Sedentary Reduction Strategies for Sedentary Lifestyle
(START Trial)
Trial Summary
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on increasing physical activity rather than medication changes.
What data supports the effectiveness of the treatment for reducing sedentary behavior?
Research shows that interventions specifically targeting sedentary behavior, such as those involving self-monitoring and environmental changes, are promising in reducing sitting time. These strategies have been effective in various settings, including among cancer patients and older adults, suggesting they could be beneficial for sedentary lifestyle interventions.12345
Is the sedentary reduction intervention safe for humans?
How is the sedentary reduction treatment different from other treatments for a sedentary lifestyle?
What is the purpose of this trial?
The goal of this behavioral clinical trial is to compare two different ways of becoming less sedentary and more active in 60 older adults at elevated risk of becoming frail.The main question this project aims to answer are whether participants in each intervention are able to gradually replace 30 minutes of sedentary (sitting-like) behavior with very light walking over 60 days.There are other questions this project aims to answer that include:1. whether it is easier to replace sedentary behavior with one 30-minute walking bout or three 10-minute walking bouts2. whether becoming less sedentary and more active leads to feeling better, have less stress, pain, and fatigue and have more confidence in becoming more regularly active3. whether becoming less sedentary and more active leads to better regulation of inflammation and metabolismParticipants will be randomized into one of two sedentary reduction behavior programs; one program that gradually replaces sedentary time with one 30-minute walking bout and the other program that gradually replaces sedentary time with three 10-minute walking bouts in the morning, afternoon, and evening. Researchers will compare both programs to see which one is easier to achieve and maintain over 60 days.
Research Team
Amal Wanigatunga, PhD
Principal Investigator
Johns Hopkins Blomberg School of Public Health
Eligibility Criteria
The START Trial is for adults aged 65 or older who are at risk of becoming frail but can still walk. They should be somewhat inactive, doing less than 20 minutes of physical activity per day, and willing to increase their walking time. People with severe health issues like uncontrolled high blood pressure, cognitive impairment, or those needing help to walk aren't eligible.Inclusion Criteria
Exclusion Criteria
Timeline
Screening
Participants are screened for eligibility to participate in the trial
Intervention
Participants are randomized into one of two sedentary reduction behavior programs to replace sedentary time with walking over 60 days
Follow-up
Participants are monitored for changes in sedentary behavior, physical activity, and health outcomes
Treatment Details
Interventions
- Bouted sedentary reduction intervention
- Continuous sedentary reduction intervention
Find a Clinic Near You
Who Is Running the Clinical Trial?
Johns Hopkins Bloomberg School of Public Health
Lead Sponsor
National Institute on Aging (NIA)
Collaborator