About this trial
The goal of this clinical trial is to learn if telemedicine exercise programme can improve the cardiorespiratory fitness (how well your body delivers oxygen to muscles and organs) and insulin resistance in Asian children with low cardiorespiratory fitness levels. The main questions it aims to answers are:
* Does telemedicine exercise programme improve the number of 20-metre laps the participant is able to run? * Does telemedicine exercise programme improve the insulin sensitivity using the Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) formula?
Researchers will compare the telemedicine exercise programme to current active lifestyle programme (e.g., daily step count monitoring) to see if telemedicine exercise programme is more effective in improving cardiorespiratory fitness.
Participants will:
* participate in weekly telemedicine exercise programme or adhere to current active lifestyle recommendations through daily step count reporting for 10 weeks * visit the clinic for pre- and post-programme cardiorespiratory fitness assessments and blood taking
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
12 to 17 years (secondary school students)
able to participate in school physical education lessons
Disqualifiers
less than 12 years or 18 years and older (non-secondary school students)
has medical or musculoskeletal condition(s) preventing participation in school physical education lessons or exercise
Trial design
Parallel
Treatments tested in this trial
Telemedicine
BehavioralA 10-week telemedicine-based exercise programme consisting of 90-minute sessions conducted weekly via a video conferencing platform. All participants will also be educated on physical activity recommendations, including achieving a minimum of 12,000 steps daily, and required to perform weekly check-in for number of daily steps via online survey form.
Lifestyle
BehavioralAll participants will be educated on physical activity recommendations, including achieving a minimum of 12,000 steps daily, and required to perform weekly check-in for number of daily steps via online survey form.
Treatment groups
Trial outcomes
Primary outcomes
Cardiorespiratory fitness assessment
Cardiorespiratory fitness (CRF) is defined by the number of completed laps in Progressive Aerobic Cardiovascular Endurance Run (PACER) test, corresponding to the respective CRF levels for gender
Secondary outcomes
Insulin resistance
Insulin sensitivity is defined by the HOMA-IR formula \[(fasting insulin in µU/ml) x (fasting glucose in mmol/L) / 22.5\]; normal is \< 2.5
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