Cited by 95Physical Activity and HealthContext-Aware Activity Recognition SystemsUrban Transport and Accessibility

Physical 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 care

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Harris, Tess, Kerry, Sally M., Limb, Elizabeth S., Furness, Cheryl, Wahlich, Charlotte, Victor, Christina R., Iliffe, Steve, Whincup, Peter H. +7 more·2018·PLoS Medicine

Abstract

BACKGROUND: 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. TRIAL REGISTRATIONS: PACE-UP isrctn.com ISRCTN98538934; PACE-Lift isrctn.com ISRCTN42122561.

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  1. [4]World Health Organisation. Global Recommendations on Physical Activity for Health. 2010 [cited 23 Feb. 2018]. Available from: http://apps.who.int/iris/bitstream/10665/44399/1/9789241599979_eng.pdf 26180873

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Authors
Harris, T., Kerry, S. M., Limb, E. S., Furness, C., Wahlich, C., Victor, C. R., Iliffe, S., Whincup, P. H., Ussher, M., Ekelund, U., Fox-Rushby, J., Ibison, J., DeWilde, S., McKay, C., & Cook, D. G.
Affiliations
  • St George's, University of London (GB)
  • Queen Mary University of London (GB)
  • Brunel University of London (GB)
  • University College London (GB)
  • University of Cambridge (GB)
Corresponding author
Harris, Tess
Venue
PLoS Medicine
Published
2018-03-09
Volume
15
Issue
3
Pages
e1002526
ISSN
  • 1549-1277 (ISSN-L)
  • 1549-1676
OpenAlex
W2790906676
Cited by
95
References
43
Citations by year
2026: 3 · 2025: 6 · 2024: 8 · 2023: 10 · 2022: 20 · 2021: 18 · 2020: 16 · 2019: 9 · 2018: 5
FWCI
8.19
Type
journal article
Language
en
Open access
Locations
  • PLoS Medicine (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • Research Portal (King's College London) (publishedVersion, cc-by)
  • St George's Online Research Archive (St George's University of London) (acceptedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Stirling Online Research Repository (University of Stirling) (submittedVersion, cc-by)
  • Figshare (submittedVersion, cc-by)
  • NORA - Norwegian Open Research Archives (submittedVersion, other-oa)
  • Queen Mary Research Online (Queen Mary University of London) (submittedVersion, cc-by)
  • Brunel University Research Archive (BURA) (Brunel University London) (submittedVersion)
Funders
  • Health Technology Assessment Programme (10/32/02)
  • Research for Patient Benefit Programme (PB-PG-0909-20055)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
  • Social Sciences › Transportation › Urban Transport and Accessibility
Keywords
physical activity, walking program, long-term follow-up, step count, moderate-to-vigorous physical activity, nursing support, primary care, physical inactivity, older adults, adults, physical activity maintenance, accelerometer-measured activity, health behavior change, non-communicable diseases
MeSH terms
Noncommunicable Diseases, Aftercare, Aged, Exercise Therapy, Female, Health Promotion, Humans, Male, Middle Aged, Nursing Care, Primary Health Care, Referral and Consultation, Program Evaluation, Exercise, Walking, Actigraphy, Accelerometry

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