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Treadmill Exercise in Metabolic Syndrome

Not Applicable
Terminated
Conditions
Metabolic Syndrome
Interventions
Other: Treadmill Exercise- traditional approach
Other: Treadmill Exercise- behavioral approach
Registration Number
NCT03435315
Lead Sponsor
Beth Israel Deaconess Medical Center
Brief Summary

The main purpose of this study is to better understand the effects of two types of treadmill exercise programs that include education and/or techniques that may be helpful for exercise among individuals with, or at risk for, metabolic syndrome.

Detailed Description

Not available

Recruitment & Eligibility

Status
TERMINATED
Sex
All
Target Recruitment
12
Inclusion Criteria
  1. Referred by healthcare provider and given medical clearance for moderate-intensity exercise

  2. Metabolic syndrome, defined as meeting three or more of the following criteria:

    • Obesity or overweight defined as BMI > 25
    • Impaired glycemia (fasting blood sugar of ≥ 100 [5.6 mmol/L] or glycated hemoglobin [A1C] of ≥ 5.7)
    • Increased blood pressure (130/85 mmHg or higher) or if you take medicine for high blood pressure
    • Increased fasting levels of triglycerides (≥ 150 or 1.7 mmol/L) or decreased fasting high-density lipoprotein (HDL) cholesterol (less than 40 mg/dL or 1 mmol/L for men or 50 mg/dL or 1.3 mmol/L for women) or if you take any medicines for dyslipidemia
  3. Between the ages of 18-65

  4. No regular physical activity (≥ 3 or more days per week) for the past 3 months

Exclusion Criteria
  1. Contraindications for treadmill exercise determined by their physician (e.g., cardiopulmonary limitations or diagnoses) or other inability to do treadmill exercise (e.g., musculoskeletal restrictions or severe balance impairment)
  2. Confirmed diagnosis of coronary artery disease
  3. Confirmed diagnosis of diabetes
  4. Currently taking a beta blocker or calcium channel blocker medication
  5. Uncontrolled and untreated hypertension, defined as a resting blood pressure of 150/90
  6. Confirmed diagnosis of chronic obstructive pulmonary disease or other severe lung dysfunction that may interfere with exercise (e.g., severe asthma)
  7. Self-reported psychotic disorder
  8. Current practice of mindfulness mediation or mindful movement (e.g., yoga or tai chi), defined as regular daily practice or >2 classes or self-guided sessions per week in the past three months.
  9. Non-English speaking

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Treadmill exerciseTreadmill Exercise- traditional approach-
Treadmill exercise with behavioral techniquesTreadmill Exercise- behavioral approach-
Primary Outcome Measures
NameTimeMethod
Recruitment FeasibilityThrough study completion, an average of 1 year

% willing to be randomized

Protocol AdherenceThrough study completion, an average of 1 year

% sessions attended

Secondary Outcome Measures
NameTimeMethod
AffectWeek 0, week 3, post-intervention (after 6 week intervention)

Positive and Negative Affect Schedule; 2 subscales; each with score range 10-50, higher = greater positive or negative affect

Anxiety SensitivityWeek 0, week 3, post-intervention (after 6 week intervention)

Anxiety Sensitivity Index-3; Total score range: 0-72, higher scores = higher levels of anxiety sensitivity

Physical Activity AcceptanceWeek 0, week 3, post-intervention (after 6 week intervention)

Physical Activity Acceptance Questionnaire; total score range: 10-70, higher scores = greater physical activity acceptance

Exercise BarriersWeek 0, week 3, post-intervention (after 6 week intervention)

Exercise Benefits and Barriers Scale; 2 subscales; Exercise benefits subscale score range: 29-116, higher scores = higher perceived benefit from exercise; Exercise barriers subscale score range: 14-56, higher scores = higher perceived barriers to exercise

Physical ActivityWeek 0, week 3, post-intervention (after 6 week intervention)

Godin Leisure Time Exercise Questionnaire; open-ended responses, higher scores = greater activity time

State MindfulnessWeeks 1, 3, 6

State Mindfulness Scale for Physical Activity; 2 subscales, each with score range: 0-24, higher scores = higher levels of mindfulness

Cardiopulmonary DynamicsWeeks 1 and 6

CardioPulmonary Exercise Testing (standard metabolic cart)

FatigueWeek 0, week 3, post-intervention (after 6 week intervention)

Fatigue Severity Scale-7; total score range: 7-49, higher scores = greater fatigue severity

Psychological SymptomsWeek 0, week 3, post-intervention (after 6 week intervention)

Depression Anxiety and Stress Scale-21; Depression total score range: 0-21, higher scores = greater depressive symptoms

Exercise Self-EfficacyWeek 0, week 3, post-intervention (after 6 week intervention)

Multidimensional Self-Efficacy Scale; total score range: 0-90, higher scores = higher levels of exercise self-efficacy

Global HealthWeek 0, week 3, post-intervention (after 6 week intervention)

PROMIS Global Health-10; Global physical health total score range: 4-20, higher scores = better global physical health

Distress ToleranceWeek 0, week 3, post-intervention (after 6 week intervention)

Distress Tolerance Scale; total score range: 15-75, higher scores = higher levels of distress tolerance

Trait MindfulnessWeek 0, week 3, post-intervention (after 6 week intervention)

Five Facet Mindfulness Questionnaire; 5 subscales; Observe subscale score range: 8-40, higher scores = greater observing skills; Describe subscale score range: 8-40, higher scores = greater describing skills; Acting with Awareness subscale score range: 8-40, higher scores = greater awareness skills; Nonjudgment subscale score range: 8-40, higher scores = greater nonjudgment skills; Nonreactivity subscale score range: 7-35, higher scores = greater nonreactivity skills

Discomfort IntoleranceWeek 0, week 3, post-intervention (after 6 week intervention)

Discomfort Intolerance Scale-Revised; total score range: 0-126, higher scores = higher levels of discomfort intolerance

Exercise MotivationWeek 0, week 3, post-intervention (after 6 week intervention)

Behavioral Regulation towards Exercise Questionnaire-2; 5 subscales, each with score range: 0-16, higher scores = higher levels of regulation

Interoceptive AwarenessWeek 0, week 3, post-intervention (after 6 week intervention)

Multidimensional Assessment of Interoceptive Awareness; 8 subscales, each with score ranges: 0-5, higher scores = better

Trial Locations

Locations (1)

BIDMC

🇺🇸

Boston, Massachusetts, United States

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