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Diabetes Spectrum 19:197-200, 2006
© American Diabetes Association ®, Inc., 2006


Nutrition FYI

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

The first 300 words of the full text of this article appear below.


    Introduction
 
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 . . . [Full Text of this Article]


    Methods
 

    Results
 

    Discussion
 

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Copyright © 2006 by the American Diabetes Association.