Changes in physical activity outcomes in the Strong Hearts, Healthy Communities (SHHC-2.0) community-based randomized trial

Physical inactivity is a risk factor for numerous adverse health conditions and outcomes, including all-cause mortality. Aging rural women are at particular risk for physical inactivity based on environmental, sociocultural, and psychosocial factors. This study reports on changes in physical activit...

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Bibliographic Details
Published in:The international journal of behavioral nutrition and physical activity 2022-12, Vol.19 (1), p.159-11, Article 159
Main Authors: Maddock, Jay E, Demment, Margaret, Graham, Meredith, Folta, Sara, Strogatz, David, Nelson, Miriam, Ha, Seong-Yeon, Eldridge, Galen D, Seguin-Fowler, Rebecca A
Format: Article
Language:English
Subjects:
Adult
Analysis
Community-based
Dose-response relationship (Biochemistry)
Exercise
Exercise therapy
Female
Health aspects
Humans
Middle Aged
Mortality
New York
Patient outcomes
Physical activity
Prevention
Randomized controlled trial
Risk Factors
Rural
Rural health services
Sedentary Behavior
Self Report
Statistics
United States
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Summary:Physical inactivity is a risk factor for numerous adverse health conditions and outcomes, including all-cause mortality. Aging rural women are at particular risk for physical inactivity based on environmental, sociocultural, and psychosocial factors. This study reports on changes in physical activity and associated factors from a multicomponent community-engaged intervention trial. Strong Hearts, Healthy Communities 2.0 (SHHC-2.0) was a 24-week cluster (community) randomized controlled trial building on the results from the previous trial of SHHC-1.0. Rural women (n = 182) aged 40 and over living in 11 rural communities in upstate New York were recruited. The intervention consisted of twice-weekly experiential classes focused on exercise, nutrition, and civic engagement. Physical activity outcomes included accelerometry and self-report as well as related psychosocial measures at midpoint (12 weeks) and post-intervention (24 weeks). Data were analyzed using multilevel linear regression models with the community as the random effect. Compared to participants from the control communities, participants in the intervention communities showed a significant increase in objectively measured moderate to vigorous intensity physical activity: at 12 weeks (increase of 8.1 min per day, P 
ISSN:1479-5868
1479-5868
DOI:10.1186/s12966-022-01401-1