and whether they reach the recommended moderate-intensity. Thirty participants completed a 15-minute self-paced walk. RPE and HR were measured every two minutes; each measure was ranked by intensity. Wilcoxon matched pairs test revealed no significant difference between the mean ranked RPE and %HRmax (2.4 ± 0.9, 2.3 ± 1.0, respectively, p = 0.365). Only 37.5% of time-matched RPE and %HRmax were the same intensity. A slight positive Spearman's rho correlation (rs = 0.201, p = 0.002) was found. One-sample t-tests showed that RPE and %HRmax did not reach moderate intensity (p < 0.001). Individuals did not achieve moderate intensities when self-paced walking with varied RPE- and HR-based measures.
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Affiliation(s)
- Jennah E Flairty
- School of Kinesiology, Counseling & Rehabilitative Sciences, Northern Kentucky University, Highland Heights, KY, USA
| | - Cory M Scheadler
- School of Kinesiology, Counseling & Rehabilitative Sciences, Northern Kentucky University, Highland Heights, KY, USA
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17
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Lee HH, Dunsiger S, Bohlen LC, Boyle HK, Emerson JA, Williams DM. Age Moderates the Effect of Self-Paced Exercise on Exercise Adherence among Overweight Adults. J Aging Health 2020; 32:154-161. [PMID: 30466334 PMCID: PMC8880175 DOI: 10.1177/0898264318812139] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Objective: The present study tested the hypothesis that the effect of self-paced exercise on adherence to exercise programs is more pronounced with increasing age. Method: Fifty-nine low-active overweight adults (18-65 years) were encouraged to walk 30 to 60 min/day and randomized to either self-paced (n = 30) or prescribed moderate-intensity (n = 29) conditions. Results: The effect of study condition was moderated by age (main effect: b = 6.14, SE = 2.54, p = .02; Condition × Age: b = -11.55, SE = 3.77, p < .01), such that among participants >50 years, those in the self-paced condition exercised 6 more min/day than participants in the prescribed moderate-intensity condition (p = .02), whereas among participants <50 years, those in the self-paced condition exercised 5.4 fewer min/day compared with those in the moderate-intensity condition (p = .05). Affective response to physical activity did not mediate the moderating effect of age. Discussion: As age increases, adults may be more likely to adhere to self-paced versus prescribed moderate-intensity exercise.
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Affiliation(s)
| | - Shira Dunsiger
- Brown University, Providence, RI, USA
- The Miriam Hospital, Providence, RI, USA
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18
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Strohacker K, Zakrajsek RA, Schaltegger ET, Springer CM. Readiness to Perform Aerobic Activity in Adults With Obesity: A Thematic Analysis of Online Surveys. RESEARCH QUARTERLY FOR EXERCISE AND SPORT 2019; 90:619-628. [PMID: 31437112 DOI: 10.1080/02701367.2019.1642439] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/21/2018] [Accepted: 07/04/2019] [Indexed: 06/10/2023]
Abstract
Flexible nonlinear periodization (FNLP) was designed to optimize sport-specific resistance training by matching bout demand to pre-exercise mental and physical states ("readiness to train"). Before applying this participant-responsive framework to aerobic prescriptions for inactive adults, operational definitions of readiness are needed. Purpose: To identify themes underlying readiness to perform aerobic bouts considered to be low-demand bouts (LDB) and high-demand bouts (HDB) in adults with obesity. Method: Using Qualtrics, 1,059 respondents initiated the online survey. Quality responses from adults with obesity (N = 112) were analyzed. Respondents described physical and mental states necessary to complete an LDB (10-min slow stroll) and an HDB (60-min jog). Data were assessed using content and thematic analyses. Results: Respondents (57% female) could be classified with class II obesity (35 ± 5 kg/m2) and were 48 ± 12 years old. One theme, body integrity (no pain//illness) emerged for both the LDB and HDB. Regarding affect/arousal, both bouts required the need to feel rested and in a positive mood, but the HDB required higher states of arousal ("pumped up"). Specific to the LDB, a recurring theme suggested that it could be completed under normal or worse (hungry, sick) circumstances. Specific to the HDB were themes relating to physical fitness, proper fueling ("hydrated," "not hungry but not too full"), and enhanced motivation ("determination," "focus," "confidence"). Conclusions: These uncovered themes provide empirical evidence to guide the construction of a readiness checklist that can be further validated and applied in adults with obesity undergoing an FNLP-based aerobic exercise prescription.
