A short-term physical activity randomized trial in the Lower Mississippi Delta

Peter T Katzmarzyk, Catherine M Champagne, Catrine Tudor-Locke, Stephanie T Broyles, David Harsha, Betty M Kennedy, William D Johnson, Peter T Katzmarzyk, Catherine M Champagne, Catrine Tudor-Locke, Stephanie T Broyles, David Harsha, Betty M Kennedy, William D Johnson

Abstract

Background: The purpose of this study was to determine if a short-term pedometer-based intervention results in immediate increases in time spent in moderate-to-vigorous physical activity (MVPA) compared to a minimal educational intervention.

Methods: A sample of 43 overweight adults 35 to 64 years of age participated in a one week pedometer-based feasibility trial monitored by accelerometry. Participants were randomized into a one-week education-only group or a group that also wore a pedometer. Accelerometer-measured MVPA was measured over 7 days at baseline and again for 7 days immediately post-intervention.

Results: Minutes of MVPA increased significantly in the overall sample (p = 0.02); however, the effect of adding the pedometer to the education program was not significant (p = 0.89). Mean (±SE) MVPA increased from 12.7 ± 2.4 min/day to 16.2 ± 3.6 min/day in the education-only group and from 13.2 ± 3.3 min/day to 16.3 ± 3.9 min/day in the education+pedometer group. The correlation between change in steps/day and change in MVPA was 0.69 (p<0.0001).

Conclusions: The results of this study suggest that the addition of a pedometer to a short-term education program does not produce added benefits with respect to increasing physical activity in the Lower Mississippi Delta.

Trial registration: ClinicalTrials.gov NCT01264757.

Conflict of interest statement

Competing Interests: The authors have declared that no competing interests exist.

Figures

Figure 1. Flow of participants through the…
Figure 1. Flow of participants through the study.
Figure 2. Individual changes in minutes of…
Figure 2. Individual changes in minutes of moderate-to-vigorous physical activity (MVPA) and time in sedentary behavior.
Panel A presents results for MVPA and panel B presents results for sedentary behavior. Participants in the education-only group are represented by the gray bars, and those in the education+pedometer group are represented by the black bars.
Figure 3. Changes in minutes of moderate-to-vigorous…
Figure 3. Changes in minutes of moderate-to-vigorous physical activity (MVPA), lifestyle activity, and time in sedentary behavior.
Panel A presents results for MVPA, panel B presents results for lifestyle activity, and panel C presents results for sedentary behavior. The error bars represent 1 standard error.
Figure 4. Scatter plot of changes in…
Figure 4. Scatter plot of changes in steps/day and changes in minutes of moderate-to-vigorous physical activity.
The black boxes represent participants in the education+pedometer group and the gray triangles represent participants in the education-only group.

