Effects of a Web-Based Lifestyle Intervention on Physical Fitness and Health in Physically Inactive Adults: A Randomized Controlled Trial

Web-based lifestyle interventions are a new area of health research. This randomized controlled trial evaluated the effectiveness of an interactive web-based health program on physical fitness and health. <i>N</i> = 189 healthy adults participated in a 12-week interactive (intervention)...

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Main Authors: Judith Brame, Jan Kohl, Christoph Centner, Ramona Wurst, Reinhard Fuchs, Iris Tinsel, Phillip Maiwald, Urs A. Fichtner, Matthias Sehlbrede, Erik Farin-Glattacker, Albert Gollhofer, Daniel König
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Healthcare
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Online Access:https://www.mdpi.com/2227-9032/11/21/2847
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author Judith Brame
Jan Kohl
Christoph Centner
Ramona Wurst
Reinhard Fuchs
Iris Tinsel
Phillip Maiwald
Urs A. Fichtner
Matthias Sehlbrede
Erik Farin-Glattacker
Albert Gollhofer
Daniel König
author_facet Judith Brame
Jan Kohl
Christoph Centner
Ramona Wurst
Reinhard Fuchs
Iris Tinsel
Phillip Maiwald
Urs A. Fichtner
Matthias Sehlbrede
Erik Farin-Glattacker
Albert Gollhofer
Daniel König
author_sort Judith Brame
collection DOAJ
description Web-based lifestyle interventions are a new area of health research. This randomized controlled trial evaluated the effectiveness of an interactive web-based health program on physical fitness and health. <i>N</i> = 189 healthy adults participated in a 12-week interactive (intervention) or non-interactive (control) web-based health program. The intervention provided a web-based lifestyle intervention to promote physical activity and fitness through individualized activities as part of a fully automated, multimodal health program. The control intervention included health information. Cardiorespiratory fitness measured as maximum oxygen uptake (VO<sub>2</sub>max) was the primary outcome, while musculoskeletal fitness, physical activity and dietary behavior, and physiological health outcomes were assessed as secondary outcomes (t0: 0 months, t1: 3 months, t2: 9 months, t3: 15 months). Statistical analysis was performed with robust linear mixed models. There were significant time effects in the primary outcome (VO<sub>2</sub>max) (t0–t1: <i>p</i> = 0.018) and individual secondary outcomes for the interactive web-based health program, but no significant interaction effects in any of the outcomes between the interactive and non-interactive web-based health program. This study did not demonstrate the effectiveness of an interactive compared with a non-interactive web-based health program in physically inactive adults. Future research should further develop the evidence on web-based lifestyle interventions.
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spelling doaj.art-069e500a39aa48a18d31e11e6678b4692023-11-10T15:03:46ZengMDPI AGHealthcare2227-90322023-10-011121284710.3390/healthcare11212847Effects of a Web-Based Lifestyle Intervention on Physical Fitness and Health in Physically Inactive Adults: A Randomized Controlled TrialJudith Brame0Jan Kohl1Christoph Centner2Ramona Wurst3Reinhard Fuchs4Iris Tinsel5Phillip Maiwald6Urs A. Fichtner7Matthias Sehlbrede8Erik Farin-Glattacker9Albert Gollhofer10Daniel König11Department of Sport and Sport Science, University of Freiburg, 79102 Freiburg, GermanyDepartment of Sport and Sport Science, University of Freiburg, 79102 Freiburg, GermanyDepartment of Sport and Sport Science, University of Freiburg, 79102 Freiburg, GermanyDepartment of Sport and Sport Science, University of Freiburg, 79102 Freiburg, GermanyDepartment of Sport and Sport Science, University of Freiburg, 79102 Freiburg, GermanyInstitute of Medical Biometry and Statistics, Section of Health Care Research and Rehabilitation Research, Faculty of Medicine and Medical Center–University of Freiburg, 79106 Freiburg, GermanyInstitute of Medical Biometry and Statistics, Section of Health Care Research and Rehabilitation Research, Faculty of Medicine and Medical