Interventions for reducing sedentary behaviour in community-dwelling older adults

Abstract

This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:1. To identify the effects and assess the effectiveness of interventions to reduce sedentary behaviour (total sedentary time and the pattern of accumulation of sedentary time) in older adults.

Evaluation of wrist and hip sedentary behaviour and moderate-to-vigorous physical activity raw acceleration cutpoints in older adults

“…However, SB is an identifiable risk factor affecting physical (e.g., premature mortality, chronic diseases, and all-cause dementia risk) and psychosocial (e.g., self-perceived quality of life, wellbeing, and self-efficacy) determinants of health (Edwards & Loprinzi, 2016;Falck et al, 2016;Lewis et al, 2017) independent of PA (Tremblay et al, 2017). Such misclassification is likely to be beneficial if already physically active older adults were offered further opportunities to take part in interventions to reduce SB and increase PA levels (Chastin et al, 2017). Conversely, the higher Sp values for the GA MVPASp cutpoint (89%) and AG MVPASp cutpoint (99%) ensures that older adults not engaged in MVPA (e.g., ENMO values below the established cutpoints) are not falsely classified as being in MVPA and are correctly identified and targeted for PApromoting interventions (Lyons, Swartz, Lewis, Martinez, & Jennings, 2017).…”

“…There is strong evidence supporting the benefits of reducing sedentary behaviour (SB) and increasing physical activity (PA) in older adults (Devereux-Fitzgerald, Powell, Dewhurst, & French, 2016;Greaney, Lees, Blissmer, Riebe, & Clark, 2016;Kim, Im & Choi, 2016;Lewis, Napolitano, Buman, Williams, & Nigg, 2017). Despite this, older adults (e.g., aged 60+ years;Heo et al, 2017) remain the most sedentary and physically inactive segment of society (Chastin et al, 2017). Older adults spend approximately 80% of their awake time engaged in SB which represents eight to 12 hours/day (Chastin et al, 2017).…”

“…Despite this, older adults (e.g., aged 60+ years;Heo et al, 2017) remain the most sedentary and physically inactive segment of society (Chastin et al, 2017). Older adults spend approximately 80% of their awake time engaged in SB which represents eight to 12 hours/day (Chastin et al, 2017). Furthermore, compliance with recommended PA guidelines is poor in the general population and even worse in older adults (Troiano et al, 2008).…”

Using formative research with older adults to inform a community physical activity programme: Get Healthy, Get Active

“…In fact, SB is now an identifiable risk factor independent of other PA behaviours (Tremblay et al ., 2017). Spending on average 80% of their time in a seated posture, and with 67% being sedentary for more than 8.5 h/day (Shaw et al ., 2017), older adults are the most sedentary segment of society and seldom engage in moderate-to-vigorous PA (Chastin et al ., 2017).…”

Exploring Breaks in Sedentary Behavior of Older Adults Immediately After Receiving Personalized Haptic Feedback: Intervention Study

“…To date, the number of interventions targeting sedentary behavior in older adults has been limited. Only 9 interventions could be detected in a systematic review [4], of which only 1 was a mobile health (mHealth) intervention [5]. This finding contrasts sharply with the range of mHealth interventions aimed at the promotion of physical activity [6], and it is also very disappointing, as a recent meta-analysis showed a significantly higher decrease in sedentary behavior following mHealth interventions compared to traditional interventions in all age groups [7].…”