Physical Activity Behavior Change Research Articles

"We Don't Have to Do Things the Way They've Been Done Before"; Mixed-Method Evaluation of a National Grant Program Tackling Physical Inactivity through Sport.

National strategies are needed to continue to promote the broader benefits of participating in sport and organised physical activity to reduce physical inactivity and related disease burden. This paper employs the RE-AIM framework to evaluate the impact of the federally funded $150 million Move it AUS program in engaging inactive people in sport and physical activity through the Participation (all ages) and Better Ageing (over 65 years) funding streams. A pragmatic, mixed-methods evaluation was conducted to understand the impact of the grant on both the participants, and the funded organisations. This included participant surveys, case studies, and qualitative interviews with funded program leaders. A total of 75% of participants in the Participation stream, and 65% in the Better Ageing stream, were classified as inactive. The largest changes in overall physical activity behaviour were seen among socioeconomically disadvantaged participants and culturally and linguistically diverse participants. Seven key insights were gained from the qualitative interviews: Clarity of who, Partnerships, Communication, Program delivery, Environmental impacts, Governance, and that Physical inactivity must be a priority. The Move It AUS program successfully engaged physically inactive participants. Additional work is needed to better engage inactive people that identify as culturally and linguistically diverse, Aboriginal and/or Torres Strait Islander and those that live in disadvantaged communities in sport and physical activities. Tangible actions from the seven key insights should be adopted into workforce capability planning for the sport sector to effectively engage physically inactive communities.

Personalized Nutrition Intervention Improves Health Status in Overweight/Obese Chinese Adults: A Randomized Controlled Trial.

BackgroundOverweight and obesity increase the risk of noncommunicable diseases (NCDs). Personalized nutrition (PN) approaches may provide tailored nutritional advice/service by focusing on individual's unique characteristics to prevent against NCDs.ObjectiveWe aimed to compare the effect of PN intervention with the traditional “one size fits all” intervention on health status in overweight/obese Chinese adults.MethodsIn this 12-week randomized controlled trial, 400 adults with BMI ≥24 kg/m2 were randomized to control group (CG, n = 200) and PN group (PNG, n = 200). The CG received conventional health guidance according to the Dietary Guidelines for Chinese Residents and Chinese DRIs Handbook, whereas the PNG experienced PN intervention that was developed by using decision trees based on the subjects' anthropometric measurements, blood samples (phenotype), buccal cells (genotype), and dietary and physical activity (PA) assessments (baseline and updated).ResultsCompared with the conventional intervention, PN intervention significantly improved clinical outcomes of anthropometric (e.g., body mass index (BMI), body fat percentage, waist circumference) and blood biomarkers (e.g., blood lipids, uric acid, homocysteine). The improvement in clinical outcomes was achieved through behavior change in diet and PA. The subjects in the PNG had higher China dietary guidelines index values and PA levels. Personalized recommendations of “lose weight,” “increase fiber” and “take multivitamin/mineral supplements” were the major contributors to the decrease of BMI and improvement of lipid profile.ConclusionWe provided the first evidence that PN intervention was more beneficial than conventional nutrition intervention to improve health status in overweight/obese Chinese adults. This study provides a model of framework for developing personalized advice in Chinese population.Chictr.org.cn (ChiCTR1900026226).

Mobile health plus community health worker support for weight management among public housing residents (Path to Health): A randomized controlled trial protocol

Interventions delivered by mobile devices (mHealth interventions) have the potential to increase access to weight management treatment in low-income populations. However, little prior research has examined effects of mHealth programming plus phone-based community health worker (CHW) support for weight management among public housing residents. For our intervention, we first interacted with a community advisory board to collect feedback on proposed intervention components. Transcripts from 5 advisory board meetings were coded and qualitative data was organized into themes. We used these data to inform our ongoing trial, in which public housing residents are randomized to one of three different groups: phone text messaging and digital self-weighing (mHealth only); mHealth intervention plus CHW behavioral phone counseling (mHealth+CHW); or assessment only to evaluate their differential effects on weight loss at 6- and 12-month follow-up. We will examine changes in diet and physical activity behaviors as well as potential mediating and moderating factors. Results of this trial could provide support for technology-based weight management interventions which may have greater potential for scalability and long-term dissemination than face-to-face programming.Clinical Trial Registration Number: NCT04852042

Attitudes and adherence to changes in nutrition and physical activity following surgery for prostate cancer: a qualitative study

ObjectivesInterventions designed to improve men’s diet and physical activity (PA) have been recommended as methods of cancer prevention. However, little is known about specific factors that support men’s adherence to...

