Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial

Takahashi, Paul Y.; Quigg, Stephanie M; Croghan, Ivana T.; Schroeder, Darrell R.; Ebbert, Jon O.

doi:10.2147/cia.s107626

Cited by 27 publications

(52 citation statements)

References 35 publications

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“…Thus, patients who had <5000 steps at the midway measurement point were likely to continue to have <5000 steps. We did not observe an association between the length of pedometer wearing time and the status of <5000 steps at 4 months, an observation consistent with the original trial findings 14. A self-rated physical QoL score <50 had higher odds of <5000 steps at 4 months (adjusted OR 6.21, 95% CI: 2.32–18.54).…”

Section: Resultssupporting

confidence: 86%

“…Focus on physical activity and sedentary behaviors or physical activity components alone showed only modest reductions in sedentary time. Pedometer use with SMART goals did not affect step status in our clinical trial 14. Age >65 years, BMI >35 kg/m 2 , and waist circumference >102 cm were also associated with <5000 steps at 4 months.…”

Section: Discussionmentioning

confidence: 52%

“…We previously performed a randomized controlled trial of goal setting and pedometer use among obese patients with multiple chronic conditions 14. Step counts (the primary outcome) did not increase significantly with this intervention ( p =0.08).…”

Section: Introductionmentioning

confidence: 99%

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Predictors of sedentary status in overweight and obese patients with multiple chronic conditions: a cohort study

Joven¹,

Croghan²,

Quigg³

et al. 2017

POR

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PurposeWalking may improve health in obese patients with multimorbidity. We aimed to identify predictors associated with achieving <5000 steps per day after 4 months.Patients and methodsWe conducted a cohort study of 125 adult patients with a body mass index >25 kg/m2 and ≥7 comorbidities. We evaluated potential predictors for <5000 steps per day using logistic regression and adjusting for age >65 years and sex.ResultsThe mean (range) age was 63.6 (20.3–89.8) years. Daily step counts <5000 at baseline showed the highest risk of <5000 daily steps at 4 months (odds ratio [OR] 31.82, 95% confidence interval [CI]: 12.14–95.50). Other significant characteristics were physical quality of life (OR 6.21, 95% CI: 2.32–18.54), gait speed <1 m/s (OR 2.57, 95% CI: 1.18–5.71), age ≥65 years (OR 2.21, 95% CI: 1.05–4.77), waist circumference ≥102 cm (OR 2.48, 95% CI: 1.05–6.06), and body mass index ≥30 kg/m2 (OR 2.69, 95% CI: 1.20–6.26).ConclusionNew models to increase walking may be required for higher-risk patients.

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Section: Resultssupporting

confidence: 86%

Section: Discussionmentioning

confidence: 52%

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Predictors of sedentary status in overweight and obese patients with multiple chronic conditions: a cohort study

Joven¹,

Croghan²,

Quigg³

et al. 2017

POR

Self Cite

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“…A systematic review including 8 randomised controlled trials and 18 observational studies found that the usage of a pedometer is related to significant increases in physical activity and significant decreases by 3.8 mm Hg in SBP in a middle-aged population 18. The usage of a pedometer, setting a step goal and the use of a step diary may be key motivational factors for increasing physical activity 18 20. Pedometer users who were given a goal, whether it was the 10 000-step goal or an alternative personalised step goal, significantly increased their physical activity over baseline 21.…”

Section: Discussionmentioning

confidence: 99%

Effects of self-monitoring devices on blood pressure in older adults with hypertension and diabetes: a randomised controlled trial

