Internet-delivered behavior change program increases physical activity and improves cardiometabolic disease risk factors in sedentary adults: Results of a randomized controlled trial

Objectives. To determine whether the Active Living Every Day (ALED-I) internet-delivered theory-based physical activity (PA) behavior change program increases PA and improves cardiometabolic disease risk factors (CDRF) in sedentary overweight adults. Methods. The study was a randomized control trial that took place in southern Wyoming and northern Colorado from 2005-2007. Thirty-two men and women (21-65 years) were randomized to a 16-week ALED-I intervention (n=14; age=41.4 +/- 3.7 years; BMI =32.3 +/- 1.3 kg/m(2)) or a delayed intent-to-treat control condition (n=18; age=49.4 +/- 1.7 years; BMI=30.6 +/- 0.8 kg/m(2)). At baseline and post-intervention, PA by pedometer and CDRFs were measured. Results. Both groups had similar baseline PA levels. ALED-I increased PA by an average of 1384 steps/day (p=0.03) compared to 816 steps/ day (p=0.14) for the control group. Waist circumference (100.6 +/- 2.4 vs. 96.6 +/- 2.7 cm) and Coronary Risk Ratio (5.1 +/- 0.3 vs. 4.7 +/- 0.3) decreased in the ALED-I group and did not change in the control group (99.2 +/- 2.2. vs.99.8 +/- 2.1 cm) and (3.7 +/- 0.1 vs. 3.7 +/- 0.1), respectively. Conclusions. The internet-delivered ALED program increased PA and improved some CDRFs in sedentary overweight/obese adults. To our knowledge, this is the first efficacy trial of the internet-delivered ALED program. Further studies are warranted due to the reach and costeffectiveness of internet-delivered PA programs. (c) 2007 Elsevier Inc. All rights reserved.