Sedentary Behavior Interrupted Randomized Controlled Trial (P2)
Sedentary Behavior Interrupted: A Randomized Trial of 3-month Effects on Biomarkers of Healthy Aging and Physical Functioning in the Real World (Project 2)
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Primary Aims:
In our primary biomarker outcomes of glucose regulation (fasting insulin & glucose, HbA1c, HOMA-IR) & blood pressure (BP):
- Investigate the 12 week effects of increased standing and additional brief sit-to-stand compared to attention controls.
- Investigate the dose-response effects of behavioral change on the biomarkers & BP.
Secondary aims
- Assess the effect of changes in standing and sit-to-stand transitions at 12 weeks on physical, emotional & cognitive functioning.
- Assess the effect of changes in standing and sit-to-stand transitions at 12 weeks on in vivo skeletal muscle mitochondrial function.
Exploratory aims
- Explore the possible modifying effect of age on the relationship between intervention conditions & primary & secondary outcomes.
- Explore the psychosocial & environmental mediators & moderators of changes in sitting time, standing time, and transitions.
- Explore differences in outcomes between the 2 sitting interruption conditions.
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
California
-
La Jolla, California, United States, 92093
- UC San Diego
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Female;
- 55 years of age and above;
- any ethnicity or race;
- screened to sit for 7 or more hours per day, perform less than 70 sit-to-stand transitions per day
- ambulatory;
- medically stable without any health conditions that would inhibit standing or PA;
- able to give informed consent & comply with study protocols;
- able to read and write fluently in English;
- able to travel to study visits; and
- no menstruation for at least one year;
- BMI 25-45
- able to walk, stand and transition without high risk of falling.
Exclusion Criteria:
- Male;
- younger than 55 years of age;
- sit for less than 7 hours per day, perform 71 or more sit-to-stand transitions per day
- mental state that would preclude complete understanding of the protocol or compliance;
- physical limitations to completing any of the study conditions;
- menstruation less than one year prior;
- unable to complete the Short Physical Performance Battery,
- Active cancer
- body Mass Index <25 or >45kg/m2,
- use of insulin
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Active Comparator: Health Living Attention Control
Participants in the attention control condition will receive a healthy aging educational intervention.
This group will receive one in-person health coaching sessions and 6 phone counseling sessions.
|
Health Coaching sessions will be aimed at goal setting, implementing strategies, overcoming barriers, & relapse prevention.
|
|
Experimental: Reduce Sitting
Participants in the Reduce Sitting condition will receive an intervention aimed at reducing daily sitting time.
This group will receive five in-person health coaching sessions and two phone counseling sessions.
|
Health Coaching sessions will be aimed at goal setting, implementing strategies, overcoming barriers, & relapse prevention.
Participants in the intervention study arms (B & C) will wear the ActivPAL device for the first 4 weeks of the program and then again in weeks 8 and 9.
The device will monitor their sitting and standing time and will allow Health Coaches to provide feedback and will assist the participant in developing an action plan.
Participants in the intervention study arms (B & C) will receive tools to prompt standing or sit-to-stand transitions such as wearable wrist devices, standing desks or tables (Group B only), mechanical and/or electronic timers, or access to mobile apps or computer programs.
|
|
Experimental: Sit-to-Stand Transition
Participants in the Sit-to-Stand Transition condition will receive an intervention aimed at increasing the daily number of brief sit-to-stand transitions.
This group will receive five in-person health coaching sessions and two phone counseling sessions.
|
Health Coaching sessions will be aimed at goal setting, implementing strategies, overcoming barriers, & relapse prevention.
Participants in the intervention study arms (B & C) will wear the ActivPAL device for the first 4 weeks of the program and then again in weeks 8 and 9.
The device will monitor their sitting and standing time and will allow Health Coaches to provide feedback and will assist the participant in developing an action plan.
Participants in the intervention study arms (B & C) will receive tools to prompt standing or sit-to-stand transitions such as wearable wrist devices, standing desks or tables (Group B only), mechanical and/or electronic timers, or access to mobile apps or computer programs.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Insulin Regulation (mU/L)
Time Frame: 3 months
|
Mean Insulin (mU/L) collected via fasting blood draw at Baseline and 3-Months
|
3 months
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Self-Reported Physical Functioning
Time Frame: 3 months
|
Self-reported physical functioning was assessed using the Rand SF 36-Item Health Survey that assesses 8 health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions.
The range of scores is 0 - 100 with higher scores meaning better physical functioning.
|
3 months
|
Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Hartman SJ, Dillon LW, LaCroix AZ, Natarajan L, Sears DD, Owen N, Dunstan DW, Sallis JF, Schenk S, Allison M, Takemoto M, Herweck AM, Nguyen B, Rosenberg DE. Interrupting Sitting Time in Postmenopausal Women: Protocol for the Rise for Health Randomized Controlled Trial. JMIR Res Protoc. 2021 May 13;10(5):e28684. doi: 10.2196/28684.
- Hartman SJ, LaCroix AZ, Sears DD, Natarajan L, Zablocki RW, Chen R, Patterson JS, Dillon L, Sallis JF, Schenk S, Dunstan DW, Owen N, Rosenberg DE. Impacts of Reducing Sitting Time or Increasing Sit-to-Stand Transitions on Blood Pressure and Glucose Regulation in Postmenopausal Women: Three-Arm Randomized Controlled Trial. Circulation. 2025 Aug 26;152(8):492-504. doi: 10.1161/CIRCULATIONAHA.124.073385. Epub 2025 Jul 25.
- Zablocki RW, Hartman SJ, Di C, Zou J, Carlson JA, Hibbing PR, Rosenberg DE, Greenwood-Hickman MA, Dillon L, LaCroix AZ, Natarajan L. Using functional principal component analysis (FPCA) to quantify sitting patterns derived from wearable sensors. Int J Behav Nutr Phys Act. 2024 Apr 26;21(1):48. doi: 10.1186/s12966-024-01585-8.
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Estimated)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 1P01AG052352-01A1 (U.S. NIH Grant/Contract)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
product manufactured in and exported from the U.S.
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