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Completed

NCT Number: NCT04630561

Great Posture, Great Health

The purpose of this study is to examine the effect of a posture intervention on specific areas of daily function and health: physical, psychological, cognitive, social, and environmental characteristics.

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Key information

Age range

12 year and older

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Mayo Clinic in Rochester

Rochester, Minnesota, 55905, United States

About this study

This project promotes community health through postural movement to demonstrate strong physical and mental health benefits. Specifically, Great Posture, Great Health will address two of the top five priorities of general health concerns: 1) obesity and 2) mental health. First, obesity is on the rise although more individuals are meeting or exceeding the current federal physical activity guidelines based on the data provided by the US Department of Health and Human Services (2020). Obesity is a common problem in adults with all socioeconomic status and all races, except Asians. In fact, Asians have low rates of heart disease, asthma, cancer, and a longer life expectancy than other races, potentially due to health behaviors, environment, and stress coping strategies (Acciai et al., 2015). Therefore, we should not overlook the importance of stress coping strategies practiced in Asian countries on obesity. It is becoming more evident that chronic stress (such as elevated cortisol levels) and steroid-based medications are strongly associated with obesity and chronic diseases. It is critical to develop and validate community health strategies to address both priorities. Great Posture, Great Health will introduce one of the most common mind-body postural exercises practiced in Asian countries to a large and diverse population.

Who can participate

Healthy volunteers accepted: Yes

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Participants must be physically capable (defined as easy to moderate physical activities daily at least 60 minutes).
  • Participants also must have a normal (18.5-24.9kg/m2) or overweight BMI (25-29.9kg/m2).
  • Participants must be able to speak, listen, read, and understand sentences written in English.

Exclusion criteria

  • More than two risk factors for coronary artery disease (high blood pressure, high blood cholesterol level (LDL), family history (a close relative with heart disease), diabetes mellitus, chronic kidney disease
  • History of falls, osteoporosis, osteoarthritis, or orthopedic or neurological conditions (i.e., stroke)
  • Medications that cause dizziness or slow movement
  • Smoke
  • Body mass to height squared ratio greater than 30kg/m2 or less than 18.4kg/m2, blood pressure greater than 140/90 mmHg, or a history of heart conditions.
  • Individuals with progressive cognitive, neurologic disorders, cancer treatment, chronic heart failure, or unstable medical conditions

Treatment and study plan

Postural Intervention Program

Behavioral

Dynamic warmup program designed to target several areas of physical and mental wellbeing.

Primary outcomes

  1. Thigh Strength

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Isometric measurement (Newtons) of quadriceps and hamstrings musculature

  2. Posture

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Posture will be measured via the Posture Screen Mobile app. Displacement (mm)

  3. Bone density

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Bone densiometry will be measured via quantitative ultrasound (Achilles EXPII, GE). T-score.

Secondary outcomes

  1. PROMIS - Physical Activity

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Patient Reported Outcomes from a computerized adaptive test (T-score; normative score is 1.0; higher score equates to a better outcome)

  2. PROMIS - Physical Function

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Patient Reported Outcomes from a computerized adaptive test (T-score; normative score is 1.0; higher score equates to a better outcome)

  3. PROMIS - Pain Interference

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Patient Reported Outcomes from a computerized adaptive test (T-score; normative score is 1.0; higher score equates to a better outcome)

  4. Mindful Attention Awareness Scale (MAAS)

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Patient Reported Outcomes (Mean score range: 1-6; higher score equates to increased mindfulness)

  5. Perceived Stress Scale (PSS-10)

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Patient Reported Outcomes (Score range: 0-40; higher score equates to increased stress)

  6. Generalized Anxiety Disorder (GAD7)

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Patient Reported Outcomes (Score range: 0-21; higher score equates to increased anxiety)

  7. Patient Health Questionnaire Depression Scale (PHQ)

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Patient Reported Outcomes (Score range: 0-27; score of 10 or greater is considered major depression, 20 or more is severe major depression.)

  8. Sex

    Time frame: Through study completion, an average of 1 year

    Demographic co-variate. (M/F)

  9. Age

    Time frame: Through study completion, an average of 1 year

    Demographic co-variate (years)

  10. BMI

    Time frame: 12-week differences (Pre- and Post-intervention measures)

    Demographic co-variate (BMI index; kg/m^2)

Sponsors and collaborators

Lead sponsor

Mayo Clinic

Other

Registry information

Official study title

Great Posture, Great Health - A Community-Based Postural Intervention for Improving Holistic Health

Acronym: GPGH

Important dates

Study start
2020
Primary completion
2024
Study completion
2024
First posted
Nov 16, 2020
Registry last updated
Apr 11, 2024

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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