Internet-Delivered Lifestyle Physical Activity Intervention Improves Body Composition in Multiple Sclerosis: Preliminary Evidence From a Randomized Controlled Trial
Abstract Objective To examine the efficacy of a physical activity behavioral intervention for improving outcomes of body composition in persons with multiple sclerosis (MS). Design Secondary analysis of data from a randomized controlled trial. Setting University research laboratory. Participants Amb...
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| Veröffentlicht in: | Archives of physical medicine and rehabilitation 2014-07, Vol.95 (7), p.1283-1288 |
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| container_title | Archives of physical medicine and rehabilitation |
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| creator | Pilutti, Lara A., PhD Dlugonski, Deirdre, PhD Sandroff, Brian M., MS Klaren, Rachel E., BS Motl, Robert W., PhD |
| description | Abstract Objective To examine the efficacy of a physical activity behavioral intervention for improving outcomes of body composition in persons with multiple sclerosis (MS). Design Secondary analysis of data from a randomized controlled trial. Setting University research laboratory. Participants Ambulatory persons with MS (N=82). Intervention A 6-month, internet-delivered physical activity behavioral intervention designed to increase lifestyle physical activity, primarily walking. The behavioral intervention was based on principles of social cognitive theory. Main Outcome Measures Whole-body bone mineral content (BMC), bone mineral density (BMD), and soft tissue composition, using dual-energy x-ray absorptiometry. Results There were no significant differences between conditions posttrial on body composition outcomes using the adjusted critical value ( P |
| doi_str_mv | 10.1016/j.apmr.2014.03.015 |
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| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1622613921</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0003999314002226</els_id><sourcerecordid>1540137420</sourcerecordid><originalsourceid>FETCH-LOGICAL-c514t-be9cc8e55daf76569213890f1f215b43089fbfaaf4cfb0c667893df20d5ef9653</originalsourceid><addsrcrecordid>eNqFks1u1DAUhSMEokPhBVggL9kk-CfJjBFCKkMLIw2iokViZznOtfDg2MFOIqXPw4PW6RQWLGBlW_fcY_s7N8ueE1wQTOpXh0L2XSgoJmWBWYFJ9SBbkYrRfEPJt4fZCmPMcs45O8mexHhIx7pi5HF2Qsuac8rWq-zXzg0QHAz5e7BmggAt2hsNcZgtoMvvczRKWnSmBjOZYUZ38gncYLxDu64PfoKI3vl2Rlvf9T6au4px6NNoB9MnkytlIaRCfI0uQ7qkM06GGZ1PpgWnAF0E3yGJvkjX-s7cpAdsvRuCtzZtr4OR9mn2SEsb4dn9epp9vTi_3n7M958_7LZn-1xVpBzyBrhSG6iqVup1XdWcErbhWBNNSdWUDG-4brSUulS6waqu1xvOWk1xW4HmCc1p9vLom771c0wMRGeiAmulAz9GQWpKa8IW3_9KqxITti4pTlJ6lKpEIQbQog-mSwgEwWIJUhzEEqRYghSYiRRkanpx7z82HbR_Wn4nlwRvjgJIQCYDQURlFp6tCaAG0Xrzb_-3f7Ura9yS9Q-YIR78GFxCLYiIVGBxtYzSMkmkxJgmCuwWEgPHuA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1540137420</pqid></control><display><type>article</type><title>Internet-Delivered Lifestyle Physical Activity Intervention Improves Body Composition in Multiple Sclerosis: Preliminary Evidence From a Randomized Controlled Trial</title><source>MEDLINE</source><source>ScienceDirect Journals (5 years ago - present)</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>Pilutti, Lara A., PhD ; Dlugonski, Deirdre, PhD ; Sandroff, Brian M., MS ; Klaren, Rachel E., BS ; Motl, Robert W., PhD</creator><creatorcontrib>Pilutti, Lara A., PhD ; Dlugonski, Deirdre, PhD ; Sandroff, Brian M., MS ; Klaren, Rachel E., BS ; Motl, Robert W., PhD</creatorcontrib><description>Abstract Objective To examine the efficacy of a physical activity behavioral intervention for improving outcomes of body composition in persons with multiple sclerosis (MS). Design Secondary analysis of data from a randomized controlled trial. Setting University research laboratory. Participants Ambulatory persons with MS (N=82). Intervention A 