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Take Active Breaks from Sitting (TABS): Reducing Sedentary Time in Obese Older Adults

Award Number: R21AG043853
ORGANIZATION: NATIONAL INSTITUTE ON AGING
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/15/2015
PERIOD OF PERFORMANCE END DATE: 05/31/2018

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Take Active Breaks from Sitting (TABS): Reducing Sedentary Time in Obese Older Adults - DESCRIPTION (provided by applicant): One-third of adults over 65 are obese. While previous studies have focused on promoting physical activity to reduce the health burdens of obesity and aging, physical activity levels have remained low among older adults and those with obesity. One explanation may be that the barriers to engaging in moderate intensity physical activity are too high for obese older adults (e.g. low physical function, pain, lack of motivation). At the same time, obese older adults spend over 10 hours per day sitting, more than any other age group. Emerging research now shows that sitting time has adverse health impacts, independent of meeting physical activity guidelines. Overcoming the barriers to reducing sedentary time may be a more feasible health-promoting behavior for obese older adults. Thus, we aim to explore a new approach to improving the health of obese older adults, who are at high risk for having or developing chronic health conditions, by focusing on reducing sedentary time. In our preliminary work, we developed procedures and intervention materials, showed reductions in sedentary time in a small one arm study, and established preliminary feasibility of our approach. The current randomized pilot study will formally assess the feasibility, acceptability, and impact of our innovative phone-based intervention designed to decrease sitting time and increase light intensity physical activity among sedentary obese older adults using a longer and more intensive intervention. We will compare the intervention to an attention-matched comparison group that receives a healthy aging education program (30 participants per group). Study outcomes, including sedentary time and sit-to-stand transitions (from activPAL inclinometers), light intensity physical activity (from accelerometers), and cardiovascular risk factor biomarkers will be measured at 12 weeks. If the intervention is feasible and shows promise for reducing sedentary time, we will plan a future randomized efficacy trial. In addition to reducing sedentary behavior, the long-term objective of this research is to create an effective intervention that will allow researchers to better understand the potential health impacts of reducing sitting among older and obese adults. To date, no such empirically validated interventions exist. As such, this formative research stands to make a unique and meaningful contribution to this field of research. This work is well-aligned with NIA's strategic focus on examining ways to promote healthy and active aging among those with chronic conditions.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2022 ( Subtotal = -$290 )
2022	2016	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON OPTIONS, INC	1300 SW 27TH ST	RENTON	WA	98057	KING	USA	Aging Research	000	2	10/1/2021	NON-COMPETING CONTINUATION	-$290
														Subtotal = -$290

Issue Date FY: 2019 ( Subtotal = -$1,697 )
2019	2016	KAISER FOUNDATION HEALTH PLAN OF WASHINGTON	601 UNION ST STE 3100	SEATTLE	WA	98101	KING	USA	Aging Research	000	2	11/10/2018	NON-COMPETING CONTINUATION	-$1,697
														Subtotal = -$1,697

Issue Date FY: 2016 ( Subtotal = $200,000 )
2016	2016	GROUP HEALTH COOPERATIVE CENTRAL HOSPITAL	201 16TH AVENUE, EAST	SEATTLE	WA	98112	KING	USA	Aging Research	000	2	5/11/2016	NON-COMPETING CONTINUATION	$200,000
														Subtotal = $200,000

Issue Date FY: 2015 ( Subtotal = $240,000 )
2015	2015	GROUP HEALTH COOPERATIVE CENTRAL HOSPITAL	201 16TH AVENUE, EAST	SEATTLE	WA	98112	KING	USA	Aging Research	000	1	9/11/2015	NEW	$240,000
														Subtotal = $240,000

Grand Total All Awards = $438,013

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Take Active Breaks from Sitting (TABS): Reducing Sedentary Time in Obese Older Adults

Award Number: R21AG043853

ORGANIZATION: NATIONAL INSTITUTE ON AGING

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/15/2015

PERIOD OF PERFORMANCE END DATE: 05/31/2018

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