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19
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A Couples-Based Approach for Increasing Physical Activity Among Adults With Type 2 Diabetes: A Pilot Feasibility Randomized Controlled Trial. DIABETES EDUCATOR 2019; 45:629-641. [DOI: 10.1177/0145721719881722] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PurposeThe purpose of the study was to examine feasibility outcomes and obtain initial efficacy data on an intervention testing collaborative implementation intentions (IIs) for physical activity (PA) among participants with type 2 diabetes.MethodsThe study used a pilot randomized design and enrolled people with diabetes (PWD) and their partners (N = 40 couples, 80 individuals). PWD reported psychosocial measures, including self-efficacy for PA, diabetes partner investment in diabetes self-management, and PA-related social support. Accelerometers (objective) and the International Physical Activity Questionnaire (self-report) were used to assess PA.ResultsParticipants in both experimental conditions reported being satisfied with the intervention and highly committed to their PA plans. Participants were able to follow instructions and completed the intervention in less than 30 minutes. Participants in the collaborative IIs condition reported a greater increase in PA-related social support (partial2= .185, P < .05) and self-reported recreational PA (partial2= .210, P < .05) at 6 weeks compared to the other 2 conditions. In this pilot study, there were no significant group differences on other psychosocial outcomes or for objective PA; however, time in light PA trended higher for the collaborative IIs condition compared to the other 2 conditions (partial2= .237, P = .056).ConclusionsThis study provides initial support for collaborative IIs for PA with PWD and their partners. This brief intervention was feasible and highly acceptable, and it may improve relationship dynamics around PA as well as ultimately increase PA.
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20
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Lock M, Post D, Dollman J, Parfitt G. Development of a Self-Determination Theory-Based Physical Activity Intervention for Aged Care Workers: Protocol for the Activity for Well-being Program. Front Public Health 2018; 6:341. [PMID: 30534548 PMCID: PMC6275311 DOI: 10.3389/fpubh.2018.00341] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/16/2018] [Accepted: 11/05/2018] [Indexed: 11/13/2022] Open
Abstract
Despite the well-established benefits of regular participation in physical activity, many Australians still fail to maintain sufficient levels. More self-determined types of motivation and more positive affect during activity have been found to be associated with the maintenance of physical activity behaviour over time. Need-supportive approaches to physical activity behaviour change have previously been shown to improve quality of motivation and psychological well-being. This paper outlines the development of a need-supportive, person-centred physical activity program for frontline aged-care workers. The program emphasises the use of self-determined methods of regulating activity intensity (affect, rating of perceived exertion and self-pacing) and is aimed at increasing physical activity behaviour and psychological well-being. The development process was undertaken in six steps using guidance from the Intervention Mapping framework: (i) an in-depth needs assessment (including qualitative interviews where information was gathered from members of the target population); (ii) formation of change objectives; (iii) selecting theory-informed and evidence-based intervention methods and planning their practical application; (iv) producing program components and materials; (v) planning program adoption and implementation, and (vi) planning for evaluation. The program is based in Self-Determination Theory (SDT) and provides tools and elements to support autonomy (the use of a collaboratively developed activity plan and participant choice in activity types), competence (action/coping planning, goal-setting and pedometers), and relatedness (the use of a motivational interviewing-inspired appointment and ongoing support in activity).
