Evidence map›Paper›PMID 31695350›Full record

Trial reportClinical interventions in aging2019

Wearable Technology To Reduce Sedentary Behavior And CVD Risk In Older Adults: A Pilot Randomized Clinical Trial.

Lisa M Roberts, Byron C Jaeger, Liliana C Baptista, Sara A Harper, Anna K Gardner, Elizabeth A Jackson, Dorothy Pekmezi, Bhanuprasad Sandesara, Todd M Manini, Stephen D Anton and 1 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Clinical interventions in aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05456386 (BioRhythm Health Coaching and Sleep Monitoring Program for Weight Loss), which is not on this map. Cited by 34 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 8 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05456386 naunknown statusnot on this mapstarted 2022, after this paper: background citation

BioRhythm Health Coaching and Sleep Monitoring Program for Weight Loss

TypeinterventionalSponsorStephen HutchisonRan2022 to 2023Enrolled65ConditionsObesityArmsThe Circadian Rhythm Approach to Weight Loss (CRAWL)
3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 8 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Interventions to reduce sedentary behaviour in community-dwelling older adults: a mixed-method review.The international journal of behavioral nutrition and physical activity · 2025
    Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Efficacy of activity tracker-based interventions and their behavioral components in promoting physical activity and reducing sedentary behavior in older adults: a systematic review of randomized controlled trials.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
    Review
  10. Article
  11. Do cardiovascular disease patients return to pre-lockdown sedentary levels? A prospective cohort study.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025
    Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Observational
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Lisa M RobertsDepartment of Medicine, Division of Gerontology/Geriatrics/Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA.
Byron C JaegerDepartment of Biostatistics, University of Alabama at Birmingham, Birmingham, AL, USA.
Liliana C BaptistaDepartment of Medicine, Division of Gerontology/Geriatrics/Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0002-3534-1839
Sara A HarperDepartment of Medicine, Division of Gerontology/Geriatrics/Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0001-6584-179X
Anna K GardnerDepartment of Aging and Geriatric Research, University of Florida, Gainesville, FL, USA.
Elizabeth A JacksonDepartment of Medicine, Division of Cardiovascular Disease, University of Alabama at Birmingham, Birmingham, AL, USA.ORCID 0000-0002-5086-0418
Dorothy PekmeziDepartment of Health Behavior, School of Public Health, the University of Alabama at Birmingham, Birmingham, AL, USA.
Bhanuprasad SandesaraDepartment of Aging and Geriatric Research, University of Florida, Gainesville, FL, USA.ORCID 0000-0002-6294-386X
Todd M ManiniDepartment of Aging and Geriatric Research, University of Florida, Gainesville, FL, USA.
Stephen D AntonDepartment of Aging and Geriatric Research, University of Florida, Gainesville, FL, USA.
Thomas W BufordDepartment of Medicine, Division of Gerontology/Geriatrics/Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA.

Funding

University of Florida Older Americans Independence Center (OAIC)P30AG028740 · NIA · UNIVERSITY OF FLORIDA · PI CHRISTIAAN LEEUWENBURGH · 2007 to 2026
$22.8M
University of Alabama at Birmingham's Diabetes Research CenterP30DK079626 · NIDDK · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI Kirk Michael Habegger · 2013 to 2026
$19.5M
Mentored Experiences in Research, Instruction and Teaching (MERIT) Program - administrative supplementK12GM088010 · NIGMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SCHNEIDER, DAVID ALAN · 2009 to 2024
$9.2M
Rehabilitation Research Resource to Enhance Clinical Trials (ReACT)P2CHD086851 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI BAMMAN, MARCAS M · 2015 to 2019
$7.1M
Interdisciplinary Training in Pathobiology and Rehabilitation Medicine.T32HD071866 · NICHD · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI JAMES RIMMER, Anna E. Thalacker-Mercer · 2012 to 2026
$4.8M
NIA NIH HHS P30 AG028740NICHD NIH HHS P2C HD086851NIDDK NIH HHS P30 DK079626NIGMS NIH HHS K12 GM088010
6 · The paper itself

Abstract

backgroundPhysical 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.

methodsForty 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.

resultsData 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.

conclusionThe 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.

Indexed as

ExerciseFitness TrackersSedentary BehaviorAgedAged, 80 and overBlood PressureCoronary Artery DiseaseFemaleHumansMaleMiddle AgedPilot ProjectsRisk FactorsTime Factorsactivity monitoragingcardiovascularexercisephysical activity

Identifiers

PMID31695350
PMCPMC6815758

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.