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Physical Activity Awareness Education for Healthy Young Adults
Background and Rationale: Physical inactivity in young adults is common and increases the risk of heart disease, diabetes, obesity, and some cancers. Awareness-based education that helps individuals reflect on daily routines may support lasting increases in physical activity better than information alone. Objective: To determine whether a 10-week Physical Activity Awareness education program-alone or combined with a brief weekly supervised exercise class-improves muscle performance and exercise participation in healthy, sedentary young adults. Study Design: Single-center, double-masked, randomized controlled trial. Participants are randomized to one of two parallel groups. Outcome assessors are blinded to group allocation; intervention staff are separate from assessors. Baseline and post-intervention assessments are performed over 10 weeks. Participants and Eligibility: Healthy volunteers aged 18-25 years who are inactive or minimally active (per standardized questionnaires), spend \>6 hours/day sitting (outside of sleep), and have body mass index ≤30 kg/m². Key exclusions include conditions that make exercise unsafe (e.g., significant visual/vestibular/neurologic disorders), recent spine or lower-limb surgery or fracture, severe musculoskeletal pain limiting movement, pregnancy risk, pacemaker or metal implants, or current athletic training. Interventions: Education Only: A 10-week Physical Activity Awareness education program delivered by physiotherapists (health benefits of activity, types of exercise, strategies to reduce sitting time, building enjoyable routines). Education + Exercise: The same education program plus one supervised group exercise class per week (40 minutes; music-based aerobic activity, core strengthening, warm-up and cool-down). Assessments and Endpoints: Primary Endpoint: Trunk endurance on the static forearm plank test (time in seconds maintaining proper alignment). Secondary Endpoints: Bilateral handgrip strength (best of three
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