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

Paul Y Takahashi,1 Stephanie M Quigg,1 Ivana T Croghan,1 Darrell R Schroeder,2 Jon O Ebbert1 1Division of Primary Care Internal Medicine, 2Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA Background: Walking can improve functional status, and a pedometer and goal se...

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Autores principales:	Takahashi PY, Quigg SM, Croghan IT, Schroeder DR, Ebbert JO
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2016
Materias:	chronic disease muscle strength obesity physical activity Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/28392d1c8314421c8294581fde7336c2
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spelling	oai:doaj.org-article:28392d1c8314421c8294581fde7336c22021-12-02T03:12:30ZEffect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial1178-1998https://doaj.org/article/28392d1c8314421c8294581fde7336c22016-09-01T00:00:00Zhttps://www.dovepress.com/effect-of-pedometer-use-and-goal-setting-on-walking-and-functional-sta-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Paul Y Takahashi,1 Stephanie M Quigg,1 Ivana T Croghan,1 Darrell R Schroeder,2 Jon O Ebbert1 1Division of Primary Care Internal Medicine, 2Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA Background: Walking can improve functional status, and a pedometer and goal setting can increase walking and, potentially, gait speed. The efficacy of pedometer use and goal setting for increasing step counts among overweight and obese adults with multiple comorbid conditions has not been evaluated.Methods: We recruited and randomly assigned obese or overweight adults with multimorbidity to immediate pedometer use with goal setting or delayed pedometer use, using a crossover design. The primary outcome of interest was step count, with secondary outcomes of gait speed and grip strength, with comparison between the intervention and delayed pedometer groups.Results: Mean (standard deviation [SD]) age of the 130 participants was 63.4 (15.0) years. At 2 months, mean (SD) steps for the immediate pedometer use group (n=64) was 5,337 (3,096), compared with 4,446 (2,422) steps in the delayed pedometer group (n=66) (P=0.08). Within-group step count increased nonsignificantly, by 179 steps in the immediate pedometer group and 212 steps in the delayed pedometer group after 2 months of intervention, with no significant difference between the groups. Gait speed significantly increased by 0.08 m/s (P<0.05) and grip strength significantly increased by 1.6 kg (P<0.05) in the immediate pedometer group.Conclusion: Pedometer use and goal setting did not significantly increase step count among overweight and obese adults with multimorbidity. The absolute step count was lower than many reported averages. Gait speed and grip strength increased with immediate pedometer use. The use of pedometers and goal setting may have an attenuated response in this population.Clinical Trials number: NCT01833507. Keywords: chronic disease, muscle strength, obesity, physical activity, pedometer, gait speed, grip strengthTakahashi PYQuigg SMCroghan ITSchroeder DREbbert JODove Medical Pressarticlechronic diseasemuscle strengthobesityphysical activityGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 11, Pp 1099-1106 (2016)
institution	DOAJ
collection	DOAJ
language	EN
topic	chronic disease muscle strength obesity physical activity Geriatrics RC952-954.6
spellingShingle	chronic disease muscle strength obesity physical activity Geriatrics RC952-954.6 Takahashi PY Quigg SM Croghan IT Schroeder DR Ebbert JO Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial
description	Paul Y Takahashi,1 Stephanie M Quigg,1 Ivana T Croghan,1 Darrell R Schroeder,2 Jon O Ebbert1 1Division of Primary Care Internal Medicine, 2Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, USA Background: Walking can improve functional status, and a pedometer and goal setting can increase walking and, potentially, gait speed. The efficacy of pedometer use and goal setting for increasing step counts among overweight and obese adults with multiple comorbid conditions has not been evaluated.Methods: We recruited and randomly assigned obese or overweight adults with multimorbidity to immediate pedometer use with goal setting or delayed pedometer use, using a crossover design. The primary outcome of interest was step count, with secondary outcomes of gait speed and grip strength, with comparison between the intervention and delayed pedometer groups.Results: Mean (standard deviation [SD]) age of the 130 participants was 63.4 (15.0) years. At 2 months, mean (SD) steps for the immediate pedometer use group (n=64) was 5,337 (3,096), compared with 4,446 (2,422) steps in the delayed pedometer group (n=66) (P=0.08). Within-group step count increased nonsignificantly, by 179 steps in the immediate pedometer group and 212 steps in the delayed pedometer group after 2 months of intervention, with no significant difference between the groups. Gait speed significantly increased by 0.08 m/s (P<0.05) and grip strength significantly increased by 1.6 kg (P<0.05) in the immediate pedometer group.Conclusion: Pedometer use and goal setting did not significantly increase step count among overweight and obese adults with multimorbidity. The absolute step count was lower than many reported averages. Gait speed and grip strength increased with immediate pedometer use. The use of pedometers and goal setting may have an attenuated response in this population.Clinical Trials number: NCT01833507. Keywords: chronic disease, muscle strength, obesity, physical activity, pedometer, gait speed, grip strength
format	article
author	Takahashi PY Quigg SM Croghan IT Schroeder DR Ebbert JO
author_facet	Takahashi PY Quigg SM Croghan IT Schroeder DR Ebbert JO
author_sort	Takahashi PY
title	Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial
title_short	Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial
title_full	Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial
title_fullStr	Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial
title_full_unstemmed	Effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial
title_sort	effect of pedometer use and goal setting on walking and functional status in overweight adults with multimorbidity: a crossover clinical trial
publisher	Dove Medical Press
publishDate	2016
url	https://doaj.org/article/28392d1c8314421c8294581fde7336c2
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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

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