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Reducing Sedentary Time for Obese Older Adults: Protocol for a Randomized Controlled Trial.

Dori E Rosenberg1, Amy K Lee1, Melissa Anderson1

  • 1Kaiser Permanente Washington Health Research Institute, Seattle, WA, United States.

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|February 14, 2018
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This pilot study tested a technology-enhanced intervention to reduce sedentary time (ST) in obese older adults. The I-STAND intervention showed promise for improving health outcomes by decreasing sitting time.

Keywords:
Sedentary lifestyleagingchronic conditionsexercisemedical informatics

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Area of Science:

  • Gerontology
  • Obesity Research
  • Behavioral Science

Background:

  • Obesity and high sedentary time (ST) are prevalent in older adults, increasing chronic disease risk.
  • Reducing ST is a potential strategy for improving health outcomes in this population.

Purpose of the Study:

  • To describe the rationale, design, and methods of the I-STAND pilot trial, a novel intervention to reduce sitting time in obese older adults.

Main Methods:

  • A pilot randomized controlled trial involving 60 obese older adults.
  • The I-STAND intervention combined personal coaching with technology (Jawbone UP band) to prompt sitting breaks.
  • Primary outcome: daily sitting time (activPAL); Secondary outcomes: physical function, blood pressure, glucose, cholesterol, depressive symptoms.

Main Results:

  • Study enrollment is complete, and data analysis is in progress.
  • Preliminary feasibility and acceptability data were collected through qualitative assessments.

Conclusions:

  • Randomized trial data are needed to confirm the effectiveness of sitting reduction interventions for obese older adults.
  • This study's methods can inform future research on technology-based sedentary behavior interventions.