Sitting Time Reduction and Blood Pressure in Older Adults: A Randomized Clinical Trial

JAMA Netw OpenPublished Randomised controlled trial

Authors' conclusion

In this study of a 6-month sitting reduction intervention, older adults in the intervention reduced sedentary time by more than 30 min/d and reduced systolic blood pressure. Sitting reduction could be a promising approach to improve health in older adults.

Study context

Population
Adults aged 60 to 89 years with high sitting time and BMI 30 to 50, health care system in Washington State, 2019–2022; mean age 68.8 years, 65.7% female, 51.9% with hypertensionrandomized 1:1
Participants
283 adults
Comparison
Sitting reduction intervention vs healthy living attention control for 6 months
  • Interventionn = 140
  • Controln = 143reference
Primary endpoint
Sitting time by accelerometers worn for 7 days; coprimary: systolic and diastolic BP
Follow-up
3 and 6 months (BP at 6 months)
Methodological detailsparallel-group, attention-controlled
  • Parallel-group
  • Attention-controlled

Primary result

As reported in the abstract

Difference in mean change in sitting time, min/d (95% CI)P value
Interventionvs Control3 months
−31.44(−48.69 to −14.19)
P < 0.001
Interventionvs Control6 months
−31.85(−52.91 to −10.79)
P = 0.003
Between Intervention and Control · 6 months; lower with Intervention
difference in systolic BP change 3.48 mm Hg (95% CI −6.68 to −0.28); P = 0.03

Safety

Events

OutcomeInterventionControl
Serious adverse events66

Serious adverse events

None study related

Original publication

Sitting Time Reduction and Blood Pressure in Older Adults: A Randomized Clinical Trial. JAMA Netw Open. Published 4 March 2024. doi:10.1001/jamanetworkopen.2024.3234

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