About this trial
There is strong evidence for the association between sedentary behaviors and cardiovascular diseases such as coronary heart disease and stroke. However, the public currently has no clear guidance on how to limit or interrupt their sedentary behaviors. This study will identify and test the physiological effects of several sedentary behavior interruption strategies and explore the feasibility (i.e., likelihood of an individual performing the requested activities) of those strategies to inform the development of public policy surrounding sedentary behavior interruption. Long-term, the findings of this study will inform a large clinical trial that can test whether sedentary behavior reduction can decrease cardiovascular disease risk.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Aged between 30-60 years
Insufficiently active: self-reported exercise <90 minutes per week for the past 3 months
Sedentary: self-reported sitting >8 hours per day
Self-reported ability to walk 4 blocks and climb 2 flights of stairs
Disqualifiers
Use of assisted-walking devices
Comorbid condition that would limit the ability to reduce sedentary behavior (e.g., musculoskeletal condition, current chemotherapy)
Plans for major surgery within next 3 months
Recent history (<1 year) of ischemic heart disease, chronic heart failure, stroke, or chronic kidney disease
Trial design
Crossover
Treatments tested in this trial
One 5-Minute Walking Bout Each Hour
BehavioralOne 5-minute light intensity walking break per hour throughout the 4-hour SB condition
One 15-Minute Standing Bout Each Hour
BehavioralOne 15-minute standing break per hour throughout the 4-hour SB condition
One 5-Minute Walking Bout and One 15-Minute Standing Bout Each Hour
BehavioralTwo breaks per hour throughout the 4-hour SB condition, alternating between a 5-minute light intensity walking break and a 15-minute standing break
Uninterrupted Sitting
BehavioralNo breaks will be provided throughout the 4-hour SB condition. This will be used as the control condition
Treatment groups
Trial outcomes
Primary outcomes
Mean Change in Carotid-femoral Pulse Wave Velocity (cfPWV)
cfPWV (m/sec) will be measured between the carotid and femoral arteries, using a collar around the neck and a cuff around the thigh, with the participant in a supine position. cfPWV is calculated by dividing path length by pulse transit time and reported as the mean of three measurements
Secondary outcomes
Change in Heart-middle Cerebral Artery Pulse Wave Velocity (Brain PWV)
Brain PWV (cm/sec) is the velocity at which a pressure wave travels between the heart and cerebrovascular system. Brain PWV will be calculated from the ECG r-wave to the foot of the Cerebral Blood Flow Velocity (CBFV) waveform
Mean Change in Femoral-ankle PWV
Femoral-ankle PWV (m/sec) is the velocity at which a pressure wave travels between the femoral-ankle arterial segments. Femoral-ankle PWV is calculated by dividing path length by pulse transit time and reported as the mean of three measurements
Sponsors and contacts
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University of North Carolina, Chapel Hill
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator