Can sedentary behavior be made more active? A randomized pilot study of TV commercial stepping versus walking

Jeremy A Steeves, David R Bassett, Eugene C Fitzhugh, Hollie A Raynor, Dixie L Thompson, Jeremy A Steeves, David R Bassett, Eugene C Fitzhugh, Hollie A Raynor, Dixie L Thompson

Abstract

Background: There is a growing problem of physical inactivity in America, and approximately a quarter of the population report being completely sedentary during their leisure time. In the U.S., TV viewing is the most common leisure-time activity. Stepping in place during TV commercials (TV Commercial Stepping) could increase physical activity. The purpose of this study was to examine the feasibility of incorporating physical activity (PA) into a traditionally sedentary activity, by comparing TV Commercial Stepping during 90 min/d of TV programming to traditional exercise (Walking).

Methods: A randomized controlled pilot study of the impact of 6 months of TV Commercial Stepping versus Walking 30 min/day in adults was conducted. 58 sedentary, overweight (body mass index 33.5 ± 4.8 kg/m2) adults (age 52.0 ± 8.6 y) were randomly assigned to one of two 6-mo behavioral PA programs: 1) TV Commercial Stepping; or 2) Walking 30 min/day. To help facilitate behavior changes participants received 6 monthly phone calls, attended monthly meetings for the first 3 months, and received monthly newsletters for the last 3 months. Using intent-to-treat analysis, changes in daily steps, TV viewing, diet, body weight, waist and hip circumference, and percent fat were compared at baseline, 3, and 6 mo. Data were collected in 2010-2011, and analyzed in 2011.

Results: Of the 58 subjects, 47 (81%) were retained for follow-up at the completion of the 6-mo program. From baseline to 6-mo, both groups significantly increased their daily steps [4611 ± 1553 steps/d vs. 7605 ± 2471 steps/d (TV Commercial Stepping); 4909 ± 1335 steps/d vs. 7865 ± 1939 steps/d (Walking); P < 0.05] with no significant difference between groups. TV viewing and dietary intake decreased significantly in both groups. Body weight did not change, but both groups had significant decreases in percent body fat (3-mo to 6-mo), and waist and hip circumference (baseline to 6-mo) over time.

Conclusions: Participants in both the TV Commercial Stepping and Walking groups had favorable changes in daily steps, TV viewing, diet, and anthropometrics. PA can be performed while viewing TV commercials and this may be a feasible alternative to traditional approaches for increasing daily steps in overweight and obese adults.

Trial registration: This study is registered at ClinicalTrials.gov, NCT01342471.

Figures

Figure 1
Figure 1
Participant Flow
Figure 2
Figure 2
Changes in average Omron-determined steps per day (A) and self-reported TV viewing (B) according to intervention group. Note: Each data point represents the mean values for all participants examined at that time

References

    1. U.S. Department of Health and Human Services. Physical activity guidelines for Americans Atlanta. GA: Centers for Disease Control and Prevention, National Center for Health, Statistics; 2008. pp. 1–4.
    1. U.S. Department of Health and Human Services. Web site [Internet] Atlanta, GA: FastStats: Physical activity or exercise. Centers for Disease Control and Prevention; [cited 2012 Feb 22], Available from; 2012. .
    1. O'Donovan G, Blazevich AJ, Boreham C, Cooper AR, Crank H, Ekelund U, Fox KR, Gately P, Giles-Corti B, Gill JM, Hamer M, McDermott I, Murphy M, Mutrie N, Reilly JJ, Saxton JM, Stamatakis E. The ABC of physical activity for health: A consensus statement from the British Association of Sport and Exercise Sciences. J Sports Sci. 2010;8:573–91.
    1. Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, McDowell M. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40:181–88.
    1. Tudor-Locke C, Brashear MM, Johnson WD, Katzmarzyk PT. Accelerometer profiles of physical activity and inactivity in normal weight, overweight, and obese U.S. men and women. Int J Behav Nutr Phys Act. 2010;7:1–11. doi: 10.1186/1479-5868-7-1.
    1. Reichert FF, Barros AJ, Domingues MR, Hallal PC. The role of perceived personal barriers to engagement in leisure-time physical activity. Am J Public Health. 2007;97:515–519. doi: 10.2105/AJPH.2005.070144.
    1. Whaley DE, Haley PP. Creating community, assessing need: Preparing for a community physical activity intervention. Res Q Exerc Sport. 2008;79:245–255. doi: 10.5641/193250308X13086753543699.
    1. Council for Research Excellence. Web site [Internet] Muncie, IN: Video Consumer Mapping Study: Key Finding Report. Council for Research Excellence, ; 2009. [cited 2011 Jan 8]. Available from .
    1. Nielson Company Web site [Internet] The Nielson Company Three Screen Report. The Nielson Company Three Screen Report, New York, NY; 2010. .
    1. U.S. Department of Labor. Website [Internet]: America Time Use Survey. U.S. Department of Labor, Bureau of Labor Statistics, Washington, DC; [cited 2011 August 19]. Available from .
    1. Haskell WL, Lee IM, Pate RR, Powell KE, Blair SN, Franklin BA, Macera CA, Heath GW, Thompson PD, Bauman A. Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007;39:1423–1434. doi: 10.1249/mss.0b013e3180616b27.
    1. Lee I, Sesso HD, Oguma Y, Paffenbarger RS Jr. The ‘Weekend warrior’ and risk of mortality. Am J Epidemiol. 2004;160:636–641. doi: 10.1093/aje/kwh274.
    1. Gilson N, McKenna J, Cooke C, Brown W. Walking towards health in a university community: A feasibility study. Prev Med. 2007;44:167–9. doi: 10.1016/j.ypmed.2006.09.012.
    1. Healy GN, Wijndaele K, Dunstan DW, Shaw JE, Salmon J, Zimmet PZ, Owen N. Objectively measured sedentary time, physical activity, and metabolic risk: The Australian diabetes, obesity and lifestyle study (AusDiab) Diabetes Care. 2008;31:369–371.
    1. Gardiner PA, Eakin EG, Healy GN, Owen N. Feasibility of reducing older adults' sedentary time. Am J Prev Med. 2011;41:174–7. doi: 10.1016/j.amepre.2011.03.020.
    1. Owen N, Leslie E, Salmon J, Fotheringham MJ. Environmental determinants of physical activity and sedentary behavior. Exerc Sport Sci Rev. 2000;28:153–158.
    1. Katzmarzyk PT, Church TS, Craig CL, Bouchard C. Sitting time and mortality from all causes, cardiovascular disease, and cancer. Med Sci Sports Exerc. 2009;41:998–1005. doi: 10.1249/MSS.0b013e3181930355.
    1. Dunstan DW, Thorp AA, Healy GN. Prolonged sitting: Is it a distinct coronary heart disease risk factor? Curr Opin Cardiol. 2011;26:412–419. doi: 10.1097/HCO.0b013e3283496605.
    1. Steeves JA, Bassett DR, Thompson DL. Energy cost of stepping in place while watching TV commercials. Med Sci Sports Exerc. 2011;44:330–5.
    1. Steeves JA, Thompson DL, Bassett DR. Use of TV commercial stepping to increase physical activity in adults. Med Sci Sports Exerc. 2011;43:343.