Adopting and maintaining a healthy lifestyle in low SES families: How the experience of motherhood shapes responses to dietary and physical activity public health guidance

BackgroundPublic health guidance and associated interventions seek to bring about change in diet and physical activity behaviours to improve life expectancy and healthy life expectancy in the population. Low socioeconomic status (SES) groups suffer from reduced life/healthy life expectancy compared with the population as a whole. This in-depth qualitative study, investigates the lives and experiences of mothers with young children living in a low SES area in a London (UK) borough, to understand the context in which current public health guidance on diet and physical activity is received and viewed, and how this understanding could be used to inform the development of public health guidance and interventions for this group.MethodsThe mothers (n = 20), were recruited from a Surestart Centre, Children’s Centres and through the local branch of a national charity. The mothers took part in a series of three in depth interviews over two years (2016–2017). Thematic analysis was used to generate an iterative set of codes informing an understanding of motherhood, diet and physical activity.ResultsMotherhood was found to be a major factor for understanding and interpreting how women in low SES areas respond to public health guidance on diet and physical activity. The mothers were well informed about dietary guidance, considered that provision of healthy food was critical to the mothering role, but found it difficult to implement the guidance in their own lives. In contrast, physical activity was not seen as integral to the mothering role, although it was acknowledged that it played a part in ensuring that the mothers remained healthy enough to fulfil all their duties. Constrained by the ethic of care, and a lack of material and time resources, the mothers prioritised their family’s health above their own. This study, enabled the mothers to articulate ideas for interventions that would be supportive of a healthy lifestyle and of practical application in their busy lives.ConclusionsMothers from this low SES area responded differently to the public health guidance on diet and on physical activity. Whilst providing and modelling a healthy diet was seen as an essential part of the mother’s role, participating in leisure based physical activity was problematic, and unless carefully framed, could be perceived as selfish behaviour, inappropriate for the “good” mother.

Examination of influence of social media education through mobile phones on the change in physical activity and sedentary behavior in pregnant women: a randomized controlled trial

BackgroundNowadays because of some necessities and demands for virtual and remote education, a new model of health approach through mobile-phones is widely used to deal with improving physical activity and its beneficial effect on pregnancy. There are a small number of studies for showing this importance and the efficacy of such methods, so this study was aimed to determine the influence of social networking through mobile phones on changing the physical activity behavior in pregnant women.MethodsThis randomized controlled trial was conducted with parallel groups on 90 pregnant women referring to Urmia health centers in 2018–2019. The participants from various social and economic backgrounds were included. The participants were randomly assigned to a control and a treatment group. Demographic and Pregnancy Physical Activity Questionnaire (PPAQ) questionnaires were filled. In addition to routine cares, the treatment group received educational intervention through social network within 16 training sessions related to physical activity and nutrition in 8 weeks.ResultsThe mean weight in both control and treatment groups changed significantly during the study, but in different trends (P < 0.001, Mean Difference (MD) = 4.43). At the beginning of the study, control and treatment groups were not different in terms of daily physical activity level (P = 0.17, MD = 0.62), meanwhile, there was a statistically significant difference at the end of intervention in the level of daily physical activity (P < 0.001, MD = 0.69). Comparison of both groups, based on different categories of activity level at the end of the treatment, showed a non-significant difference in sedentary activities (P = 0.89, MD = 0.46), but the intervention led to a significant difference based on the other level of activities; light (P < 0.001, MD = 51.94), moderate (P < 0.001, MD = 46.87), and sever (P = 0.05, MD = 1.07).ConclusionEducational intervention based on social networks through mobile phones had an effective role in behavior change in physical activity during pregnancy.Trial registrationIRCT20151004024340N15, Registration date05/06/2020.

