Ghent University Academic Bibliography

Advanced

How many steps/day are enough? : for older adults and special populations

Catrine Tudor-Locke, Cora L Craig, Yukitoshi Aoyagi, Rhonda C Bell, Karen A Croteau, Ilse De Bourdeaudhuij UGent, Ben Ewald, Andrew W Gardner, Yoshiro Hatano, Lesley D Lutes, et al. (2011) INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY. 8.
abstract
Older adults and special populations (living with disability and/or chronic illness that may limit mobility and/or physical endurance) can benefit from practicing a more physically active lifestyle, typically by increasing ambulatory activity. Step counting devices (accelerometers and pedometers) offer an opportunity to monitor daily ambulatory activity; however, an appropriate translation of public health guidelines in terms of steps/day is unknown. Therefore this review was conducted to translate public health recommendations in terms of steps/day. Normative data indicates that 1) healthy older adults average 2,000-9,000 steps/day, and 2) special populations average 1,200-8,800 steps/day. Pedometer-based interventions in older adults and special populations elicit a weighted increase of approximately 775 steps/day (or an effect size of 0.26) and 2,215 steps/day (or an effect size of 0.67), respectively. There is no evidence to inform a moderate intensity cadence (i.e., steps/minute) in older adults at this time. However, using the adult cadence of 100 steps/minute to demark the lower end of an absolutely-defined moderate intensity (i.e., 3 METs), and multiplying this by 30 minutes produces a reasonable heuristic (i.e., guiding) value of 3,000 steps. However, this cadence may be unattainable in some frail/diseased populations. Regardless, to truly translate public health guidelines, these steps should be taken over and above activities performed in the course of daily living, be of at least moderate intensity accumulated in minimally 10 minute bouts, and add up to at least 150 minutes over the week. Considering a daily background of 5,000 steps/day (which may actually be too high for some older adults and/or special populations), a computed translation approximates 8,000 steps on days that include a target of achieving 30 minutes of moderate-to-vigorous physical activity (MVPA), and approximately 7,100 steps/day if averaged over a week. Measured directly and including these background activities, the evidence suggests that 30 minutes of daily MVPA accumulated in addition to habitual daily activities in healthy older adults is equivalent to taking approximately 7,000-10,000 steps/day. Those living with disability and/or chronic illness (that limits mobility and or/physical endurance) display lower levels of background daily activity, and this will affect whole-day estimates of recommended physical activity.
Please use this url to cite or link to this publication:
author
organization
year
type
journalArticle (review)
publication status
published
subject
keyword
AMBULATORY ACTIVITY, 1ST STEP PROGRAM, TYPE-2 DIABETES MANAGEMENT, PERIPHERAL ARTERIAL-DISEASE, QUALITY-OF-LIFE, BREAST-CANCER SURVIVORS, RANDOMIZED CONTROLLED-TRIAL, PHYSICAL-ACTIVITY INTERVENTION, WALKING INTERVENTION, JAPANESE ADULTS
journal title
INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY
Int. J. Behav. Nutr. Phys. Act.
volume
8
article number
80
pages
19 pages
Web of Science type
Review
Web of Science id
000294673200001
JCR category
NUTRITION & DIETETICS
JCR impact factor
3.828 (2011)
JCR rank
12/71 (2011)
JCR quartile
1 (2011)
ISSN
1479-5868
DOI
10.1186/1479-5868-8-80
language
English
UGent publication?
yes
classification
A1
copyright statement
I have retained and own the full copyright for this publication
id
1984625
handle
http://hdl.handle.net/1854/LU-1984625
date created
2012-01-12 14:02:52
date last changed
2017-04-10 12:49:52
@article{1984625,
