期刊
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY
卷 58, 期 11, 页码 2099-2106出版社
WILEY
DOI: 10.1111/j.1532-5415.2010.03127.x
关键词
randomized controlled trial; pedometer; physical activity; elderly
资金
- Scottish Executive Health Department [CZH/4/463]
- Chief Scientist Office [CZH/4/463] Funding Source: researchfish
- Medical Research Council [G0900686] Funding Source: researchfish
- MRC [G0900686] Funding Source: UKRI
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. J Am Geriatr Soc 58:2099-2106, 2010.
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