Study of change in physical activity behavior of diabetic patients after regular awareness sessions by primary care physicians

Searchable abstracts of presentations at key conferences in endocrinology ISSN 1470-3947 (print) | ISSN 1479-6848 (online)

Assessing Open Science practices in physical activity behaviour change intervention evaluations.

ObjectivesConcerns on the lack of reproducibility and transparency in science have led to a range of research practice reforms, broadly referred to as ‘Open Science’. The extent that physical activity interventions are embedding Open Science practices is currently unknown. In this study, we randomly sampled 100 reports of recent physical activity randomised controlled trial behaviour change interventions to estimate the prevalence of Open Science practices.MethodsOne hundred reports of randomised controlled trial physical activity behaviour change interventions published between 2018 and 2021 were identified, as used within the Human Behaviour-Change Project. Open Science practices were coded in identified reports, including: study pre-registration, protocol sharing, data, materials and analysis scripts sharing, replication of a previous study, open access publication, funding sources and conflict of interest statements. Coding was performed by two independent researchers, with inter-rater reliability calculated using Krippendorff’s alpha.Results78 of the 100 reports provided details of study pre-registration and 41% provided evidence of a published protocol. 4% provided accessible open data, 8% provided open materials and 1% provided open analysis scripts. 73% of reports were published as open access and no studies were described as replication attempts. 93% of reports declared their sources of funding and 88% provided conflicts of interest statements. A Krippendorff’s alpha of 0.73 was obtained across all coding.ConclusionOpen data, materials, analysis and replication attempts are currently rare in physical activity behaviour change intervention reports, whereas funding source and conflict of interest declarations are common. Future physical activity research should increase the reproducibility of their methods and results by incorporating more Open Science practices.

COVID-19 pandemic and explicit processes towards physical activity in Brazilian older adults with hypertension

ABSTRACT This study investigated the initial three-month impact of the COVID-19 pandemic on the explicit processes towards physical activity (PA). In addition, we explored whether potential changes in explicit processes are associated with changes in PA and sedentary behavior (SB). Seventeen older adults (aged 65.7 ± 3.8 years; 76.5% women) with hypertension were included in this longitudinal study performed in Natal, Brazil. Explicit processes (explicit attitude [perceived benefits and cons perceived], social norms, social modeling, self-efficacy, intention and motivation) were evaluated through self-reported questionnaire before (January to March 2020) and during (June 2020) the COVID-19 pandemic. In addition, PA and SB were measured by accelerometry during seven days. Generalized linear and mixed models were used for data analysis. There was a decrease in the explicit attitudes (β = – 4.8, p = 0.001) and moderate-vigorous PA (β = – 4.8, p = 0.035) during the COVID-19. Changes in the explicit attitudes were associated with the changes in the moderate-vigorous PA (β = – 1.6, 95% CI – 2.9, – 0.3, p = 0.034). No significant changes were found in the additional explicit process measures, time spent doing light PA and SB, and step count. Our findings may suggest that the COVID-19 pandemic has negatively impacted the explicit attitudes related to PA and contributed to decrease the time spent in the moderate-vigorous PA in older adults with hypertension.

Examining the sustainability and effectiveness of co-created physical activity interventions in vocational education and training: a multimethod evaluation

BackgroundCo-creation approaches are increasingly used in physical activity promotion to develop interventions tailored to the target group and setting. The resulting complexity of such interventions raises challenges in evaluation. Accordingly, little is known about the effectiveness of co-created interventions and the underlying processes that impact their sustainable implementation. In this study, we attempt to fill this gap by evaluating co-created multi-component physical activity interventions in vocational education and training in nursing care and automotive mechatronics regarding (1) their sustainable implementation at the institutional level and (2) the effectiveness of single intervention components at the individual level.MethodsFollowing a multimethod design, we conducted a questionnaire survey (n = 7) and semi-structured interviews (n = 4) to evaluate the sustainability of the interventions. Quantitative data were analyzed descriptively, and qualitative data were analyzed using qualitative content analysis. To examine the interventions’ effectiveness, we conducted two non-randomized controlled trials (n = 111). Analysis of variance was used to examine differences between groups.ResultsAt the institutional level, long-term implementation of single intervention components in nursing care was observed; in contrast, long-term implementation in automotive mechatronics was not observed. In this context, various factors at the outer contextual (e.g., COVID-19 pandemic), inner contextual (e.g., health-promoting leadership), intervention (e.g., acceptance), and personal levels (e.g., champion) influenced sustainability. At the individual level, no significant intervention effects were found for changes in physical activity behavior and physical activity-related health competence.ConclusionThe role of co-creation on the effectiveness and sustainability of physical activity promotion in vocational education and training cannot be answered conclusively. Only in the nursing care sector, a co-creation approach appeared promising for long-term intervention implementation. Sustainable implementation depends on various influencing factors that should be considered from the outset. Demonstrating effectiveness at the individual level was challenging. To conclusively clarify both the role and impact of co-creation, methodologically complex and elaborate evaluation designs will be required in future research projects.Trial registrationThis study was retrospectively registered at clinicaltrials.gov on 24/08/2021 (NCT05018559).

