Behavioral Impacts of Sequentially Versus Simultaneously Delivered Dietary Plus Physical Activity Interventions: the CALM Trial

Overview

Journal Ann Behav Med

Publisher Oxford University Press

Specialty Social Sciences

Date 2013 Apr 24

PMID 23609341

Citations 32

Authors

Abby C King

Cynthia M Castro

Matthew P Buman

Eric B Hekler

Guido G Urizar Jr

David K Ahn

Affiliations

Soon will be listed here.

Abstract

Background: Few studies have evaluated how to combine dietary and physical activity (PA) interventions to enhance adherence.

Purpose: We tested how sequential versus simultaneous diet plus PA interventions affected behavior changes.

Methods: Two hundred participants over age 44 years not meeting national PA and dietary recommendations (daily fruit and vegetable servings and percent of calories from saturated fat) were randomized to one of four 12-month telephone interventions: sequential (exercise first or diet first), simultaneous, or attention control. At 4 months, the other health behavior was added in the sequential arms.

Results: Ninety-three percent of participants were retained through 12 months. At 4 months, only exercise first improved PA, and only the simultaneous and diet-first interventions improved dietary variables. At 12 months, mean levels of all behaviors in the simultaneous arm met recommendations, though not in the exercise- and diet-first arms.

Conclusions: We observed a possible behavioral suppression effect of early dietary intervention on PA that merits investigation.

Citing Articles

Moderators of a Diet and Physical Activity Intervention: who Responds Best to Sequential vs. Simultaneous Approaches.

Patel M, Rodriguez Espinosa P, King A Int J Behav Med. 2023; 32(1):80-91.

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Changes in Population Health-Related Behaviors During a COVID-19 Surge: A Natural Experiment.

Delgado-Ortiz L, Carsin A, Merino J, Cobo I, Koch S, Goldberg X Ann Behav Med. 2022; 57(3):216-226.

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The Effectiveness of Sequentially Delivered Web-Based Interventions on Promoting Physical Activity and Fruit-Vegetable Consumption Among Chinese College Students: Mixed Methods Study.

Duan Y, Liang W, Wang Y, Lippke S, Lin Z, Shang B J Med Internet Res. 2022; 24(1):e30566.

PMID: 35080497 PMC: 8829698. DOI: 10.2196/30566.

An in-depth comparison of well-being among Latinx and non-Latinx White adults: A cautionary tale.

Rodriguez Espinosa P, Patel M, King A, Campero I, Freeman 2nd M, Garcia D Prev Med Rep. 2021; 24:101513.

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Testing the effectiveness of community-engaged citizen science to promote physical activity, foster healthier neighborhood environments, and advance health equity in vulnerable communities: The Steps for Change randomized controlled trial design and....

King A, Campero M, Garcia D, Blanco-Velazquez I, Banchoff A, Fierros F Contemp Clin Trials. 2021; 108:106526.

PMID: 34371162 PMC: 8453124. DOI: 10.1016/j.cct.2021.106526.

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