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A life-style physical activity intervention and the antibody response to pneumococcal vaccination in women |
Long JE, Ring C, Bosch JA, Eves F, Drayson MT, Calver R, Say V, Allen D, Burns VE |
Psychosomatic Medicine 2013 Oct;75(8):774-782 |
clinical trial |
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: To assess whether a life-style physical activity intervention improved antibody response to a pneumococcal vaccination in sedentary middle-aged women. METHODS: Eighty-nine sedentary women completed a 16-week exercise (physical activity consultation, pedometer, telephone/e-mail prompts; n = 44) or control (advisory leaflet; n = 45) intervention. Pneumococcal vaccination was administered at 12 weeks, and antibody titers (11 of the 23 contained in the pneumococcal vaccine) were determined before vaccination and 4 weeks and 6 months later. Physical activity, aerobic fitness, body composition, and psychological factors were measured before and after the intervention. RESULTS: The intervention group displayed a greater increase in walking behavior (from mean (standard deviation) 82.16 (90.90) to 251.87 (202.13)) compared with the control condition (111.67 (94.64) to 165.16 (117.22); time by group interaction: F[1,68] = 11.25, p = 0.001, eta2 = 0.14). Quality of life also improved in the intervention group (from 19.37 (3.22) to 16.70 (4.29)) compared with the control condition (19.97 (4.22) to 19.48 (5.37); time by group interaction: F[1,66] = 4.44, p = 0.039, eta2 = 0.06). However, no significant effects of the intervention on antibody response were found (time by group 2 for each of the 11 pneumococcal strains ranged from 0.001 to 0.018; p values all > 0.264). CONCLUSIONS: Participation in a life-style physical activity intervention increased subjective and objective physical activity levels and quality of life but did not affect antibody response to pneumococcal vaccination.
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