Telehealth high intensity interval exercise and cardiometabolic health in spinal cord injury

脊髓损伤中的远程医疗高强度间歇运动和心脏代谢健康

• 批准号: 10256734
• 负责人: Gordon Fisher
• 金额: $ 18.56万
• 依托单位: UNIVERSITY OF ALABAMA AT BIRMINGHAM
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-08 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10256734
• 关键词: Address; Adherence; Adult; Aerobic; Aerobic Exercise; Blood Pressure; Blood Vessels; Body Composition; Cardiometabolic Disease; Cardiovascular Diseases; Cessation of life; Chronic; Cities; Communities; Conflict (Psychology); Control Groups; Dose; Equipment; Exercise; Fatty acid glycerol esters; Fostering; Goals; Guidelines; Health; Health Benefit; Home; Individual; Interval training; Interview; Leisures; Low Prevalence; Metabolic; Methods; Monitor; Muscle; Non-Insulin-Dependent Diabetes Mellitus; Outcome; Participant; Perception; Physical Function; Physical activity; Pilot Projects; Population; Protocols documentation; Randomized; Reporting; Risk; Risk Factors; Sample Size; Sampling; Schedule; Specialist; Spinal cord injury; Syndrome; Technology; Time; Training; Training Programs; Transportation; Videoconferencing; Work; arm; base; blood lipid; cardiometabolic risk; cardiometabolism; cardiovascular disorder risk; cardiovascular fitness; cohort; disability; exercise intensity; exercise intervention; exercise program; exercise regimen; exercise training; experience; fitness; functional disability; glucose tolerance; hospital readmission; implementation intervention; implementation strategy; improved; insulin sensitivity; mode of exercise; prevent; programs; remote monitoring; satisfaction; success; telehealth; uptake; usability

Project Summary For individuals with spinal cord injury (SCI), exercise participation reduces the risk of developing chronic cardiometabolic diseases, which are leading causes of rehospitalization and death within this population. Accordingly, recent SCI exercise guidelines have highlighted a need for exercise trials that can improve cardiometabolic factors such as glucose tolerance, blood lipids, blood pressure, and body composition. However, to date, the number of exercise trials examining these cardiometabolic outcomes in SCI is low, and these exercise regimens are often inconvenient for individuals with SCI to perform within their community. In addition to the functional impairment associated with the disability, individuals with SCI experience a number of barriers to exercise participation, such as lack of time (e.g. conflict with work schedule), accessible or usable equipment and facilities, and transportation. Thus, it is important to identify effective modes of exercise that can improve overall health but do not require a significant overall weekly time commitment. We recently demonstrated that individuals with SCI could safely perform high intensity interval training (HIIT) using arm crank cycling and that as few as two days per week of HIIT could improve cardiometabolic health. Despite the advantages of HIIT, it is important to identify methods of implementing exercise trials that can successfully reach and maintain participation in larger cohorts. Recent work by our group demonstrated that individuals with SCI expressed favorable perceptions of home-exercise training that incorporated telehealth technology, which allowed a fitness specialist to remotely monitor participants' training progress in real-time and provide verbal support via videoconferencing. This method of training holds even greater value for home-exercise programs that require monitoring to dose-specific protocols such as HIIT. However, the long-term success of HIIT will greatly depend on the ease at which the program can be implemented, as well as participants' adherence and perceptions of using the technology, which has not been investigated in SCI. The goal of this study is to integrate a home-based telehealth HIIT arm crank exercise training program in individuals with SCI and assess changes in cardiometabolic health and physical function. The secondary goal is to explore the uptake and implementation of HIIT in SCI. 40 participants will be randomized to home-based HIIT exercise or a no- exercise control group for 16-weeks. Body composition, aerobic fitness, muscular strength, and changes in cardiometabolic health will be assessed at baseline and 16-weeks post training. In addition to changes in cardiometabolic health outcomes, we will also conduct interviews with participants to determine overall perceptions of the program, program likes and dislikes, perceived satisfaction and value, usability of equipment and technology, and factors that influence adherence.

项目摘要 对于脊髓损伤（SCI）的人，运动参与降低了慢性发展的风险 心脏代谢性疾病是该人群中重新住院和死亡的主要原因。 因此，最近的SCI锻炼指南强调了可以改善运动试验的必要性 心脏代谢因子，例如葡萄糖耐量，血脂，血压和身体成分。 但是，迄今 这些运动方案通常对于SCI的人在社区中表现不便。在 除了与残疾相关的功能障碍外，SCI的个人经历了许多 运动参与的障碍，例如缺乏时间（例如与工作时间表的冲突），可访问或可用 设备和设施以及运输。因此，重要的是确定有效的运动方式 可以改善整体健康状况，但不需要大量的总体每周时间承诺。我们最近 证明患有SCI的个体可以使用ARM安全地进行高强度间隔训练（HIIT） 曲柄骑自行车，每周只有两天的HIIT可以改善心脏代谢健康。尽管有 HIIT的优点，重要的是确定实施可以成功的运动试验的方法 到达并维持大型队列的参与。我们小组最近的工作表明了 SCI表达了对举办远程医疗技术的家庭运动培训的有利看法， 允许健身专家远程监控参与者的实时培训进度并提供口头 通过视频会议支持。这种培训方法对家庭运动计划具有更大的价值 这需要监视特定于剂量的协议，例如HIIT。但是，HIIT的长期成功将 在很大程度上取决于可以实施该计划的便利性以及参与者的坚持和 使用该技术的看法，该技术尚未在SCI中进行研究。这项研究的目的是 在患有SCI的个体中整合家庭远程医疗HIIT HIIT ARM训练训练计划并评估 心脏代谢健康和身体机能的变化。次要目标是探索吸收和 在SCI中实施HIIT。 40名参与者将被随机进行家庭基于家庭的HIIT练习或无 16周的运动控制组。身体成分，有氧健身，肌肉力量和变化 心脏代谢健康将在基线和16周培训后进行评估。除了变化 心脏代谢的健康结果，我们还将与参与者进行访谈以确定总体 对程序的看法，计划喜欢和不喜欢，感知的满意度和价值，设备的可用性 和技术，以及影响依从性的因素。