ClinicalTrials.gg
CompletedNCT03473145Updated Nov 3, 2025Results posted

Sedentary Behavior Interrupted Randomized Controlled Trial (P2)

An interventional study of Health Coaching and activPAL inclinometer in Sedentary Lifestyle, sponsored by University of California, San Diego. Completed at 1 site in United States. Open to female participants aged 55 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2025-11-03.

Sponsored by University of California, San Diego · Not applicable, Interventional, and Prevention

Phase
Not applicable
Study type
Interventional
Enrollment
407
Allocation
Randomized
Ages
55 Years and older
Sex
Female
01

Study summary

Epidemiological findings indicate that older adults do not meet physical activity (PA) guidelines \& spend up to 11 hrs/day sitting. Given the high prevalence of sedentary behavior (SB), the higher chronic disease risk in this population, \& the age-associated challenges of meeting traditional PA guidelines, involving longer bouts of moderate PA, the investigators hypothesize that older adult health will benefit from new strategies to interrupt sitting. This protocol "Sedentary Behavior Interrupted: A randomized trial of 3-month effects on biomarkers of healthy aging and physical functioning in the real world (Project 2)" is part of a National Institutes of Aging Program Grant called "Sedentary Time \& Aging Mortality and Physical Function (STAR). The overall purpose of the STAR program to is to better understand how to interrupt sitting time and the consequences for healthy aging in postmenopausal women. This protocol (also referred to Project 2 of the STAR program) is a 3-arm randomized control trial designed to assess ways of interrupting sitting in 405 overweight, postmenopausal women.

Read the detailed description

Primary Aims:

In our primary biomarker outcomes of glucose regulation (fasting insulin \& glucose, HbA1c, HOMA-IR) \& blood pressure (BP):

  1. Investigate the 12 week effects of increased standing and additional brief sit-to-stand compared to attention controls.
  2. Investigate the dose-response effects of behavioral change on the biomarkers \& BP.

Secondary aims

  1. Assess the effect of changes in standing and sit-to-stand transitions at 12 weeks on physical, emotional \& cognitive functioning.
  2. Assess the effect of changes in standing and sit-to-stand transitions at 12 weeks on in vivo skeletal muscle mitochondrial function.

Exploratory aims

  1. Explore the possible modifying effect of age on the relationship between intervention conditions \& primary \& secondary outcomes.
  2. Explore the psychosocial \& environmental mediators \& moderators of changes in sitting time, standing time, and transitions.
  3. Explore differences in outcomes between the 2 sitting interruption conditions.
02

Conditions studied

  • Sedentary Lifestyle

Browse trials for

03

In context

Sedentary Behavior

1,273 studies on the registry are indexed under Sedentary Behavior; 300 are open to participants now.

This study's enrollment of 407 is above the median of 60 across 1,076 interventional studies indexed under Sedentary Behavior.

Browse Sedentary Behavior studies →

Lead sponsor

University of California, San Diego is the lead sponsor of 980 studies on the registry; 195 are open to participants now.

Of its 113 completed or terminated interventional studies of FDA-regulated products, 71 (63%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
55 Years and older
Sexes eligible
Female
Accepts healthy volunteers
Yes

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  1. Female;
  2. 55 years of age and above;
  3. any ethnicity or race;
  4. screened to sit for 7 or more hours per day, perform less than 70 sit-to-stand transitions per day
  5. ambulatory;
  6. medically stable without any health conditions that would inhibit standing or PA;
  7. able to give \& comply with study protocols;
  8. able to read and write fluently in English;
  9. able to travel to study visits; and
  10. no menstruation for at least one year;
  11. 25-45
  12. able to walk, stand and transition without high risk of falling.

Exclusion criteria

Exclusion Criteria:

  1. Male;
  2. younger than 55 years of age;
  3. sit for less than 7 hours per day, perform 71 or more sit-to-stand transitions per day
  4. mental state that would preclude complete understanding of the protocol or compliance;
  5. physical limitations to completing any of the study conditions;
  6. menstruation less than one year prior;
  7. unable to complete the Short Physical Performance Battery,
  8. Active cancer
  9. \<25 or >45kg/m2,
  10. use of insulin
Terms in these criteria, in plain language(2)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

BMI (body mass index)

Weight in kilograms divided by height in metres squared. Example: 70 kg and 1.75 m gives 70 ÷ (1.75 × 1.75) ≈ 22.9.

