Suzuki Yasuhiro, Kawamoto Hiroaki, Matsuda Takaaki, Suzuki Hiroaki, Shimano Hitoshi, Yahagi Naoya
Institute of Systems and Information Engineering, University of Tsukuba, Tsukuba 305-8573, Ibaraki, Japan.
Biomedical Science and Engineering Research Center, Hakodate Medical Association Nursing and Re-Habilitation Academy, Hakodate 040-0081, Hokkaido, Japan.
Healthcare (Basel). 2025 Aug 21;13(16):2069. doi: 10.3390/healthcare13162069.
Maintaining long-term exercise adherence in occupational settings remains a challenge, particularly in remote or unsupervised environments. This study aimed to investigate the effect of individualized feedback on exercise adherence, body composition, and physical function during a remote home-based training intervention utilizing the video-based exercise system "SUKUBARA". In total, 66 care facility workers were randomly categorized into either a feedback (FB) group or a non-feedback (NF) group. Both groups performed a combined exercise program comprising low-load resistance training (slow squats) and balance exercises (one-leg standing time of closed eye) for approximately 15 min, thrice weekly over 12 weeks. The FB group received individualized feedback sheets visualizing total video play time (TT), exercise frequency, and interruptions, alongside reminder emails. The primary outcome was TT. Secondary outcomes included body composition measures (body weight, fat-free mass, and body fat mass rate) and one-leg standing time of opened eye. The FB group demonstrated significantly greater TT, approximately 1.5 times that of the NF group, indicating enhanced exercise adherence. Moreover, significant improvements in fat-free mass and body fat mass rate were observed in the FB group. A significant correlation was identified between changes in TT and body composition parameters, suggesting TT as a valid proxy for exercise engagement. Individualized feedback within a remote monitoring home exercise program effectively improved exercise adherence and body composition among care workers. The "SUKUBARA" system shows promise as a tool to support exercise continuity in occupational health and long-term care settings.
在职业环境中保持长期的运动依从性仍然是一项挑战，尤其是在偏远或无人监督的环境中。本研究旨在调查在使用基于视频的运动系统“SUKUBARA”进行远程居家训练干预期间，个性化反馈对运动依从性、身体成分和身体功能的影响。总共66名护理机构工作人员被随机分为反馈（FB）组或无反馈（NF）组。两组都进行了一个综合运动计划，包括低负荷阻力训练（慢速深蹲）和平衡训练（闭眼单腿站立时间），每次约15分钟，每周三次，共12周。FB组收到了个性化反馈表，直观显示总视频播放时间（TT）、运动频率和中断情况，同时还收到提醒电子邮件。主要结果是TT。次要结果包括身体成分测量指标（体重、去脂体重和体脂率）以及睁眼单腿站立时间。FB组的TT显著更长，约为NF组的1.5倍，表明运动依从性增强。此外，FB组的去脂体重和体脂率有显著改善。TT变化与身体成分参数之间存在显著相关性，表明TT是运动参与度的有效指标。远程监测居家运动计划中的个性化反馈有效地提高了护理人员的运动依从性和身体成分。“SUKUBARA”系统有望成为职业健康和长期护理环境中支持运动连续性的工具。