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Affiliation(s)
- Merilyn Lock
- Alliance for Research in Exercise, Nutrition and Activity (ARENA), School of Health Sciences, University of South Australia, Adelaide, SA, Australia
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21
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Byrne H, Caulfield B, De Vito G. Self-directed exercise programmes in sedentary middle-aged individuals in good overall health; a systematic review. Prev Med 2018; 114:156-163. [PMID: 30003896 DOI: 10.1016/j.ypmed.2018.07.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/19/2018] [Revised: 05/16/2018] [Accepted: 07/04/2018] [Indexed: 11/25/2022]
Abstract
Many chronic diseases and illnesses are caused by the lifestyle, including the physical activity habits, of an individual. As such, consistent high levels of exercise should be encouraged across the lifespan, to limit the risk of developing one of these conditions and allowing for healthy aging to occur. Exercise prescriptions that encourage high completion and adherence rates in an independent manner and improve health related outcomes should be provided to individuals. To date, no review has identified optimal prescriptions of exercise to achieve this in sedentary middle-aged adults and this is important, given the higher risk of developing illnesses in this population as they age. This review examines the effects prescriptions of self-directed (SD) exercise has on adherence and health related outcomes in sedentary middle-aged individuals in good general health currently and aims to identify the most suitable forms of planned SD exercise that can be carried out independently. A systematic search of the electronic database PubMed was conducted. Randomised controlled trials published in English between February 2007 and February 2017 examining healthy, sedentary middle-aged participants only were included. Studies were critically appraised using the PEDro scale and data were presented on standardised tables. Twenty-one articles examining different aerobic activities, combined training and non-traditional exercise prescriptions were included. This review summarised in detail the effects SD exercise interventions had on sedentary middle-aged individuals alongside the adherence to the prescriptions. SD exercise was seen to be beneficial for improving metabolic outcomes physical characteristics, cardiorespiratory fitness and functional measures.
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Affiliation(s)
- Hugh Byrne
- The Insight Centre for Data Analytics, University College Dublin, Belfield, Dublin 4, Ireland; UCD School of Public Health, Physiotherapy and Sports Science, Belfield, Dublin 4, Ireland.
| | - Brian Caulfield
- The Insight Centre for Data Analytics, University College Dublin, Belfield, Dublin 4, Ireland; UCD School of Public Health, Physiotherapy and Sports Science, Belfield, Dublin 4, Ireland
| | - Giuseppe De Vito
- The Insight Centre for Data Analytics, University College Dublin, Belfield, Dublin 4, Ireland; UCD School of Public Health, Physiotherapy and Sports Science, Belfield, Dublin 4, Ireland
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22
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Elsangedy HM, Nascimento PHD, Machado DGS, Krinski K, Hardcastle SJ, DaSilva SG. Poorer positive affect in response to self-paced exercise among the obese. Physiol Behav 2018; 189:32-39. [PMID: 29458113 DOI: 10.1016/j.physbeh.2018.02.031] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2017] [Revised: 02/06/2018] [Accepted: 02/15/2018] [Indexed: 10/18/2022]
Abstract
We aimed to investigate the association between body mass index (BMI) and affective response, ratings of perceived exertion (RPE), and physiological responses during self-paced exercise. Sixty-six women were divided into three groups accordingly with the BMI: obese (n = 22: 33.5 ± 8.5 yr; 34.9 ± 4.1 kg∙m-2), overweight (n = 22: 34.8 ± 8.6 yr; 26.4 ± 1.3 kg∙m-2), and normal-weight (n = 22: 30.8 ± 9.3 yr; 22.0 ± 1.6 kg∙m-2). They underwent a graded exercise test and a 20-min self-paced walking session on a treadmill. Affective responses, RPE, heart rate (HR), and oxygen uptake (VO2) were recorded every 5 min. The women with obesity experienced the lowest affective rates (p < .001), despite similar RPE, HR, and VO2 to the other normal weight and overweight groups. In addition, a multiple regression model indicated that BMI was a significant predictor of affective responses (p < .001). In conclusion, the results of the present study suggest that obesity is associated with poorer affective responses to exercise even at self-paced intensity, with the same physiological responses and perceived exertion. Therefore, techniques that aim directly to increase pleasure and/or reduce attentional focus and perception of effort in this population are required, such as affect-regulated prescription, shorter bouts of self-paced exercise throughout the day, distraction away from internal cues (e.g. music, group exercise), etc.