What counts as overweight or obesity differs between countries (some use lower cut-offs), so go by the range the study states.

05

Study design

Phase
Not applicable
Primary purpose
Prevention
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
407 participants (actual)

Study arms

  • Active comparator
    Health Living Attention Control

    Participants in the attention control condition will receive a healthy aging educational intervention. This group will receive one in-person health coaching sessions and 6 phone counseling sessions.

    Behavioral: Health Coaching

  • Experimental
    Reduce Sitting

    Participants in the Reduce Sitting condition will receive an intervention aimed at reducing daily sitting time. This group will receive five in-person health coaching sessions and two phone counseling sessions.

    Behavioral: Health Coaching · Device: activPAL inclinometer · Other: Tools to Prompt Standing or Prompt Sit-to-Stand Transitions.

  • Experimental
    Sit-to-Stand Transition

    Participants in the Sit-to-Stand Transition condition will receive an intervention aimed at increasing the daily number of brief sit-to-stand transitions. This group will receive five in-person health coaching sessions and two phone counseling sessions.

    Behavioral: Health Coaching · Device: activPAL inclinometer · Other: Tools to Prompt Standing or Prompt Sit-to-Stand Transitions.

Interventions

  • BehavioralHealth Coaching

    Health Coaching sessions will be aimed at goal setting, implementing strategies, overcoming barriers, \& relapse prevention.

  • DeviceactivPAL inclinometer

    Participants in the intervention study arms (B \& C) will wear the ActivPAL device for the first 4 weeks of the program and then again in weeks 8 and 9. The device will monitor their sitting and standing time and will allow Health Coaches to provide feedback and will assist the participant in developing an action plan.

  • OtherTools to Prompt Standing or Prompt Sit-to-Stand Transitions.

    Participants in the intervention study arms (B \& C) will receive tools to prompt standing or sit-to-stand transitions such as wearable wrist devices, standing desks or tables (Group B only), mechanical and/or electronic timers, or access to mobile apps or computer programs.

06

What researchers measure

Primary outcomes

  1. Insulin Regulation (mU/L)

    Mean Insulin (mU/L) collected via fasting blood draw at Baseline and 3-Months

    Time frame: 3 months

Secondary outcomes

  1. Self-Reported Physical Functioning

    Self-reported physical functioning was assessed using the Rand SF 36-Item Health Survey that assesses 8 health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. The range of scores is 0 - 100 with higher scores meaning better physical functioning.

    Time frame: 3 months

07

Results

Posted Nov 3, 2025

Participant flow

Participant flow — Overall Study
MilestoneHealth Living Attention ControlReduce SittingSit-to-Stand Transition
Started135136136
Completed130130128
Not completed568

Outcome measures

PrimaryInsulin Regulation (mU/L)

Mean Insulin (mU/L) collected via fasting blood draw at Baseline and 3-Months

Time frame:
3 months
Reported as:
Mean · mU/L
Insulin Regulation (mU/L)
mU/LHealth Living Attention ControlReduce SittingSit-to-Stand Transition
Baseline Mean15.93 (14.25 to 17.62)15.68 (14.03 to 17.33)15.27 (13.68 to 16.86)
3-Month Mean16.72 (14.94 to 18.51)15.85 (14.17 to 17.53)14.84 (13.26 to 16.41)
SecondarySelf-Reported Physical Functioning

Self-reported physical functioning was assessed using the Rand SF 36-Item Health Survey that assesses 8 health concepts: physical functioning, bodily pain, role limitations due to physical health problems, role limitations due to personal or emotional problems, emotional well-being, social functioning, energy/fatigue, and general health perceptions. The range of scores is 0 - 100 with higher scores meaning better physical functioning.