6-month, internet-delivered physical activity behavioral intervention designed to increase lifestyle physical activity, primarily walking. The behavioral intervention was based on principles of social cognitive theory. Main Outcome Measures Whole-body bone mineral content (BMC), bone mineral density (BMD), and soft tissue composition, using dual-energy x-ray absorptiometry. Results There were no significant differences between conditions posttrial on body composition outcomes using the adjusted critical value ( P <.008). There was a significant effect of the intervention on whole-body BMC ( P =.04, ω2 <.001) and BMD ( P =.01, ω2 =.003) using the unadjusted critical value ( P <.05). The effect of the intervention on percent body fat ( P =.09, ω2 =.001) and whole-body fat mass ( P =.05, ω2 =.003) approached significance using unadjusted criteria. There was not a significant effect on whole-body lean soft tissue ( P =.28, ω2 <.001) or body mass index ( P =.86, ω2 <.001). Conclusions Our results provide preliminary evidence that an internet-delivered lifestyle physical activity intervention might improve bone health and body composition in MS. Such findings are important considering that physical activity is a modifiable behavior with the potential to confer long-term benefits for the prevention and management of fracture risk and comorbidities among those with MS.</description><identifier>ISSN: 0003-9993</identifier><identifier>EISSN: 1532-821X</identifier><identifier>DOI: 10.1016/j.apmr.2014.03.015</identifier><identifier>PMID: 24699237</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Body Composition ; Body Mass Index ; Body Weights and Measures ; Bone ; Bone Density ; Exercise ; Female ; Health Behavior ; Health Promotion - methods ; Humans ; Internet ; Life Style ; Male ; Middle Aged ; Multiple sclerosis ; Multiple Sclerosis - rehabilitation ; Physical activity ; Physical Medicine and Rehabilitation ; Physical Therapy Modalities ; Rehabilitation ; Walking</subject><ispartof>Archives of physical medicine and rehabilitation, 2014-07, Vol.95 (7), p.1283-1288</ispartof><rights>American Congress of Rehabilitation Medicine</rights><rights>2014 American Congress of Rehabilitation Medicine</rights><rights>Copyright © 2014 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c514t-be9cc8e55daf76569213890f1f215b43089fbfaaf4cfb0c667893df20d5ef9653</citedby><cites>FETCH-LOGICAL-c514t-be9cc8e55daf76569213890f1f215b43089fbfaaf4cfb0c667893df20d5ef9653</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.apmr.2014.03.015$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27923,27924,45994</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24699237$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pilutti, Lara A., PhD</creatorcontrib><creatorcontrib>Dlugonski, Deirdre, PhD</creatorcontrib><creatorcontrib>Sandroff, Brian M., MS</creatorcontrib><creatorcontrib>Klaren, Rachel E., BS</creatorcontrib><creatorcontrib>Motl, Robert W., PhD</creatorcontrib><title>Internet-Delivered Lifestyle Physical Activity Intervention Improves Body Composition in Multiple Sclerosis: Preliminary Evidence From a Randomized Controlled Trial</title><title>Archives of physical medicine and rehabilitation</title><addtitle>Arch Phys Med Rehabil</addtitle><description>Abstract Objective To examine the efficacy of a physical activity behavioral intervention for improving outcomes of body composition in persons with multiple sclerosis (MS). Design Secondary analysis of data from a randomized controlled trial. Setting University research laboratory. Participants Ambulatory persons with MS (N=82). Intervention A 6-month, internet-delivered physical activity behavioral intervention designed to increase lifestyle physical activity, primarily walking. The behavioral intervention was based on principles of social cognitive theory. Main Outcome Measures Whole-body bone