I-STAND R21: Reducing Sedentary Time in Older Adults



Status:Completed
Conditions:Obesity Weight Loss
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:60 - 89
Updated:7/1/2018
Start Date:February 2016
End Date:February 2017

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Take Active Breaks From Sitting (TABS): Reducing Sedentary Time in Older Adults

The investigators are doing a study to learn how to support patients aged 60+ in taking more
breaks from sitting and reducing total sitting time. The goal of the study is to find out if
a sitting time reduction intervention reduces sitting time compared with a control group.

More than one-third of American adults over 60 have a body mass index > 30 kg/m2. These older
adults have more sedentary time than any other group -- an average of 10-11 hours per day.
Reducing the sedentary behavior of older adults with obesity, rather than only promoting more
intensive physical activity, could provide a more feasible approach to health promotion.

This randomized control pilot trial will evaluate a 12-week intervention to decrease sitting
time and increase standing time and light physical activity among sedentary older adults a
body mass index > 30 kg/m2 as compared to control group. Baseline and 12-week measurements
include anthropometric measures, blood draw by finger stick, cardiovascular health
assessments, physical function tasks, and a survey. The intervention will consist of two
in-person visits with a health coach followed by phone-based coaching.

Inclusion Criteria:

- Kaiser Permanente Washington enrollees

- Men and women

- Age 60 - 89

- BMI 30 - 50 (calculated based on most recent height ever and most recent weight taken
within previous 18 months)

- Primary care within Integrated Group Practice

- Continuously enrolled at Kaiser Permanente Washington for previous 12 months

- No record of death

- Not on the No Contact list

- Speaks and writes English

- Able to hold a conversation by phone (no hearing or other limitations)

- Self-reported sitting time of 6 hours/day or more

- Self-reported ability to stand with or without an assistive device

- Self-reported ability to walk one block with or without an assistive device

- Available for the study duration

- Able to come to Kaiser Permanente Washington Health Research Institute's research
clinic for measurement visits

- Willing to wear study activity monitors

Exclusion Criteria:

- Resides in long-term care, hospice care, or skilled nursing facility (previous 12
months)

- Wheelchair bound

- Diagnosis of dementia, serious mental health disorder, or substance use disorder
(previous 24 months)

- Use of an assistive device
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