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A Multilevel Physical Activity Intervention Among Chinese Rural Older Adults (Stay Active While Aging)

A Study Protocol for a Clustered Randomized Controlled Trial

Bibliographic Data

ID22082527
AuthorsNanyan Li (Sichuan University), Yufei Wang (0009-0004-8847-1233, Sichuan University), Qian Deng (0000-0002-7732-1609, Sichuan University), Julinling Hu (0000-0002-0268-4384, Sichuan University), Junmin Zhou (0000-0001-9620-526X, Sichuan University, corresponding author)
Year2022
Volume10
Pages760457-760457
Publication date2022-05-03
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueFrontiers in Public Health (JOURNAL)
Journal identifiersISSN: 2296-2565 • E-ISSN: 2296-2565
PublisherFrontiers Media SA (PUBLISHER • CH)
DOI10.3389/fpubh.2022.760457
PMID35592074
OpenAlexW4225325658
LanguageEN
Citations received1
References cited43

Background: Although a large number of studies have confirmed the benefits of physical activity (PA) in preventing age-related diseases and disabilities, a growing number of older people spent more time in sedentary behavior as opposed to PA. To reverse the alarming trend, numerous studies have corroborated the effectiveness of PA interventions in improving PA among older adults. However, such research is scarce in rural China, where a majority of older adults do not meet the PA recommendation. The Stay Active While Aging (SAWA) aimed to conduct an intervention to improve the PA level among older adults in rural China. Methods: The SAWA is designed as a single-blind, clustered randomized controlled trial carried out in rural Sichuan, China with an 8-week intervention and a 24-month follow-up. The intervention group will receive a multilevel intervention (individual, interpersonal, and community levels), while the control group will not. The primary outcome is the PA level. Secondary outcome measures include sedentary behavior level, self-efficacy, self-regulation, cognitive function, night-time sleep quality, and anthropometry. The difference-in-differences (DID) will be performed to investigate the between-group differences, adjusted for baseline data and covariates. Discussion: The SAWA trial will provide a multilevel intervention based on the socio-ecologic model among older adults in rural China. We target the PA level and health status changes while also focus on the maintenance of such intervention during 24 months. If the SAWA produces positive results, it will be possible to recommend similar strategies to be implemented in other Chinese older adults and beyond. Trial registration: ChiCTR2100045653 (https://www.chictr.org.cn/index.aspx)

Ageing · Healthy ageing · Physical therapy · Psychiatry · Psychological intervention · Randomized controlled trial · Balance, Gait, and Falls Prevention · Cardiovascular and exercise physiology · Medicine · Physical Activity and Health · Gerontology

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Unique citing works1
Citations per year1
Citation span2025 - 2025 (1)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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