Telehealth high-intensity interval exercise and cardiometabolic health in spinal cord injury
Abstract Background The number of exercise trials examining cardiometabolic outcomes in spinal cord injury (SCI) is low, and prescribed exercise is often inconvenient for individuals with SCI to perform within their community. Individuals with SCI experience a myriad of barriers to exercise particip...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | Trials |
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| Online Access: | https://doi.org/10.1186/s13063-022-06585-2 |
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| author | Jacob Adams Byron Lai James Rimmer Danielle Powell Ceren Yarar-Fisher Robert A. Oster Gordon Fisher |
| author_facet | Jacob Adams Byron Lai James Rimmer Danielle Powell Ceren Yarar-Fisher Robert A. Oster Gordon Fisher |
| author_sort | Jacob Adams |
| collection | DOAJ |
| description | Abstract Background The number of exercise trials examining cardiometabolic outcomes in spinal cord injury (SCI) is low, and prescribed exercise is often inconvenient for individuals with SCI to perform within their community. Individuals with SCI experience a myriad of barriers to exercise participation, which can include a lack of time, accessible or usable equipment and facilities, and transportation. Thus, it is imperative to identify effective modes of exercise that provide the greatest overall health benefits but do not require a significant time commitment. Low-volume high intensity interval training (HIIT) has demonstrated the same improvements in cardiometabolic health as moderate intensity exercise training (MIT), despite only requiring 20% of the total time commitment in adults without disabilities and more recently in individuals with SCI. Objectives The primary purpose of this study is to integrate a 16 week home-based telehealth HIIT arm crank exercise training program in individuals with SCI and assess changes in cardiometabolic health. Methods Men and women between the ages of 19 and 60 with a confirmed diagnosis of SCI between C7 and T12 will be recruited for this study. Participants will be randomized to 16 weeks of telehealth HIIT exercise two days per week or a no-exercise control group. Aerobic capacity, muscular strength, blood lipids, glucose tolerance, resting energy expenditure, blood pressure, and body composition will be assessed at baseline and 16 weeks post-training. Discussion Inactivity associated with SCI leads to chronic cardiometabolic health conditions. The majority of exercise interventions to date show that exercise is capable of increasing physical function, aerobic capacity, and muscle mass, and strength. Additionally, we have recently shown the ability of HIIT to improve blood lipid and glucose concentrations. Advances in telehealth exercise approaches have improved the capability to prescribe home-based exercise programs. Therefore, we hypothesize that the utilization of a home-based telehealth HIIT program will improve cardiometabolic health markers, yield high adherence (> 75%), and will be more enjoyable in individuals with SCI. Trial registration Telehealth High-Intensity Interval Exercise and Cardiometabolic Health in Spinal Cord Injury NCT04940598 |
| first_indexed | 2024-04-11T21:33:02Z |
| format | Article |
| id | doaj.art-735258d6f6fd45b78553dc1160421353 |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-04-11T21:33:02Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-735258d6f6fd45b78553dc11604213532022-12-22T04:01:50ZengBMCTrials1745-62152022-08-012311910.1186/s13063-022-06585-2Telehealth high-intensity interval exercise and cardiometabolic health in spinal cord injuryJacob Adams0Byron Lai1James Rimmer2Danielle Powell3Ceren Yarar-Fisher4Robert A. Oster5Gordon Fisher6Department of Human Studies, University of Alabama at BirminghamDepartment of PediatricsDean’s OfficeDepartment of Physical Medicine and RehabilitationDepartment of Physical Medicine and RehabilitationDepartment of Medicine, University of Alabama at BirminghamDepartment of Human Studies, University of Alabama at BirminghamAbstract Background The number of exercise trials examining cardiometabolic outcomes in spinal cord injury (SCI) is low, and prescribed exercise is often inconvenient for individuals with SCI to perform within their community. Individuals with SCI experience a myriad of barriers to exercise participation, which can include a lack of time, accessible or usable equipment and facilities, and transportation. Thus, it is imperative to identify effective modes of exercise that provide the greatest overall health benefits but do not require a significant time commitment. Low-volume high intensity interval training (HIIT) has demonstrated the same improvements in cardiometabolic health as moderate intensity exercise training (MIT), despite only requiring 20% of the total time commitment in adults without disabilities and more recently in individuals with SCI. Objectives The primary purpose of this study is to integrate a 16 week home-based telehealth HIIT arm crank exercise training program in individuals with SCI and assess changes in cardiometabolic health. Methods Men and women between the ages of 19 and 60 with a confirmed diagnosis of SCI between C7 and T12 will be recruited for this study. Participants will be randomized to 16 weeks of telehealth HIIT exercise two days per week or a no-exercise control group. Aerobic capacity, muscular strength, blood lipids, glucose tolerance, resting energy expenditure, blood pressure, and body composition will be assessed at baseline and 16 weeks post-training. Discussion Inactivity associated with SCI leads to chronic cardiometabolic health conditions. The majority of exercise interventions to date show that exercise is capable of increasing physical function, aerobic capacity, and muscle mass, and strength. Additionally, we have recently shown the ability of HIIT to improve blood lipid and glucose concentrations. Advances in telehealth exercise approaches have improved the capability to prescribe home-based exercise programs. Therefore, we hypothesize that the utilization of a home-based telehealth HIIT program will improve cardiometabolic health markers, yield high adherence (> 75%), and will be more enjoyable in individuals with SCI. Trial registration Telehealth High-Intensity Interval Exercise and Cardiometabolic Health in Spinal Cord Injury NCT04940598https://doi.org/10.1186/s13063-022-06585-2ExerciseSCISpinal cord InjuryHIITHigh-intensity interval trainingResistance training |
| spellingShingle | Jacob Adams Byron Lai James Rimmer Danielle Powell Ceren Yarar-Fisher Robert A. Oster Gordon Fisher Telehealth high-intensity interval exercise and cardiometabolic health in spinal cord injury Trials Exercise SCI Spinal cord Injury HIIT High-intensity interval training Resistance training |
| title | Telehealth high-intensity interval exercise and cardiometabolic health in spinal cord injury |
| title_full | Telehealth high-intensity interval exercise and cardiometabolic health in spinal cord injury |
| title_fullStr | Telehealth high-intensity interval exercise and cardiometabolic health in spinal cord injury |
| title_full_unstemmed | Telehealth high-intensity interval exercise and cardiometabolic health in spinal cord injury |
| title_short | Telehealth high-intensity interval exercise and cardiometabolic health in spinal cord injury |
| title_sort | telehealth high intensity interval exercise and cardiometabolic health in spinal cord injury |
| topic | Exercise SCI Spinal cord Injury HIIT High-intensity interval training Resistance training |
| url | https://doi.org/10.1186/s13063-022-06585-2 |
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