References

    1. U.S. Department of Health and Human Services, U.S. Department of Agriculture. Washington, DC: US Government Printing Office; 2005. Dietary Guidelines for Americans 2005.72
    1. U.S. Department of Health and Human Services. Washington, DC: US Government Printing Office; 2008. 2008 Physical Activity Guidelines for Americans.62
    1. Rafferty AP, Reeves MJ, McGee HB, Pivarnik JM. Physical activity patterns among walkers and compliance with public health recommendations. Med Sci Sports Exerc. 2002;34:1255–1261.
    1. Tudor-Locke C, Ham SA. Walking behaviors reported in the American Time Use Survey 2003-2005. J Phys Act Health. 2008;5:633–647.
    1. Whaley DE, Haley PP. Creating community, assessing need: preparing for a community physical activity intervention. Res Q Exerc Sport. 2008;79:245–255.
    1. Tudor-Locke C, Ham SA, Macera CA, Ainsworth BE, Kirtland KA, et al. Descriptive epidemiology of pedometer-determined physical activity. Med Sci Sports Exerc. 2004;36:1567–1573.
    1. Wyatt HR, Peters JC, Reed GW, Barry M, Hill JO. A Colorado statewide survey of walking and its relation to excessive weight. Med Sci Sports Exerc. 2005;37:724–730.
    1. Kang M, Marshall SJ, Barreira TV, Lee JO. Effect of pedometer-based physical activity interventions: a meta-analysis. Res Q Exerc Sport. 2009;80:648–655.
    1. Bravata DM, Smith-Spangler C, Sundaram V, Gienger AL, Lin N, et al. Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 2007;298:2296–2304.
    1. Richardson CR, Newton TL, Abraham JJ, Sen A, Jimbo M, et al. A meta-analysis of pedometer-based walking interventions and weight loss. Ann Fam Med. 2008;6:69–77.
    1. Zoellner J, Connell CL, Powers A, Avis-Williams A, Yadrick K, et al. Does a six-month pedometer intervention improve physical activity and health among vulnerable African Americans? A feasibility study. J Phys Act Health. 2010;7:224–231.
    1. Trust for America's Health. F as in Fat: How Obesity Threatens America's Future, 2010: Trust for America's Health, Robert Wood Johnson Foundation. 2010. 121
    1. Centers for Disease Control and Prevention (CDC) Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention; 2010. Behavioral Risk Factor Surveillance System Survey Data.
    1. Tudor-Locke CE, Myers AM, Rodger NW. Development of a theory-based daily activity intervention for individuals with type 2 diabetes. Diabetes Educ. 2001;27:85–93.
    1. Matthews CE, Chen KY, Freedson PS, Buchowski MS, Beech BM, et al. Amount of time spent in sedentary behaviors in the United States, 2003-2004. Am J Epidemiol. 2008;167:875–881.
    1. Troiano RP, Berrigan D, Dodd KW, Masse LC, Tilert T, et al. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40:181–188.
    1. Tudor-Locke C, Burkett L, Reis JP, Ainsworth BE, Macera CA, et al. How many days of pedometer monitoring predict weekly physical activity in adults? Prev Med. 2005;40:293–298.
    1. Camhi SM, Sisson SB, Johnson WD, Katzmarzyk PT, Tudor-Locke C. Accelerometer-determined lifestyle physical activities in U.S. adults. J Phys Act Health. 2011;8:382–389.
    1. Tudor-Locke C, Bassett DR., Jr How many steps/day are enough? Preliminary pedometer indices for public health. Sports Med. 2004;34:1–8.
    1. Ayabe M, Brubaker PH, Mori Y, Kumahara H, Kiyonaga A, et al. Self-monitoring moderate-vigorous physical activity versus steps/day is more effective in chronic disease exercise programs. J Cardiopulm Rehabil Prev. 2010;30:111–115.
    1. De Greef K, Deforche B, Tudor-Locke C, De Bourdeaudhuij I. A cognitive-behavioural pedometer-based group intervention on physical activity and sedentary behaviour in individuals with type 2 diabetes. Health Educ Res. 2010;25:724–736.
    1. Opdenacker J, Boen F, Coorevits N, Delecluse C. Effectiveness of a lifestyle intervention and a structured exercise intervention in older adults. Prev Med. 2008;46:518–524.
    1. Talbot LA, Gaines JM, Huynh TN, Metter EJ. A home-based pedometer-driven walking program to increase physical activity in older adults with osteoarthritis of the knee: a preliminary study. J Am Geriatr Soc. 2003;51:387–392.
    1. Wewel AR, Gellermann I, Schwertfeger I, Morfeld M, Magnussen H, et al. Intervention by phone calls raises domiciliary activity and exercise capacity in patients with severe COPD. Respir Med. 2008;102:20–26.
    1. McMurdo ME, Sugden J, Argo I, Boyle P, Johnston DW, et al. Do pedometers increase physical activity in sedentary older women? A randomized controlled trial. J Am Geriatr Soc. 2010;58:2099–2106.
    1. Napolitano MA, Borradaile KE, Lewis BA, Whiteley JA, Longval JL, et al. Accelerometer use in a physical activity intervention trial. Contemp Clin Trials. 2010;31:514–523.
    1. Tudor-Locke CE, Myers AM, Bell RC, Harris SB, Wilson Rodger N. Preliminary outcome evaluation of the First Step Program: a daily physical activity intervention for individuals with type 2 diabetes. Patient Educ Couns. 2002;47:23–28.

Source: PubMed

3
Iratkozz fel