The effect of changes in physical activity behaviour on depressive symptoms among European older adults

Purpose.Physical activity is associated with lower odds of depression symptoms among older adults. However, little is known about the effect of changing physical activity behaviour on depressive symptoms. The present study aimed to analyse the effects of changing physical activity trajectory on depressive symptoms in older people.Methods.Data from the Survey of Health, Ageing and Retirement in Europe wave 5 and wave 6 were analysed. The EURO-D 12-item scale measured depressive symptoms, and physical activity (of moderate and vigorous intensity) was self-reported. Multivariate binary logistic regressions were conducted to assess the association between physical activity and depression symptoms.Results.The study involved 6431 participants (mean age: 72.7 years). Moderate and vigorous physical activity was significantly associated with lower odds of depression symptoms in men and women. Moderate physical activity, performed once a week (men: OR = 0.31, 95% CI: 0.21–0.45; women: OR = 0.67, 95% CI: 0.54–0.84) and more than once a week (men: OR = 0.41, 95% CI: 0.32–0.52; women: OR = 0.56, 95% CI: 0.47–0.66), decreased the odds of having depression compared with remaining less active. Similar results were seen for vigorous physical activity in both men and women.Conclusions.Moderate-to-vigorous physical activity, undertaken at least once a week, is a safe and feasible behaviour to deal with depressive symptoms among older adults.

Co-Produce, Co-Design, Co-Create, or Co-Construct-Who Does It and How Is It Done in Chronic Disease Prevention? A Scoping Review.

Co-production in health literature has increased in recent years. Despite mounting interest, numerous terms are used to describe co-production. There is confusion regarding its use in health promotion and little evidence and guidance for using co-produced chronic disease prevention interventions in the general population. We conducted a scoping review to examine the research literature using co-production to develop and evaluate chronic disease prevention programs. We searched four electronic databases for articles using co-production for health behaviour change in smoking, physical activity, diet, and/or weight management. In 71 articles that reported using co-production, co-design, co-create, co-develop, and co-construct, these terms were used interchangeably to refer to a participatory process involving researchers, stakeholders, and end users of interventions. Overall, studies used co-production as a formative research process, including focus groups and interviews. Co-produced health promotion interventions were generally not well described or robustly evaluated, and the literature did not show whether co-produced interventions achieved better outcomes than those that were not. Uniform agreement on the meanings of these words would avoid confusion about their use, facilitating the development of a co-production framework for health promotion interventions. Doing so would allow practitioners and researchers to develop a shared understanding of the co-production process and how best to evaluate co-produced interventions.

Effectiveness of Mobile Apps in Promoting Healthy Behavior Changes and Preventing Obesity in Children: Systematic Review.

