Physical ActivityPhase 1PALSNCT01342471
Physical Activity and Leisure-time Study (PALS)
A Phase 1 study testing TV commercial stepping and 30-min walk in people with Physical Activity and Weight, run by University of Tennessee at 1 site in United States.
Trial summary
Physical inactivity is a major public health problem and a primary contributing factor to the obesity epidemic. While most Americans do not meet the physical activity (PA) guidelines (30 min/day, 5 day/wk), they do report watching several hours of TV each day, and frequently site "lack of time" as a barrier for… Read more about this study
- Who is it for?
- Ages 25 to 65 yearsHealthy volunteers can take part
- Conditions the study is for
- Physical Activity, Weight
- What is being tested?
- TV commercial stepping and 30-min walk
- Type of treatment
- Lifestyle or therapy programme
- Could I receive a placebo?
- No, everyone receives an active treatment
- How many people
- 58 participants
- Where
- 1 siteUnited States
- Study dates
- Sep 2010to Jun 2011
- Phase
- Phase 1
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 25 to 65 years
- All sexes
- Healthy volunteers accepted
- Adult, Older adult
Who may be able to join
- 25 to 65 years of age
- BMI between 25 and 45 kg/m2
- watch ≥14 hours per week of TV
- ability to follow instructions and record data
- ability to walk 1/4 mile without stopping
Who cannot join
- history of myocardial infraction, angina, stroke, heart failure, or uncontrolled cardiac arrhythmias
- a resting blood pressure greater than 180 mm Hg systolic and/or 100 mm Hg diastolic
- other physical or medical limitations for engaging in physical activity
- no television in the home
- baseline physical activity level exceeding 7,499 steps per day as determined by the Omron pedometer
- currently participating in a program to increase PA
Show all 9Show fewer
- intended to move outside the East Tennessee area within the time frame of the intervention
- were pregnant, lactating, less than 6 months post-partum, or planned to become pregnant during the time frame of the intervention
- unwilling to attend group intervention meetings, assessments or to complete an activity diary for the duration of the study.
Trial locations and contacts
1 site in 1 country.
United States1 site
HPER Building, 1914 Andy Holt Ave.
Knoxville, Tennessee, 37920
About this study
Official title: TV Commercial Stepping: Can America's Top Sedentary Activity be Made More Active
Physical inactivity is a major public health problem and a primary contributing factor to the obesity epidemic. While most Americans do not meet the physical activity (PA) guidelines (30 min/day, 5 day/wk), they do report watching several hours of TV each day, and frequently site "lack of time" as a barrier for engaging in PA. The Physical Activity and Leisure-time Study examines an approach convert sedentary TV watching into active TV watching time by having adults step in place during commercials (TV commercial stepping).
Read the detailed description
This randomized controlled trial will examine the effects of a PA prescription of TV commercial stepping for at least 90 min/day of TV programming, with that of walking at least 30 min/day (30 min walk) on daily step counts, TV viewing, and diet during a 24 week PA intervention. Sedentary, overweight or obese, adults will be randomly assigned to either the TV commercial stepping, or 30 min walk group during a 24-week behavioral PA intervention. Both groups will attend 8 sessions, but receive different PA goals. PA, TV watching time, diet, and anthropometric data will be collected at 0, 12, and 24 weeks. It is hypothesized that the TV commercial stepping condition will, show an equal increase in PA at 12 and 24 weeks as compared to the 30-min walk condition. Neither group is hypothesized to demonstrate changes in TV viewing time, dietary intake, or weight.
- Conditions
- Physical Activity, Weight
- Being tested
- TV commercial stepping, 30-min walk
- Keywords
- Physical activity intervention, walking, TV, sedentary
- Medical subject headings
- Motor Activity, Body Weight, Sedentary Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
TV commercial steppingBehavioural
Also called novel exercise prescription
Participants were instructed to stand and "briskly" step in place, or "briskly" walk continuously around the room/house for the duration of each commercial break during at least 90 min of TV programming on at least 5 days/week. Both conditions will receive an ankle mounted Omron pedometer, so they were able to track their steps each day. Participants were not given instructions concerning diet modification or modifying TV viewing time during a 6 month behavioral physical activity intervention
30-min walkBehavioural
Also called standard physical activity prescription
Participants were instructed to use "brisk" walking (at least 30 min/day in bouts of at least 10 min) at least 5 days/week. Both conditions will receive an ankle mounted Omron pedometer, so they were able to track their steps each day. Participants were not given instructions concerning diet modification or modifying TV viewing time during a 6 month behavioral physical activity intervention
| Study group | Role | What they receive |
|---|---|---|
| 30-min walk | Active comparator | Instructed to use "brisk" walking (at least 30 min/day in bouts of at least 10 min) at least 5 days/week. Participants were permitted to exercise in one long bout (30 min) or divide the exercise into multiple bouts as long as the bout length was 10 min or greater. Receives: Behavioral: 30-min walk |
| TV commercial stepping | Experimental | Instructed to stand and "briskly" step in place, or "briskly" walk continuously around the room/house for the duration of each commercial break during at least 90 min of TV programming on at least 5 days/week. Rather than exercising continuously for at least 10-minute bouts, participants performed multiple (~9 or 10), short (~3-5 min) bouts, conveniently incorporated into their daily TV viewing time. Receives: Behavioral: TV commercial stepping |
What is being measured
The primary outcome is the main question the study is designed to answer.