    1. Ainsworth BE, Haskell WL, Herrmann SD, Meckes N, Bassett DRJ, Tudor-Locke C, Greer JL, Vezina J, Whitt-Glover MC, Leon AS. 2011 Compendium of Physical Activities: A second update of codes and MET values. Med Sci Sports Exerc. 2011;43:1575–1581. doi: 10.1249/MSS.0b013e31821ece12.
    1. Hultquist CN, Albright C, Thompson DL. Comparison of walking recommendations in previously inactive women. Med Sci Sports Exerc. 2005;37:676–83. doi: 10.1249/01.MSS.0000158993.39760.1B.
    1. Bravata DM, Smith-Spangler C, Sundaram V, Gienger A, Lin ND, Lewis R, Stave CD, Olkin I, Sirard JR. Using pedometers to increase physical activity and improve health: A systematic review. JAMA. 2007;298:2296–2304. doi: 10.1001/jama.298.19.2296.
    1. Callaway W, Chumlea WC, Bouchard C, Himes JH, Lohman TG, Martin AD, Mitchell CD, Mueller WH, Roche AF, Seefeldt VD. Circumferences. In Anthropometric Standardization Reference Manual. Edited by Lohman TG, Roche AF, Martorell R. Champaign, IL, Human Kinetics Books; 1988. pp. 39–47.
    1. Tudor-Locke C, Bassett DR. How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004;34:1–8. doi: 10.2165/00007256-200434010-00001.
    1. Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, Owen N. Breaks in sedentary time: Beneficial associations with metabolic risk. Diabetes Care. 2008;31:661–666. doi: 10.2337/dc07-2046.
    1. Jakicic JM, Winters C, Lang W, Wing RR. Effects of intermittent exercise and use of home exercise equipment on adherence, weight loss, and fitness in overweight women: A randomized trial. JAMA. 1999;282:1554–1560. doi: 10.1001/jama.282.16.1554.
    1. King AC, Haskell WL, Young DR, Oka RK, Stefanick ML. Long-term effects of varying intensities and formats of physical activity on participation rates, fitness, and lipoproteins in men and women aged 50 to 65 years. Circulation. 1995;91:2596–2604. doi: 10.1161/01.CIR.91.10.2596.
    1. Perri MG, Martin AD, Leermakers EA, Sears SF, Notelovitz M. Effects of group-versus home-based exercise in the treatment of obesity. J Consult Clin Psychol. 1997;65:278–285.
    1. Tudor-Locke C. Promoting Lifestyle Physical Activity: Experiences with the First Step Program. Am J Lifestyle Med. 2009;3:50S–54S. doi: 10.1177/1559827609331710.
    1. Yancey AK, Wold CM, McCarthy WJ, Weber MD, Lee B, Simon PA, Fielding JE. Physical inactivity and overweight among Los Angeles County adults. Am J Prev Med. 2004;27:146–152.
    1. Meyer A, Evenson KR, Couper DJ, Stevens J, Pereria MA, Heiss G. Television, physical activity, diet, and body weight status: the ARIC cohort. IJBNPA. 2008;5:1–14.
    1. Bennett GG, Wolin KY, Viswanath K, Askew S, Puleo E, Emmons KM. Television viewing and pedometer-determined physical activity among multiethnic residents of low-income housing. Am J Prev Med. 2006;96:1681–1685.
    1. Williams DM, Raynor HA, Ciccolo JT. A review of TV viewing and its association with health outcomes in adults. Am J Lifestyle Med. 2008;2:250–259. doi: 10.1177/1559827608314104.
    1. Wing RR. Physical activity in the treatment of the adulthood overweight and obesity: Current evidence and research issues. Med Sci Sports Exerc. 1999;31:S547–552. doi: 10.1097/00005768-199911001-00010.
    1. Lee DC, Sui X, Artero EG, Lee IM, Church TS, McAuley PA, Stanford FC, Kohl HW 3rd, Blair SN. Long-term effects of changes in cardiorespiratory fitness and body mass index on all-cause and cardiovascular disease mortality in men: The Aerobics Center Longitudinal Study. Circulation. 2011;124:2483–2490. doi: 10.1161/CIRCULATIONAHA.111.038422.
    1. Stofan JR, DiPietro L, Davis D, Kohl HW 3rd, Blair SN. Physical activity patterns associated with cardiorespiratory fitness and reduced mortality: the Aerobics Center Longitudinal Study. Am. J. Public Health. 1998;88:1807–1813. doi: 10.2105/AJPH.88.12.1807.
    1. Steeves JA, Tyo BM, Connolly CP, Gregory DA, Stark NA, Bassett DR. Validity and reliability of the Omron HJ-303 tri-axial accelerometer-based pedometer. J Phys Act Health. 2011;8:1014–1020.

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