BackgroundMobile apps have been increasingly incorporated into healthy behavior promotion interventions targeting childhood obesity. However, their effectiveness remains unclear.ObjectiveThis paper aims to conduct a systematic review examining the effectiveness of mobile apps aimed at preventing childhood obesity by promoting health behavior changes in diet, physical activity, or sedentary behavior in children aged 8 to 12 years.MethodsMEDLINE, Embase, PsycINFO, CINAHL, and ERIC were systematically searched for peer-reviewed primary studies from January 2008 to July 2021, which included children aged 8 to 12 years; involved mobile app use; and targeted at least one obesity-related factor, including diet, physical activity, or sedentary behavior. Data extraction and risk of bias assessments were conducted by 2 authors.ResultsOf the 13 studies identified, most used a quasi-experimental design (n=8, 62%). Significant improvements in physical activity (4/8, 50% studies), dietary outcomes (5/6, 83% studies), and BMI (2/6, 33% studies) were reported. All 6 multicomponent interventions and 57% (4/7) of standalone interventions reported significant outcomes in ≥1 behavioral change outcome measured (anthropometric, physical activity, dietary, and screen time outcomes). Gamification, behavioral monitoring, and goal setting were common features of the mobile apps used in these studies.ConclusionsApps for health behavior promotion interventions have the potential to increase the adoption of healthy behaviors among children; however, their effectiveness in improving anthropometric measures remains unclear. Further investigation of studies that use more rigorous study designs, as well as mobile apps as a standalone intervention, is needed.

Physical Activity, Sedentary Behavior, and Health States of University Students During the First Wave of COVID-19 Community Quarantine in the Philippines

This study examined the impact of the first wave of COVID-19 pandemic community quarantine on university students’ physical activity (PA) levels, sedentary behaviors, and health states in the Philippines. A total of 1,042 university students completed the International Physical Activity Questionnaire (IPAQ) short version and rated their health states using an online survey. The Wilcoxon signed-rank test and Spearman’s rank correlation coefficient were used for statistical analyses to compare changes in PA and sedentary behaviors (prior to and during COVID-19) and determine the relationship between changes in the total volume of PA and various health states of male and female students respectively. Overall, the total PA of students significantly declined during COVID-19 compared to before the pandemic. Total PA of male students did not significantly change during COVID-19 but did for females. Female students’ sitting time significantly reduced during weekdays. Changes in PA was associated with different aspects of health, particularly for female students, during the COVID-19 community quarantine. The finding extends the literature about the impact of COVID-19 on students’ PA and health and underscores the importance of PA as a way in alleviating negative perceptions related to health in university students despite the implemented community quarantine regulations.

Effects of exercise training on obesity-related parameters in people with intellectual disabilities: systematic review and meta-analysis.

BackgroundEfforts to synthesise existing knowledge concerning the effects of exercise interventions on obesity (i.e. changes in body weight and composition) have been made, but scientific evidence in this matter is still limited. This systematic review and meta‐analysis aims to identify and critically analyse the best available evidence regarding the use of physical exercise as a strategy to attenuate obesity through its effects on adiposity‐related anthropometric parameters in people with intellectual disability (ID).MethodsFollowing the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses guidelines, a literature search was performed using PubMed, Scopus, SPORTDiscus, CINAHL and the Cochrane Library through specific keywords up to July 2020. The search adhered to the population, intervention, comparison and outcome strategy. Randomised controlled trials addressing the effects of the exercise intervention on adiposity‐related anthropometric parameters (body mass index, waist circumference, waist–hip ratio, fat percentage or body weight) in children, adolescents and adults with ID were included. The methodological quality of the studies found was evaluated through the PEDro scale.ResultsA total of nine investigations with children and/or adolescents (10–19 years) and 10 investigations with adults (18–70 years) were selected, mostly experiencing mild and moderate ID. Methodological quality was fair in 13 of these publications, good in five and excellent in one. Seventeen trials reported comparable baseline and post‐intervention data for the intervention and control groups and were included in the meta‐analysis. In nine studies, the intervention group performed a cardiovascular training programme. Five papers described a combined training programme. Two trials executed whole‐body vibration training programmes, and one publication proposed balance training as the primary intervention. According to the meta‐analysis results, the reviewed studies proposed exercise modalities that, in comparison with the activities performed by the participants' in the respective control groups, did not have a greater impact on the variables assessed.ConclusionsWhile physical exercise can contribute to adiposity‐related anthropometric parameters in people with mild and moderate ID, these findings show that exercise alone is not sufficient to manage obesity in this population. Multicomponent interventions appear to be the best choice when they incorporate dietary deficit, physical activity increase and behaviour change strategies. Finding the most effective modality of physical exercise can only aid weight loss interventions. Future research would benefit from comparing the effects of different exercise modalities within the framework of a multicomponent weight management intervention.

