Feasibility of Adding Enhanced Pedometer Feedback to Nutritional Counseling for Weight Loss

Overview

Journal J Med Internet Res

Publisher JMIR Publications

Specialty Medical Informatics

Date 2006 Jan 13

PMID 16403720

Citations 21

Authors

Caroline R Richardson

Beverley B Brown

Sharon Foley

Kathleen S Dial

Julie C Lowery

Affiliations

Soon will be listed here.

Abstract

Background: Intensive interventions targeting diet and physical activity are effective for weight reduction but are costly. Tailored, computer-generated, step-count feedback may provide an intensive and affordable way to increase the physical activity of people at high risk for cardiovascular disease.

Objective: The objective was to test the feasibility of adding tailored, computer-generated, step-count feedback to a face-to-face nutritional counseling weight loss intervention.

Methods: We recruited 12 participants, 4 from each of three Department of Veterans Affairs medical centers. There were 11 male participants and 1 female participant. Each had a body mass index of 30 or greater and at least one of the following cardiovascular disease risk factors: diabetes, hypertension, hypercholesterolemia, obesity, or coronary artery disease. Participants attended one-on-one counseling sessions with a registered dietitian for four sessions over three weeks. At the initial session, each participant received an enhanced pedometer to record time-stamped, step-count data. Participants wore the device daily throughout the intervention. At the three follow-up sessions, the dietitian uploaded the computer data, reviewed a Web-based graphical display of step-count feedback, and helped set new walking goals.

Results: All 12 participants completed the program (100% attendance). Initial mean weight was 255 lbs (SD = 49 lbs), and weight loss was just over 4 lbs (n = 12, paired t test, P = .004). Mean daily step counts during the first week averaged 6019 steps per day, increasing to an average of 7358 per day after the third week (average increase of 1339 steps per day, or 0.6 miles, or 12 minutes of walking, n = 10, paired t test, P = .04).

Conclusions: Enhanced pedometer feedback in conjunction with nutritional counseling is feasible and results in significant weight loss and increased walking among individuals at high risk for cardiovascular disease.

Citing Articles

A Web-Based Mind-Body Intervention (Mindful Steps) for Promoting Walking in Chronic Cardiopulmonary Disease: Insights From a Qualitative Study.

Kraemer K, Kilgore K, Litrownik D, Jean-Laurent B, Wayne P, Richardson C Glob Adv Integr Med Health. 2023; 12:27536130231212169.

PMID: 38050584 PMC: 10693791. DOI: 10.1177/27536130231212169.

Development of a Novel Intervention (Mindful Steps) to Promote Long-Term Walking Behavior in Chronic Cardiopulmonary Disease: Protocol for a Randomized Controlled Trial.

Litrownik D, Gilliam E, Wayne P, Richardson C, Kadri R, Rist P JMIR Res Protoc. 2021; 10(4):e27826.

PMID: 33913819 PMC: 8120426. DOI: 10.2196/27826.

Effect of an mHealth Intervention Using a Pedometer App With Full In-Person Counseling on Body Composition of Overweight Adults: Randomized Controlled Weight Loss Trial.

Hernandez-Reyes A, Camara-Martos F, Molina-Luque R, Moreno-Rojas R JMIR Mhealth Uhealth. 2020; 8(5):e16999.

PMID: 32348263 PMC: 7287728. DOI: 10.2196/16999.

Understanding the Effect of Adding Automated and Human Coaching to a Mobile Health Physical Activity App for Afghanistan and Iraq Veterans: Protocol for a Randomized Controlled Trial of the Stay Strong Intervention.

Buis L, McCant F, Gierisch J, Bastian L, Oddone E, Richardson C JMIR Res Protoc. 2019; 8(1):e12526.

PMID: 30694208 PMC: 6371069. DOI: 10.2196/12526.

Successful adherence and retention to daily monitoring of physical activity: Lessons learned.

Xu X, Tupy S, Robertson S, Miller A, Correll D, Tivis R PLoS One. 2018; 13(9):e0199838.

PMID: 30235221 PMC: 6147478. DOI: 10.1371/journal.pone.0199838.

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