Show simple item record

dc.contributor.authorHarris, Tess
dc.contributor.authorKerry, Sally M.
dc.contributor.authorLimb, Elizabeth S.
dc.contributor.authorFurness, Cheryl
dc.contributor.authorWahlich, Charlotte
dc.contributor.authorVictor, Christina R.
dc.contributor.authorIliffe, Steve
dc.contributor.authorWhincup, Peter H.
dc.contributor.authorUssher, Michael
dc.contributor.authorEkelund, Ulf
dc.contributor.authorFox-Rushby, Julia
dc.contributor.authorIbison, Judith
dc.contributor.authorDeWilde, Stephen
dc.contributor.authorMcKay, Cathy
dc.contributor.authorCook, Derek G.
dc.date.accessioned2018-08-27T09:38:26Z
dc.date.available2018-08-27T09:38:26Z
dc.date.created2018-05-08T15:48:09Z
dc.date.issued2018
dc.identifier.citationPLoS Medicine. 2018, 3, e1002526.nb_NO
dc.identifier.issn1549-1277
dc.identifier.urihttp://hdl.handle.net/11250/2559407
dc.descriptionThis is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.nb_NO
dc.description.abstractBackground: Physical inactivity is an important cause of noncommunicable diseases. Interventions can increase short-term physical activity (PA), but health benefits require maintenance. Few interventions have evaluated PA objectively beyond 12 months. We followed up two pedometer interventions with positive 12-month effects to examine objective PA levels at 3–4 years. Methods and findings: Long-term follow-up of two completed trials: Pedometer And Consultation Evaluation-UP (PACE-UP) 3-arm (postal, nurse support, control) at 3 years and Pedometer Accelerometer Consultation Evaluation-Lift (PACE-Lift) 2-arm (nurse support, control) at 4 years post-baseline. Randomly selected patients from 10 United Kingdom primary care practices were recruited (PACE-UP: 45–75 years, PACE-Lift: 60–75 years). Intervention arms received 12-week walking programmes (pedometer, handbooks, PA diaries) postally (PACE-UP) or with nurse support (PACE-UP, PACE-Lift). Main outcomes were changes in 7-day accelerometer average daily step counts and weekly time in moderate-to-vigorous PA (MVPA) in ≥10-minute bouts in intervention versus control groups, between baseline and 3 years (PACE-UP) and 4 years (PACE-Lift). PACE-UP 3-year follow-up was 67% (681/1,023) (mean age: 59, 64% female), and PACE-Lift 4-year follow-up was 76% (225/298) (mean age: 67, 53% female). PACE-UP 3-year intervention versus control comparisons were as follows: additional steps/day postal +627 (95% CI: 198–1,056), p = 0.004, nurse +670 (95% CI: 237–1,102), p = 0.002; total weekly MVPA in bouts (minutes/week) postal +28 (95% CI: 7–49), p = 0.009, nurse +24 (95% CI: 3–45), p = 0.03. PACE-Lift 4-year intervention versus control comparisons were: +407 (95% CI: −177–992), p = 0.17 steps/day, and +32 (95% CI: 5–60), p = 0.02 minutes/week MVPA in bouts. Neither trial showed sedentary or wear-time differences. Main study limitation was incomplete follow-up; however, results were robust to missing data sensitivity analyses. Conclusions: Intervention participants followed up from both trials demonstrated higher levels of objectively measured PA at 3–4 years than controls, similar to previously reported 12-month trial effects. Pedometer interventions, delivered by post or with nurse support, can help address the public health physical inactivity challenge.nb_NO
dc.language.isoengnb_NO
dc.subjectnursesnb_NO
dc.subjectaccelerometersnb_NO
dc.subjectexercisenb_NO
dc.subjectwalkingnb_NO
dc.subjectphysical activitynb_NO
dc.subjectprimary carenb_NO
dc.subjectelderlynb_NO
dc.subjectpublic and occupational healthnb_NO
dc.titlePhysical activity levels in adults and older adults 3–4 years after pedometer-based walking interventions: Long-term follow-up of participants from two randomised controlled trials in UK primary carenb_NO
dc.typeJournal articlenb_NO
dc.typePeer reviewednb_NO
dc.description.versionpublishedVersionnb_NO
dc.rights.holder© 2018 Harris et al.nb_NO
dc.source.pagenumber16nb_NO
dc.source.journalPLoS Medicinenb_NO
dc.identifier.doi10.1371/journal.pmed.1002526
dc.identifier.cristin1584193
dc.description.localcodeSeksjon for idrettsmedisinske fag / Department of Sport Medicinenb_NO
cristin.unitcode150,34,0,0
cristin.unitnameSeksjon for idrettsmedisinske fag
cristin.ispublishedtrue
cristin.fulltextoriginal
cristin.qualitycode2


Files in this item

Thumbnail

This item appears in the following Collection(s)

Show simple item record