Cross Sectional Survey Database of Physical Activity Guidelines Awareness and Behavior Change Among Chinese University Students

Cross Sectional Survey Database of Physical Activity Guidelines Awareness and Behavior Change Among Chinese University Students

Research protocol for a before-during comparison of the Impact of COVID-19 on Physical Activity, sedentary and dietary behaviour of School-going Adolescents in Punjab, India (ICPASA study)

Background: The COVID-19 pandemic has exacerbated the already existing pandemic of physical inactivity. In adolescents, the effect of COVID-19 related governmental measures may be even more pronounced, as they experience school closures, home confinement, social distancing and possible mental health issues as a result. The current study uses the COVID-19 pandemic and associated governmental measures as a natural experiment to understand its impact on the lifestyle of adolescents with relation to physical activity, sedentary and dietary behaviour. We also aim to describe the determinants of change in lifestyle behaviours. Methods/Design: A before-during experimental study design will be followed in which baseline measurements have been undertaken in 2018-19 before the COVID-19 pandemic, and the follow-up measurements will be repeated during the COVID-19 pandemic. Twenty schools of Punjab, India form the primary unit of participation from which 1086 adolescents participated in the study. Validated questionnaires are used to measure physical activity, sedentary behaviour, and dietary behaviour. Additionally, objective measures of physical activity will be performed using accelerometer over a 7-day period on a sub-sample. Body mass index (BMI) and waist circumference will be assessed objectively as a measure of central obesity. Qualitative interviews and focus group discussions will be conducted to have a better understanding for reasons of change in physical activity, sedentary and dietary behaviour or any possible differences between groups. Discussion: The study aims to reveal the impact of COVID-19 related governmental measures on physical activity, sedentary and dietary behaviour of adolescents. It is one of the first studies to show both subjective and objective measures of physical activity levels and sedentary time of school-going adolescents during COVID-19. Due to the mixed method approach we will be able to identify reasons for changes in lifestyle behaviours and possibly find innovative ways of staying physically active during the era of physical distancing.

ActivO.T.: An Occupation-Based Approach to Health Promotion

<h3>Research Objectives</h3> To conduct a preliminary trial of an occupation-based health promotion program rooted in social cognitive theory. <h3>Design</h3> The study was organized such that participants daily session including 3 components: 1] an educational component describing a construct of social-cognitive theory (SCT) associated with physical activity (PA) engagement, 2] identification of a preferred PA, and 3] modification of the preferred PA with the assistance of a graduate student over the course of 5 consecutive days. <h3>Setting</h3> The study occurred on a University campus within the Occupational Therapy division. <h3>Participants</h3> Each enrolled participant (n=4) was a survivor of brain injury at least 6 months post-injury. Each participant signed an informed consent document, and completed a battery of questionnaires on Day 1 and Day 5 of the program. <h3>Interventions</h3> During each session, participants completed an educational component regarding a SCT variable associated with PA behavior change (e.g., social support). Participants engaged in a learning activity related to the educational component as appropriate to the daily SCT topic in accordance with their identified PA preference. In the first session, students worked with participants to identify a preferred activity. During the second session, students discussed barriers to their participation in the identified activity. In the third session, students trialed adaptations to the preferred activities for increased participation. Fourth and fifth sessions provided opportunities for participants to engage in the activity with student-suggested adaptations, and to continue to work with students to promote independent participation. <h3>Main Outcome Measures</h3> Primary outcomes included self-efficacy (Exercise Self-Efficacy Scale and TBI Self-Efficacy Scale), and anxiety and depressive symptoms (Hospital Anxiety and Depression Scale). <h3>Results</h3> Preliminary results indicate a large program effect on depressive symptoms (d=0.92), a moderate effect on exercise self-efficacy (d=-0.64) and TBI self-efficacy (d=-0.65), and a small effect on symptoms of anxiety (d=0.36). <h3>Conclusions</h3> This study suggests an occupation-based program founded in SCT may be an effective method of managing symptoms of anxiety and depression and increasing self-efficacy among survivors of TBI. <h3>Author(s) Disclosures</h3> N/A.

