The SITLESS project: exercise referral schemes enhanced by self-management strategies to battle sedentary behaviour in older adults: study protocol for a randomised controlled trial
Por:
Gine-Garriga, M, Coll-Planas, L, Guerra, M, Domingo, A, Roque, M, Caserotti, P, Denkinger, M, Rothenbacher, D, Tully, MA, Kee, F, McIntosh, E, Martin-Borras, C, Oviedo, GR, Jerez-Roig, J, Santiago, M, Sansano, O, Varela, G, Skjodt, M, Wirth, K, Dallmeier, D, Klenk, J, Wilson, JJ, Blackburn, NE, Deidda, M, Lefebvre, G, Gonzalez, D, Salva, A
Publicada:
18 may 2017
Resumen:
Background: Older adults are the fastest growing segment of the world's population. Recent evidence indicates that excessive sitting time is harmful to health, independent of meeting the recommended moderate to vigorous physical activity (PA) guidelines. The SITLESS project aims to determine whether exercise referral schemes (ERS) can be enhanced by self-management strategies (SMSs) to reduce sedentary behaviour (SB), increase PA and improve health, quality of life and function in the long term, as well as psychosocial outcomes in community-dwelling older European citizens from four countries, within a three-armed pragmatic randomised controlled trial, compared with ERS alone and also with general recommendations about PA.
Methods: A total of 1338 older adults will be included in this study, recruited from four European countries through different existing primary prevention pathways. Participants will be randomly allocated into an ERS of 16 weeks (32 sessions, 45-60 min per session), ERS enhanced by seven sessions of SMSs and four telephone prompts, or a control group. Outcomes will be assessed at baseline, month 4 (end of ERS intervention), month 16 (12 months post intervention) and month 22 (18 months post intervention). Primary outcomes will include measures of SB (time spent sedentary) and PA (counts per minute). Secondary outcomes will include muscle and physical function, health economics' related outcomes, anthropometry, quality of life, social networks, anxiety and depressive symptoms, disability, fear of falling, executive function and fatigue. A process evaluation will be conducted throughout the trial. The full analysis set will follow an intention-to-treat principle and will include all randomised participants for whom a baseline assessment is conducted. The study hypothesis will be tested with mixed linear models with repeated measures, to assess changes in the main outcomes (SB and PA) over time (baseline to month 22) and between study arms.
Discussion: The findings of this study may help inform the design and implementation of more effective interventions to reduce SB and increase PA levels, and hence improve long-term health outcomes in the older adult population. SITLESS aims to support policy-makers in deciding how or whether ERS should be further implemented or restructured in order to increase its adherence, impact and cost-effectiveness.
Filiaciones:
Gine-Garriga, M:
Univ Ramon Llull, Fac Psicol Ciencies Educ & Esport Blanquerna, C Cister 34, Barcelona 08022, Spain
Coll-Planas, L:
Fundacio Salut & Envelliment UAB, Casa Convalescencia UAB, C St Antoni Maria Claret 171,4a Planta, Barcelona 08041, Spain
Guerra, M:
Univ Ramon Llull, Fac Psicol Ciencies Educ & Esport Blanquerna, C Cister 34, Barcelona 08022, Spain
Domingo, A:
Fundacio Salut & Envelliment UAB, Casa Convalescencia UAB, C St Antoni Maria Claret 171,4a Planta, Barcelona 08041, Spain
Roque, M:
Fundacio Salut & Envelliment UAB, Casa Convalescencia UAB, C St Antoni Maria Claret 171,4a Planta, Barcelona 08041, Spain
Caserotti, P:
Univ So Denmark, Campusvej 55, DK-5230 Odense M, Denmark
Denkinger, M:
Ulm Univ, Agaples Bethesda Clin, Geriatr Res Unit, Zollernring 26, D-89073 Ulm, Germany
Geriatr Ctr Ulm Alb Donau, Zollernring 26, D-89073 Ulm, Germany
Tully, MA:
Queens Univ Belfast, Sch Med Dent & Biomed Sci, Ctr Publ Hlth, UKCRC Ctr Excellence Publ Hlth NI, Belfast, Antrim, North Ireland
Kee, F:
Queens Univ Belfast, Sch Med Dent & Biomed Sci, Ctr Publ Hlth, UKCRC Ctr Excellence Publ Hlth NI, Belfast, Antrim, North Ireland
McIntosh, E:
Univ Glasgow, HEHTA, Inst Hlth & Wellbeing, Glasgow G12 8RZ, Lanark, Scotland
Martin-Borras, C:
Univ Ramon Llull, Fac Psicol Ciencies Educ & Esport Blanquerna, C Cister 34, Barcelona 08022, Spain
Oviedo, GR:
Univ Ramon Llull, Fac Psicol Ciencies Educ & Esport Blanquerna, C Cister 34, Barcelona 08022, Spain
Jerez-Roig, J:
Univ Ramon Llull, Fac Psicol Ciencies Educ & Esport Blanquerna, C Cister 34, Barcelona 08022, Spain
Santiago, M:
Univ Ramon Llull, Fac Psicol Ciencies Educ & Esport Blanquerna, C Cister 34, Barcelona 08022, Spain
Sansano, O:
Univ Ramon Llull, Fac Psicol Ciencies Educ & Esport Blanquerna, C Cister 34, Barcelona 08022, Spain
Varela, G:
Univ Ramon Llull, Fac Psicol Ciencies Educ & Esport Blanquerna, C Cister 34, Barcelona 08022, Spain
Skjodt, M:
Univ So Denmark, Campusvej 55, DK-5230 Odense M, Denmark
Wirth, K:
Ulm Univ, Agaples Bethesda Clin, Geriatr Res Unit, Zollernring 26, D-89073 Ulm, Germany
Geriatr Ctr Ulm Alb Donau, Zollernring 26, D-89073 Ulm, Germany
Ulm Univ, Inst Epidemiol & Med Biometry, D-89081 Ulm, Germany
Dallmeier, D:
Ulm Univ, Agaples Bethesda Clin, Geriatr Res Unit, Zollernring 26, D-89073 Ulm, Germany
Geriatr Ctr Ulm Alb Donau, Zollernring 26, D-89073 Ulm, Germany
Klenk, J:
Ulm Univ, Inst Epidemiol & Med Biometry, D-89081 Ulm, Germany
Wilson, JJ:
Queens Univ Belfast, Sch Med Dent & Biomed Sci, Ctr Publ Hlth, UKCRC Ctr Excellence Publ Hlth NI, Belfast, Antrim, North Ireland
Blackburn, NE:
Queens Univ Belfast, Sch Med Dent & Biomed Sci, Ctr Publ Hlth, UKCRC Ctr Excellence Publ Hlth NI, Belfast, Antrim, North Ireland
Deidda, M:
Univ Glasgow, HEHTA, Inst Hlth & Wellbeing, Glasgow G12 8RZ, Lanark, Scotland
Lefebvre, G:
Sport Initiat & Loisir Bleu Assoc, BP 1810467038, Strasbourg, France
Gonzalez, D:
Sport Initiat & Loisir Bleu Assoc, C Bailen 5 Bajos, Barcelona 08010, Spain
Salva, A:
Fundacio Salut & Envelliment UAB, Casa Convalescencia UAB, C St Antoni Maria Claret 171,4a Planta, Barcelona 08041, Spain
Gold, Green Published, Green Accepted
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