  abstract     = {Older adults and special populations (living with disability and/or chronic illness that may limit mobility and/or physical endurance) can benefit from practicing a more physically active lifestyle, typically by increasing ambulatory activity. Step counting devices (accelerometers and pedometers) offer an opportunity to monitor daily ambulatory activity; however, an appropriate translation of public health guidelines in terms of steps/day is unknown. Therefore this review was conducted to translate public health recommendations in terms of steps/day. Normative data indicates that 1) healthy older adults average 2,000-9,000 steps/day, and 2) special populations average 1,200-8,800 steps/day. Pedometer-based interventions in older adults and special populations elicit a weighted increase of approximately 775 steps/day (or an effect size of 0.26) and 2,215 steps/day (or an effect size of 0.67), respectively. There is no evidence to inform a moderate intensity cadence (i.e., steps/minute) in older adults at this time. However, using the adult cadence of 100 steps/minute to demark the lower end of an absolutely-defined moderate intensity (i.e., 3 METs), and multiplying this by 30 minutes produces a reasonable heuristic (i.e., guiding) value of 3,000 steps. However, this cadence may be unattainable in some frail/diseased populations. Regardless, to truly translate public health guidelines, these steps should be taken over and above activities performed in the course of daily living, be of at least moderate intensity accumulated in minimally 10 minute bouts, and add up to at least 150 minutes over the week. Considering a daily background of 5,000 steps/day (which may actually be too high for some older adults and/or special populations), a computed translation approximates 8,000 steps on days that include a target of achieving 30 minutes of moderate-to-vigorous physical activity (MVPA), and approximately 7,100 steps/day if averaged over a week. Measured directly and including these background activities, the evidence suggests that 30 minutes of daily MVPA accumulated in addition to habitual daily activities in healthy older adults is equivalent to taking approximately 7,000-10,000 steps/day. Those living with disability and/or chronic illness (that limits mobility and or/physical endurance) display lower levels of background daily activity, and this will affect whole-day estimates of recommended physical activity.},
  articleno    = {80},
  author       = {Tudor-Locke, Catrine and Craig, Cora L and Aoyagi, Yukitoshi and Bell, Rhonda C and Croteau, Karen A and De Bourdeaudhuij, Ilse and Ewald, Ben and Gardner, Andrew W and Hatano, Yoshiro and Lutes, Lesley D and Matsudo, Sandra M and Ramirez-Marrero, Farah A and Rogers, Laura Q and Rowe, David A and Schmidt, Michael D and Tully, Mark A and Blair, Steven N},
  issn         = {1479-5868},
  journal      = {INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY},
  keyword      = {AMBULATORY ACTIVITY,1ST STEP PROGRAM,TYPE-2 DIABETES MANAGEMENT,PERIPHERAL ARTERIAL-DISEASE,QUALITY-OF-LIFE,BREAST-CANCER SURVIVORS,RANDOMIZED CONTROLLED-TRIAL,PHYSICAL-ACTIVITY INTERVENTION,WALKING INTERVENTION,JAPANESE ADULTS},
  language     = {eng},
  pages        = {19},
  title        = {How many steps/day are enough? : for older adults and special populations},
  url          = {http://dx.doi.org/10.1186/1479-5868-8-80},
  volume       = {8},
  year         = {2011},
}

Chicago
Tudor-Locke, Catrine, Cora L Craig, Yukitoshi Aoyagi, Rhonda C Bell, Karen A Croteau, Ilse De Bourdeaudhuij, Ben Ewald, et al. 2011. “How Many Steps/day Are Enough? : for Older Adults and Special Populations.” International Journal of Behavioral Nutrition and Physical Activity 8.
APA
Tudor-Locke, C., Craig, C. L., Aoyagi, Y., Bell, R. C., Croteau, K. A., De Bourdeaudhuij, I., Ewald, B., et al. (2011). How many steps/day are enough? : for older adults and special populations. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY, 8.
Vancouver
1.
Tudor-Locke C, Craig CL, Aoyagi Y, Bell RC, Croteau KA, De Bourdeaudhuij I, et al. How many steps/day are enough? : for older adults and special populations. INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY. 2011;8.
MLA
Tudor-Locke, Catrine, Cora L Craig, Yukitoshi Aoyagi, et al. “How Many Steps/day Are Enough? : for Older Adults and Special Populations.” INTERNATIONAL JOURNAL OF BEHAVIORAL NUTRITION AND PHYSICAL ACTIVITY 8 (2011): n. pag. Print.