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Self-monitored versus supervised walking programs for older adults.

Medicine
January 1, 1970
Ching-Yi Hsu et al. (6 authors)
Comparative StudyJournal ArticleObservational StudyHuman StudyClinical
Study Details

Study Goal

The researchers aimed to compare the outcomes and behavioral changes between self-monitored and supervised walking interventions for older adults.

Results Summary

Both self-monitored and supervised walking improved most physical functions, particularly lower-extremity performance, with no significant differences except for BMI and cardiopulmonary endurance. The supervised group showed improvements in BMI, muscle strength, and balance, while the self-monitored group improved in knee extension muscle strength and mobility.

Population

Older adults

Effective Dosage

Not specified (pedometer-assisted walking)

Duration

3 months

Interactions

None mentioned

Extracted Claims (11)
InterventionDirectionEndpointPopulationDosageImpactClaim #
self-monitored walking
increase
knee extension muscle strength
older adults
-
significantly improved
#1
self-monitored walking
increase
Timed Up and Go test
older adults
-
significantly improved
#2
supervised walking
decrease
body mass index
older adults
-
significantly improved
#3
supervised walking
increase
knee extension muscle strength
older adults
-
significantly improved
#4
supervised walking
increase
30-s sit-to-stand
older adults
-
significantly improved
#5
supervised walking
increase
functional reach
older adults
-
significantly improved
#6
supervised walking
decrease
5-m gait speed
older adults
-
significantly slower
#7
self-monitored walking
increase
most physical functions
older adults
-
benefit
#8
supervised walking
increase
most physical functions
older adults
-
benefit
#9
self-monitored walking
no change
effects
older adults
-
do not differ significantly
#10
supervised walking
no change
effects
older adults
-
do not differ significantly
#11
Abstract

Walking is an effective, well accepted, inexpensive, and functional intervention. This study compared the outcomes and changes in walking behavior of self-monitored (SM) and supervised (SU) walking interventions for older adults.Participants were assigned to SM (n = 21) and SU (n = 21) walking groups according to their place of residence. Both groups exercised and wore a pedometer for 3 months.The outcome measures were step count, body mass index (BMI), and physical function. Two-way repeated-measure ANOVA and independent t tests were used to compare the intervention effects. We also plotted the trends and analyzed the walking steps weekly.Only BMI exhibited a group × time interaction. The pre-posttest differences showed knee extension muscle strength (KEMS) and Timed Up and Go test were significantly improved in the SM group, whereas BMI, KEMS, 30-s sit-to-stand, functional reach were significantly improved, but 5-m gait speed significantly slower in the SU group. For participants attending ≥50% of the sessions, those in the SM and SU groups had similar results for all variables, except for 2-min step (2MS) and daily walking step counts.Both self-monitored and supervised walking benefit older adults in most physical functions, especially lower-extremity performance, such as muscle strength, balance, and mobility. The effects of both programs do not differ significantly, except for BMI and 2MS (ie cardiopulmonary endurance). We recommend pedometer-assisted self-monitored walking for older adults because of its ability to cultivate exercise habits over the long term, whereas supervised walking to establish effective exercise intensity.

Medical Subject Headings (MeSH)
ActigraphyAgedAged, 80 and overAnalysis of VarianceBody Mass IndexExercise TherapyFemaleHumansKneeMaleMuscle StrengthPhysical EnduranceSelf-ManagementTaiwanTime and Motion StudiesWalking
Study Links
Quality Scores
Safety95
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations3
Citations/Year0.8
Relative Citation Ratio0.38
NIH Percentile20.5%
Research Impact Scores
APT Score0.25
Weight Score1.46
Normalized Score0.87
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