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Fitness & Exercise for Senior Citizens
Pedometer Plus Walking Goals Motivate More Activity,
Less Blood Pressure, Weight
Pedometer users increased their physical activity by
26.9 percent
Nov. 28, 2007 An easy way to decrease your body
mass index and blood pressure is to use a pedometer especially with a
daily step goal which will motivate you to significantly increase your
physical activity. An article in the Journal of the American Medical
Association says the evidence from several studies shows participants
will walk about an additional mile a day.
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This is the third study in November to suggest
significant health improvements through walking exercise. An earlier
story - see link in sidebar on left - found changing the mindset could get
senior citizens into a walking program and once they are walking they
significantly lower their risk of death.
"The costs associated with physical inactivity are
high. For example, if 10 percent of adults in the United States began a
regular walking program, an estimated $5.6 billion in heart disease
costs could be saved," the authors write.
Pedometers are small, relatively inexpensive
devices worn at the hip to count the number of steps walked per day.
Although there is not detailed evidence of their effectiveness, they
have recently experienced a surge in popularity as a tool for motivating
and monitoring physical activity.
More than half of all adults in the United States
do not get adequate physical activity and approximately one-quarter do
not get any leisure time physical activity, according to background
information in the article.
Dena M. Bravata, M.D., M.S., of Stanford
University, Calif., and colleagues evaluated the association between
pedometer use and physical activity and health outcomes among adults.
The authors searched databases for studies and
articles on this topic, and identified 26 studies with a total of 2,767
participants that met inclusion criteria (eight randomized controlled
trials [RCTs] and 18 observational studies).
The participants average
age was 49 years and 85 percent were women. The average intervention
duration was 18 weeks.
In the RCTs, pedometer users significantly
increased their physical activity by 2,491 steps per day more than
control participants.
Among the observational studies, pedometer users
significantly increased their physical activity by 2,183 steps per day
over baseline (2,000 steps is about one mile).
Overall, pedometer users increased their physical
activity by 26.9 percent over baseline.
Among the intervention characteristics, having a
step goal was the key predictor of increased physical activity. The
three studies that did not include a step goal had no significant
improvement in physical activity with pedometer use in contrast to
increases of more than 2,000 steps per day with the use of a
10,000-step-per-day goal or other goal.
Intervention participants significantly decreased
their body mass index by 0.38 from baseline. This reduction was
associated with older age and having a step goal.
Participants also
significantly decreased their systolic blood pressure by 3.8 mm Hg,
which was associated with greater systolic blood pressure at baseline
and change in steps per day.
"Our results suggest that the use of these small,
relatively inexpensive devices is associated with significant increases
in physical activity and improvements in some key health outcomes, at
least in the short term. The extent to which these results are durable
over the long term is unknown," the researchers write.
The report appears in the Nov. 21, 2007, issue of
JAMA.
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Bob Saunders, 68, uses
his Exerstrider poles for Nordic walking with a friend. |
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Growing Exercise of Nordic Walking Providing Senior
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Hybrid exercise combines walking with cross country
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July 21, 2007 - At 59 and 285 pounds, Bob
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pain, low energy and a host of other obesity-related symptoms.
I was dragging around, ready to call it quits, says the
68-year-old Saunders, whose doctor warned him that his life was
at risk.
Read more...
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