Physical Activity (Steps/Day)
Change in pedometer measured steps per day between 0 and 6 months
Measured: 0 and 6 months
Secondary outcomes (4)
Total Energy Intake
Change in total energy intake(kcals/day) between 0 and 6 months
Measured: 0 and 6 months
TV Related Energy Intake
Change in energy intake (kcals/day) while watching TV between 0 and 6 months
Measured: 0 and 6 months
Weight
Change in weight in kgs between 0 and 6 months
Measured: 0 and 6 months
TV Viewing Time
Change in self-reported TV viewing time per day between 0 and 6 months
Measured: 0 and 6 months
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted27 Apr 2011 (estimated)
- Study startSep 2010
- Primary completionJun 2011
- Study completionJun 2011
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Physical ActivityStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 1
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind
- Who is masked
- Participant
- Enrolment
- 58 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Tennessee
- Sponsor type
- University, hospital or other
- Responsible party
- Sponsor
- Investigators
- Jeremy A Steeves, MS, Principal investigator, University of TennesseeDixie Lee Thompson, Phd, Study chair, University of Tennessee
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT01342471
- Sponsor's protocol ID
- UTennessee
- Acronym
- PALS
- Status last verified
- Oct 2012
- First submitted
- 21 Apr 2011
- Last updated
- 9 Nov 2012
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- No
Publications
Steeves JA, Bassett DR, Fitzhugh EC, Raynor H, Cho C, Thompson DL. Physical Activity With and Without TV Viewing: Effects on Enjoyment of Physical Activity and TV, Exercise Self-Efficacy, and Barriers to Being Active in Overweight Adults. J Phys Act Health. 2016 Apr;13(4):385-91. doi: 10.1123/jpah.2015-0108. Epub 2015 Sep 17.
PubMed 26383783Steeves JA, Bassett DR, Fitzhugh EC, Raynor HA, Thompson DL. Can sedentary behavior be made more active? A randomized pilot study of TV commercial stepping versus walking. Int J Behav Nutr Phys Act. 2012 Aug 6;9:95. doi: 10.1186/1479-5868-9-95.
PubMed 22866941
Study at a glance
From the registry record, last updated by the sponsor on 9 Nov 2012. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- TV Commercial Stepping: Can America's Top Sedentary Activity be Made More Active
- ClinicalTrials.gov ID
- NCT01342471
- Acronym / sponsor ID
- PALS / UTennessee
- Conditions
- Physical Activity, Weight
- Keywords
- Physical activity intervention, walking, TV, sedentary
- Phase
- Phase 1
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 58 participants (actual)
- Lead sponsor
- University of TennesseeUniversity, hospital or other
- Study start
- Sep 2010
- Primary completion
- Jun 2011 (actual)
- Study completion
- Jun 2011 (actual)
- First posted
- 27 Apr 2011 (estimated)
- Results
- Posted 9 Nov 2012
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Physical inactivity is a major public health problem and a primary contributing factor to the obesity epidemic. While most Americans do not meet the physical activity (PA) guidelines (30 min/day, 5 day/wk), they do report watching several hours of TV each day, and frequently site "lack of time" as a barrier for engaging in PA. The Physical Activity and Leisure-time Study examines an approach convert sedentary TV watching into active TV watching time by having adults step in place during commercials (TV commercial stepping).
