Diabetes Spectrum 19:197-200, 2006
© American Diabetes Association ®, Inc., 2006
Experience Analysis of a Practice-Based, Online Pedometer Program
Jeffrey J. VanWormer, MS,
Nicolaas P. Pronk, PhD and
Jackie L. Boucher, MS, RD, BC-ADM, CDE
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Introduction
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Approximately one-fourth of chronic disease mortality (e.g., diabetes and
heart disease) is linked to a sedentary
lifestyle.1 In 2000,
it was estimated that physical inactivity cost the United States $76.6 billion
in medical expenses
alone.2 In contrast,
a physically active lifestyle is associated with multiple health benefits,
including improvements in obesity, coronary artery disease, hypertension, and
all-cause
mortality.36
Regular physical activity may be especially important for individuals at high
risk for developing type 2 diabetes; a 2000 calorie/week increase in energy
expenditure is associated with a 24% reduction in the risk of developing the
disease.7
Despite the clear benefits of an active lifestyle, > 60% of U.S. adults
do not get enough physical activity, and at least 25% are completely inactive
during their leisure
time.8 Technological
advancements and changes in the work environment during the past several
decades have contributed to a gradual decline in the need for daily physical
activity.9,10
Because of this, many practitioners now recommend a lifestyle approach to
physical activity, through which sedentary individuals are encouraged to build
more physical activity into their daily routine and leisure
time.8,11
An increasingly popular tool that can support lifestyle physical activities
is the pedometer. Pedometer-based interventions have produced significant
improvements in physical activity, weight management, blood pressure, and
lipid
profiles.1114
They have also been effective for increasing walking and improving glucose
tolerance or insulin sensitivity among participants with type 2
diabetes.1519
To date, however, most pedometer studies have had limited external validity
because of small or narrowly defined at-risk samples. It is unclear how well a
large-scale, commercially available pedometer-based walking program performs
in the real world. The purpose of this evaluation was to examine whether an
online program titled "10,000 Steps," which integrates the use of
a pedometer, could help a large worksite population increase their walking and
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Methods
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Results
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Discussion
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Copyright © 2006 by the American Diabetes Association.
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