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一项针对身体活动不足的成年初期人群的身体成分的身体活动促进计划的效果:一项随机对照试验的研究方案。

Effects of a physical activity promotion programme on body composition in emerging adults with physical inactivity: a study protocol of a randomised controlled trial.

机构信息

School of Nursing, Hangzhou Normal University, Hangzhou, China.

School of Nursing, Hangzhou Normal University, Hangzhou, China

出版信息

BMJ Open. 2023 Oct 5;13(10):e076123. doi: 10.1136/bmjopen-2023-076123.

Abstract

INTRODUCTION

A dramatic decline in physical activity may occur in emerging adulthood because of a major transition over the course of a life. The potential for implementing structured behaviour modification strategies to enhance risk-reducing clinical outcomes is widely recognised. The active participation of clients in the discussion and care process is crucial for optimising intervention outcomes and enhancing individuals' motivation to adopt and maintain healthy behaviours. This study therefore aims to evaluate the effectiveness of a physical activity promotion programme based on the goal attainment theory in relation to emerging adults' body composition, using a face-to-face and e-health blended interventions.

METHODS AND ANALYSIS

A two-arm, double-blind, randomised, controlled study will be conducted in 114 university students aged 18-25 years with physical inactivity. The intervention assignment will be blind to study participants, outcome assessors and study statisticians. A goal achievement theory-based physical activity promotion programme is developed in this study, which is a 16-week, face-to-face and e-health-blended physical activity promotion intervention. After informed consent, participants will be randomly assigned to either a control group or a treatment group before the start of the study. The primary outcome is body composition (ie, skeletal muscle mass, body fat mass, body mass index and body fat percentage). Other outcomes include physical activity level, goal attainment scale scores, exercise self-efficacy and motivation level, which will be assessed during the intervention (every 4 weeks) and at the 1 month follow-up. Continuous variables have means and SD, while categorical variables have frequencies and percentages. Independent-samples t-tests will be used to compare continuous variable changes. χ tests will be used to compare categorical variable changes. Based on the baseline scores, analysis of covariance will compare the follow-up results.

ETHICS AND DISSEMINATION

This study was approved by the Ethics Committee of Hangzhou Normal University (ratification date: 14 November 2022, 2022059). The results of the study will be submitted for publication and dissemination in a peer-reviewed journal.

TRIAL REGISTRATION NUMBER

NCT05697679.

摘要

简介

在人生的这个阶段,年轻人会经历重大转变,因此他们的身体活动量可能会大幅减少。人们普遍认识到,可以采用结构化的行为改变策略来提高降低风险的临床效果。让客户积极参与讨论和护理过程对于优化干预结果和增强个人采用和维持健康行为的动机至关重要。因此,本研究旨在评估基于目标达成理论的身体活动促进计划在与新兴成年人身体成分相关方面的有效性,该计划采用面对面和电子健康混合干预措施。

方法和分析

本研究将对 114 名年龄在 18-25 岁、身体不活跃的大学生进行一项两臂、双盲、随机、对照研究。干预分配对研究参与者、结果评估者和研究统计人员均为盲法。本研究中开发了一个基于目标达成理论的身体活动促进计划,这是一个 16 周的面对面和电子健康混合身体活动促进干预。在获得知情同意后,在研究开始前,参与者将被随机分配到对照组或治疗组。主要结果是身体成分(即骨骼肌质量、体脂肪量、身体质量指数和体脂肪百分比)。其他结果包括身体活动水平、目标达成量表评分、运动自我效能感和动机水平,这些将在干预期间(每 4 周一次)和 1 个月随访时进行评估。连续变量有平均值和标准差,而分类变量有频率和百分比。独立样本 t 检验将用于比较连续变量的变化。 χ 检验将用于比较分类变量的变化。基于基线评分,协方差分析将比较随访结果。

伦理和传播

本研究已获得杭州师范大学伦理委员会的批准(批准日期:2022 年 11 月 14 日,2022059)。研究结果将提交给同行评审期刊发表和传播。

试验注册号

NCT05697679。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/59ac/10565148/919a31c8fcb2/bmjopen-2023-076123f01.jpg

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