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MOVING: Motivation-Oriented interVention study for the elderly IN Greifswald: study protocol for a randomized

Fabian Kleinke1,2, Thea Schwaneberg3,4, Franziska Weymar3,4,5

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Summary

Individualized feedback letters significantly increased physical activity (PA) and reduced sitting time (ST) in older adults. This intervention may help prevent cardiovascular diseases (CVD) by promoting a healthier lifestyle.

Keywords:
AccelerometryBehavior changeElderly individuals (people)InterventionPhysical activityRCTSedentary behaviormotivation

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Area of Science:

  • Gerontology
  • Preventive Medicine
  • Public Health

Background:

  • Cardiovascular diseases (CVD) are a leading cause of mortality globally and in Germany.
  • Low physical activity (PA) and high sitting time (ST) are significant risk factors for CVD, particularly in older adults (≥65 years).
  • Many older adults do not meet recommended PA levels, with substantial daily ST.

Purpose of the Study:

  • To investigate the effectiveness of individualized feedback letters on PA and ST in individuals aged 65 and older.
  • To determine if objective accelerometer data can be used to motivate behavioral changes in PA and ST.
  • To assess the potential of this intervention to reduce cardiovascular risk factors.

Main Methods:

  • A two-arm, randomized controlled trial (MOVING study) involving participants aged 65+.
  • Objective measurement of PA and ST using accelerometers over seven consecutive days.
  • Intervention group received automated, individualized feedback letters based on PA/ST data at baseline and 3-month follow-up.

Main Results:

  • The primary outcome is the change in PA and ST at 6 months post-intervention.
  • The study aims for a 20% increase in moderate-to-vigorous physical activity (MVPA) in the intervention group.
  • Results will be compared between the intervention and control groups.

Conclusions:

  • The study evaluates a low-threshold intervention to increase PA and decrease ST in elderly individuals.
  • Positive effects on PA and ST could contribute to the prevention of CVD.
  • This feedback intervention shows potential for improving health-related behaviors in older populations.