nach oben

Erschienen in:

01.04.2015 | Brief Report

Recommending Self-Paced Exercise among Overweight and Obese Adults: a Randomized Pilot Study

verfasst von: David M. Williams, Ph.D., Shira Dunsiger, Ph.D., Robert Miranda Jr., Ph.D., Chad J. Gwaltney, Ph.D., Jessica A. Emerson, Sc.M., Peter M. Monti, Ph.D., Alfred F. Parisi, M.D.

Erschienen in: Annals of Behavioral Medicine | Ausgabe 2/2015

Einloggen, um Zugang zu erhalten

Abstract

Background

National guidelines call for exercise of at least moderate intensity; however, recommending self-paced exercise may lead to better adherence, particularly among overweight and obese adults.

Purpose

The purpose of this study was to test proof-of-concept for recommending self-paced exercise among overweight adults.

Methods

Fifty-nine healthy, low-active (exercise <60 min/week), overweight (body mass index 25.0–39.9) adults (18–65) received a 6-month print-based exercise promotion program with the goal of walking 30–60 min/day. Participants were surreptitiously randomly assigned to receive a recommendation for either self-paced (n = 30) or moderate (64–76 % maximum heart rate; n = 29) intensity exercise. All participants used electronic diaries and heart rate monitors to track exercise frequency, duration, and intensity.

Results

The self-paced condition reported more minutes/week of walking (f ² = 0.17, p = 0.045) and a trend toward greater exercise-related energy expenditure/week (f ² = 0.12, p = 0.243), corresponding to approximately 26 additional minutes/week and 83 additional kilocalories/week over 6 months.

Conclusions

Explicit recommendation for self-paced exercise may improve adherence to exercise programs among overweight and obese adults.

National Center for Health Statistics. Health, United States. With special feature on emergency care. MD: Hyattsville; 2012. 2013.

Physical Activity Guidelines Advisory Committee. Physical activity guidelines advisory committee report. Washington, DC: U.S. Department of Health and Human Services; 2008.

Young DR, Jerome GJ, Chen C, Laferriere D, Vollmer WM. Patterns of physical activity among overweight and obese adults. Prev Chronic Dis. 2009; 6(3): A90.PubMed

Donnelly JE, Blair SN, Jakicic JM, Manore MM, Rankin JW, Smith BK. American College of Sports Medicine Position Stand. Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. Med Sci Sports Exerc. 2009; 41(2): 459-471.CrossRefPubMed

Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000; 55(1): 68-78.CrossRefPubMed

Ryan RM, Williams GC, Partrick H, Deci EL. Self-determination theory and physical activity: The dynamics of motivation in development and wellness. Hell J Psychol. 2009; 6: 107-124.

Ekkekakis P. Let them roam free? Physiological and psychological evidence for the potential of self-selected exercise intensity in public health. Sports Med. 2009; 39(10): 857-888.CrossRefPubMed

Parfitt G, Alrumh A, Rowlands AV. Affect-regulated exercise intensity: Does training at an intensity that feels ‘good’ improve physical health? J Sci Med Sport. 2012; 15(6): 548-553.CrossRefPubMed

Williams DM. Exercise, affect, and adherence: An integrated model and a case for self-paced exercise. J Sport Exerc Psychol. 2008; 30(5): 471-496.PubMedCentralPubMed

10.

Ekkekakis P, Lind E. Exercise does not feel the same when you are overweight: The impact of self-selected and imposed intensity on affect and exertion. Int J Obes. 2006; 30(4): 652-660.CrossRef

11.

Lind E, Ekkekakis P, Vazou S. The affective impact of exercise intensity that slightly exceeds the preferred level: ‘Pain’ for no additional ‘gain’. J Health Psychol. 2008; 13(4): 464-468.CrossRefPubMed

12.

Parfitt G, Rose EA, Burgess WM. The psychological and physiological responses of sedentary individuals to prescribed and preferred intensity exercise. Br J Health Psychol. 2006; 11(Pt 1): 39-53.CrossRefPubMed

13.

Rose EA, Parfitt G. A quantitative analysis and qualitative explanation of the individual differences in affective responses to prescribed and self-selected exercise intensities. J Sport Exerc Psychol. 2007; 29: 281-309.PubMed

14.

Vazou-Ekkekakis S, Ekkekakis P. Affective consequences of imposing the intensity of physical activity: Does the loss of perceived autonomy matter? Hell J Psychol. 2009; 6: 125-144.

15.

Williams DM, Raynor HA. Disentangling the effects of choice and intensity on affective response to and preference for self-selected- versus imposed-intensity physical activity. Psychol Sport Exerc. 2013; 14: 767-775.CrossRef

16.

Mattsson E, Larsson UE, Rossner S. Is walking for exercise too exhausting for obese women? Int J Obes Relat Metab Disord. 1997; 21(5): 380-386.CrossRefPubMed

17.

Siegel PZ, Brackbill RM, Heath GW. The epidemiology of walking for exercise: Implications for promoting activity among sedentary groups. Am J Public Health. 1995; 85(5): 706-710.CrossRefPubMedCentralPubMed

18.

DiPietro L, Williamson DF, Caspersen CJ, Eaker E. The descriptive epidemiology of selected physical activities and body weight among adults trying to lose weight: The Behavioral Risk Factor Surveillance System survey, 1989. Int J Obes Relat Metab Disord. 1993; 17(2): 69-76.PubMed

19.

MMWR. Prevalence of leisure-time physical activity among overweight adults—United States. Morb Mortal Wkly Rep. 1998; 49(15): 326-330. 2000.

20.

Williams DM, Papandonatos GD, Jennings EG, et al. Does tailoring on additional theoretical constructs enhance the efficacy of a print-based physical activity promotion intervention? Health Psychol. 2011; 30: 432-441.CrossRefPubMed

21.

Widrick J, Ward A, Ebbeling C, Clemente E, Rippe JM. Treadmill validation of an over-ground walking test to predict peak oxygen consumption. Eur J Appl Physiol. 1992; 64: 304-308.CrossRef

22.

Kline GM, Porcari JP, Hintermeister R, et al. Estimation of VO2max from a one-mile track walk, gender, age, and body weight. Med Sci Sports Exerc. 1987; 19: 253-259.CrossRefPubMed

23.

Meyer T, Auracher M, Heeg K, Urhausen A, Kindermann W. Effectiveness of low-intensity endurance training. Int J Sports Med. 2007; 28: 33-39.CrossRefPubMed

24.

Lee IM, Rexrode KM, Cook NR, Manson JE, Buring JE. Physical activity and coronary heart disease in women: Is “no pain, no gain” passe? JAMA. 2001; 285: 1447-1454.CrossRefPubMed

Titel: Recommending Self-Paced Exercise among Overweight and Obese Adults: a Randomized Pilot Study
verfasst von: David M. Williams, Ph.D.
Shira Dunsiger, Ph.D.
Robert Miranda Jr., Ph.D.
Chad J. Gwaltney, Ph.D.
Jessica A. Emerson, Sc.M.
Peter M. Monti, Ph.D.
Alfred F. Parisi, M.D.
Publikationsdatum: 01.04.2015
Verlag: Springer US
Erschienen in: Annals of Behavioral Medicine / Ausgabe 2/2015
Print ISSN: 0883-6612
Elektronische ISSN: 1532-4796
DOI: https://doi.org/10.1007/s12160-014-9642-7

Springer Medizin

Recommending Self-Paced Exercise among Overweight and Obese Adults: a Randomized Pilot Study