Telehealth Exercise Program for Cardiometabolic Health
(CHIME Trial)
Trial Summary
Do I have to stop taking my current medications for the trial?
The trial protocol does not specify whether you need to stop taking your current medications.
What data supports the idea that Telehealth Exercise Program for Cardiometabolic Health is an effective treatment?
The available research shows that a home-based telehealth exercise program can be effective for people with cardiometabolic conditions. One study found that a 12-week tele-exercise program improved cardiorespiratory fitness and heart rate recovery, which are important for heart health. Another study highlighted that participants who completed a supervised exercise phase showed significant improvements in fitness indicators like weight, body mass index, and blood pressure. These findings suggest that telehealth exercise programs can help improve health outcomes for those with cardiometabolic issues.12345
What safety data exists for telehealth exercise programs for cardiometabolic health?
The safety data for exercise programs, including telehealth formats, indicates a low prevalence of adverse cardiometabolic responses when programs are evidence-based and individualized. High-intensity interval exercise (HIIE) shows a higher rate of adverse responses compared to moderate-intensity exercise, but with appropriate supervision and monitoring, it can be safe for clinically stable patients. Cardiovascular complications during exercise are rare, especially in medically supervised settings. Screening and gradual intensity increase are recommended to minimize risks. Overall, exercise programs, including virtual ones, are generally safe with proper precautions.678910
Is the Instructor-led, one-on-one exercise group a promising treatment for cardiometabolic health?
Yes, the Instructor-led, one-on-one exercise group is a promising treatment for cardiometabolic health. Research shows that exercise programs delivered through telehealth can improve fitness and health-related quality of life for people with cardiometabolic conditions. These programs are effective in increasing cardiorespiratory fitness and can be easily accessed from home, making them a convenient option for many people.1231112
What is the purpose of this trial?
The study aims to test the benefits of a 24-week, cardio-emphasized Movement-to-Music exercise program for reversing cardiometabolic health risk factors compared to asynchronous, standard exercise programs among 132 adult wheelchair users. The targeted cardiometabolic health factors are waist circumference, triglycerides, "good" cholesterol, glucose, and blood pressure. Additionally, a 12-week follow-up phase (weeks 25-36) is included to see whether the gains are maintained.
Research Team
Jereme Wilroy, PhD
Principal Investigator
The University of Alabama at Birmingham
Eligibility Criteria
Adult wheelchair users with at least two cardiometabolic risk factors, who can exercise using their arms and have not been in a structured exercise program recently. They must speak English, get less than 90 minutes of moderate exercise weekly, and have internet access. Those with high-level tetraplegia or medical instability for home exercises are excluded.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Baseline Assessment
Participants complete baseline assessments including physical tests and questionnaires
Treatment
Participants engage in a 24-week exercise program, either instructor-led or self-guided
Follow-up
Participants are monitored for maintenance of health improvements post-treatment
Treatment Details
Interventions
- Instructor-led, one-on-one exercise group
- Self-guided control with virtual fitness membership
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Alabama at Birmingham
Lead Sponsor
Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD)
Collaborator