An intervention to decrease sedentary behavior in older adults: A secondary analysis of a randomized controlled trial
Abstract Background Sedentary behaviors are associated with adverse health outcomes in older adults. The feasibility of behavioral interventions in this population is unclear. Methods In the Sit Less, Interact, Move More (SLIMM) trial of 106 participants who had obesity, those randomized to the SLIM...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2023-10-01
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| Series: | Obesity Science & Practice |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/osp4.687 |
| _version_ | 1797665992875180032 |
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| author | Nikita Abraham Kate Lyden Robert Boucher Guo Wei Victoria Gonce Judy Carle Katalin Fornadi Mark A. Supiano Jesse Christensen Srinivasan Beddhu |
| author_facet | Nikita Abraham Kate Lyden Robert Boucher Guo Wei Victoria Gonce Judy Carle Katalin Fornadi Mark A. Supiano Jesse Christensen Srinivasan Beddhu |
| author_sort | Nikita Abraham |
| collection | DOAJ |
| description | Abstract Background Sedentary behaviors are associated with adverse health outcomes in older adults. The feasibility of behavioral interventions in this population is unclear. Methods In the Sit Less, Interact, Move More (SLIMM) trial of 106 participants who had obesity, those randomized to the SLIMM intervention (N = 54) were instructed to replace sedentary activities with stepping. An accelerometer was used to measure physical activity. In this secondary analysis, mixed effect models were used to examine the effects of the SLIMM intervention on sedentary and stepping durations and steps/day by age (<70 and ≥ 70 years). Results Mean ages in the <70 years (N = 47) and ≥70 years (N = 59) groups were 58 ± 11 and 78 ± 5. In the older subgroup, compared to standard‐of‐care (N = 29), the SLIMM intervention (N = 30) significantly increased stepping duration (13, 95%CI 1–24 min/d, p = 0.038) and steps per day (1330, 95% CI 322–2338, p = 0.01) and non‐significantly decreased sedentary duration by (28,95% CI −61–5 min/d, p = 0.09). In the age <70 subgroup, there was no separation between the standard of care (N = 23) and SLIMM (N = 24) groups. Discussion In older adults who had obesity, SLIMM intervention significantly increased stepping duration and steps per day. Interventions targeting sedentary behaviors by promoting low intensity physical activity may be feasible in this population. |
| first_indexed | 2024-03-11T19:51:56Z |
| format | Article |
| id | doaj.art-062d97480ae440d7a656444397d6121b |
| institution | Directory Open Access Journal |
| issn | 2055-2238 |
| language | English |
| last_indexed | 2024-03-11T19:51:56Z |
| publishDate | 2023-10-01 |
| publisher | Wiley |
| record_format | Article |
| series | Obesity Science & Practice |
| spelling | doaj.art-062d97480ae440d7a656444397d6121b2023-10-05T03:34:31ZengWileyObesity Science & Practice2055-22382023-10-019552953710.1002/osp4.687An intervention to decrease sedentary behavior in older adults: A secondary analysis of a randomized controlled trialNikita Abraham0Kate Lyden1Robert Boucher2Guo Wei3Victoria Gonce4Judy Carle5Katalin Fornadi6Mark A. Supiano7Jesse Christensen8Srinivasan Beddhu9Division of Nephrology & Hypertension University of Utah Health Sciences Salt Lake City Utah USADepartment of Kinesiology University of Massachusetts Amherst Massachusetts USADivision of Nephrology & Hypertension University of Utah Health Sciences Salt Lake City Utah USADivision of Nephrology & Hypertension University of Utah Health Sciences Salt Lake City Utah USADivision of Nephrology & Hypertension University of Utah Health Sciences Salt Lake City Utah USADivision of Nephrology & Hypertension University of Utah Health Sciences Salt Lake City Utah USADivision of Nephrology & Hypertension University of Utah Health Sciences Salt Lake City Utah USADivision of Geriatrics University of Utah Health Sciences Salt Lake City Utah USADepartment of Physical Medicine and Rehabilitation Veterans Affairs Salt Lake City Health Care System Salt Lake City Utah USADivision of Nephrology & Hypertension University of Utah Health Sciences Salt Lake City Utah USAAbstract Background Sedentary behaviors are associated with adverse health outcomes in older adults. The feasibility of behavioral interventions in this population is unclear. Methods In the Sit Less, Interact, Move More (SLIMM) trial of 106 participants who had obesity, those randomized to the SLIMM intervention (N = 54) were instructed to replace sedentary activities with stepping. An accelerometer was used to measure physical activity. In this secondary analysis, mixed effect models were used to examine the effects of the SLIMM intervention on sedentary and stepping durations and steps/day by age (<70 and ≥ 70 years). Results Mean ages in the <70 years (N = 47) and ≥70 years (N = 59) groups were 58 ± 11 and 78 ± 5. In the older subgroup, compared to standard‐of‐care (N = 29), the SLIMM intervention (N = 30) significantly increased stepping duration (13, 95%CI 1–24 min/d, p = 0.038) and steps per day (1330, 95% CI 322–2338, p = 0.01) and non‐significantly decreased sedentary duration by (28,95% CI −61–5 min/d, p = 0.09). In the age <70 subgroup, there was no separation between the standard of care (N = 23) and SLIMM (N = 24) groups. Discussion In older adults who had obesity, SLIMM intervention significantly increased stepping duration and steps per day. Interventions targeting sedentary behaviors by promoting low intensity physical activity may be feasible in this population.https://doi.org/10.1002/osp4.687chronic kidney diseasephysical activitysedentary behavior |
| spellingShingle | Nikita Abraham Kate Lyden Robert Boucher Guo Wei Victoria Gonce Judy Carle Katalin Fornadi Mark A. Supiano Jesse Christensen Srinivasan Beddhu An intervention to decrease sedentary behavior in older adults: A secondary analysis of a randomized controlled trial Obesity Science & Practice chronic kidney disease physical activity sedentary behavior |
| title | An intervention to decrease sedentary behavior in older adults: A secondary analysis of a randomized controlled trial |
| title_full | An intervention to decrease sedentary behavior in older adults: A secondary analysis of a randomized controlled trial |
| title_fullStr | An intervention to decrease sedentary behavior in older adults: A secondary analysis of a randomized controlled trial |
| title_full_unstemmed | An intervention to decrease sedentary behavior in older adults: A secondary analysis of a randomized controlled trial |
| title_short | An intervention to decrease sedentary behavior in older adults: A secondary analysis of a randomized controlled trial |
| title_sort | intervention to decrease sedentary behavior in older adults a secondary analysis of a randomized controlled trial |
| topic | chronic kidney disease physical activity sedentary behavior |
| url | https://doi.org/10.1002/osp4.687 |
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