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Do pedometers increase physical activity in sedentary older women? A randomized controlled trial.

Abstract：

OBJECTIVES:To determine the effectiveness of a behavior change intervention (BCI) with or without a pedometer in increasing physical activity in sedentary older women. DESIGN:Prospective randomized controlled trial. SETTING:Primary care, City of Dundee, Scotland. PARTICIPANTS:Two hundred four sedentary women aged 70 and older. INTERVENTIONS:Six months of BCI, BCI plus pedometer (pedometer plus), or usual care. MEASUREMENTS: PRIMARY OUTCOME:change in daily activity counts measured by accelerometry. SECONDARY OUTCOMES:Short Physical Performance Battery, health-related quality of life, depression and anxiety, falls, and National Health Service resource use. RESULTS:One hundred seventy-nine of 204 (88%) women completed the 6-month trial. Withdrawals were highest from the BCI group (15/68) followed by the pedometer plus group (8/68) and then the control group (2/64). After adjustment for baseline differences, accelerometry counts increased significantly more in the BCI group at 3 months than in the control group (P = .002) and the pedometer plus group (P = .04). By 6 months, accelerometry counts in both intervention groups had fallen to levels that were no longer statistically significantly different from baseline. There were no significant changes in the secondary outcomes. CONCLUSION:The BCI was effective in objectively increasing physical activity in sedentary older women. Provision of a pedometer yielded no additional benefit in physical activity, but may have motivated participants to remain in the trial.

journal_name

J Am Geriatr Soc

journal_title

Journal of the American Geriatrics Society

authors

McMurdo ME,Sugden J,Argo I,Boyle P,Johnston DW,Sniehotta FF,Donnan PT

doi

10.1111/j.1532-5415.2010.03127.x

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

2099-106

issue

11

eissn

0002-8614

issn

1532-5415

journal_volume

58

pub_type

杂志文章,随机对照试验

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