Do Pedometers Increase Physical Activity in Sedentary Older Women? A Randomized Controlled Trial

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 se...

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Veröffentlicht in:Journal of the American Geriatrics Society (JAGS) 2010-11, Vol.58 (11), p.2099-2106
Hauptverfasser: McMurdo, Marion E. T., Sugden, Jacqui, Argo, Ishbel, Boyle, Paul, Johnston, Derek W., Sniehotta, Falko F., Donnan, Peter T.
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container_end_page 2106
container_issue 11
container_start_page 2099
container_title Journal of the American Geriatrics Society (JAGS)
container_volume 58
creator McMurdo, Marion E. T.
Sugden, Jacqui
Argo, Ishbel
Boyle, Paul
Johnston, Derek W.
Sniehotta, Falko F.
Donnan, Peter T.
description 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. Trial registration: ISRCTN26786857
doi_str_mv 10.1111/j.1532-5415.2010.03127.x
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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. 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T.</creatorcontrib><creatorcontrib>Sugden, Jacqui</creatorcontrib><creatorcontrib>Argo, Ishbel</creatorcontrib><creatorcontrib>Boyle, Paul</creatorcontrib><creatorcontrib>Johnston, Derek W.</creatorcontrib><creatorcontrib>Sniehotta, Falko F.</creatorcontrib><creatorcontrib>Donnan, Peter T.</creatorcontrib><title>Do Pedometers Increase Physical Activity in Sedentary Older Women? A Randomized Controlled Trial</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>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. 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source MEDLINE; Access via Wiley Online Library
subjects Aged
Biological and medical sciences
Clinical trials
elderly
Exercise
Female
General aspects
Humans
Measuring instruments
Medical sciences
Miscellaneous
Monitoring, Ambulatory - instrumentation
Motivation
Motor Activity
Older people
pedometer
physical activity
Prospective Studies
Public health. Hygiene
Public health. Hygiene-occupational medicine
randomized controlled trial
Sedentary Behavior
Single-Blind Method
Women
title Do Pedometers Increase Physical Activity in Sedentary Older Women? A Randomized Controlled Trial
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