Detailed description
This randomized controlled trial will examine the effects of a PA prescription of TV commercial stepping for at least 90 min/day of TV programming, with that of walking at least 30 min/day (30 min walk) on daily step counts, TV viewing, and diet during a 24 week PA intervention. Sedentary, overweight or obese, adults will be randomly assigned to either the TV commercial stepping, or 30 min walk group during a 24-week behavioral PA intervention. Both groups will attend 8 sessions, but receive different PA goals. PA, TV watching time, diet, and anthropometric data will be collected at 0, 12, and 24 weeks. It is hypothesized that the TV commercial stepping condition will, show an equal increase in PA at 12 and 24 weeks as compared to the 30-min walk condition. Neither group is hypothesized to demonstrate changes in TV viewing time, dietary intake, or weight.
Study design
- Primary purpose
- Treatment
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Single blind (participant)
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| 30-min walk | Active comparator | Behavioral: 30-min walkInstructed to use "brisk" walking (at least 30 min/day in bouts of at least 10 min) at least 5 days/week. Participants were permitted to exercise in one long bout (30 min) or divide the exercise into multiple bouts as long as the bout length was 10 min or greater. |
| TV commercial stepping | Experimental | Behavioral: TV commercial steppingInstructed to stand and "briskly" step in place, or "briskly" walk continuously around the room/house for the duration of each commercial break during at least 90 min of TV programming on at least 5 days/week. Rather than exercising continuously for at least 10-minute bouts, participants performed multiple (~9 or 10), short (~3-5 min) bouts, conveniently incorporated into their daily TV viewing time. |
Who may qualify
- Ages
- 25 to 65 years
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (5 listed)
- 25 to 65 years of age
- BMI between 25 and 45 kg/m2
- watch ≥14 hours per week of TV
- ability to follow instructions and record data
- ability to walk 1/4 mile without stopping
Key exclusion criteria (9 listed)
- history of myocardial infraction, angina, stroke, heart failure, or uncontrolled cardiac arrhythmias
- a resting blood pressure greater than 180 mm Hg systolic and/or 100 mm Hg diastolic
- other physical or medical limitations for engaging in physical activity
- no television in the home
- baseline physical activity level exceeding 7,499 steps per day as determined by the Omron pedometer
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| TV commercial steppingAlso: novel exercise prescriptionParticipants were instructed to stand and "briskly" step in place, or "briskly" walk continuously around the room/house for the duration of each commercial break during at least 90 min of TV programming on at least 5 days/week. Both conditions will receive an ankle mounted Omron pedometer, so they were able to track their steps each day. Participants were not given instructions concerning diet modification or modifying TV viewing time during a 6 month behavioral physical activity intervention | Behavioural | TV commercial stepping |
| 30-min walkAlso: standard physical activity prescriptionParticipants were instructed to use "brisk" walking (at least 30 min/day in bouts of at least 10 min) at least 5 days/week. Both conditions will receive an ankle mounted Omron pedometer, so they were able to track their steps each day. Participants were not given instructions concerning diet modification or modifying TV viewing time during a 6 month behavioral physical activity intervention | Behavioural | 30-min walk |
Primary outcome
Physical Activity (Steps/Day)
Time frame: 0 and 6 months
Change in pedometer measured steps per day between 0 and 6 months
4 secondary outcomes
Total Energy Intake
Time frame: 0 and 6 months
TV Related Energy Intake
Time frame: 0 and 6 months
Weight
Time frame: 0 and 6 months
TV Viewing Time
Time frame: 0 and 6 months
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 9 Nov 2012.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 26383783Steeves JA, Bassett DR, Fitzhugh EC, Raynor H, Cho C, Thompson DL. Physical Activity With and Without TV Viewing: Effects on Enjoyment of Physical Activity and TV, Exercise Self-Efficacy, and Barriers to Being Active in Overweight Adults. J Phys Act Health. 2016 Apr;13(4):385-91. doi: 10.1123/jpah.2015-0108. Epub 2015 Sep 17.
- Derived from this study: PubMed 22866941Steeves JA, Bassett DR, Fitzhugh EC, Raynor HA, Thompson DL. Can sedentary behavior be made more active? A randomized pilot study of TV commercial stepping versus walking. Int J Behav Nutr Phys Act. 2012 Aug 6;9:95. doi: 10.1186/1479-5868-9-95.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Jeremy A Steeves, MS principal investigator
University of Tennessee
Dixie Lee Thompson, Phd study chair
University of Tennessee
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 1 study testing TV commercial stepping and 30-min walk in people with Physical Activity and Weight, run by University of Tennessee at 1 site in United States.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 9 Nov 2012. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 1 site in United States. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 1 studies test a treatment in a small group of people for the first time or in a new way, mainly to check safety and find the right dose.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 9 Nov 2012). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Physical Activity (Steps/Day) (time frame: 0 and 6 months). It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT01342471, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 9 Nov 2012.