Wearable Technology To Reduce Sedentary Behavior And CVD Risk In Older Adults: A Pilot Randomized Clinical Trial
| Autor: | Sara A. Harper, Lisa M. Roberts, Thomas W. Buford, Byron C. Jaeger, Dorothy Pekmezi, Anna K Gardner, Liliana C. Baptista, Stephen D. Anton, Bhanuprasad Sandesara, Elizabeth A. Jackson, Todd M. Manini |
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| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
business.industry Cvd risk Physical activity Physical exercise General Medicine Sedentary behavior Confidence interval 3. Good health law.invention 03 medical and health sciences 0302 clinical medicine Blood pressure Randomized controlled trial law Physical therapy Medicine 030212 general & internal medicine Geriatrics and Gerontology business 030217 neurology & neurosurgery Wearable technology |
| Zdroj: | Clinical Interventions in Aging. 14:1817-1828 |
| ISSN: | 1178-1998 |
| Popis: | Background Physical exercise is associated with decreased cardiovascular disease (CVD) risk, but recent large-scale trials suggest that exercise alone is insufficient to reduce CVD events in high-risk older adults. Purpose This pilot randomized clinical trial aimed to collect critical data on feasibility, safety, and protocol integrity necessary to design a fully powered randomized controlled trial (RCT) and evaluate the impact of combining structured exercise with an intervention designed to enhance non-exercise physical activity (EX+NEPA) compared to EX alone. Methods Forty participants aged ≥60 years with moderate-to-high risk of coronary heart disease events were randomly assigned to either the EX+NEPA or EX groups and followed for 20 weeks. Both groups underwent a twice-weekly, 8-week center-based exercise intervention with aerobic and resistance exercises. EX+NEPA group also received a wearable activity tracking device along with behavioral monitoring and feedback throughout the study. Study outcomes were evaluated at 8 and 20 weeks. Results Data are presented as adjusted mean change of the differences over time with 95% confidence intervals at 20 weeks. Relative to EX, the change in steps/day at 20 weeks was 1994 (-40.27, 4028) higher for EX+NEPA. For sedentary time at close-out, the EX+NEPA group was -6.8 (-45.2, 31.6) min/day relative to EX. The between-group differences for systolic and diastolic blood pressure were -9.9 (-19.6, -0.3) and -1.8 (-6.9, 3.3) mmHg, respectively. Conclusion The addition of wearable technology intervention appeared to positively influence daily activity patterns and changes in blood pressure - potentially improving risk factors for CVD. A fully powered randomized trial is needed to ultimately test this hypothesis. |
| Databáze: | OpenAIRE |
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