mineral content (BMC), bone mineral density (BMD), and soft tissue composition, using dual-energy x-ray absorptiometry. Results There were no significant differences between conditions posttrial on body composition outcomes using the adjusted critical value ( P <.008). There was a significant effect of the intervention on whole-body BMC ( P =.04, ω2 <.001) and BMD ( P =.01, ω2 =.003) using the unadjusted critical value ( P <.05). The effect of the intervention on percent body fat ( P =.09, ω2 =.001) and whole-body fat mass ( P =.05, ω2 =.003) approached significance using unadjusted criteria. There was not a significant effect on whole-body lean soft tissue ( P =.28, ω2 <.001) or body mass index ( P =.86, ω2 <.001). Conclusions Our results provide preliminary evidence that an internet-delivered lifestyle physical activity intervention might improve bone health and body composition in MS. Such findings are important considering that physical activity is a modifiable behavior with the potential to confer long-term benefits for the prevention and management of fracture risk and comorbidities among those with MS.</description><subject>Adult</subject><subject>Body Composition</subject><subject>Body Mass Index</subject><subject>Body Weights and Measures</subject><subject>Bone</subject><subject>Bone Density</subject><subject>Exercise</subject><subject>Female</subject><subject>Health Behavior</subject><subject>Health Promotion - methods</subject><subject>Humans</subject><subject>Internet</subject><subject>Life Style</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Multiple sclerosis</subject><subject>Multiple Sclerosis - rehabilitation</subject><subject>Physical activity</subject><subject>Physical Medicine and Rehabilitation</subject><subject>Physical Therapy Modalities</subject><subject>Rehabilitation</subject><subject>Walking</subject><issn>0003-9993</issn><issn>1532-821X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFks1u1DAUhSMEokPhBVggL9kk-CfJjBFCKkMLIw2iokViZznOtfDg2MFOIqXPw4PW6RQWLGBlW_fcY_s7N8ueE1wQTOpXh0L2XSgoJmWBWYFJ9SBbkYrRfEPJt4fZCmPMcs45O8mexHhIx7pi5HF2Qsuac8rWq-zXzg0QHAz5e7BmggAt2hsNcZgtoMvvczRKWnSmBjOZYUZ38gncYLxDu64PfoKI3vl2Rlvf9T6au4px6NNoB9MnkytlIaRCfI0uQ7qkM06GGZ1PpgWnAF0E3yGJvkjX-s7cpAdsvRuCtzZtr4OR9mn2SEsb4dn9epp9vTi_3n7M958_7LZn-1xVpBzyBrhSG6iqVup1XdWcErbhWBNNSdWUDG-4brSUulS6waqu1xvOWk1xW4HmCc1p9vLom771c0wMRGeiAmulAz9GQWpKa8IW3_9KqxITti4pTlJ6lKpEIQbQog-mSwgEwWIJUhzEEqRYghSYiRRkanpx7z82HbR_Wn4nlwRvjgJIQCYDQURlFp6tCaAG0Xrzb_-3f7Ura9yS9Q-YIR78GFxCLYiIVGBxtYzSMkmkxJgmCuwWEgPHuA</recordid><startdate>20140701</startdate><enddate>20140701</enddate><creator>Pilutti, Lara A., PhD</creator><creator>Dlugonski, Deirdre, PhD</creator><creator>Sandroff, Brian M., MS</creator><creator>Klaren, Rachel E., BS</creator><creator>Motl, Robert W., PhD</creator><general>Elsevier Inc</general><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>7X8</scope><scope>7TS</scope></search><sort><creationdate>20140701</creationdate><title>Internet-Delivered Lifestyle Physical Activity Intervention Improves Body Composition in Multiple Sclerosis: Preliminary Evidence From a Randomized Controlled Trial</title><author>Pilutti, Lara A., PhD ; Dlugonski, Deirdre, PhD ; Sandroff, Brian M., MS ; Klaren, Rachel E., BS ; Motl, Robert W., PhD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c514t-be9cc8e55daf76569213890f1f215b43089fbfaaf4cfb0c667893df20d5ef9653</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adult</topic><topic>Body Composition</topic><topic>Body Mass Index</topic><topic>Body Weights and Measures</topic><topic>Bone</topic><topic>Bone Density</topic><topic>Exercise</topic><topic>Female</topic><topic>Health Behavior</topic><topic>Health Promotion - methods</topic><topic>Humans</topic><topic>Internet</topic><topic>Life Style</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Multiple sclerosis</topic><topic>Multiple