Daily Variability in Sedentary Behaviour and Physical Activity Responsiveness in Older Women

TL;DR

Older women with consistent daily activity patterns responded better to interventions aimed at reducing sedentary behavior.

Contribution

The study shows that baseline regularity in physical behavior predicts responsiveness to interventions targeting sedentary behavior.

Findings

Participants with high baseline regularity showed greater reductions in sedentary behavior.

Those with high regularity also increased average physical activity bout length after the intervention.

Abstract

Free-living physical behaviour (PB), from sedentarism through to vigorous physical activity (PA), is increasingly studied due to its links to health outcomes. However, it remains unclear whether pre-existing day-to-day regularity in certain PB patterns influences intervention responsiveness. Therefore, this study hypothesized that (1) inter-day variability in certain PBs would decrease following a sedentary behaviour (SB) reduction intervention, and (2) those with high inter-day variability (low regularity) at baseline would be less likely to alter their behaviour compared to those with low inter-day variability (high regularity). Thirty-six older women (73 ± 5 years) were allocated to one of three groups: (1) daily SB fragmentation (SBF) (n = 14), (2) single daily bout of continuous light-intensity PA/LIPA (n = 14), or (3) control (n = 8), where no instructions vis-à-vis altering daily physical activity or sedentary behaviour were given. PB was objectively assessed (weeks 0 and 8) using three-dimensional accelerometry. Participants (48% of the study sample) with high regularity at baseline (<25th sample percentile for SB and PA bout length), showed greater SB reduction, and increased average PA bout length (p < 0.05) at week 8. These findings suggest that baseline regularity in physical behaviour may enhance intervention responsiveness. This aligns with theories of habit formation and self-regulation, indicating that personalised interventions would benefit a wider range of populations.

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