251021 Community-based program for promoting exercise by wheelchair users

Tuesday, November 1, 2011: 1:24 PM

Katherine Froehlich-Grobe, PhD , Dallas Regional Campus, University of Texas School of Public Health, Dallas, TX
People with disabilities engage in significantly less physical activity, have significantly higher obesity rates, have significantly more chronic health problems such as diabetes and heart disease, and are significantly more likely to report fair to poor health. Notably, many of the health problems facing people with disabilities are preventable. Unfortunately, people with disabilities have generally been left out of health promotion efforts and therefore represent a large, but underserved group. The purpose of this presentation is to describe the effectiveness of intervention promoting exercise adoption for community-dwelling wheelchair users and to present evidence regarding obesity and body composition among study participants.

Exercise trial participants (n=128) were randomly assigned to self-guided or staff-supported arms. Both received the same educational content and weekly calls, only the delivery of educational content and support differed between arms. The primary study outcome was self-reported weekly aerobic exercise and strength training; secondary outcomes included changes in aerobic capacity and strength. Participants' mean age was 44.6 + 12.6 years, lived a mean of 22.3 + 15.9 years with disability, were mostly white (85.9%), and 50% men. Results from the analyses of the data indicated that at the same height, weight, and BMI wheelchair users had significantly higher total body fat and their percent of body fat was significantly higher for the total body, the legs and trunk, but not the arms. Implications of all these findings will be discussed.

Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs

Learning Objectives:
Describe the effectiveness of intervnetion promoting exercise adoption for community-dwelling wheelchair users, presenting evidence about obesity and body composition among study participants.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to be the abstract Author on the content I am responsible for because I was the Principal Investigator for the research project. Research focus area: Develop and assess health promotion interventions concerning behavior change; investigate barriers to health promotion and community participation; methodological improvements to assess the health status of people with physical disabilities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.