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Impact of a walking program of 10,000 steps per day and dietary counseling on health-related quality of life, energy expenditure and anthropometric parameters in obese subjects.

Journal of endocrinological investigation
February 1, 2017
I Castres et al. (4 authors)
Journal ArticleHuman Study
Study Details

Study Goal

The researchers aimed to assess the impact of a physical activity program (10,000 steps/day) combined with monthly dietary counseling on body composition, biological parameters, resting energy expenditure, and health-related quality of life in obese individuals.

Results Summary

The intervention significantly improved anthropometric data (e.g., reduced body mass, BMI, fat mass), increased resting energy expenditure, and enhanced physical domains of health-related quality of life and anxiety. No significant changes were observed in biological parameters.

Population

35 obese adults (26 women; mean age 39.2 ± 13.4 years, mean BMI 38.3 ± 6.6 kg/m²).

Effective Dosage

Qualitative dietary advice (cookbook with low-calorie recipes and dietary advice) provided monthly.

Duration

6 months.

Interactions

None mentioned.

Extracted Claims (12)
InterventionDirectionEndpointPopulationDosageImpactClaim #
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
decrease
body mass (BM)
obese adults
3.8 kg or 3.7%
significantly decreased
#1
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
decrease
body mass index (BMI)
obese adults
1.4 kg m-2 or 3.7%
significantly decreased
#2
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
decrease
hip circumference
obese adults
4.6 cm or 4.3%
significantly decreased
#3
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
decrease
fat mass (FM) in kg
obese adults
4.0 kg or 8.9%
significantly decreased
#4
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
decrease
fat mass (FM) in percentage of BM
obese adults
1.6 kg or 6.1%
significantly decreased
#5
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
increase
number of steps
obese adults
7579 steps or 135%
significantly increased
#6
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
increase
lean body mass (LBM) in percentage of BM
obese adults
2.6 kg or 4.5%
significantly increased
#7
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
increase
resting energy expenditure (REE)
obese adults
78 kcal d-1 or 4.8%
significantly increased
#8
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
increase
HRQoL subdimension score - physical functioning
obese adults
increase by 15.3
significantly improved
#9
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
increase
HRQoL subdimension score - physical component summary
obese adults
increase by 4.6
significantly improved
#10
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
decrease
anxiety
obese adults
reduction by 1.2
significantly improved
#11
a physical activity program of walking 10,000 steps per day along with monthly dietary counseling
no change
biological data (total cholesterol, high-density lipoprotein, low-density lipoprotein, triglyceride and glucose concentrations)
obese adults
no significant change
showed no significant change
#12
Abstract

PURPOSE: The aim of this pilot study was to assess the impact of a physical activity program of walking 10,000 steps per day along with monthly dietary counseling on the body composition, biological parameters, resting energy expenditure (REE) and health-related quality of life (HRQoL) of obese individuals. METHODS: Thirty-five obese adults (26 women; age: 39.2 ± 13.4 years, body mass, BM: 104.1 ± 18.7 kg and body mass index, BMI: 38.3 ± 6.6 kg m-2) followed a walking program (instructions were provided so that the participants increase their walking distance by 1000 steps each week, until to perform at least 10,000 steps per day) and received qualitative dietary advice (cookbook presenting numerous recipes with low calories and dietary advices was provided) for 6 months. Before and after the intervention, anthropometric (BM, BMI, waist and hip circumferences, fat mass: FM and lean body mass: LBM) and biological data (total cholesterol, high-density lipoprotein, low-density lipoprotein, triglyceride and glucose concentrations), REE and HRQoL (including eight dimensions and two summaries) were assessed. RESULTS: After the intervention, BM (difference: 3.8 kg or 3.7 %), BMI (difference: 1.4 kg m-2 or 3.7 %), hip circumference (difference: 4.6 cm or 4.3 %), FM in kg (difference: 4.0 kg or 8.9 %) and FM in percentage of BM (difference: 1.6 kg or 6.1 %) were significantly decreased, whereas number of steps (difference: 7579 steps or 135 %), LBM in percentage of BM (difference: 2.6 kg or 4.5 %) and REE (difference: 78 kcal d-1 or 4.8 %) were significantly increased (p < 0.05). Moreover, two HRQoL subdimension scores (physical functioning and physical component summary; increase by 15.3 and 4.6, respectively, p < 0.05) and anxiety (reduction by 1.2, p < 0.05) were also significantly improved. Conversely, the biological data showed no significant change (p > 0.05). CONCLUSION: Walking 10,000 steps per day in association with dietary counseling improved anthropometric data, REE, the physical domains of HRQoL and anxiety in obese adults.

Medical Subject Headings (MeSH)
AdultAnthropometryBasal MetabolismBody CompositionBody Mass IndexDietEnergy IntakeEnergy MetabolismExerciseFemaleHumansObesityPilot ProjectsQuality of LifeWalking
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations9
Citations/Year1.1
Relative Citation Ratio0.56
NIH Percentile30.5%
Research Impact Scores
APT Score0.25
Weight Score0.90
Normalized Score0.69
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