NCT06517771

Brief Summary

During the new coronavirus-19 (COVID-19) pandemic, assessing the effects of online aerobic exercise on physical performance and health-related quality of life (HRQoL) in adults has garnered significant interest. This study, which investigated the impact of four-week online aerobic exercise on physical performance and HRQoL in non-diagnosed COVID-19 adults, provides crucial insights. After the study was completed, the four-week online exercise program did not significantly enhance physical performance and HRQoL but increased physical activity. These findings are important for understanding the potential of online aerobic exercise. While it may not yield notable health-related benefits, it can boost physical activity in non-diagnosed COVID-19 adults.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
56

participants targeted

Target at P25-P50 for not_applicable

Timeline
Completed

Started Jun 2022

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

June 1, 2022

Completed
1.1 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

July 1, 2023

Completed
14 days until next milestone

Study Completion

Last participant's last visit for all outcomes

July 15, 2023

Completed
1 year until next milestone

First Submitted

Initial submission to the registry

July 22, 2024

Completed
2 days until next milestone

First Posted

Study publicly available on registry

July 24, 2024

Completed
Last Updated

November 20, 2024

Status Verified

July 1, 2024

Enrollment Period

1.1 years

First QC Date

July 22, 2024

Last Update Submit

November 19, 2024

Conditions

Outcome Measures

Primary Outcomes (3)

  • Physical Activity Level

    The participants' physical activity levels were evaluated with the International Physical Activity Questionnaire-Short Form (IPAQ-SF). The IPAQ-SF is a scale developed to determine the physical activity levels of participants aged 15-65 years and aims to obtain information about the time individuals spend in vigorous, moderate-to-vigorous activities and walking. The calculation of the IPAQ-SF total score includes the sum of the duration and frequency of walking, moderately vigorous, and vigorous activity in the last week. In physical activity level classification, individuals with a physical activity score of less than 600 Metabolic equivalents of task (MET) min/week are classified as low level, individuals with physical activity between 600-3000 MET min/week are classified as medium physical activity level, and individuals with physical activity more than 3000 MET min/week are classified as high physical activity level.

    Baseline, Week 4

  • Physical Performance

    Short Physical Performance Battery (SPPB): The SPPB is calculated from three components: the ability to stand, time to complete a 3-m walk, and time to stand from a chair five times. Each part is scored out of 4, with the scores from the three tests calculated to give a total of 12 and a minimum of 0. Single-Leg Standing Test: For the single-leg participant stands in the dominant foot with the other knee at 90 degrees. If the participant reaches 30 seconds, the time is stopped. Four Square Step Test (FSST): For the FSST, the participant starts from a square with both feet, steps clockwise to the starting square, and returns to the starting square without stopping (start: right-back-left-front; return: back-right-front-left). Timed Up and Go (TUG) Test: For the TUG test, the participant has to get up from the chair, walk 3 meters, walk around the line on the floor, walk back to the chair, and sit down.

    Baseline, Week 4

  • Health-Related Quality of Life

    The health-related quality of life (HRQoL) was evaluated with the Short Form-36 (SF36). SF-36 is a patient-reported questionnaire developed and used to determine HRQoL. It is a self-assessment scale with generic criteria. In this study, SF-36 physical function and general health subscales were utilized. The subscales assess health on a 0-100 scale, with 0 indicating poor health and 100 indicating good health

    Baseline, Week 4

Secondary Outcomes (1)

  • Anxiety

    Baseline, Week 4

Study Arms (2)

Online aerobic exercise group

EXPERIMENTAL

Participants in the online aerobic exercise group performed aerobic exercises three days a week for four weeks under the online supervision of a physiotherapist using the WhatsApp application.

Other: Online aerobic exercise

Control group

NO INTERVENTION

The control group did not engage in any aerobic or strengthening exercise training during the four weeks and were instructed to avoid strenuous physical activities

Interventions

Before starting the online aerobic exercises, for general warm-up, two minutes of walking, one minute of marching, and ten repetitions of bilateral reciprocal shoulder flexion-extension, shoulder horizontal abduction-adduction, and unilateral shoulder flexion and circling exercises were performed. For the upper extremity, full elbow extension with shoulder retraction in full shoulder flexion (Exercise V), elbows 90 degrees flexion with shoulder retraction in 90 degrees abduction (Exercise U), and full elbow flexion with shoulder extension of about 30 degrees (Exercise W) were performed. Standing hip abduction-extension, elevation on tiptoe, standing-sitting from a chair with hands on shoulders, squatting, tandem walking, and standing on one leg exercises were performed in the lower extremities. Gastrocnemius, hamstring, and shoulder posterior and inferior capsule stretching exercises were conducted as cooling exercises.

Online aerobic exercise group

Eligibility Criteria

Age40 Years - 60 Years
Sexall
Healthy VolunteersYes
Age GroupsAdult (18-64)

You may qualify if:

  • Not diagnosed with COVID-19,
  • Being between 40-60 years of age,
  • Having a medium level of physical activity according to the International Physical Activity Questionnaire-Short Form (IPAQ-SF),
  • Not having any mental or physical problem preventing walking, running, or jumping,
  • Residing in the Muş and Denizli city provinces,
  • Being able to speak and understand the local language,
  • Being able to understand verbal and written information given.

You may not qualify if:

  • Having an injury/injury affecting the lower or upper extremities within the last six months,
  • Participating in any exercise or strengthening training within the previous three months.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Muş Alparslan University

Muş, Muş and Denizli Province, Turkey (Türkiye)

Location

Related Publications (4)

  • Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput JP, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020 Dec;54(24):1451-1462. doi: 10.1136/bjsports-2020-102955.

  • Canton-Martinez E, Renteria I, Machado-Parra JP, Reyes RA, Moncada-Jimenez J, Johnson DK, Gonzalez OM, Del Valle AS, Jimenez-Maldonado A. A virtually supervised exercise program improved fitness and mental wellness in healthy and comorbidity older adult individuals during the COVID-19 pandemic. Front Public Health. 2024 Apr 23;12:1328518. doi: 10.3389/fpubh.2024.1328518. eCollection 2024.

  • D'Oliveira A, De Souza LC, Langiano E, Falese L, Diotaiuti P, Vilarino GT, Andrade A. Home Physical Exercise Protocol for Older Adults, Applied Remotely During the COVID-19 Pandemic: Protocol for Randomized and Controlled Trial. Front Psychol. 2022 Feb 4;13:828495. doi: 10.3389/fpsyg.2022.828495. eCollection 2022.

  • Bayrak G, Aslan UB. Four-week remotely supervised aerobic exercise during the COVID-19 era: Exploring physical performance and psychosocial health in adults without COVID-19 living in rural settings. Medicine (Baltimore). 2025 Aug 29;104(35):e44016. doi: 10.1097/MD.0000000000044016.

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

  • Gökhan Bayrak, PhD

    Muş Alparslan University

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
RANDOMIZED
Masking
TRIPLE
Who Masked
PARTICIPANT, CARE PROVIDER, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Model Details: randomized controlled study
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Doctor Lecturer

Study Record Dates

First Submitted

July 22, 2024

First Posted

July 24, 2024

Study Start

June 1, 2022

Primary Completion

July 1, 2023

Study Completion

July 15, 2023

Last Updated

November 20, 2024

Record last verified: 2024-07

Data Sharing

IPD Sharing
Will not share

I do not have a plan to make individual participant data available to other researchers

Locations