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The spinal stenosis pedometer and nutrition lifestyle intervention (SSPANLI) randomized controlled trial protocol.

Tomkins-Lane CC, Lafave LM, Parnell JA, Krishnamurthy A, Rempel J, Macedo LG, Moriartey S, Stuber KJ, Wilson PM, Hu R, Andreas YM - BMC Musculoskelet Disord (2013)

Bottom Line: This suggests that function may be improved by targeting weight as a modifiable factor.An e-health lifestyle intervention was developed aimed at reducing fat mass and increasing physical activity in people with LSS.Behaviour changes including increased physical activity, and improved dietary habits promote overall health and quality of life, and may decrease future health care needs in this population.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Physical Education and Recreation Studies, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB T3E 6K6, Canada. clane@mtroyal.ca.

ABSTRACT

Background: Because of symptoms, people with lumbar spinal stenosis (LSS) are often inactive, and this sedentary behaviour implies risk for diseases including obesity. Research has identified body mass index as the most powerful predictor of function in LSS. This suggests that function may be improved by targeting weight as a modifiable factor. An e-health lifestyle intervention was developed aimed at reducing fat mass and increasing physical activity in people with LSS. The main components of this intervention include pedometer-based physical activity promotion and nutrition education.

Methods/design: The Spinal Stenosis Pedometer and Nutrition Lifestyle INTERVENTION (SSPANLI) was developed and piloted with 10 individuals. The protocol for a randomized controlled trail comparing the SSPANLI intervention to usual non-surgical care follows. One hundred six (106) overweight or obese individuals with LSS will be recruited. Baseline and follow-up testing includes dual energy x-ray absorptiometry, blood draw, 3-day food record, 7-day accelerometry, questionnaire, maximal oxygen consumption, neurological exam, balance testing and a Self-Paced Walking Test.

Intervention: During Week 1, the intervention group will receive a pedometer, and a personalized consultation with both a Dietitian and an exercise specialist. For 12 weeks participants will log on to the e-health website to access personal step goals, walking maps, nutrition videos, and motivational quotes. Participants will also have access to in-person Coffee Talk meetings every 3 weeks, and meet with the Dietitian and exercise specialist at week 6. The control group will proceed with usual care for the 12-week period. Follow-up testing will occur at Weeks 13 and 24.

Discussion: This lifestyle intervention has the potential to provide a unique, non-surgical management option for people with LSS. Through decreased fat mass and increased function, we may reduce risk for obesity, chronic diseases of inactivity, and pain. The use of e-health interventions provides an opportunity for patients to become more involved in managing their own health. Behaviour changes including increased physical activity, and improved dietary habits promote overall health and quality of life, and may decrease future health care needs in this population.

Trial registration: Clinicaltrials.gov, NCT01902979.

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Related in: MedlinePlus

Study flowchart.
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Figure 1: Study flowchart.

Mentions: The Spinal Stenosis Pedometer and Nutrition Lifestyle Intervention (SSPANLI) is a single-blind RCT comparing the SSPANLI intervention to usual non-surgical care for LSS. This project will evaluate the new e-health lifestyle intervention aimed at decreasing fat mass, increasing physical activity and improving quality of life in older adults with LSS who are overweight or obese. The SSPANLI protocol includes individualized pedometer-based activity recommendations and online nutrition education tools, as well as two personalized consultations with a Registered Dietitian and exercise specialist. FigureĀ 1 presents a flowchart for the study.


The spinal stenosis pedometer and nutrition lifestyle intervention (SSPANLI) randomized controlled trial protocol.

Tomkins-Lane CC, Lafave LM, Parnell JA, Krishnamurthy A, Rempel J, Macedo LG, Moriartey S, Stuber KJ, Wilson PM, Hu R, Andreas YM - BMC Musculoskelet Disord (2013)

Study flowchart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4225754&req=5

Figure 1: Study flowchart.
Mentions: The Spinal Stenosis Pedometer and Nutrition Lifestyle Intervention (SSPANLI) is a single-blind RCT comparing the SSPANLI intervention to usual non-surgical care for LSS. This project will evaluate the new e-health lifestyle intervention aimed at decreasing fat mass, increasing physical activity and improving quality of life in older adults with LSS who are overweight or obese. The SSPANLI protocol includes individualized pedometer-based activity recommendations and online nutrition education tools, as well as two personalized consultations with a Registered Dietitian and exercise specialist. FigureĀ 1 presents a flowchart for the study.

Bottom Line: This suggests that function may be improved by targeting weight as a modifiable factor.An e-health lifestyle intervention was developed aimed at reducing fat mass and increasing physical activity in people with LSS.Behaviour changes including increased physical activity, and improved dietary habits promote overall health and quality of life, and may decrease future health care needs in this population.

View Article: PubMed Central - HTML - PubMed

Affiliation: Department of Physical Education and Recreation Studies, Mount Royal University, 4825 Mount Royal Gate SW, Calgary, AB T3E 6K6, Canada. clane@mtroyal.ca.

ABSTRACT

Background: Because of symptoms, people with lumbar spinal stenosis (LSS) are often inactive, and this sedentary behaviour implies risk for diseases including obesity. Research has identified body mass index as the most powerful predictor of function in LSS. This suggests that function may be improved by targeting weight as a modifiable factor. An e-health lifestyle intervention was developed aimed at reducing fat mass and increasing physical activity in people with LSS. The main components of this intervention include pedometer-based physical activity promotion and nutrition education.

Methods/design: The Spinal Stenosis Pedometer and Nutrition Lifestyle INTERVENTION (SSPANLI) was developed and piloted with 10 individuals. The protocol for a randomized controlled trail comparing the SSPANLI intervention to usual non-surgical care follows. One hundred six (106) overweight or obese individuals with LSS will be recruited. Baseline and follow-up testing includes dual energy x-ray absorptiometry, blood draw, 3-day food record, 7-day accelerometry, questionnaire, maximal oxygen consumption, neurological exam, balance testing and a Self-Paced Walking Test.

Intervention: During Week 1, the intervention group will receive a pedometer, and a personalized consultation with both a Dietitian and an exercise specialist. For 12 weeks participants will log on to the e-health website to access personal step goals, walking maps, nutrition videos, and motivational quotes. Participants will also have access to in-person Coffee Talk meetings every 3 weeks, and meet with the Dietitian and exercise specialist at week 6. The control group will proceed with usual care for the 12-week period. Follow-up testing will occur at Weeks 13 and 24.

Discussion: This lifestyle intervention has the potential to provide a unique, non-surgical management option for people with LSS. Through decreased fat mass and increased function, we may reduce risk for obesity, chronic diseases of inactivity, and pain. The use of e-health interventions provides an opportunity for patients to become more involved in managing their own health. Behaviour changes including increased physical activity, and improved dietary habits promote overall health and quality of life, and may decrease future health care needs in this population.

Trial registration: Clinicaltrials.gov, NCT01902979.

Show MeSH
Related in: MedlinePlus