Bao

Wang

et al. 2019

J Epidemiol Community Health

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BackgroundHypertension and diabetes frequently coexist, which results in the difficulty of hypertension control in community-dwelling elderly adults who lack effective prevention and control strategies. The aim of this study is to determine whether a combined pedometer and home blood pressure monitoring (HBPM) programme could improve blood pressure (BP) among community-dwelling elderly adults with hypertension and diabetes.MethodsThe trial was a 2×2 factorial randomised clinical trial that recruited 180 community-dwelling elderly people (aged ≥60) with hypertension and diabetes in Tianjin, China. Participants were randomly assigned to control, pedometer, HBPM, and pedometer+HBPM groups. Intervention period was 12 months. The coprimary outcomes of the study were systolic and diastolic BP; the secondary outcomes included the proportion of patients with controlled hypertension. BP was measured twice in the right arm using a mercurial sphygmomanometer. The mean of these two measurements was taken as the BP value.ResultsAt 12 months, compared with the control group, the adjusted differences in least squares mean (95% CI) in systolic and diastolic BP changes for pedometer, HBPM, and pedometer+HBPM groups were −4.2 (–8.4 to 0.1), –2.7 (–6.9 to 1.5) and −8.1 (–12.3 to –3.9) mm Hg (p<0.01); −3.2 (–5.2 to –1.1), −0.1(−2.1 to 1.9) and −3.6 (–5.6 to –1.5) mm Hg (p<0.001), respectively; the adjusted difference in percentage (95% CI) in the controlled hypertension (BP <140/90 mm Hg) for pedometer, HBPM and pedometer+HBPM groups were 7.5 (–12.2 to 27.1), 9.9 (–10.4 to 30.3) and 23.1 (5.0 to 41.1) (p=0.09).ConclusionCombination pedometer and HBPM interventions can significantly decrease BP levels in elderly adults with hypertension and diabetes.Trials Registration numberUMIN000021613.

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“…Improvements in physical functioning following physical activity interventions have been observed in multimorbidity [ 26 ]. However, few trials have looked at the effectiveness of interventions designed to improve lifestyle outcomes in patients with multimorbidity in primary care [ 27 ], and the evidence related to changes in lifestyle behaviours such as diet and physical activity is conflicting [ 28 – 30 ]. This observational and interventional evidence, across multiple outcomes and conditions, suggests that physical activity can be conceptualised as a composite marker of overall health status.…”

Section: Introductionmentioning

confidence: 99%

Movement through Active Personalised engagement (MAP) — a self-management programme designed to promote physical activity in people with multimorbidity: study protocol for a randomised controlled trial

Dallosso

Yates

Mani

et al. 2018

Trials

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BackgroundMultimorbidity, defined as two or more concurrent chronic diseases within the same individual, is becoming the clinical norm within primary care. Given the burden of multimorbidity on individuals, carers and health care systems, there is a need for effective self-management programmes. Promoting active participation within their clinical care and following a healthy lifestyle will help empower patients and target lifestyle factors that are exacerbating their conditions. The aim of this study is to establish whether a tailored, structured self-management programme can improve levels of physical activity at 12 months, in people with multimorbidity.Methods/designThis study is a single-centre randomised controlled trial, with follow-up at 6 and 12 months. The primary outcome is change in objectively assessed average daily physical activity at 12 months. Secondary outcomes include medication adherence, lifestyle behaviours, quality of life, chronic disease self-efficacy and self-efficacy for exercise. Anthropometric and clinical measurements include blood pressure, muscle strength, lipid profile, kidney function and glycated haemoglobin (HbA1c). Participants are recruited from primary care. Those between 40 and 85 years of age with multimorbidity, with a good understanding of written and verbal English, who are able to give informed consent, have access to a mobile phone for use in study activities and are able to walk independently will be invited to participate. Multimorbidity is defined as two or more of the chronic conditions listed in the Quality and Outcomes Framework. A total of 338 participants will be randomly assigned, with stratification for gender and ethnicity, to either the control group, receiving usual care, or the intervention group, who are invited to the Movement through Active Personalised engagement programme. This involves attending four group-based self-management sessions aimed at increasing physical activity, mastering emotions, managing treatments and using effective communication. The sessions are delivered by trained facilitators, and regular text messages during the study period provide ongoing support. Changes in primary and secondary outcomes will be assessed, and an economic evaluation of the intervention undertaken.DiscussionThis study will provide new evidence on whether physical activity can be promoted alongside other self-management strategies in a multimorbid population and whether this leads to improvements in clinical, biomedical, psychological and quality of life outcomes.Trial registrationISRCTN, ISRCTN 42791781. Registered on 14 March 2017.Electronic supplementary materialThe online version of this article (10.1186/s13063-018-2939-2) contains supplementary material, which is available to authorized users.

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Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial

Cited by 27 publications

References 35 publications

Predictors of sedentary status in overweight and obese patients with multiple chronic conditions: a cohort study

Predictors of sedentary status in overweight and obese patients with multiple chronic conditions: a cohort study

Effects of self-monitoring devices on blood pressure in older adults with hypertension and diabetes: a randomised controlled trial

Movement through Active Personalised engagement (MAP) — a self-management programme designed to promote physical activity in people with multimorbidity: study protocol for a randomised controlled trial

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