Lifestyle Behaviours among General Population During Lockdown Period during Corona Virus Disease-19 Pandemic.

Healthy lifestyle behaviours have been consistently associated with reduced non-communicable disease related morbidity, mortality and wellbeing. Unhealthy behaviours are major contributors to the global burden of disease. The main aim of this study is to access lifestyle behaviours in adults during the corona virus disease-19 pandemic. Cross sectional study was conducted among general population residing in Nepal. Online questionnaire was developed using Google Forms. Questionnaire comprised of three validated tools regarding the following lifestyle behaviours: Physical activity, Nutrition, Sleep. The collected data was analysed using SPSS version 20. To test the differences between changes in dietary and physical activity behaviours in relation to changes in body weight a Chi-square test was used. During Covid -19 lockdown, 124(42%) participants performed moderate level of physical activity. Of those participated, 127(43.1%) and 44(14.9%) reported an increase and decrease of weight, respectively. Among 110(37.3%) who reported snacking in lockdown led to weight gain in 68(61.8%). Availability of more time for meal preparation (24.1%) and feelings of boredom (17.4%) were the main reasons for changing dietary habits. The subjective sleep quality of participants was as follows: very good-40.3%; fairly good-45.4 %; fairly bad-11.2%; very bad 3.1%. There was significant positive correlation between sleep quality and sleep duration (R=0.261; P<0.001), sleep latency (R=0.362; P<0.001), sleeping medications (R=0.174; P<0.003) and daytime dysfunction (R=0.308; P<0.001). Life style behaviours were affected during lockdown period. Higher amounts of food intake and snaking were increased. Physical activity was at a moderate level, increased sedentary behaviour was reported by most participants during lockdown. However, sleep quality was not negatively affected.

Abstract P048: Feasibility Of A Remotely Delivered Mobile Health Exercise Intervention For Cardiometabolic Health: A Pilot Trial

Introduction: Lifestyle interventions incorporating exercise and nutrition can help prevent and manage cardiometabolic disease. However, not all interventions readily reach individuals who are most in need. A mobile health (mHealth) exercise program could be a cost-effective approach to broadening accessibility and providing support for physical activity behavior change. We tested the feasibility and acceptability of a mHealth exercise intervention in this 8-week pilot study. Hypothesis: A remotely delivered mHealth lifestyle program involving a wearable sensor, mobile application and social support is feasible and acceptable in sedentary adults. Methods: A total of 84 sedentary (&lt; 30 min/week of exercise) adults (females 31.5 ± 11.3 yr, males 34.1 ± 28.9 yr, mean ± SD) were randomized (1:1:1) to 8 weeks of increasing physical activity behavioral support: Level 1 (wellness education, n=26), Level 2 (wellness education + pre-recorded exercise videos, n=30), or Level 3 (wellness education + livestream group exercise, n=28). Participants used a chest strap sensor (Myzone MZ-3) during exercise and a mobile application for interaction. A weekly email was used to deliver wellness education and encourage physical activity. Level 2 exercise videos and Level 3 livestream (Zoom) group classes were 35 min long, instructor-led, delivered 3x/wk and designed to meet national guidelines for weekly physical activity. Participants were surveyed at baseline and 8 weeks. Feasibility was defined through accrual and attrition; acceptability through sensor use (3x/wk encouraged) and survey data. Results: Between August 2020 and August 2021, 204 adults were screened for eligibility. Out of 135 eligible participants, 84 (62%) enrolled in the study. Preliminary analysis indicated 65% retention at 8-week follow-up. Participants were primarily Hispanic/Latinx (47%), 71% had 2-year college or more education, 45% reported income below federal poverty thresholds, and 36% reported qualifying for public assistance. Program acceptability varied by group with weekly median sensor use of 1 day/wk (Level 1), 2 days/wk (Level 2) and 3 days/wk (Level 3). Good-to-high program enjoyment was reported by 90% of Level 3 and 83% of Level 2 participants. Conclusions: This pilot study demonstrates that a livestream group-based or video-based exercise program is feasible and acceptable in sedentary adults. A randomized controlled trial investigating health-related outcomes using this mHealth program is warranted.