A National Interactive Web-Based Physical Activity Intervention in Women, Evaluation of the American Heart Association Choose to Move Program 2006–2007
Increased physical activity (PA) is associated with improvement of cardiac risk factors and prevention of cardiovascular disease, yet many women remain sedentary. With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and qual...
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Veröffentlicht in: | The American journal of cardiology 2012-06, Vol.109 (12), p.1754-1760 |
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creator | Lieber, Sarah B., MD Redberg, Rita F., MD, MSc Blumenthal, Roger S., MD Gandhi, Anu, MBA Robb, Karen J., MBA Mora, Samia, MD, MHS |
description | Increased physical activity (PA) is associated with improvement of cardiac risk factors and prevention of cardiovascular disease, yet many women remain sedentary. With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and quality of life (QOL) in a real-world setting is unknown. Participants were United States women ≥18 years old who received 12 weekly PA modules and completed surveys on PA, QOL, and readiness for PA at registration (registration cohort, n = 3,796) or registration and 12 weeks (evaluation cohort, n = 892). QOL was assessed with a modified Short Form-36 with subscores for energy and well-being. Participants showed significant (p |
doi_str_mv | 10.1016/j.amjcard.2012.02.017 |
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With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and quality of life (QOL) in a real-world setting is unknown. Participants were United States women ≥18 years old who received 12 weekly PA modules and completed surveys on PA, QOL, and readiness for PA at registration (registration cohort, n = 3,796) or registration and 12 weeks (evaluation cohort, n = 892). QOL was assessed with a modified Short Form-36 with subscores for energy and well-being. Participants showed significant (p <0.001) favorable changes in PA (baseline, median 240 kcal/week, interquartile range 62 to 667; 12 weeks, 343 kcal/week, 131 to 828), stage of readiness for PA, and body mass index (baseline, 29.3 kg/m2 , 24.9 to 34.7; 12 weeks, 28.9 kg/m2 , 24.6 to 34.2). Significant improvements (p <0.0001) were also found in composite scores for energy and well-being. Compliance with PA guideline recommendations increased from 15.8% to 21.4%. Program weeks completed (p = 0.03), energy (p = 0.04), and well-being (p = 0.002) were significantly associated with achieving guideline compliance. In women reporting no PA at baseline (n = 88), program participation resulted in 54.6% achieving some PA and another 9.1% achieving total compliance with recommendations. In conclusion, in this national cohort of women, a 12-week Web-based intervention improved PA and QOL measurements, resulting in higher short-term PA guideline compliance and better QOL. Increasing use of this simple Web-based tool could improve PA and promote disease prevention.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2012.02.017</identifier><identifier>PMID: 22494850</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adolescent ; Adult ; Aged ; American Heart Association ; Biological and medical sciences ; Body Mass Index ; Cardiology. Vascular system ; Cardiovascular ; Cardiovascular disease ; Cohort Studies ; Compliance ; Coronary Disease - prevention & control ; Data Collection ; Disease prevention ; Exercise - physiology ; Female ; Health Promotion - methods ; Humans ; Internet ; Intervention ; Medical sciences ; Middle Aged ; Patient Compliance ; Program Evaluation ; Quality of Life ; Stroke - prevention & control ; United States ; Web services ; Young Adult</subject><ispartof>The American journal of cardiology, 2012-06, Vol.109 (12), p.1754-1760</ispartof><rights>Elsevier Inc.</rights><rights>2012 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2012 Elsevier Inc. All rights reserved.