A Pilot Feasibility and Acceptability Study of Remote ExerciSe Training mOdalities (PRESTO)

Inclusion Criteria

• •1. \>45 years
• •2. At risk for CVD (participants must have one or more of the following risk factors: hypertension, hyperlipidemia, Type 2 Diabetes Mellitus, smoking, obesity, family history of premature CVD)
• •3. Not meeting AHA physical activity guidelines for at least 3 months prior to screening
• •* Hypertension:
• •* Systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg and/or
• •* Use of anti-hypertensive medication
• •* Hyper / dyslipidemia
• •* LDL cholesterol levels ≥160 mg/dL and/or
• •* HDL cholesterol \<50mg/dL for women, \<40mg/dL for women, in addition to fasting triglycerides \>150mg/dL
• •* Diabetes Mellitus:
• •* Hemoglobin A1c levels ≥6.5%, fasting glucose levels ≥126 mg/dL, or 2-hour glucose levels ≥200 mg/dL after an oral glucose tolerance test and/or
• •* Use of any diabetes medication
• •* Smoking:
• •o Current regular tobacco use.
• •* Obesity:
• •o BMI ≥30 kg/m².
• •* Family History of Premature Cardiovascular Disease:
• •* Having a first-degree relative (parent, sibling) who developed CVD before age 55 for biological males or age 65 for biological females.