Center–University of Freiburg, 79106 Freiburg, GermanyInstitute of Medical Biometry and Statistics, Section of Health Care Research and Rehabilitation Research, Faculty of Medicine and Medical Center–University of Freiburg, 79106 Freiburg, GermanyInstitute of Medical Biometry and Statistics, Section of Health Care Research and Rehabilitation Research, Faculty of Medicine and Medical Center–University of Freiburg, 79106 Freiburg, GermanyInstitute of Medical Biometry and Statistics, Section of Health Care Research and Rehabilitation Research, Faculty of Medicine and Medical Center–University of Freiburg, 79106 Freiburg, GermanyDepartment of Sport and Sport Science, University of Freiburg, 79102 Freiburg, GermanyCentre for Sport Science and University Sports, Department of Sport Science, Division for Nutrition, Exercise and Health, University of Vienna, 1150 Vienna, AustriaWeb-based lifestyle interventions are a new area of health research. This randomized controlled trial evaluated the effectiveness of an interactive web-based health program on physical fitness and health. <i>N</i> = 189 healthy adults participated in a 12-week interactive (intervention) or non-interactive (control) web-based health program. The intervention provided a web-based lifestyle intervention to promote physical activity and fitness through individualized activities as part of a fully automated, multimodal health program. The control intervention included health information. Cardiorespiratory fitness measured as maximum oxygen uptake (VO<sub>2</sub>max) was the primary outcome, while musculoskeletal fitness, physical activity and dietary behavior, and physiological health outcomes were assessed as secondary outcomes (t0: 0 months, t1: 3 months, t2: 9 months, t3: 15 months). Statistical analysis was performed with robust linear mixed models. There were significant time effects in the primary outcome (VO<sub>2</sub>max) (t0–t1: <i>p</i> = 0.018) and individual secondary outcomes for the interactive web-based health program, but no significant interaction effects in any of the outcomes between the interactive and non-interactive web-based health program. This study did not demonstrate the effectiveness of an interactive compared with a non-interactive web-based health program in physically inactive adults. Future research should further develop the evidence on web-based lifestyle interventions.https://www.mdpi.com/2227-9032/11/21/2847lifestyle interventionweb-basedphysical fitnessphysical activity behaviordietary behaviorphysiological health outcomes
spellingShingle Judith Brame
Jan Kohl
Christoph Centner
Ramona Wurst
Reinhard Fuchs
Iris Tinsel
Phillip Maiwald
Urs A. Fichtner
Matthias Sehlbrede
Erik Farin-Glattacker
Albert Gollhofer
Daniel König
Effects of a Web-Based Lifestyle Intervention on Physical Fitness and Health in Physically Inactive Adults: A Randomized Controlled Trial
Healthcare
lifestyle intervention
web-based
physical fitness
physical activity behavior
dietary behavior
physiological health outcomes
title Effects of a Web-Based Lifestyle Intervention on Physical Fitness and Health in Physically Inactive Adults: A Randomized Controlled Trial
title_full Effects of a Web-Based Lifestyle Intervention on Physical Fitness and Health in Physically Inactive Adults: A Randomized Controlled Trial
title_fullStr Effects of a Web-Based Lifestyle Intervention on Physical Fitness and Health in Physically Inactive Adults: A Randomized Controlled Trial
title_full_unstemmed Effects of a Web-Based Lifestyle Intervention on Physical Fitness and Health in Physically Inactive Adults: A Randomized Controlled Trial
title_short Effects of a Web-Based Lifestyle Intervention on Physical Fitness and Health in Physically Inactive Adults: A Randomized Controlled Trial
title_sort effects of a web based lifestyle intervention on physical fitness and health in physically inactive adults a randomized controlled trial
topic lifestyle intervention
web-based
physical fitness
physical activity behavior
dietary behavior
physiological health outcomes
url https://www.mdpi.com/2227-9032/11/21/2847
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