Enhancing Physical Activity and Healthy Aging Among Recent Retirees

Aging Clinical Trial

— REACT  

Official title:

Enhancing Physical Activity and Healthy Aging Among Recent Retirees - Randomized Controlled In-home Physical Activity Trial

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03320746
• Other study ID #: 309526
• Status: Completed
• Phase: N/A
• Start date: February 6, 2018
• Est. completion date: March 1, 2020

Study information

• Verified date: June 2020
• Source: University of Turku
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

The purpose of REACT project is to provide cost-effective way to promote physical activity and reduce sedentary time among older adults. This is done by examining the efficacy of activity tracker based intervention on wake-time physical activity, sedentary time, sleep and other health outcomes among recent retirees. REACT study will be the first randomized physical activity trial targeted to time window right after retirement.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 231
• Est. completion date: March 1, 2020
• Est. primary completion date: March 1, 2020
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 60 Years to 65 Years

Eligibility

Inclusion Criteria:

• actual retirement date between Jan 2017 and Dec 2018

• maximum of 12 months from the actual retirement

• capable of doing exercise (able to walk 500 m continuously)

• basic knowledge on how to use computer and Internet access at home

Exclusion Criteria:

• current post-operative state or upcoming surgery within the next 6 months

• malign cancer or recent myocardial infraction

Related Conditions & MeSH terms

• Aging
• Exercise
• Retirement

Intervention

Device:
• Polar Loop 2 activity tracker
The participants were instructed to aim to reach the daily activity goal, initially set at stage 1 as per the goals set by the trackers' manufacturer. The daily activity goal was based on user's typical daily activities, gender and age. The stage 1 daily activity goal corresponded to ~1h/day of jogging or ~2h/day of walking or ~7h/day household activities or a combination of these activities. The tracker gave an inactivity alert as a vibration and text "it's time to move" on the screen of the tracker if the user has been still for 55 minutes.

Locations

Country	Name	City	State
Finland	University of Turku /Department of Public Health	Turku

Sponsors (4)

Lead Sponsor	Collaborator
University of Turku	Academy of Finland, Juho Vainio Foundation, Ministry of Education and Culture, Finland

Country where clinical trial is conducted

Finland, 

References & Publications (6)

Leskinen T, Pulakka A, Heinonen OJ, Pentti J, Kivimäki M, Vahtera J, Stenholm S. Changes in non-occupational sedentary behaviours across the retirement transition: the Finnish Retirement and Aging (FIREA) study. J Epidemiol Community Health. 2018 Aug;72(8):695-701. doi: 10.1136/jech-2017-209958. Epub 2018 Apr 10. — View Citation

Myllyntausta S, Pulakka A, Salo P, Kronholm E, Pentti J, Vahtera J, Stenholm S. Changes in Accelerometer-Measured Sleep during the Transition to Retirement: The Finnish Retirement and Aging (FIREA) study. Sleep. 2020 Jan 6. pii: zsz318. doi: 10.1093/sleep/zsz318. [Epub ahead of print] — View Citation

Myllyntausta S, Stenholm S. Sleep Before and After Retirement. Curr Sleep Med Rep. 2018;4(4):278-283. doi: 10.1007/s40675-018-0132-5. Epub 2018 Oct 24. Review. — View Citation

Pulakka A, Leskinen T, Suorsa K, Pentti J, Halonen JI, Vahtera J, Stenholm S. Physical Activity across Retirement Transition by Occupation and Mode of Commute. Med Sci Sports Exerc. 2020 Mar 5. doi: 10.1249/MSS.0000000000002326. [Epub ahead of print] — View Citation

Stenholm S, Pulakka A, Kawachi I, Oksanen T, Halonen JI, Aalto V, Kivimäki M, Vahtera J. Changes in physical activity during transition to retirement: a cohort study. Int J Behav Nutr Phys Act. 2016 Apr 16;13:51. doi: 10.1186/s12966-016-0375-9. — View Citation

Suorsa K, Pulakka A, Leskinen T, Heinonen I, Heinonen OJ, Pentti J, Vahtera J, Stenholm S. Objectively measured sedentary time before and after transition to retirement:The Finnish Retirement and Aging Study (FIREA). J Gerontol A Biol Sci Med Sci. 2019 May 16. pii: glz127. doi: 10.1093/gerona/glz127. [Epub ahead of print] — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	Change in self-reported health	Range 1 to 5 "good to poor"	Baseline to 12 months
Other	Change in self-reported functioning	SF-36 physical functioning, 10 items, subscale range 1 to 3 "health limits a lot to health does not limit at all", total score range 0 to 10 "no to severe limitations"	Baseline to 12 months
Other	Change in self-reported well-being	GHQ-12, total score range 0 to 12 points, =4 points indicates of psychological distress	Baseline to 12 months
Other	Change in diet	Index of Diet Quality (IDQ) score, total score range 0 to 15 points, =10 points indicates of healthy diet	Baseline to 12 months
Other	Change in self-reported exercise motivation	Short version of Recreational Exercise Motivation Measure (REMM), subscale range 1 to 5 "strongly disagree to strongly agree"	Baseline to 12 months
Other	Change in sleep difficulties	Jenkins sleep problem scale, subscale range 1 to 6 "not at all to almost every night"	Baseline to 12 months
Other	Change in physical activity social support	Modified Social Support for Exercise Scale, subscale range 1 to 3 "never to often", mean score 1 to 3 "low to high"	Baseline to 12 months
Other	Change in measured functioning	Number of chair test repetitions	Baseline to 12 months
Primary	Change in wake time physical activity	Accelerometer based measurement	Primarily change from baseline to 12 months, secondarily change from baseline to 3 months and to 6 months.
Secondary	Change in wake time sedentary activity	Accelerometer based measurement	Primarily change from baseline to 12 months, secondarily change from baseline to 3 months and to 6 months.
Secondary	Change in sleep duration and quality	Accelerometer based measurement	Primarily change from baseline to 12 months, secondarily change from baseline to 3 months and to 6 months.
Secondary	Change in metabolic profile	Fasting blood sample: lipid profile (total cholesterol, HDL, LDL, triglycerides), fasting plasma glucose, HbA1C, and CRP; blood pressure: systolic and diastolic blood pressure; body composition: fat mass, fat free mass, body weight, waist circumference	Baseline to 12 months
Secondary	Change in activity locations	GPS-tracking provides data of the latitude, longitude, and time, i.e. when and where an individual is located.	Baseline to 12 months

External Links

•   Finnish Retirement and Aging Study