A Pilot Feasibility and Acceptability Study of Remote ExerciSe Training mOdalities

NYU Langone Health

Summary

This study will investigate the acceptability and efficacy of 12 weeks of: Smart-device app-based (MyZone) Asynchronous Virtual, Synchronous Virtual, and in-person aerobic training in individuals at risk for Cardiovascular Disease (CVD) who do are not meeting American Heart Association (AHA) guidelines for physical activity. The study aims to 1) Assess the effect of several approaches to remote aerobic training on measures of physical activity, cardiovascular fitness and CVD risk, and 2) Quantitatively and qualitatively evaluate exercise training program fidelity, implementation, effectiveness, and remaining barriers to acceptance. Participants will be asked to undergo Cardiopulmonary Exercise Testing (CPET) before and after 12-weeks of training via one of the 4 modalities (random assignment) listed above. They will respond to questions regarding acceptability of the interventions.

Eligibility

Age range: 45+ years
Sex: All
Healthy volunteers: No

Detailed criteria

Inclusion Criteria: 1. \>45 years 2. At risk for CVD (participants must have one or more of the following risk factors: hypertension, hyperlipidemia, Type 2 Diabetes Mellitus, smoking, obesity, family history of premature CVD) 3. Not meeting AHA physical activity guidelines for at least 3 months prior to screening * Hypertension: * Systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg and/or * Use of anti-hypertensive medication * Hyper / dyslipidemia * LDL cholesterol levels ≥160 mg/dL and/or * HDL cholesterol \<50mg/dL for women, \<40mg/dL for women, in addition…

Interventions

Behavioral
In-person supervised exercise sessions
Gold-standard, facility-based sessions (3 sessions/week) with an onsite trainer guidance with an exercise Intensity of 40-80% heart rate reserve (HRR) or Rate of Perceived Exertion (RPE) 12-16.
Behavioral
Virtual classes (live-streamed sessions)
Live-streamed exercise classes (3 sessions/week) with a trainer providing real-time feedback.
Behavioral
Self-directed aerobic exercise
Participants exercise independently and follow a weekly progression plan (3-5 sessions/week (depending on the specific progression)).
Device
Myzone mobile application
Training using the Myzone platform, with participants wearing the Myzone heart rate monitor and using the Myzone app to receive real-time feedback and guidance during exercise sessions (3 days per week). Myzone integrates with its proprietary wearable devices to monitor heart rate and other activity metrics, providing real-time data to users via the app.
Device
Map My Fitness mobile application
Participants will wear a Bluetooth-compatible heart rate monitor (e.g., apple watch/fitbit) that syncs with MapMyFitness. MapMyFitness automatically records workout sessions (duration, distance, heart rate, calories burned, and elevation gain where applicable).

Location

NYU Langone Health
New York, New York