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N/A Completed N=120 Randomized Other

Financial Incentives to Exercise for Adolescents

Source: ClinicalTrials.gov NCT01848353 ↗
Enrolled (actual)
120
Serious AEs
0.0%
Results posted
Mar 2019
Primary outcomePrimary: Change From Baseline in Volume of Exercise (Total Time) — 15.2; 15.0; 8.0; 12.4 hours

Summary

Among youth populations, American Indians have the highest prevalence of diabetes in the United States. This study will use exercise as the principal lifestyle modification approach to reduce the risk of diabetes in this population. The Choctaw Nation of Oklahoma has several excellent, but underutilized wellness facilities in their Health Services Area in rural Southeast Oklahoma, a low socioeconomic region. It has been established that exercise lowers diabetes risk, and many overweight/obese, insulin resistant American Indian youth who live in this region would benefit from an increase in regular exercise. The challenge is to modify behavior so that routine exercise is established and maintained. The proposed study will test whether monetary incentives can elicit greater frequency and duration of exercise in American Indian youth when transportation and access barriers are reduced.

Outcome Measures

OutcomeResultp-value
PRIMARY
Change From Baseline in Volume of Exercise (Total Time)
15.2; 15.0; 8.0; 12.4; 10.2; 8.8
SECONDARY
Insulin Resistance
75; 69; 66; 77; 57; 65
SECONDARY
Exercise Fitness
36.9; 37.4; 39.0; 39.2; 39.2; 43.0
SECONDARY
Body Composition
43.9; 44.4; 40.8; 40.9; 40.4; 44.9

Eligibility Criteria

Inclusion Criteria for exercise intervention cohort:

  • 11.0-20.9 years old
  • overweight or obese
  • family history of diabetes (primary or secondary relative)
  • not in sports or exercise program (3 or fewer days per week of moderate-to-vigorous intensity physical activity, MVPA) for prior 3 months
  • Tanner stage 2 or above

Inclusion Criteria for reference group cohort:

  • 11.0-20.9 years old
  • normal weight
  • For low physical activity subgroup: not in sports or exercise program (3 or fewer days per week of MVPA) for prior 3 months
  • For high physical activity subgroup: >30 minutes of structured MVPA on >3 days/week over the preceding 3 months
  • Tanner stage 2 or above

Exclusion Criteria for all participants:

  • metabolic, endocrine, cardiovascular, kidney disease
  • orthopedic problems that limit physical activity
  • medications or treatments that would interfere with the outcomes and interpretations
  • smoking or tobacco use
  • alcohol or illicit drug use
  • pregnancy
View full record on ClinicalTrials.gov →

Data sourced from ClinicalTrials.gov (NCT01848353). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.

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