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Affiliation(s)
- Hassan M Elsangedy
- Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil.
| | - Paulo H D Nascimento
- Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil
| | - Daniel G S Machado
- Department of Physical Education, Federal University of Rio Grande do Norte, Natal, RN, Brazil; Center of Physical Education and Sport, Londrina State University, Londrina, PR, Brazil
| | - Kleverton Krinski
- Department of Physical Education, Federal University of Vale do São Francisco, Petrolina, PE, Brazil; Center for Health Sciences, Northern Paraná State University, Alameda Padre Magno, 841, Jacarezinho, Paraná 86.400-000, Brazil
| | - Sarah J Hardcastle
- Health Psychology and Behavioral Medicine Research Group, School of Psychology and Speech Pathology, Faculty of Health Sciences, Curtin University, Perth, WA, Australia
| | - Sérgio G DaSilva
- Department of Physical Education, Federal University of Paraná, Curitiba, PR, Brazil
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23
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Belvederi Murri M, Ekkekakis P, Magagnoli M, Zampogna D, Cattedra S, Capobianco L, Serafini G, Calcagno P, Zanetidou S, Amore M. Physical Exercise in Major Depression: Reducing the Mortality Gap While Improving Clinical Outcomes. Front Psychiatry 2018; 9:762. [PMID: 30687141 PMCID: PMC6335323 DOI: 10.3389/fpsyt.2018.00762] [Citation(s) in RCA: 39] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 12/20/2018] [Indexed: 12/11/2022] Open
Abstract
Major depression shortens life while the effectiveness of frontline treatments remains modest. Exercise has been shown to be effective both in reducing mortality and in treating symptoms of major depression, but it is still underutilized in clinical practice, possibly due to prevalent misperceptions. For instance, a common misperception is that exercise is beneficial for depression mostly because of its positive effects on the body ("from the neck down"), whereas its effectiveness in treating core features of depression ("from the neck up") is underappreciated. Other long-held misperceptions are that patients suffering from depression will not engage in exercise even if physicians prescribe it, and that only vigorous exercise is effective. Lastly, a false assumption is that exercise may be more harmful than beneficial in old age, and therefore should only be recommended to younger patients. This narrative review summarizes relevant literature to address the aforementioned misperceptions and to provide practical recommendations for prescribing exercise to individuals with major depression.
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Affiliation(s)
- Martino Belvederi Murri
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Genoa, Italy.,IRCCS Ospedale Policlinico San Martino, Genova, Italy.,Department of Psychological Medicine, King's College London, London, United Kingdom
| | | | - Marco Magagnoli
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Genoa, Italy
| | - Domenico Zampogna
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Genoa, Italy
| | - Simone Cattedra
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Genoa, Italy
| | - Laura Capobianco
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Genoa, Italy
| | - Gianluca Serafini
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Genoa, Italy.,IRCCS Ospedale Policlinico San Martino, Genova, Italy
| | - Pietro Calcagno
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Genoa, Italy
| | - Stamatula Zanetidou
- Department of Mental Health, Consultation Liaison Psychiatry Service, Bologna, Italy
| | - Mario Amore
- Section of Psychiatry, Department of Neuroscience, Ophthalmology, Genetics and Infant-Maternal Science, University of Genoa, Genoa, Italy.,IRCCS Ospedale Policlinico San Martino, Genova, Italy
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Emerson JA, Dunsiger S, Williams DM. Reciprocal within-day associations between incidental affect and exercise: An EMA study. Psychol Health 2018; 33:130-143. [PMID: 28665227 PMCID: PMC5738286 DOI: 10.1080/08870446.2017.1341515] [Citation(s) in RCA: 37] [Impact Index Per Article: 6.2] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/05/2023]
Abstract
Previous research suggests that how people feel throughout the course of a day (i.e. incidental affect) is predictive of exercise behaviour. A mostly separate literature suggests that exercise can lead to more positive incidental affect. OBJECTIVE This study examines the potential reciprocal effects of incidental affect and exercise behaviour within the same day. DESIGN Fifty-nine low-active (exercise <60 min/week), overweight (BMI: 25.0-39.9) adults (ages 18-65) participated in a six-month print-based exercise promotion programme. MAIN OUTCOME MEASURES Ecological momentary assessment was used to record self-reported exercise sessions in real time and incidental affective valence (feeling good/bad) as assessed by the 11-point Feeling Scale at random times throughout the day. RESULTS Use of a within-subjects cross-lagged, autoregressive model showed that participants were more likely to exercise on days when they experienced more positive incidental affect earlier in the day (b = .58, SE = .10, p < .01), and participants were more likely to experience more positive incidental affect on days when they had exercised (b = .26, SE = .03, p < .01), with the former association significantly stronger than the latter (t = 23.54, p < .01). CONCLUSION The findings suggest a positive feedback loop whereby feeling good and exercising are reciprocally influential within the course of a day.
