Combination Of Self-Management Strategies For Reducing Sedentary Behavior With Multicomponent Exercise On Sedentary Behavior Patterns And Physical Function In Community-Dwelling Older Adults: A Randomized, Blinded Clinical Trial With 40-Week Follow-Up

Authors

• Vinícius Ramon da Silva Santos, Universidade Federal de São Carlos
• Gabriela Cassemiliano, Universidade Federal de São Carlos
• Ana Claudia Silva Farche, Universidade Federal de São Carlos
• Stefany Lee, Universidade Federal de São Carlos
• Laura Bonome Message, Universidade Federal de São Carlos
• Tainara Rodrigues dos Santos, Universidade Federal de São Carlos
• Paulo Giusti Rossi, Universidade Federal de São Carlos
• Bianca Ferdin Carnavale, Universidade Federal de São Carlos
• Guillermo Rúben Oviedo, Mississippi State University
• Myriam Guerra-Balic, Universitat Ramon Llull
• Maria Giné-Garriga, Universitat Ramon Llull
• Anielle Cristhine de Medeiros Takahashi, Universidade Federal de São Carlos

ORCID

da Silva Santos: https://orcid.org/0000-0003-1690-228X; Farche: https://orcid.org/0000-0002-9502-1351; Lee: https://orcid.org/0000-0003-2103-6160; Message: https://orcid.org/0000-0002-4068-6292; dos Santos: https://orcid.org/0000-0002-6070-1269; Rossi: https://orcid.org/0000-0001-8052-3394; Carnavale: https://orcid.org/0000-0003-3779-6527; Oviedo: https://orcid.org/0000-0002-0396-4185; Guerra-Balic: https://orcid.org/0000-0002-9197-3179; Giné-Garriga: https://orcid.org/0000-0003-4449-3524

MSU Affiliation

College of Education; Department of Kinesiology

Creation Date

2026-04-29

Abstract

Aim: This study aims to evaluate the effect of incorporating self-management strategies for reducing sedentary behavior with a multicomponent exercise program on sedentary behavior patterns and physical function in community-dwelling older adults. Findings: Receiving only the exercise program resulted in reductions in the percentage of time spent in sedentary behavior, total sedentary time, and sitting time after 16 weeks of intervention, which returned to baseline levels after 40 weeks. The incorporation of self-management strategies into the exercise program was superior to receiving the exercise program alone in maintaining handgrip strength after 40 weeks. Message: The incorporation of self-management strategies into an exercise program was not superior to receiving the exercise program alone in reducing sedentary behavior. Further investigations in different older adult populations and contexts are warranted.

Publication Date

10-6-2025

Publication Title

European Geriatric Medicine

Publisher

Springer

First Page

2115

Last Page

2128

Recommended Citation

Santos, V.R.d., Cassemiliano, G., Farche, A.C.S. et al. Combination of self-management strategies for reducing sedentary behavior with multicomponent exercise on sedentary behavior patterns and physical function in community-dwelling older adults: a randomized, blinded clinical trial with 40-week follow-up. Eur Geriatr Med 16, 2115–2128 (2025). https://doi.org/10.1007/s41999-025-01318-5