Sclerosis - rehabilitation</topic><topic>Physical activity</topic><topic>Physical Medicine and Rehabilitation</topic><topic>Physical Therapy Modalities</topic><topic>Rehabilitation</topic><topic>Walking</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pilutti, Lara A., PhD</creatorcontrib><creatorcontrib>Dlugonski, Deirdre, PhD</creatorcontrib><creatorcontrib>Sandroff, Brian M., MS</creatorcontrib><creatorcontrib>Klaren, Rachel E., BS</creatorcontrib><creatorcontrib>Motl, Robert W., PhD</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Physical Education Index</collection><jtitle>Archives of physical medicine and rehabilitation</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pilutti, Lara A., PhD</au><au>Dlugonski, Deirdre, PhD</au><au>Sandroff, Brian M., MS</au><au>Klaren, Rachel E., BS</au><au>Motl, Robert W., PhD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Internet-Delivered Lifestyle Physical Activity Intervention Improves Body Composition in Multiple Sclerosis: Preliminary Evidence From a Randomized Controlled Trial</atitle><jtitle>Archives of physical medicine and rehabilitation</jtitle><addtitle>Arch Phys Med Rehabil</addtitle><date>2014-07-01</date><risdate>2014</risdate><volume>95</volume><issue>7</issue><spage>1283</spage><epage>1288</epage><pages>1283-1288</pages><issn>0003-9993</issn><eissn>1532-821X</eissn><abstract>Abstract Objective To examine the efficacy of a physical activity behavioral intervention for improving outcomes of body composition in persons with multiple sclerosis (MS). Design Secondary analysis of data from a randomized controlled trial. Setting University research laboratory. Participants Ambulatory persons with MS (N=82). Intervention A 6-month, internet-delivered physical activity behavioral intervention designed to increase lifestyle physical activity, primarily walking. The behavioral intervention was based on principles of social cognitive theory. Main Outcome Measures Whole-body bone mineral content (BMC), bone mineral density (BMD), and soft tissue composition, using dual-energy x-ray absorptiometry. Results There were no significant differences between conditions posttrial on body composition outcomes using the adjusted critical value ( P <.008). There was a significant effect of the intervention on whole-body BMC ( P =.04, ω2 <.001) and BMD ( P =.01, ω2 =.003) using the unadjusted critical value ( P <.05). The effect of the intervention on percent body fat ( P =.09, ω2 =.001) and whole-body fat mass ( P =.05, ω2 =.003) approached significance using unadjusted criteria. There was not a significant effect on whole-body lean soft tissue ( P =.28, ω2 <.001) or body mass index ( P =.86, ω2 <.001). Conclusions Our results provide preliminary evidence that an internet-delivered lifestyle physical activity intervention might improve bone health and body composition in MS. Such findings are important considering that physical activity is a modifiable behavior with the potential to confer long-term benefits for the prevention and management of fracture risk and comorbidities among those with MS.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>24699237</pmid><doi>10.1016/j.apmr.2014.03.015</doi><tpages>6</tpages></addata></record> |
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| subjects | Adult Body Composition Body Mass Index Body Weights and Measures Bone Bone Density Exercise Female Health Behavior Health Promotion - methods Humans Internet Life Style Male Middle Aged Multiple sclerosis Multiple Sclerosis - rehabilitation Physical activity Physical Medicine and Rehabilitation Physical Therapy Modalities Rehabilitation Walking |
| title | Internet-Delivered Lifestyle Physical Activity Intervention Improves Body Composition in Multiple Sclerosis: Preliminary Evidence From a Randomized Controlled Trial |
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