Dori Rosenberg, PhD, MPH

Dori Rosenberg

“By listening to patients, we can discover ways to more practically and meaningfully bring innovative prevention and treatment programs into health care systems, communities, and homes. My research goal is to help people of all ages and abilities develop healthy, lifelong active habits.”

Dori Rosenberg, PhD, MPH

Associate Investigator, Kaiser Permanente Washington Health Research Institute
Associate Professor, Health Systems Science, Kaiser Permanente Bernard J. Tyson School of Medicine

Biography

Dori Rosenberg, PhD, MPH, has conducted extensive research into physical activity and sedentary time, with a central focus on older adults and people with chronic conditions, who often face substantial barriers to engaging in physical activity. Dr. Rosenberg has a particular interest in helping to build an evidence base for the health effects of sedentary time, given that the vast majority of people’s waking hours are spent sitting, yet we are only starting to understand how this impacts health.

Dr. Rosenberg currently leads the Healthy Aging Resources to Thrive (HART) Trial. HART is testing the effects of sitting reduction on cardiovascular and metabolic health outcomes through a large randomized controlled trial.  Dr. Rosenberg also leads the accelerometer sub-study of the Adult Changes in Thought (ACT) cohort study where she is examining how 24-hour activity cycle behaviors (sedentary time, physical activity, sleep) are associated with cognition and physical function in older adults.

A key step in better understanding sedentary behaviors is having validated measures. Dr. Rosenberg validated the widely used Sedentary Behavior Questionnaire, which is a self-reported measure of sedentary time (see below to learn more). She has also contributed to studies on sedentary behavior measurement with accelerometers, including machine learning approaches.

As part of her epidemiologic research, Dr. Rosenberg investigates how aspects of the built environment — such as parks, open space, and sidewalks — encourage better health, particularly as we age. Further, she is interested in the ways social determinants of health in early life, including the neighborhood environment, impact cognitive and physical aging and is exploring this in the ACT cohort.

In her intervention research, Dr. Rosenberg employs mobile health approaches to promoting physical activity and reducing sedentary time, including in a recent micro-randomized trial for physical activity after bariatric surgery. She is currently working with colleagues on piloting a mobile health application for mindfulness and acceptance to support healthy eating and physical activity.

Dr. Rosenberg serves on a subcommittee of the President's Council on Sports, Fitness, & Nutrition to inform the development of the Physical Activity Guidelines Midcourse Report on older adults. She is also past co-chair of the Physical Activity Special Interest Group at the Society of Behavioral Medicine. Additionally, she is an associate professor in the Health Systems Science Department of the Kaiser Permanente Bernard J. Tyson School of Medicine, affiliate associate professor in the Department of Health Services at the University of Washington School of Public Health, and a fellow of the Society of Behavioral Medicine.

Measurement tools

The following tools are available for free download and use.

Sedentary Behavior Questionnaire: This is a self-reported measure of sedentary time, taking into account sedentary behaviors on weekdays and weekends. It has been used widely in research studies across the globe to describe sedentary behavior and track changes in sedentary time.

Walking Route Audit Tool for Seniors (WRATS): WRATS is an audit tool for identifying the best walking routes for older adults. The tool includes 59 items relating to functionality, safety, aesthetics, and destinations, among other domains. Most domains are measured using a 3-point scale. The tool can be used by the general public as well as by researchers.

Research interests and experience

  • Behavior Change

    Physical activity, sedentary behavior, nutrition, lifestyle interventions, technology applications, built environment

  • Aging & Geriatrics

    Changes to health behaviors, including sedentary behavior, physical activity, and nutrition; role of built environment; promotion of physical function and mobility; fall prevention; cognitive function; Alzheimer's disease prevention

  • Obesity

    Obesity  prevention and control; physical activity and nutrition promotion; role of sedentary behaviors; role of built environment; acceptance and mindfulness interventions for weight management; mobile health interventions

  • Chronic Illness Management

    Prevention of further disease, declines in function, and disability; self-management; fall prevention

  • Preventive Medicine

    Health behavior change, fall prevention, Alzheimer’s disease prevention

  • Mobile Health

    Mobile health interventions for weight, physical activity, diet, and sedentary time; accelerometers (e.g., Fitbit, ActiGraph, activPAL) for measurement and intervention

Recent publications

Zlatar ZZ, Godbole S, Takemoto M, Crist K, Sweet CMC, Kerr J, Rosenberg DE. Changes in Moderate Intensity Physical Activity Are Associated With Better Cognition in the Multilevel Intervention for Physical Activity in Retirement Communities (MIPARC) Study. LID - S1064-7481(19)30345-8 [pii] LID - 10.1016/j.jagp.2019.04.011 [doi] Am J Geriatr Psychiatry. 2019 Apr 29. pii: S1064-7481(19)30345-8. doi: 10.1016/j.jagp.2019.04.011 [Epub ahead of print] PubMed

Lynch BM, Nguyen NH, Moore MM, Reeves MM, Rosenberg DE, Boyle T, Vallance JK, Milton S, Friedenreich CM, English DR. A randomized controlled trial of a wearable technology-based intervention for increasing moderate to vigorous physical activity and reducing sedentary behavior in breast cancer survivors: the ACTIVATE Trial. Cancer. 2019 Apr 23. doi: 10.1002/cncr.32143. [Epub ahead of print]. PubMed

Lynch BM, Nguyen NH, Moore MM, Reeves MM, Rosenberg DE, Boyle T, Milton S, Friedenreich CM, Vallance JK, English DR. Maintenance of physical activity and sedentary behavior change, and physical activity and sedentary behavior change after an abridged intervention: secondary outcomes from the ACTIVATE Trial. Cancer. 2019 Apr 23. doi: 10.1002/cncr.32142. [Epub ahead of print]. PubMed

Matson TE, Anderson ML, Renz AD, Greenwood-Hickman MA, McClure JB, Rosenberg DE. Changes in self-reported health and psychosocial outcomes in older adults enrolled in sedentary behavior intervention study. Am J Health Promot. 2019 Apr 7:890117119841405. doi: 10.1177/0890117119841405. [Epub ahead of print]. PubMed

Drewnowski A, Arterburn D, Zane J, Aggarwal A, Gupta S, Hurvitz PM, Moudon AV, Bobb J, Cook A, Lozano P, Rosenberg D. The Moving to Health (M2H) approach to natural experiment research:a paradigm shift for studies on built environment and health. SSM Popul Health. 2018 Dec 28;7:100345. doi: 10.1016/j.ssmph.2018.100345. eCollection 2019. PubMed

 

M2H study

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Can where you move impact future weight gain?

A new study finds that moving from low- to high-density neighborhoods might be related to reductions in weight gain.

Mentoring at KPWHRI

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2021 mentorship awards go to Elena ‘Noon’ Kuo and Dori Rosenberg

Outstanding mentorship — emphasizing equity and inclusion — was recognized.

Research

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Helping older adults improve health by sitting less

Dr. Dori Rosenberg discusses her work on a new Cochrane review looking at ways to help older adults be less sedentary.

Research

urban setting apartments and skyscrapers obesity and the built environment

Built environment plays little role in weight gain

New research suggests fast food and other aspects of built environments don’t affect weight, contrary to earlier findings.

Live Healthy

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COVID-safe exercise ideas for older adults this winter

Take these tips from researchers on the Society of Behavioral Medicine’s Physical Activity Special Interest Group.