Comparative effectiveness of social physical play and traditional exercise programming

社交体育游戏与传统锻炼计划的效果比较

• 批准号: 10242766
• 负责人: CHRISTOPHER N. SCIAMANNA
• 金额: $ 67.26万
• 依托单位: PENNSYLVANIA STATE UNIV HERSHEY MED CTR
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-01 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10242766
• 关键词: Accelerometer; Adherence; Adult; Aerobic; Affective; Affordable Care Act; Anxiety; Area; Blood Pressure; Breathing; Chronic; Counseling; Cumulative Trauma Disorders; Energy Metabolism; Enrollment; Exercise; Exercise Physiology; Fitness Centers; Future; Goals; Health; Health Personnel; Heart Diseases; Injury; Intervention; Laughter; Lead; Life; Loneliness; Manufactured football; Measures; Mediating; Mental Depression; Mental Health; Modeling; Outcome; Participant; Patients; Physical activity; Physicians; Pilot Projects; Play; Preventive service; Primary Health Care; Provider; Psychology; Published Comment; Randomized; Randomized Controlled Trials; Recommendation; Research; Research Personnel; Risk; Savings; Schedule; Self Efficacy; Side; Soccer; Social Interaction; Social Network; Sports; Stroke; Tennis; Testing; Time; Work; base; comparative effectiveness; compare effectiveness; cost; court; design; exercise program; experience; fitness; improved; light weight; middle age; physical conditioning; pressure; programs; public health relevance; randomized trial; recruit; response; satisfaction; sedentary; social; standard care; trial comparing

Fewer than 1 in 10 middle-aged US adults get the recommended amount of aerobic physical activity (PA), greatly increasing their chances of heart disease and stroke. There are over 50 million adults with fitness center memberships, which are used only once per month and, after joining new programs, people quickly stop coming. While many barriers to PA have been cited (e.g., time, cost), we believe that a key, modifiable, and underappreciated barrier is that most adults simply do not enjoy physical activity enough to do it regularly. Studies consistently observe that people who enjoy physical activity more are more likely to be more active in the future. Despite this consistent observation, we are not aware of studies that ask “Would an adult PA program designed to maximize enjoyment increase PA adherence and fitness?”. In 2015, our team set out to design an exercise program for adults that maximized enjoyment. Taking inspiration from Pickleball, a popular game of modified tennis, our team created PlayFit. PlayFit is an exercise program in which adults come together three times each week to play a range of sports, all modified to 1) reduce effort (e.g., smaller playing area), 2) reduce injuries (e.g., lightweight low-pressure balls) and 3) reduce competitiveness (e.g., teams chosen randomly, minimize physical contact, no keeping score). Pilot work in the summer of 2016 with 22 adults identified five modified sports that all had MET levels between 5.5 and 6.5 and high satisfaction scores (average of 8.0 out of 10). More importantly, the comments suggest that we have created a social, enjoyable experience: “that was SO much fun”, “I’ve never had so much fun playing soccer”. People liked “the laughter during the games”, “no pressure, not competitive” and that “it’s not about ability, it’s just about having fun with people”. In this study, we propose testing whether PlayFit leads to greater fitness gains, compared to group fitness, to help providers understand in a way that helps providers and fitness center staff understand: “What exercise program should I recommend to promote long-term adherence and fitness?”. All subjects will be expected to exercise three-times weekly for 60 minutes for 12 months. We will randomly assign 280 adults to two conditions: 1) Group Fitness activities and 2) PlayFit. We hypothesize that both PlayFit and Group Fitness will increase V02max significantly at 6 months but, after 12 months, mediated by greater enjoyment and higher adherence, participants randomized to PlayFit will have greater fitness and activity gains at 12 months than Group Fitness. The results of this study have the potential to help patients, providers and fitness center directors by answering the question: “What exercise program should be recommended to sedentary adults in order to promote long-term adherence and fitness?"

不到十分之一的美国中年成年人进行了推荐量的有氧体力活动 (PA)， 大大增加了患心脏病和中风的几率 有超过 5000 万成年人保持健康。 中心会员资格每月仅使用一次，加入新计划后，人们很快就会停止使用 虽然人们提到了 PA 的许多障碍（例如时间、成本），但我们认为一个关键的、可修改的、并且 一个未被充分认识的障碍是，大多数成年人根本不喜欢经常进行体育活动。 研究一致表明，越喜欢体育活动的人更有可能在体育活动中更加活跃 尽管有这一一致的观察，但我们不知道有研究询问“成人 PA 会吗？” 旨在最大限度地提高 PA 依从性和健身水平的计划？”2015 年，我们的团队开始着手实施。 从流行的泡菜球中汲取灵感，为成年人设计一个最大限度地享受乐趣的锻炼计划。 改良的网球游戏，我们的团队创建了 PlayFit PlayFit 是一项成人参与的锻炼计划。 每周 3 次一起进行一系列运动，全部修改为 1) 减少努力（例如，较小的运动量） 区域），2）减少伤害（例如，轻质低压球）和 3）降低竞争力（例如，球队 2016年夏季试点工作，尽量减少身体接触，不随机记分）。 成年人确定了五种改良运动，其 MET 水平均在 5.5 至 6.5 之间，且满意度得分较高 （平均分 8.0 分（满分 10 分））更重要的是，评论表明我们创造了一个社交、愉快的环境。 体验：“太有趣了”，“我从来没有踢足球这么开心过”人们喜欢“笑声”。 “比赛的时候”、“没有压力、没有竞争”、“不关能力，只关乎乐趣” 在这项研究中，我们建议测试与团体相比，PlayFit 是否能带来更大的健身收益 健身，以帮助提供者和健身中心工作人员理解的方式帮助提供者理解：“什么 我应该推荐锻炼计划来促进长期坚持和健身吗？”。 预计每周锻炼 3 次，每次 60 分钟，持续 12 个月。我们将随机分配 280 名成年人。 两个条件：1) 团体健身活动和 2) PlayFit 我们在 PlayFit 和团体健身方面都遇到了困难。 将在 6 个月时显着增加 V02max，但在 12 个月后，通过更大的享受和更高的水平来调节 根据坚持程度，随机参加 PlayFit 的参与者在 12 个月时将获得比 团体健身这项研究的结果有可能为患者、提供者和健身中心提供帮助。 董事们回答以下问题：“应该向久坐的成年人推荐什么锻炼计划？ 为了促进长期坚持和健身？”