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Breaking sedentary behaviour has the potential to increase/maintain function in frail older adults
Harvey JA, Chastin SFM, Skelton DA
Journal of Frailty Sarcopenia & Falls 2018 Mar;3(1):26-31
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVES: This pilot study aimed to evaluate the effect of a sedentary behaviour (SB) reduction intervention (Stomp Out (prolonged) Sitting (SOS)) in frail older adults. METHODS: Participants (> 65 years) were recruited from sheltered housing complexes and randomized into 2 groups. On weeks 2, 6 and 10 both groups had face-to-face 40 min motivational sessions, including feedback on physical function and SB. One group had the addition of real-time tactile feedback on sitting. Total sedentary time and patterns of SB were recorded by activPAL, along with validated measures of function: Timed Up and Go (TUG), Sit-to-Stand (STS) and balance tests. Outcomes were analyzed by intention-to-treat mixed model analysis. RESULTS: Twenty-three participants started the SOS intervention. Health issues led to high attrition in this frail population. TUG (4 seconds faster) and STS (> 2 rises more in 30 seconds) scores improved significantly in both groups. There were no significant changes in SB parameters. CONCLUSION: Motivational interviewing alongside functional test feedback, visual and real-time feedback on SB improved physical function over the study. This pilot study suggests that sit-to-stand transitions to break prolonged sitting time may help reduce frailty and functional decline in people who are often unable to engage in more intense exercise interventions.

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