Time frame:
3 months
Reported as:
Mean · score on a scale
Self-Reported Physical Functioning
score on a scaleHealth Living Attention ControlReduce SittingSit-to-Stand Transition
Baseline Mean74.9 ± 1.8172.8 ± 1.8175.8 ± 1.81
3-Months Mean75.9 ± 1.8374.6 ± 1.8380.5 ± 1.84

Adverse events

Collected over Adverse event data were collected while the participants were active in the study for 3-months.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Health Living Attention Control0/135 (0%)0/135 (0%)8/135 (5.9%)
Reduce Sitting0/136 (0%)0/136 (0%)28/136 (20.6%)
Sit-to-Stand Transition0/136 (0%)0/136 (0%)26/136 (19.1%)
Most frequent other events
Most frequent other events
EventHealth Living Attention ControlReduce SittingSit-to-Stand Transition
Skin IrritationSkin and subcutaneous tissue disorders8/13516/13618/136
PainMusculoskeletal and connective tissue disorders0/13512/1368/136

Baseline characteristics

Age, Continuous
Age, Continuous(years)Health Living Attention ControlReduce SittingSit-to-Stand TransitionTotal
Mean67.76 ± 7.4368.39 ± 4.6667.29 ± 6.5567.81 ± 32.13
Sex: Female, Male
Sex: Female, Male(Participants)Health Living Attention ControlReduce SittingSit-to-Stand TransitionTotal
Female135136136407
Male0000
Ethnicity (NIH/OMB)
Ethnicity (NIH/OMB)(Participants)Health Living Attention ControlReduce SittingSit-to-Stand TransitionTotal
Hispanic or Latino12131035
Not Hispanic or Latino123123124370
Unknown or Not Reported0022
Race (NIH/OMB)
Race (NIH/OMB)(Participants)Health Living Attention ControlReduce SittingSit-to-Stand TransitionTotal
American Indian or Alaska Native1012
Asian32510
Native Hawaiian or Other Pacific Islander0000
Black or African American74415
White120126125371
More than one race2215
Unknown or Not Reported2204
Region of Enrollment
Region of Enrollment(participants)Health Living Attention ControlReduce SittingSit-to-Stand TransitionTotal
United States135136136407
08

Study locations

1 site
  • UC San Diego
    La Jolla, California 92093, United States
09

References and documents

Publications

  • Hartman SJ, LaCroix AZ, Sears DD, Natarajan L, Zablocki RW, Chen R, Patterson JS, Dillon L, Sallis JF, Schenk S, Dunstan DW, Owen N, Rosenberg DE. Impacts of Reducing Sitting Time or Increasing Sit-to-Stand Transitions on Blood Pressure and Glucose Regulation in Postmenopausal Women: Three-Arm Randomized Controlled Trial. Circulation. 2025 Aug 26;152(8):492-504. doi: 10.1161/CIRCULATIONAHA.124.073385. Epub 2025 Jul 25. PubMed 40709462 ↗
  • Zablocki RW, Hartman SJ, Di C, Zou J, Carlson JA, Hibbing PR, Rosenberg DE, Greenwood-Hickman MA, Dillon L, LaCroix AZ, Natarajan L. Using functional principal component analysis (FPCA) to quantify sitting patterns derived from wearable sensors. Int J Behav Nutr Phys Act. 2024 Apr 26;21(1):48. doi: 10.1186/s12966-024-01585-8. PubMed 38671485 ↗
  • Hartman SJ, Dillon LW, LaCroix AZ, Natarajan L, Sears DD, Owen N, Dunstan DW, Sallis JF, Schenk S, Allison M, Takemoto M, Herweck AM, Nguyen B, Rosenberg DE. Interrupting Sitting Time in Postmenopausal Women: Protocol for the Rise for Health Randomized Controlled Trial. JMIR Res Protoc. 2021 May 13;10(5):e28684. doi: 10.2196/28684. PubMed 33983131 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Undecided

10

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 3, 2025, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
11

Registry details

Key details

Study ID
NCT03473145
Responsible party
Sheri Hartman (Assistant Professor, University of California, San Diego) — Principal investigator
First posted
Mar 22, 2018
Start date
May 30, 2018
Primary completion
Dec 31, 2022
Completion
Dec 31, 2024
Results posted
Nov 3, 2025
Last update
Nov 3, 2025

Oversight

Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Sep 2025. You cannot join it, but the record below documents what was studied.

Follow this study

Get an email when the registry record changes — status, dates, results — or when someone posts here.

Sign in to follow

Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

Sign in to join the discussion. Reading takes no account; posting does. You choose a display name, and a pseudonym is the default.

Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Start the discussion