Comparison of Lifestyle and Structured Interventions to Increase Physical Activity and Cardiorespiratory Fitness<SUBTITLE>A Randomized Trial</SUBTITLE>

Abstract

In previously sedentary healthy adults, a lifestyle physical activity intervention is as effective as a structured exercise program in improving physical activity, cardiorespiratory fitness, and blood pressure.

Worksite Opportunities for Wellness (WOW): Effects on cardiovascular disease risk factors after 1 year

“…These benefits are consistent with results of the DASH (i.e., Dietary Approaches to Stop Hypertension) diet studies (Appel et al, 1997;Sacks et al, 2001;Obarzanek et al, 2001), and are the reason that the DASH eating plan (U.S. Department of Health and Human Services, 2006) is recommended in the current Dietary Guidelines for Americans (U.S. Department of Health and Human Services and U.S. Department of Agriculture, 2005). Furthermore, our observation in the present study that moderate physical activities such as walking promoted higher fitness levels is in agreement with previous intervention studies (Duncan et al, 1991;Dunn et al, 1999;Murphy et al, 2007) and observational studies (Blair and Brodney, 1999). …”

Improving physical activity program adoption using integrated research-practice partnerships: an effectiveness-implementation trial

“…Further, although ALED was developed with specific recreation centers in mind for delivery, the Virginia Cooperative Extension system delivered the program in two settings-which is identical to the rate of adoption for ALED in other systems (i.e., two classes per organization per year). This underscores the degree to which a program developed through an integrated researchpractice partnership resulted in a program that was ORIGINAL RESEARCH much more adoptable when compared to ALED across a variety of settings [35,36]. While our study supported the use of integrated research-practice partnership processes to develop physical activity programs with broad reach and organizational adoption, it does not devalue the contributions of interventions developed through the traditional pipeline model.…”

“…Specifically, Curran et al [23] note that hybrid designs often require compromise at one level of analysis. As program adoption was our primary aim and both programs already had effectiveness data [27,[35][36][37][38], self-reported physical activity was used as a measure of program effectiveness for all participants. The low recruitment rates for ALED led to the lack of more substantive effectiveness comparisons; doing a stratified sampling would have improved our opportunity to assess effectiveness.…”

“…ALED was a 12-week physical activity behavior change program ORIGINAL RESEARCH delivered to community groups. ALED followed the traditional model of efficacy [35] to effectiveness [36] to demonstration to dissemination to reach the community [36]. Originally 20 weeks, the duration of program was adapted after community demonstration feedback [37,38].…”

The effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation in patients with COPD: A pilot study

“…Such a program might be relevant for these patients because lifestyle physical activity programs turn out to be very effective in improving physical activity in healthy adults [12][13][14]. Because intensity and duration are interchangeable concerning energy expenditure in physical activity [15], lifestyle physical activities of moderate intensity with longer duration can replace high intensive physical activities of shorter duration.…”