TY - JOUR
T1 - Using continuous glucose monitoring to motivate physical activity in overweight and obese adults
T2 - A pilot study
AU - Liao, Yue
AU - Basen-Engquist, Karen M.
AU - Urbauer, Diana L.
AU - Bevers, Therese B.
AU - Hawk, Ernest
AU - Schembre, Susan M.
N1 - Funding Information:
Y. Liao was supported by a faculty fellowship from the Duncan Family Institute for Cancer Prevention and Risk Assessment at The University of Texas MD Anderson Cancer Center. K.M. Basen-Engquist and S.M. Schembre were supported by the NCI of the NIH under award number R21CA215415. This research was also supported by the NIH through MD Anderson's Cancer Center Support Grant (NCI Grant No. P30 CA016672). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. The authors acknowledge additional support for this project from the Assessment, Intervention and Measurement (AIM) Shared Resource and the Center for Energy Balance in Cancer Prevention and Survivorship at the University of Texas MD Anderson Cancer Center. The authors also thank the Department of Scientific Publications at MD Anderson for editing this manuscript.
Funding Information:
Y. Liao was supported by a faculty fellowship from the Duncan Family Institute for Cancer Prevention and Risk Assessment at The University of Texas MD Anderson Cancer Center. K.M. Basen-Engquist and S.M. Schembre were supported by the NCI of the NIH under award number R21CA215415. This research was also supported by the NIH through MD Anderson's Cancer Center Support Grant (NCI Grant No. P30 CA016672). The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH.
Publisher Copyright:
© 2020 American Association for Cancer Research.
PY - 2020
Y1 - 2020
N2 - Background: Regular physical activity (PA) is associated with a lower risk of several types of cancers. However, two-thirds of overweight/obese adults are not sufficiently active; this, in combination with the unfavorable effect of excess body weight, puts them at a greater risk for cancer. One reason that these individuals do not engage in enough PA may be their lack of motivation to change their current behavior due to the perception of putting in effort for possible future gain without obvious short-term benefits. There is a need for innovative ways to help individuals recognize the immediate health benefits of PA and thus increase their motivation. Methods: This pilot intervention tested a PA education module that included a one-on-one counseling session highlighting the acute effects of PA on glucose patterns, followed by a 10-day selfmonitoring period with a continuous glucose monitor (CGM) and a Fitbit tracker. Participants rated the acceptability of the education module on a 5-point Likert scale and completed surveys assessing stages of change for motivational readiness. Results: Nineteen overweight/obese adults (84% female) completed the study. Participants gave high ratings to the counseling session for improving their PA-related knowledge (mean = 4.22), increasing motivation (mean = 4.29), and providing personally relevant information (mean = 4.35). The summary acceptability scores for the self-monitoring period were 4.46 for CGM and 4.51 for Fitbit. Participants reported a significant decrease in the precontemplation stage and an increase in the action stage (P < 0.05). Conclusions: CGM is a feasible tool for PA interventions. Impact: Information from CGM could be used as biologicalbased feedback to motivate PA.
AB - Background: Regular physical activity (PA) is associated with a lower risk of several types of cancers. However, two-thirds of overweight/obese adults are not sufficiently active; this, in combination with the unfavorable effect of excess body weight, puts them at a greater risk for cancer. One reason that these individuals do not engage in enough PA may be their lack of motivation to change their current behavior due to the perception of putting in effort for possible future gain without obvious short-term benefits. There is a need for innovative ways to help individuals recognize the immediate health benefits of PA and thus increase their motivation. Methods: This pilot intervention tested a PA education module that included a one-on-one counseling session highlighting the acute effects of PA on glucose patterns, followed by a 10-day selfmonitoring period with a continuous glucose monitor (CGM) and a Fitbit tracker. Participants rated the acceptability of the education module on a 5-point Likert scale and completed surveys assessing stages of change for motivational readiness. Results: Nineteen overweight/obese adults (84% female) completed the study. Participants gave high ratings to the counseling session for improving their PA-related knowledge (mean = 4.22), increasing motivation (mean = 4.29), and providing personally relevant information (mean = 4.35). The summary acceptability scores for the self-monitoring period were 4.46 for CGM and 4.51 for Fitbit. Participants reported a significant decrease in the precontemplation stage and an increase in the action stage (P < 0.05). Conclusions: CGM is a feasible tool for PA interventions. Impact: Information from CGM could be used as biologicalbased feedback to motivate PA.
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U2 - 10.1158/1055-9965.EPI-19-0906
DO - 10.1158/1055-9965.EPI-19-0906
M3 - Article
C2 - 32066620
AN - SCOPUS:85082736586
SN - 1055-9965
VL - 29
SP - 761
EP - 768
JO - Cancer Epidemiology Biomarkers and Prevention
JF - Cancer Epidemiology Biomarkers and Prevention
IS - 4
ER -