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Physical Activity, Weight Gain, and Obesity
Published in James M. Rippe, Increasing Physical Activity, 2020
Structured forms of physical activity may result in increases in energy expenditure and can play an important role in interventions for weight loss. A number of these studies have utilized pedometers to encourage individuals to increase their level of physical activity. Several studies have shown that individuals who increase their steps from 2,100 to 3,000 steps per day have lost between 2 and 3 kilograms of body weight (38). There does not appear to be any difference between supervised or unsupervised structure with regard to step count. However, there may be additional benefits for maintenance of weight loss for individuals who accumulate more than 10,000 steps per day.
Monitoring of physical activity
Published in Claudio F. Donner, Nicolino Ambrosino, Roger S. Goldstein, Pulmonary Rehabilitation, 2020
Heleen Demeyer, Thierry Troosters, Henrik Watz
Step counters (pedometers) are small, relatively inexpensive devices that record the number of steps a person walks per day. They provide an easy-to-understand metric (steps) for patients, clinicians and investigators. Most step counters have a long battery life, and some have an internal memory that allows retrieving data. A disadvantage is that they do not provide any information on the intensity of the activity, the type of activity or the wearing time of the device. The latter is important in the quality control of the assessment (see further). The most important problem with the use of step counters though is the underestimation of the number of steps, especially when walking at a slower pace.
Aging Successfully: Predictors and Pathways
Published in James M. Rippe, Lifestyle Medicine, 2019
In order to achieve more long-term behavior change among previously inactive older adult patients, Pinto et al.114 supplemented a brief PA counseling session (approximately 3 min) delivered by the physician during the course of an office visit with regular telephone counseling by a health educator. Significantly higher levels of physical activity were reported for the group receiving the additional telephone counseling (additional hour/week) after 3 months when compared with a group receiving a single in-office counseling session (12.45 min/week). More importantly, the physical activity gains were sustained in the extended counseling group through 6 months of follow-up. In addition to counseling, providing older adult patients with a motivational tool in the form of a pedometer may also prove to be an effective intervention strategy. Findings from a study conducted by Bravata et al.115 showed that pedometer use by adult outpatients resulted in higher physical activity levels and other health benefits (decreases in body mass index and blood pressure), at least in the short term. Given the knowledge that older adults can attenuate the progression of functional impairments by up to 55%, even by engaging in only moderate levels of physical activity,116 providing physical activity counseling to all older adult patients, irrespective of health status, should be a high priority for the health care professional.
Smartphone pedometers in adults with asthma: a practical approach to physical activity assessment? A pilot validation study
Published in Journal of Asthma, 2022
Caroline Reilly, Antonis Stavropoulos-Kalinoglou, Ian Clifton, Jim McKenna, Daniel Peckham, Oliver J. Price
The evaluation of pedometers in a real-world setting is important to determine device validity according to the specific demands (i.e. walking speeds) of daily tasks. A previous comprehensive assessment of 13 models of electronic pedometers, over a 24-h period, concluded that ± 10% variability was an acceptable error range during free-living conditions (30). Specific to smartphone devices, Duncan et al. reported a significant under-estimation of steps when evaluating the iPhone® during free-living conditions in healthy individuals (±18% error range in comparison to the Actigraph GT3X) (13). In contrast, the iPhone® exceeded the ±10% criterion (30) (4% error range in comparison to the Yamax Digiwalker™ SW800 pedometer) in the current study and improved further when selecting the ‘best day’ according to participant compliance over a seven-day period (<1% error range). Although the disparity between studies remains unclear, our data indicate that, with optimal compliance (i.e. verifying time spent active with logbook records), the iPhone® pedometer can be considered a valid method to quantify habitual physical activity. Furthermore, using modern smartphone pedometers for this purpose may reduce the impact of participant reactivity given most people typically carry their device with them throughout the day. In addition, having reliable and accurate instruments to-hand, potentially helps patients to become powerful agents in behavioral self-management of their condition. Importantly, in-built smartphone pedometers report accurate scores, minute-by-minute, thus encouraging positive self-surveillance and habit formation.
Pedometers, the frustrating motivators: a qualitative investigation of users’ experiences of the Yamax SW-200 among people with multiple sclerosis
Published in Disability and Rehabilitation, 2022
Jennifer Fortune, Meriel Norris, Andrea Stennett, Cherry Kilbride, Grace Lavelle, Christina Victor, Lorraine De Souza, Wendy Hendrie, Jennifer Ryan
Interventions incorporating digital tools such as pedometers or accelerometers have gained popularity as a mechanism to increase physical activity among people with MS [10]. Pedometers measure step count and represent an objective and cost-effective method to quantify activity [11]. The objective feedback they provide motivates physical activity engagement in clinical [12] and non-clinical populations [13] with demonstrable increases in physical activity [14,15]. Among people with MS, promising impacts on physical activity have been shown in theory-based interventions supported by a pedometer [16,17]. Moreover health tracking and disease monitoring is associated with improved self-management and feelings of control [18] demonstrating the potential of these devices and the objective feedback they provide to support the initiation and maintenance of physical activity behaviour.
A ‘novel’ multi-component approach to promote physical activity among older cancer survivors: a pilot randomized controlled trial
Published in Acta Oncologica, 2021
Bernardine M. Pinto, Madison Kindred, Regina Franco, Virginia Simmons, James Hardin
Furthermore, additional work has explored the benefits of a low-intensity home-based PA program among cancer survivors. van Waart and colleagues compared the possible benefits of a low-intensity PA program with a moderate-to-high intensity program and usual care group among breast cancer survivors (mean age= 50.7 years) while completing adjuvant chemotherapy [14]. Participants in the low-intensity PA program followed a self-managed, individualized program. While the moderate-to-high intensity PA program had the greatest effect on cardiorespiratory fitness, muscle strength, and fatigue, participating in the low-intensity PA program yielded positive effects relating to fatigue and favorable return to work rates [14]. Recently, Møller and colleagues compared a 12-week home-based pedometer intervention with a supervised intervention (cardiorespiratory and resistance training) to compare physiological and patient reported outcomes among previously inactive breast cancer survivors (mean age = 51.7 years) [15]. Specifically, the home-based pedometer intervention aimed for its participants to achieve 7,500 steps/day at a low-to-moderate intensity. At follow-up both groups (home-based and supervised) saw beneficial effects on cardiorespiratory fitness and encouraged PA participation during and following adjuvant chemotherapy [15]. In sum, the contributions of a low-intensity PA program to improve health outcomes, specifically among those who are unable to adopt and maintain a moderate-to-vigorous PA program, should not be overlooked.