</rights><rights>Copyright Elsevier Limited Jun 15, 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c478t-589c4ec95279972c67829941212a1481ba713aedf6718db386666f779764cfaf3</citedby><cites>FETCH-LOGICAL-c478t-589c4ec95279972c67829941212a1481ba713aedf6718db386666f779764cfaf3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.amjcard.2012.02.017$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26017708$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22494850$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lieber, Sarah B., MD</creatorcontrib><creatorcontrib>Redberg, Rita F., MD, MSc</creatorcontrib><creatorcontrib>Blumenthal, Roger S., MD</creatorcontrib><creatorcontrib>Gandhi, Anu, MBA</creatorcontrib><creatorcontrib>Robb, Karen J., MBA</creatorcontrib><creatorcontrib>Mora, Samia, MD, MHS</creatorcontrib><title>A National Interactive Web-Based Physical Activity Intervention in Women, Evaluation of the American Heart Association Choose to Move Program 2006–2007</title><title>The American journal of cardiology</title><addtitle>Am J Cardiol</addtitle><description>Increased physical activity (PA) is associated with improvement of cardiac risk factors and prevention of cardiovascular disease, yet many women remain sedentary. With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and quality of life (QOL) in a real-world setting is unknown. Participants were United States women ≥18 years old who received 12 weekly PA modules and completed surveys on PA, QOL, and readiness for PA at registration (registration cohort, n = 3,796) or registration and 12 weeks (evaluation cohort, n = 892). QOL was assessed with a modified Short Form-36 with subscores for energy and well-being. Participants showed significant (p <0.001) favorable changes in PA (baseline, median 240 kcal/week, interquartile range 62 to 667; 12 weeks, 343 kcal/week, 131 to 828), stage of readiness for PA, and body mass index (baseline, 29.3 kg/m2 , 24.9 to 34.7; 12 weeks, 28.9 kg/m2 , 24.6 to 34.2). Significant improvements (p <0.0001) were also found in composite scores for energy and well-being. Compliance with PA guideline recommendations increased from 15.8% to 21.4%. Program weeks completed (p = 0.03), energy (p = 0.04), and well-being (p = 0.002) were significantly associated with achieving guideline compliance. In women reporting no PA at baseline (n = 88), program participation resulted in 54.6% achieving some PA and another 9.1% achieving total compliance with recommendations. In conclusion, in this national cohort of women, a 12-week Web-based intervention improved PA and QOL measurements, resulting in higher short-term PA guideline compliance and better QOL. Increasing use of this simple Web-based tool could improve PA and promote disease prevention.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>American Heart Association</subject><subject>Biological and medical sciences</subject><subject>Body Mass Index</subject><subject>Cardiology. Vascular system</subject><subject>Cardiovascular</subject><subject>Cardiovascular disease</subject><subject>Cohort Studies</subject><subject>Compliance</subject><subject>Coronary Disease - prevention & control</subject><subject>Data Collection</subject><subject>Disease prevention</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Health Promotion - methods</subject><subject>Humans</subject><subject>Internet</subject><subject>Intervention</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Patient Compliance</subject><subject>Program Evaluation</subject><subject>Quality of Life</subject><subject>Stroke - prevention & control</subject><subject>United States</subject><subject>Web services</subject><subject>Young Adult</subject><issn>0002-9149</issn><issn>1879-1913</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkt-K1DAUxoMo7rj6CEpABC_smKRt_twodVjdhVUXVPYyZNJTJ2PbrEk7MHe-g1e-nk9iuh1d2BtDIIT8vi_J-Q5CjylZUkL5y-3SdFtrQr1khLIlSZOKO2hBpVAZVTS_ixaEEJYpWqgj9CDGbdpSWvL76IixQhWyJAv0q8IfzOB8b1p81g8QjB3cDvAlrLM3JkKNLzb76Gw6rqYTN-xnbgf9JMOux5e-g_4FPtmZdrz2wr7BwwZw1UFI0h6fggkDrmL01s3EauN9BDx4_N6n6y6C_xpMhxkh_PePn2kRD9G9xrQRHh3WY_Tl7cnn1Wl2_vHd2ao6z2wh5JCVUtkCrCqZUEowy4VkShWUUWZoIenaCJobqBsuqKzXueRpNEIowQvbmCY_Rs9n36vgv48QB925aKFtTQ9-jDpVW_I8L2WR0Ke30K0fQyrdNaUIyXlBE1XOlA0-xgCNvgquM2GfoInjeqsP2ekpO03SpCLpnhzcx3UH9T_V37AS8OwAmJgCaYLprYs3HE8ugsjEvZ45SGXbOQg6Wge9hdoFsIOuvfvvU17dcrCt66cu-AZ7iDe_1jEJ9Kep0aY-o1N-Ki_zP6nzzYw</recordid><startdate>20120615</startdate><enddate>20120615</enddate><creator>Lieber, Sarah B., MD</creator><creator>Redberg, Rita F., MD, MSc</creator><creator>Blumenthal, Roger S., MD</creator><creator>Gandhi, Anu, MBA</creator><creator>Robb, Karen J., MBA</creator><creator>Mora, Samia, MD, MHS</creator><general>Elsevier Inc</general><general>Elsevier</general><general>Elsevier Limited</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>M7Z</scope><scope>NAPCQ</scope><scope>P64</scope><scope>7X8</scope></search><sort><creationdate>20120615</creationdate><title>A National Interactive Web-Based Physical Activity Intervention in Women, Evaluation of the American Heart Association Choose to Move Program 2006–2007</title><author>Lieber, Sarah B., MD ; Redberg, Rita F., MD, MSc ; Blumenthal, Roger S., MD ; Gandhi, Anu, MBA ; Robb, Karen J., MBA ; Mora, Samia, MD, MHS</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c478t-589c4ec95279972c67829941212a1481ba713aedf6718db386666f779764cfaf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>American Heart Association</topic><topic>Biological and medical sciences</topic><topic>Body Mass Index</topic><topic>Cardiology. Vascular system</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Cohort Studies</topic><topic>Compliance</topic><topic>Coronary Disease - prevention & control</topic><topic>Data Collection</topic><topic>Disease prevention</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Health Promotion - methods</topic><topic>Humans</topic><topic>Internet</topic><topic>Intervention</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Patient Compliance</topic><topic>Program Evaluation</topic><topic>Quality of Life</topic><topic>Stroke - prevention & control</topic><topic>United States</topic><topic>Web services</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lieber, Sarah B., MD</creatorcontrib><creatorcontrib>Redberg, Rita F., MD, MSc</creatorcontrib><creatorcontrib>Blumenthal, Roger S., MD</creatorcontrib><creatorcontrib>Gandhi, Anu, MBA</creatorcontrib><creatorcontrib>Robb, Karen J., MBA</creatorcontrib><creatorcontrib>Mora, Samia, MD, MHS</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lieber, Sarah B., MD</au><au>Redberg, Rita F., MD, MSc</au><au>Blumenthal, Roger S., MD</au><au>Gandhi, Anu, MBA</au><au>Robb, Karen J., MBA</au><au>Mora, Samia, MD, MHS</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A National Interactive Web-Based Physical Activity Intervention in Women, Evaluation of the American Heart Association Choose to Move Program 2006–2007</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2012-06-15</date><risdate>2012</risdate><volume>109</volume><issue>12</issue><spage>1754</spage><epage>1760</epage><pages>1754-1760</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>Increased physical activity (PA) is associated with improvement of cardiac risk factors and prevention of cardiovascular disease, yet many women remain sedentary. With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and quality of life (QOL) in a real-world setting is unknown. Participants were United States women ≥18 years old who received 12 weekly PA modules and completed surveys on PA, QOL, and readiness for PA at registration (registration cohort, n = 3,796) or registration and 12 weeks (evaluation cohort, n = 892). QOL was assessed with a modified Short Form-36 with subscores for energy and well-being. Participants showed significant (p <0.001) favorable changes in PA (baseline, median 240 kcal/week, interquartile range 62 to 667; 12 weeks, 343 kcal/week, 131 to 828), stage of readiness for PA, and body mass index (baseline, 29.3 kg/m2 , 24.9 to 34.7; 12 weeks, 28.9 kg/m2 , 24.6 to 34.2). Significant improvements (p <0.0001) were also found in composite scores for energy and well-being. Compliance with PA guideline recommendations increased from 15.8% to 21.4%. Program weeks completed (p = 0.03), energy (p = 0.04), and well-being (p = 0.002) were significantly associated with achieving guideline compliance. In women reporting no PA at baseline (n = 88), program participation resulted in 54.6% achieving some PA and another 9.1% achieving total compliance with recommendations. In conclusion, in this national cohort of women, a 12-week Web-based intervention improved PA and QOL measurements, resulting in higher short-term PA guideline compliance and better QOL. Increasing use of this simple Web-based tool could improve PA and promote disease prevention.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22494850</pmid><doi>10.1016/j.amjcard.2012.02.017</doi><tpages>7</tpages></addata></record> |
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subjects | Adolescent Adult Aged American Heart Association Biological and medical sciences Body Mass Index Cardiology. Vascular system Cardiovascular Cardiovascular disease Cohort Studies Compliance Coronary Disease - prevention & control Data Collection Disease prevention Exercise - physiology Female Health Promotion - methods Humans Internet Intervention Medical sciences Middle Aged Patient Compliance Program Evaluation Quality of Life Stroke - prevention & control United States Web services Young Adult |
title | A National Interactive Web-Based Physical Activity Intervention in Women, Evaluation of the American Heart Association Choose to Move Program 2006–2007 |
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