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Affiliation(s)
- Jessica A. Emerson
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA
| | - Shira Dunsiger
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA
- Centers for Behavioral and Preventive Medicine, The Miriam Hospital, Providence, RI, USA
| | - David M. Williams
- Department of Behavioral and Social Sciences, Brown University School of Public Health, Providence, RI, USA
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Villar OAED, Montañez-Alvarado P, Gutiérrez-Vega M, Carrillo-Saucedo IC, Gurrola-Peña GM, Ruvalcaba-Romero NA, García-Sánchez MD, Ochoa-Alcaraz SG. Factor structure and internal reliability of an exercise health belief model scale in a Mexican population. BMC Public Health 2017; 17:229. [PMID: 28249597 PMCID: PMC5333383 DOI: 10.1186/s12889-017-4150-x] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Accepted: 02/25/2017] [Indexed: 12/01/2022] Open
Abstract
Background Mexico is one of the countries with the highest rates of overweight and obesity around the world, with 68.8% of men and 73% of women reporting both. This is a public health problem since there are several health related consequences of not exercising, like having cardiovascular diseases or some types of cancers. All of these problems can be prevented by promoting exercise, so it is important to evaluate models of health behaviors to achieve this goal. Among several models the Health Belief Model is one of the most studied models to promote health related behaviors. This study validates the first exercise scale based on the Health Belief Model (HBM) in Mexicans with the objective of studying and analyzing this model in Mexico. Methods Items for the scale called the Exercise Health Belief Model Scale (EHBMS) were developed by a health research team, then the items were applied to a sample of 746 participants, male and female, from five cities in Mexico. The factor structure of the items was analyzed with an exploratory factor analysis and the internal reliability with Cronbach’s alpha. Results The exploratory factor analysis reported the expected factor structure based in the HBM. The KMO index (0.92) and the Barlett’s sphericity test (p < 0.01) indicated an adequate and normally distributed sample. Items had adequate factor loadings, ranging from 0.31 to 0.92, and the internal consistencies of the factors were also acceptable, with alpha values ranging from 0.67 to 0.91. Conclusions The EHBMS is a validated scale that can be used to measure exercise based on the HBM in Mexican populations.
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Affiliation(s)
- Oscar Armando Esparza-Del Villar
- Psychology Program, Universidad Autónoma de Ciudad Juárez, Av. Universidad y H. Colegio Militar s/n, Ciudad Juárez, Chihuahua, Mexico. .,Instituto de Ciencias Sociales y Administración, Universidad Autónoma de Ciudad Juárez, Av. Universidad y H. Colegio Militar s/n, Zona Chamizal, Ciudad Juárez, Chihuahua, Mexico.
