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Sedentary LifestyleCWATLDPNCT03853018

Effectiveness of Activity Trackers to Reduce Sedentary Behaviour in Sedentary Adults

A study testing CWAT intervention and CWAT + motivation intervention group in people with Sedentary Lifestyle, run by Hasselt University at 1 site in Belgium.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

This study evaluates the effectiveness of consumer wearable activity trackers to reduce sedentary behaviour and the impact on cardiometabolic health. Read more about this study

Who is it for?
Ages 40 to 75 yearsHealthy volunteers can take part
Conditions the study is for
Sedentary Lifestyle
What is being tested?
CWAT intervention and CWAT + motivation intervention group
Type of treatment
Medical device
Could I receive a placebo?
No, everyone receives an active treatment
How many people
60 participants
Where
1 siteBelgium
Study dates
15 Nov 2018to 1 Feb 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 40 to 75 years
  • All sexes
  • Healthy volunteers accepted
  • Adult, Older adult

Who may be able to join

  • Sedentary adults
  • 40-75 years,
  • <7500steps/day,
  • sitting time of >10h/day,
  • BMI 23-30 kg/m2,
  • body fat percentage: male: 18-25%, female: 25-35%
  • HbA1c < 6.0%

Who cannot join

  • pregnancy,
  • regularly (>150 min per week during the last four months) engaged in moderate-to-vigorous intensity exercise,
  • any known contradiction for physical activity,
  • systolic blood pressure >160mmHg,
  • diastolic blood pressure >100mmHg
  • more than 20 alcohol consumptions per week,
  • plans to follow a weight reduction program with the aid of an energy restriction diet or a physical intervention program during the study period,
  • participants diagnosed with any known chronic disease.

Trial locations and contacts

1 site in 1 country.

Belgium1 site
  • Hasselt University

    Diepenbeek, Limburg, 3590

Other trials in Belgium

About this study

Official title: The Effectiveness of Consumer Wearable Activity Trackers to Reduce Sedentary Behaviour and Improve Health-related Outcomes in Sedentary Adults

This study evaluates the effectiveness of consumer wearable activity trackers to reduce sedentary behaviour and the impact on cardiometabolic health.

Read the detailed description

Chronic non-communicable diseases (NCDs), including cardiovascular diseases, cancer, chronic respiratory diseases and diabetes, are an important public health concern worldwide. Physical inactivity is one of the major contributing factors which is highly correlated with the prevalence of NCDs. On the other hand, it is well known that increased physical activity has significant health benefits and is associated with the prevention and delayed onset of many NCDs. Given the important role of physical activity in the prevention and management of NCDs it is thus important to promote physical activity. Hence, to date a multitude of physical activity recommendations and many supervised training interventions and rehabilitation programs are available to encourage physical activity in the global population. Despite this, a recent report from the World Health Organization (WHO) indicates that 23% of the adult and 80% of the adolescent population remains physically inactive. Here, long-term compliance to adequate physical activity and a healthy life style appears to be one of the main barriers explaining this discrepancy. Consequently, any strategy that improves long term adherence to adequate daily physical activity and a healthy life style, especially in an NCD population, is worthwhile investigating. In this respect and following the recent use of accelerometer-based remote monitoring of physical activity in chronic disease patients, consumer wearable activity trackers may be such a strategy. So far, consumer wearable activity trackers have been investigated mainly in the sports community. Here CWATs are used for self-monitoring and providing continuous sport performance and health related information to athletes and coaches. Interestingly, the self-management, motivational and goal setting properties of these commercially available devices may also help patients with NCDs to engage in long-term physical activity under free-living conditions in a home-based setting. Despite the widespread use of these wearables their feasibility and effectiveness on physical activity (compliance) and generic health-related outcomes, including weight, body mass index (BMI), systemic blood pressure and glycemic index, especially in patients with NCDs is not fully clear.

Therefore, the aim of this study is to investigate the effectiveness of CWATs to promote physical activity levels and cardiometabolic health in sedentary adults. A better understanding to what extent CWATs can actually improve physical activity (compliance) and health outcomes is important to increase the effectiveness and quality of health care in chronic disease populations.

Being tested
CWAT intervention, CWAT + motivation intervention group
Medical subject headings
Sedentary Behavior

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • CWAT interventionDevice

    Participant in the intervention group will wear an activity tracker for 12 weeks.

  • CWAT + motivation intervention groupDevice

    Participant in the intervention group will wear an activity tracker for 12 weeks and are also motivated by the researcher via a lifestyle data platform.

