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The present secondary analysis explored the effects of an accelerometer\u2010guided self\u2010monitoring intervention on prolonged sedentary behavior (\u2265\u00a030\u00a0min) and physical activity in older adults with cardiovascular conditions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This exploratory secondary analysis used data from an RCT conducted at a Japanese daycare center (October 2022\u2013January 2023). The parent RCT included 52 participants (26 in the intervention group and 26 in the control group). Of these, 36 participants with cardiovascular conditions were eligible for the present exploratory secondary analysis (intervention,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a021; control,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a015). The main outcome was prolonged sedentary behavior accumulated in bouts of \u2265\u00a030\u00a0min. Other outcomes included daily step count, sedentary behavior in bouts of \u2265\u00a01 and\u00a0\u2265\u00a060\u00a0min, sedentary bout counts and break counts, physical activity intensity, and EQ\u20105D\u20105L utility scores. Outcomes were analyzed using linear mixed\u2010effects models.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Thirty\u2010three participants with available baseline outcome data were included in the analyses (intervention,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a019; control,\n                      <jats:italic>n<\/jats:italic>\n                      \u00a0=\u00a014). Significant group\u00a0\u00d7\u00a0time interactions were observed for step count, sedentary behavior in bouts of \u2265\u00a01\u00a0min and \u2265\u00a030\u00a0min, sedentary bout counts, and light physical activity (\n                      <jats:italic>p<\/jats:italic>\n                      \u00a0&lt;\u00a00.05). Moderate\u2010to\u2010vigorous physical activity and EQ\u20105D\u20105L utility scores did not change significantly.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Accelerometer\u2010guided self\u2010monitoring may influence prolonged sedentary behavior and physical activity in older adults with cardiovascular conditions receiving LTC. These findings provide preliminary, hypothesis\u2010generating evidence that self\u2010monitoring may represent a promising approach to reducing prolonged sedentary behavior in older adults receiving LTC. Confirmation in adequately powered RCTs is warranted.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/pri.70356","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:03:06Z","timestamp":1791172986000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Short\u2010Term Effects of a Self\u2010Monitoring\u2010Based Intervention on Prolonged Sedentary Behavior in Older Adults With Cardiovascular Conditions: An Exploratory Secondary Analysis of a Randomized Controlled Trial"],"prefix":"10.1002","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1271-6183","authenticated-orcid":false,"given":"Masahiro","family":"Kitamura","sequence":"first","affiliation":[{"name":"School of Physical Therapy, Faculty of Rehabilitation Reiwa Health Sciences University  Fukuoka Japan"},{"name":"Department of Health Sciences Graduate School of Medicine Kobe University  Kobe Japan"},{"name":"Cardiovascular Stroke Renal Project  Kobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7262-8903","authenticated-orcid":false,"given":"Kazuhiro P.","family":"Izawa","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Graduate School of Medicine Kobe University  Kobe Japan"},{"name":"Cardiovascular Stroke Renal Project  Kobe Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takayuki","family":"Nagasaki","sequence":"additional","affiliation":[{"name":"School of Physical Therapy, Faculty of Rehabilitation Reiwa Health Sciences University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Yoshizawa","sequence":"additional","affiliation":[{"name":"School of Physical Therapy, Faculty of Rehabilitation Reiwa Health Sciences University  Fukuoka Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koji","family":"Fujioka","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Rifuru Yukuhashi Daycare Center  Yukuhashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wataru","family":"Yamaguchi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Rifuru Yukuhashi Daycare Center  Yukuhashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroaki","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Rifuru Yukuhashi Daycare Center  Yukuhashi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2024.10.065"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1177\/02692155221135412"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.7326\/M17\u20100046"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12966\u2010020\u201001020\u20108"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bjsports\u20102024\u2010108258"},{"key":"e_1_2_14_7_1","first-page":"p13","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_14_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12603\u2010015\u20100640\u20107"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.7326\/M17\u20100212"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l4570"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu14122527"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afab130"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/49.2.m85"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1001783"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136\u2010011\u20109903\u2010x"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamda.2018.04.001"},{"key":"e_1_2_14_17_1","first-page":"47","article-title":"Developing a Japanese Version of the EQ\u20105D\u20105L Value Set","volume":"64","author":"Ikeda S.","year":"2015","journal-title":"Journal of the National Institute of Public Health"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2022.00700"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.57351\/jjccpt.1.0_7"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2012.06.015"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.phm.0000156901.95289.09"},{"key":"e_1_2_14_22_1","unstructured":"\u201cJapan Physical Activity Research Platform.\u201d2020. 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