The effects of a lifestyle intervention on leisure-time sedentary behaviors in adults at risk: the Hoorn Prevention Study, a randomized controlled trial

Prev Med. 2013 Oct;57(4):351-6. doi: 10.1016/j.ypmed.2013.06.011. Epub 2013 Jun 15.


Objective: This study set out to assess the short- and long-term effects of a primary care-based lifestyle intervention on different domains of leisure-time sedentary behaviors in Dutch adults at risk of type 2 diabetes and cardiovascular diseases.

Methods: Between 2007 and 2009, adults (n=622) at risk were randomly assigned to a counseling intervention aimed at adopting healthy lifestyle behaviors, or a control group that only received health brochures. Follow-up measures were done after 6, 12 and 24months. Linear regression analysis was used to examine between-group differences in self-report minutes per day sedentary behaviors, adjusted for baseline values. Stratified analyses were performed for sex and educational attainment.

Results: Seventy-nine percent (n=490) of participants completed the last follow-up. Mean baseline sedentary behaviors were 254.6min per day (SD=136.2). Intention-to-treat analyses showed no significant differences in overall or domain-specific sedentary behaviors between the two groups at follow-up. Stratified analyses for educational attainment revealed a small and temporary between-group difference in favor of the intervention group, in those who finished secondary school.

Conclusions: A primary care-based general lifestyle intervention was not more effective in reducing leisure-time sedentary behaviors than providing brochures in adults at risk for chronic diseases.

Keywords: CVD; Lifestyle; Primary prevention; Risk factors; Sedentary behavior; T2DM.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cardiovascular Diseases / prevention & control*
  • Counseling / methods
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Female
  • Humans
  • Leisure Activities* / psychology
  • Male
  • Middle Aged
  • Primary Health Care / methods
  • Risk Factors
  • Risk Reduction Behavior*
  • Sedentary Behavior*