Prevention of Lifestyle-related Ill-health With Early Examinations of Health and Function and Individualized Risk Profiles (PREFUNKTION), a Pilot Study.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Lifestyle Risk Reduction
- Sponsor
- Lena Bornhoft
- Enrollment
- 27
- Locations
- 1
- Primary Endpoint
- Physical activity level
- Status
- Completed
- Last Updated
- 2 years ago
Overview
Brief Summary
Background: Many lifestyle-related health disorders are influenced by physical activity level and physical function. Health examinations which focus on musculoskeletal function of people who have risk factors for lifestyle-related disorders, combined with person-centered advice based on risk profiles can give people knowledge and guidance to manage their own lifestyle priorities.
Aim: To investigate the feasibility of a protocol for a randomized controlled trial (RCT) which will examine the preventive effects of musculoskeletal function examinations and person-centered advice on inactive middle-aged people.
Methods: Physically inactive middle-aged people will be invited to participate in a two-part health examination with follow-up after three months in a pilot study. Part 1 is a standard health examination including blood tests and Part 2 is a functional examination of fitness, strength, mobility, balance and posture according to our protocol based on validated tests. The intervention group receives feedback based on both parts of the examination while the control group receives feedback only from Part 1. Physical activity level will be measured objectively with accelerometers at inclusion and follow-up.
Expected results: The pilot study is expected to show whether the planned RCT is practically feasible and to give relevant support for the power analysis for a later full-scale RCT. Better understanding of personal physical function and risk factors can facilitate lifestyle decisions on the individual level which can reduce the risk for later ill-health and need of health-care. Preventive interventions may contribute to reduce the ever-increasing level of lifestyle-related ill-health.
Investigators
Lena Bornhoft
Physiotherapist, PhD
Göteborg University
Eligibility Criteria
Inclusion Criteria
- •Born 1982 (aged 40 years). Self-assessed as physically inactive. Self-reported normal general mobility - can walk without support and has full use of all 4 extremities.
Exclusion Criteria
- •Self-reported regular moderate-to-intensive physical activity more than once per week. Pregnancy. Ongoing treatment requiring hospital-based services. Severe mental illness or intellectual impairment. Need of interpreter to participate in the study or answer the questionnaires.
Outcomes
Primary Outcomes
Physical activity level
Time Frame: Change between inclusion and 3-4 month follow-up.
Mean number of daily minutes in moderate-to-intensive physical activity measured with accelerometers during one week.
Participant feedback
Time Frame: Measured at 3-4 month follow-up.
Rating of overall helpfulness of intervention in intervention group on 0 to 5 numerical rating scale ranging between 0=No help at all and 5=Very helpful.
Secondary Outcomes
- Occiput-to-wall test(Change between inclusion and 3-4 month follow-up.)
- Patella mobility(Change between inclusion and 3-4 month follow-up.)
- Number of pain locations(Change between inclusion and 3-4 month follow-up.)
- Waist circumference(Change between inclusion and 3-4 month follow-up.)
- Navicular Drop test(Change between inclusion and 3-4 month follow-up.)
- Participant feedback functional tests-Borg follow-up(Measured at 3-4 month follow-up.)
- Participant feedback - descriptive follow-up(Recorded at 3-4 month follow-up.)
- Plank test(Change between inclusion and 3-4 month follow-up.)
- Sharpened Romberg(Change between inclusion and 3-4 month follow-up.)
- Lateral Reach test(Change between inclusion and 3-4 month follow-up.)
- Sit-rise test(Change between inclusion and 3-4 month follow-up.)
- Participant feedback functional tests-Borg inclusion(Measured at inclusion.)
- Participant feedback - descriptive inclusion(Recorded at inclusion.)
- 2-minute step test(Change between inclusion and 3-4 month follow-up.)
- Participant feedback functional tests-instructions(Measured at inclusion.)
- Risk levels(Change between inclusion and 3-4 month follow-up.)
- Ekblom-Bak fitness test(Change between inclusion and 3-4 month follow-up.)
- Sorenson's back extension test(Change between inclusion and 3-4 month follow-up.)
- Goal achievement(3-4 month follow-up)
- Handgrip strength(Change between inclusion and 3-4 month follow-up.)
- Body mass index(Change between inclusion and 3-4 month follow-up.)
- 30-second biceps test(Change between inclusion and 3-4 month follow-up.)
- Stand-on-one-leg eyes-closed test(Change between inclusion and 3-4 month follow-up.)
- Functional Reach test(Change between inclusion and 3-4 month follow-up.)
- Unilateral heel rise test(Change between inclusion and 3-4 month follow-up.)
- 30-second chair stand test(Change between inclusion and 3-4 month follow-up.)
- Stand-on-one-leg eyes-open test(Change between inclusion and 3-4 month follow-up.)
- Fingertip-floor test(Change between inclusion and 3-4 month follow-up.)
- Beighton's hypermobility score(Measured at inclusion.)
- Risk for developing long-term musculoskeletal disorders(Change between inclusion and 3-4 month follow-up.)
- Blood pressure(Change between inclusion and 3-4 month follow-up.)
- Blood tests(Change between inclusion and 3-4 month follow-up.)
- Supine bridge test(Change between inclusion and 3-4 month follow-up.)
- Lateral flexion test(Change between inclusion and 3-4 month follow-up.)
- Health-related quality of life(Change between inclusion and 3-4 month follow-up.)
- Self-reported physical activity_SGPALS(Change between inclusion and 3-4 month follow-up.)
- Sedentary time(Change between inclusion and 3-4 month follow-up.)
- Self-reported physical activity_SNBHW(Change between inclusion and 3-4 month follow-up.)