Study groups in NCT03853018
Study groupRoleWhat they receive
Control groupNo interventionThe control group is instructed to continue their habitual daily physical activity patterns and sedentary behaviour
CWAT intervention groupExperimentalThe CWAT group will receive the activity tracker. Subjects will receive inactivity alerts after 1 hour of inactivity to break up sitting time and avoid prolonged sitting. During the interruptions they will be asked to walk for several minutes.
Receives: Device: CWAT intervention
CWAT + motivation intervention groupExperimentalSubjects randomised into the CWATLDP intervention will receive the activity tracker and will be stimulated with the aid of coaching sessions and goal setting.
Receives: Device: CWAT intervention; Device: CWAT + motivation intervention group

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Steps per day

    Physical activity will be quantified using the activPAL3™ activity monitor.

    Measured: Baseline

  2. sitting time

    sedentary behaviour will be quantified using the activPAL3™ activity monitor.

    Measured: baseline

  3. Steps per day

    Physical activity will be quantified using the activPAL3™ activity monitor.

    Measured: week 12

  4. sitting time

    sedentary behaviour will be quantified using the activPAL3™ activity monitor.

    Measured: week 12

Secondary outcomes (78)
  1. body weight

    Body weight (in underwear) is determined using a digital-balanced weighting scale to the nearest 0.1kg

    Measured: baseline

  2. body weight

    Body weight (in underwear) is determined using a digital-balanced weighting scale to the nearest 0.1kg

    Measured: week 12

  3. Height

    Body height is measured to the nearest 0.1cm using a wall-mounted Harpenden stadiometer, with participants barefoot

    Measured: baseline

  4. Height

    Body height is measured to the nearest 0.1cm using a wall-mounted Harpenden stadiometer, with participants barefoot

    Measured: week 12

  5. DEXA (Dual Energy X-Ray)

    body fat mass and lean tissue mass using Dual Energy X-ray Absorptiometry

    Measured: baseline

  6. DEXA (Dual Energy X-Ray)

    body fat mass and lean tissue mass using Dual Energy X-ray Absorptiometry

    Measured: week 12

  7. Concentration of glucose

    Blood analysis

    Measured: baseline

  8. Concentration of glucose

    Blood analysis

    Measured: week 12

  9. Concentration of Insuline

    Blood analysis

    Measured: baseline

  10. Concentration of Insuline

    Blood analysis

    Measured: week 12

  11. Concentration of total cholesterol

    Blood analysis

    Measured: baseline

  12. total cholesterol

    Blood analysis

    Measured: week 12

  13. Concentration of high density lipoprotein cholesterol (HDL-cholesterol)

    Blood analysis

    Measured: baseline

  14. Concentration of high density lipoprotein cholesterol (HDL-cholesterol)

    Blood analysis

    Measured: week 12

  15. Concentration of low density lipoprotein cholesterol (LDL-cholesterol)

    Blood analysis

    Measured: baseline

  16. Concentration of low density lipoprotein cholesterol (LDL-cholesterol)

    Blood analysis

    Measured: week 12

  17. Concentration of triglyceride

    Blood analysis

    Measured: baseline

  18. Concentration of triglyceride

    Blood analysis

    Measured: week 12

  19. Concentration of glycated haemoglobin (HbA1c)

    Blood analysis

    Measured: baseline

  20. Concentration of glycated haemoglobin (HbA1c)

    Blood analysis

    Measured: week 12

  21. Concentration of uric acid

    Blood analysis

    Measured: baseline

  22. Concentration of uric acid

    Blood analysis

    Measured: week 12

  23. Concentration of interleukin 6 (IL-6),

    Blood analysis

    Measured: baseline

  24. Concentration of interleukin 6 (IL-6),

    Blood analysis

    Measured: week 12

  25. Concentration of tumor necrosis factor-alpha (TNF-α),

    Blood analysis

    Measured: baseline

  26. Concentration of tumor necrosis factor-alpha (TNF-α),

    Blood analysis

    Measured: week 12

  27. Concentration of C-reactive protein (CRP)

    Blood analysis

    Measured: baseline

  28. Concentration of C-reactive protein (CRP)

    Blood analysis

    Measured: week 12

  29. Concentration of serum amyloid A (SAA)

    Blood analysis

    Measured: baseline

  30. Concentration of serum amyloid A (SAA)

    Blood analysis

    Measured: week 12

  31. Concentration of soluble vascular cell adhesion molecule-1 (sVCAM-1),

    Blood analysis

    Measured: baseline

  32. Concentration of soluble vascular cell adhesion molecule-1 (sVCAM-1),

    Blood analysis

    Measured: week 12

  33. Concentration of soluble intercellular adhesion molecule 1 (sICAM-1)

    Blood analysis

    Measured: baseline

  34. Concentration of soluble intercellular adhesion molecule 1 (sICAM-1)

    Blood analysis

    Measured: week 12

  35. Concentration of soluble E-selectin (sE-selectin).

    Blood analysis

    Measured: baseline

  36. Concentration of soluble E-selectin (sE-selectin).

    Blood analysis

    Measured: week 12

  37. Vascular endothelial function

    Endothelial function will be assessed by non-invasive peripheral arterial tonometry using the EndoPAT™ 2000 device