| | - Priscila Montañez-Alvarado
- Psychology Program, Universidad Autónoma de Ciudad Juárez, Av. Universidad y H. Colegio Militar s/n, Ciudad Juárez, Chihuahua, Mexico
| | - Marisela Gutiérrez-Vega
- Psychology Program, Universidad Autónoma de Ciudad Juárez, Av. Universidad y H. Colegio Militar s/n, Ciudad Juárez, Chihuahua, Mexico
| | - Irene Concepción Carrillo-Saucedo
- Psychology Program, Universidad Autónoma de Ciudad Juárez, Av. Universidad y H. Colegio Militar s/n, Ciudad Juárez, Chihuahua, Mexico
| | - Gloria Margarita Gurrola-Peña
- Facultad de Ciencias de la Conducta, Universidad Autónoma del Estado de México, Carretera Toluca - Naucalpan km. 1.5 s/n, Toluca, Estado de México, Mexico
| | - Norma Alicia Ruvalcaba-Romero
- Centro Universitario de Ciencias de la Salud, Universidad de Guadalajara, Sierra Mojada N° 950. Col. Independencia, C.P. 44350, Guadalajara, Jalisco, Mexico
| | - María Dolores García-Sánchez
- Unidad Académica de Psicología, Universidad Autónoma de Zacatecas, Av. Preparatoria 301, Hidraulica, 98060, Zacatecas, Zacatecas, Mexico
| | - Sergio Gabriel Ochoa-Alcaraz
- Facultad de Psicología, Universidad de Colima, Av. Universidad No. 333, Las Víboras, CP 28040, Colima, Colima, Mexico
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Segar ML, Guérin E, Phillips E, Fortier M. From a Vital Sign to Vitality: Selling Exercise So Patients Want to Buy It. Curr Sports Med Rep 2016; 15:276-81. [DOI: 10.1249/jsr.0000000000000284] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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27
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Baldwin AS, Kangas JL, Denman DC, Smits JAJ, Yamada T, Otto MW. Cardiorespiratory fitness moderates the effect of an affect-guided physical activity prescription: a pilot randomized controlled trial. Cogn Behav Ther 2016; 45:445-57. [PMID: 27310568 DOI: 10.1080/16506073.2016.1194454] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/31/2022]
Abstract
Physical activity (PA) interventions have a clear role in promoting mental health. Current PA guidelines directed toward specific PA intensities may have negative effects on affective response to exercise, and affective response is an important determinant of PA adherence. In this randomized trial of 67 previously inactive adults, we compared the effects of a PA prescription emphasizing the maintenance of positive affect to one emphasizing a target heart rate, and tested the extent to which the effect of the affect-guided prescription on PA is moderated by cardiorespiratory fitness (CRF). We found the effect of an affect-guided prescription was significantly moderated by CRF. At one week, for participants with lower CRF (i.e. poor conditioning), the affect-guided prescription resulted in significantly greater change in PA minutes (M = 240.8) than the heart rate-guided prescription (M = 165.7), reflecting a moderate-sized effect (d = .55). For those with higher CRF (i.e. good conditioning), the means were in the opposite direction but not significantly different. At one month, the same pattern emerged but the interaction was not significant. We discuss the implications of these findings for the type of PA prescriptions offered to individuals in need.
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Affiliation(s)
- Austin S Baldwin
- a Department of Psychology , Southern Methodist University , Dallas , TX , USA
| | - Julie L Kangas
- a Department of Psychology , Southern Methodist University , Dallas , TX , USA
| | - Deanna C Denman
- a Department of Psychology , Southern Methodist University , Dallas , TX , USA
| | - Jasper A J Smits
- b Department of Psychology , University of Texas at Austin , Austin , TX , USA
| | - Tetsuhiro Yamada
- c Department of Psychology , Boston University , Boston , MA , USA
| | - Michael W Otto
- c Department of Psychology , Boston University , Boston , MA , USA
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Stevens CJ, Bryan AD. A case for leveraging integrated regulation strategies to optimize health benefits from self-determined exercise behavior. Ann Behav Med 2015; 49:783-4. [PMID: 26231146 DOI: 10.1007/s12160-015-9722-3] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
Affiliation(s)
- Courtney J Stevens
- Department of Psychology and Neuroscience, University of Colorado Boulder, Muenzinger 345 UCB, Boulder, CO, 80309-0345, USA,
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Emerson JA, Williams DM. The Multifaceted Relationship Between Physical Activity and Affect. SOCIAL AND PERSONALITY PSYCHOLOGY COMPASS 2015. [DOI: 10.1111/spc3.12190] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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