Great Posture, Great Health

Not Applicable

Completed

• Conditions: Healthy
• Interventions: Behavioral: Postural Intervention Program

• Registration Number: NCT04630561
• Lead Sponsor: Mayo Clinic

Brief Summary

The purpose of this study is to examine the effect of a posture intervention on specific areas of daily function and health: physical, psychological, cognitive, social, and environmental characteristics.

Detailed Description

This project promotes community health through postural movement to demonstrate strong physical and mental health benefits. Specifically, Great Posture, Great Health will address two of the top five priorities of general health concerns: 1) obesity and 2) mental health. First, obesity is on the rise although more individuals are meeting or exceeding the current federal physical activity guidelines based on the data provided by the US Department of Health and Human Services (2020). Obesity is a common problem in adults with all socioeconomic status and all races, except Asians. In fact, Asians have low rates of heart disease, asthma, cancer, and a longer life expectancy than other races, potentially due to health behaviors, environment, and stress coping strategies (Acciai et al., 2015). Therefore, we should not overlook the importance of stress coping strategies practiced in Asian countries on obesity. It is becoming more evident that chronic stress (such as elevated cortisol levels) and steroid-based medications are strongly associated with obesity and chronic diseases. It is critical to develop and validate community health strategies to address both priorities. Great Posture, Great Health will introduce one of the most common mind-body postural exercises practiced in Asian countries to a large and diverse population.

Study Timeline

• Study First Submitted: 2020-10-28
• Study First Submitted QC: 2020-11-13
• Study First Posted: 2020-11-16
• Study Start: 2020-11-19
• Primary Completion: 2024-03-19
• Study Completion: 2024-03-19
• Status Verified: 2024-04
• Last Update Submitted: 2024-04-09
• Last Update Posted: 2024-04-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 114

Inclusion Criteria

• Participants must be physically capable (defined as easy to moderate physical activities daily at least 60 minutes).
• Participants also must have a normal (18.5-24.9kg/m2) or overweight BMI (25-29.9kg/m2).
• Participants must be able to speak, listen, read, and understand sentences written in English.

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Exclusion Criteria

• More than two risk factors for coronary artery disease (high blood pressure, high blood cholesterol level (LDL), family history (a close relative with heart disease), diabetes mellitus, chronic kidney disease
• History of falls, osteoporosis, osteoarthritis, or orthopedic or neurological conditions (i.e., stroke)
• Medications that cause dizziness or slow movement
• Smoke
• Body mass to height squared ratio greater than 30kg/m2 or less than 18.4kg/m2, blood pressure greater than 140/90 mmHg, or a history of heart conditions.
• Individuals with progressive cognitive, neurologic disorders, cancer treatment, chronic heart failure, or unstable medical conditions

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention Group	Postural Intervention Program	Subjects will participate in a 15 minute postural intervention program 2-3 times per week

Primary Outcome Measures

Name	Time	Method
Thigh Strength	12-week differences (Pre- and Post-intervention measures)	Isometric measurement (Newtons) of quadriceps and hamstrings musculature
Posture	12-week differences (Pre- and Post-intervention measures)	Posture will be measured via the Posture Screen Mobile app. Displacement (mm)
Bone density	12-week differences (Pre- and Post-intervention measures)	Bone densiometry will be measured via quantitative ultrasound (Achilles EXPII, GE). T-score.

Secondary Outcome Measures

Name	Time	Method
PROMIS - Physical Function	12-week differences (Pre- and Post-intervention measures)	Patient Reported Outcomes from a computerized adaptive test (T-score; normative score is 1.0; higher score equates to a better outcome)
Perceived Stress Scale (PSS-10)	12-week differences (Pre- and Post-intervention measures)	Patient Reported Outcomes (Score range: 0-40; higher score equates to increased stress)
Patient Health Questionnaire Depression Scale (PHQ)	12-week differences (Pre- and Post-intervention measures)	Patient Reported Outcomes (Score range: 0-27; score of 10 or greater is considered major depression, 20 or more is severe major depression.)
PROMIS - Physical Activity	12-week differences (Pre- and Post-intervention measures)	Patient Reported Outcomes from a computerized adaptive test (T-score; normative score is 1.0; higher score equates to a better outcome)
Sex	Through study completion, an average of 1 year	Demographic co-variate. (M/F)
PROMIS - Pain Interference	12-week differences (Pre- and Post-intervention measures)	Patient Reported Outcomes from a computerized adaptive test (T-score; normative score is 1.0; higher score equates to a better outcome)
Generalized Anxiety Disorder (GAD7)	12-week differences (Pre- and Post-intervention measures)	Patient Reported Outcomes (Score range: 0-21; higher score equates to increased anxiety)
BMI	12-week differences (Pre- and Post-intervention measures)	Demographic co-variate (BMI index; kg/m\^2)
Mindful Attention Awareness Scale (MAAS)	12-week differences (Pre- and Post-intervention measures)	Patient Reported Outcomes (Mean score range: 1-6; higher score equates to increased mindfulness)
Age	Through study completion, an average of 1 year	Demographic co-variate (years)

Trial Locations

Locations (1)

Mayo Clinic in Rochester; 🇺🇸 Rochester, Minnesota, United States