    Measured: baseline

  38. Vascular endothelial function

    Endothelial function will be assessed by non-invasive peripheral arterial tonometry using the EndoPAT™ 2000 device

    Measured: week 12

  39. Homeostatic model assessment for insulin resistance (HOMA-IR)

    An oral glucose tolerance test will be performed for assessment of whole body insulin sensitivity using the homeostatic model assessment for insulin resistance (HOMA-IR). The HOMA-IR is calculated from the fasting insulin and glucose concentration.sensitivity and beta cell function. The following parameters are calculated: homeostatic model assessment for insulin resistance, whole-body insulin sensitivity index, insulinogenic index and the area under the curve for glucose and insulin.

    Measured: baseline

  40. Homeostatic model assessment for insulin resistance (HOMA-IR)

    An oral glucose tolerance test will be performed for assessment of whole body insulin sensitivity using the homeostatic model assessment for insulin resistance (HOMA-IR). The HOMA-IR is calculated from the fasting insulin and glucose concentration.sensitivity and beta cell function. The following parameters are calculated: homeostatic model assessment for insulin resistance, whole-body insulin sensitivity index, insulinogenic index and the area under the curve for glucose and insulin.

    Measured: week 12

  41. Whole-body insulin sensitivity index (ISI)

    An oral glucose tolerance test will be performed for assessment of whole body insulin sensitivity using the whole-body insulin sensitivity index (ISI). The ISI is calculated from both insulin and glucose concentrations.

    Measured: baseline

  42. Whole-body insulin sensitivity index (ISI)

    An oral glucose tolerance test will be performed for assessment of whole body insulin sensitivity using the whole-body insulin sensitivity index (ISI). The ISI is calculated from both insulin and glucose concentrations.

    Measured: week 12

  43. Area under the curve of insulin concentrations

    An oral glucose tolerance test will be performed for assessment of whole body insulin sensitivity by calculation of the area under the curve of insulin concentrations.

    Measured: baseline

  44. Area under the curve of insulin concentrations

    An oral glucose tolerance test will be performed for assessment of whole body insulin sensitivity by calculation of the area under the curve of insulin concentrations.

    Measured: week 12

  45. Area under the curve of glucose concentrations

    An oral glucose tolerance test will be performed for assessment of whole body insulin sensitivity by calculation of the area under the curve of glucose concentrations.

    Measured: baseline

  46. Area under the curve of glucose concentrations

    An oral glucose tolerance test will be performed for assessment of whole body insulin sensitivity by calculation of the area under the curve of glucose concentrations.

    Measured: week 12

  47. Insulinogenic index

    An oral glucose tolerance test will be performed for assessment of beta cell function by calculation of the insulinogenic index. The insulinogenic index is calculated from both insulin and glucose concentrations.

    Measured: baseline

  48. Insulinogenic index

    An oral glucose tolerance test will be performed for assessment of beta cell function by calculation of the insulinogenic index. The insulinogenic index is calculated from both insulin and glucose concentrations.

    Measured: week 12

  49. Cardiac autonomic function

    Cardiac autonomic function will be operationalized as heart rate variability by means of continuous beat-to-beat heart rate signal measurements. time domain and frequency domain analysis of the R-R intervals will be performed

    Measured: baseline

  50. Cardiac autonomic function

    Cardiac autonomic function will be operationalized as heart rate variability by means of continuous beat-to-beat heart rate signal measurements. time domain and frequency domain analysis of the R-R intervals will be performed

    Measured: week 12

  51. Systolic and Diastolic Blood pressure

    Systolic, diastolic and mean arterial blood pressure will be measured 3 times at 5-min intervals using an electronic sphygmomanometer

    Measured: baseline

  52. Systolic and Diastolic Blood pressure

    Systolic, diastolic and mean arterial blood pressure will be measured 3 times at 5-min intervals using an electronic sphygmomanometer

    Measured: week 12

  53. Oxygen uptake (VO2)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VO2 is collected breath-by-breath and averaged every ten seconds.

    Measured: baseline

  54. Oxygen uptake (VO2)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VO2 is collected breath-by-breath and averaged every ten seconds.

    Measured: week 12

  55. Carbon dioxide output (VCO2)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VCO2 is collected breath-by-breath and averaged every ten seconds.

    Measured: baseline

  56. Carbon dioxide output (VCO2)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VCO2 is collected breath-by-breath and averaged every ten seconds.

    Measured: week 12

  57. Minute ventilation (VE)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VE is collected breath-by-breath and averaged every ten seconds.

    Measured: baseline

  58. Minute ventilation (VE)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VE is collected breath-by-breath and averaged every ten seconds.

    Measured: week 12

  59. Equivalents for oxygen uptake (VE/VO2)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VE/VO2 is collected breath-by-breath and averaged every ten seconds.

    Measured: baseline

  60. Equivalents for oxygen uptake (VE/VO2)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VE/VO2 is collected breath-by-breath and averaged every ten seconds.

    Measured: week 12

  61. Equivalents for carbon dioxide production (VE/VCO2)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VE/VCO2 is collected breath-by-breath and averaged every ten seconds.

    Measured: baseline

  62. Equivalents for carbon dioxide production (VE/VCO2)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis VE/VCO2 is collected breath-by-breath and averaged every ten seconds.

    Measured: week 12

  63. Tidal volume (Vt)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis Vt is collected breath-by-breath and averaged every ten seconds.

    Measured: baseline

  64. Tidal volume (Vt)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis Vt is collected breath-by-breath and averaged every ten seconds.

    Measured: week 12

  65. Breathing frequency (BF)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis BF is collected breath-by-breath and averaged every ten seconds.

    Measured: baseline

  66. Breathing frequency (BF)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis BF is collected breath-by-breath and averaged every ten seconds.

    Measured: week 12

  67. Respiratory gas exchange ratio (RER)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis RER is collected breath-by-breath and averaged every ten seconds.

    Measured: baseline

  68. Respiratory gas exchange ratio (RER)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of continuous pulmonary gas exchange analysis RER is collected breath-by-breath and averaged every ten seconds.

    Measured: week 12

  69. Heart rate (HR)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of a heart rate monitor the HR is measured and averaged every ten seconds.

    Measured: baseline

  70. Heart rate (HR)

    Cardiopulmonary exercise test on an electronically braked cycle ergometer is performed. With the aid of a heart rate monitor the HR is measured and averaged every ten seconds.

    Measured: week 12

  71. A six-minute walk test

    The covered distance is measured during a six-minute walk test.

    Measured: baseline

  72. A six-minute walk test

    The covered distance is measured during a six-minute walk test.

    Measured: week 12

  73. Relative autonomy index

    Individual motives for physical activity are assessed using the Behavioural Regulation and Exercise Questionnaire version 2 (BREQ-2).

    Measured: baseline

  74. Relative autonomy index

    Individual motives for physical activity are assessed using the Behavioural Regulation and Exercise Questionnaire version 2 (BREQ-2).

    Measured: week 12

  75. Total calorie intake

    Participants will record all food and beverages consumed over seven consecutive days and from this the total calorie intake is calculated.

    Measured: baseline

  76. Total calorie intake

    Participants will record all food and beverages consumed over seven consecutive days and from this the total calorie intake is calculated.

    Measured: week 12

  77. Macronutrient content

    Participants will record all food and beverages consumed over seven consecutive days and from this the macronutrient content is calculated.

    Measured: baseline

  78. Macronutrient content

    Participants will record all food and beverages consumed over seven consecutive days and from this the macronutrient content is calculated.

    Measured: week 12

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted25 Feb 2019
  2. Study start15 Nov 2018
  3. Primary completion1 Feb 2021
  4. Study completion1 Feb 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Supportive care
Allocation
Randomised
Intervention model
Parallel groups
Masking
None (open label)
Enrolment
60 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03853018
Sponsor's protocol ID
CWATLDP-001
Acronym
CWATLDP
Status last verified
Jun 2021
First submitted
15 Nov 2018
Last updated
10 Jun 2021
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No

Publications

  • Franssen WMA, Nieste I, Koppo K, Joris P, Vandereyt F, Savelberg HHCM, Eijnde BO. Effects of reducing sedentary behaviour on cardiovascular health, skeletal muscle oxidative capacity and functional exercise capacity in sedentary adults: a randomised controlled trial. BMJ Open Sport Exerc Med. 2026 Mar 18;12(1):e002759. doi: 10.1136/bmjsem-2025-002759. eCollection 2026.

    PubMed 41878723
  • Franssen WMA, Nieste I, Vandereyt F, Savelberg HHCM, Eijnde BO. A 12-week consumer wearable activity tracker-based intervention reduces sedentary behaviour and improves cardiometabolic health in free-living sedentary adults: a randomised controlled trial. J Act Sedentary Sleep Behav. 2022 Dec 1;1(1):8. doi: 10.1186/s44167-022-00007-z.

    PubMed 40229981

Questions about this trial

What is this clinical trial studying?

A study testing CWAT intervention and CWAT + motivation intervention group in people with Sedentary Lifestyle, run by Hasselt University at 1 site in Belgium.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 7 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 10 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Belgium. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Steps per day (time frame: Baseline). The study lists 4 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03853018, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 10 Jun 2021.

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