Cited by 175Physical Activity and HealthUrban Transport and AccessibilityBehavioral Health and Interventions

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Can Inexpensive Signs Encourage the Use of Stairs? Results from a Community Intervention

Andersen, Ross E., Franckowiak, Shawn C., Snyder, Julia, Bartlett, Susan J., Fontaine, Kevin R.·1998·Annals of Internal Medicine

DOI 10.7326/0003-4819-129-5-199809010-00003

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Abstract

BACKGROUND: The U.S. Surgeon General advocates the accumulation of moderate-intensity activity throughout the day to improve health. OBJECTIVES: To test the effectiveness of signs to encourage use of stairs instead of escalators. DESIGN: Community intervention. SETTING: Shopping center. PARTICIPANTS: 17901 shoppers. INTERVENTION: Signs promoting the health and weight-control benefits of stair use were placed beside escalators with adjacent stairs. MEASUREMENTS: The sex, age, race, weight classification, and use of stairs were observed. RESULTS: Overall, stair use increased from 4.8% to 6.9% and 7.2% with the health and weight-control signs, respectively. Younger persons increase their stair use from 4.6% to 6.0% with the health sign and 6.1% with the weight-control sign. Older persons almost doubled their stair use from 5.1% to 8.1% with the health sign and increased use to 8.7% with the weight-control sign. Differential use of stairs was observed between ethnic groups. Among white persons, stair use increased from 5.1% to 7.5 and 7.8% with the health sign and weight-control signs. Among black persons, stair use decreased from 4.1% to 3.4% with the health sign and increased to 5.0% with the weight-control sign. At baseline, lean persons used the stairs more often than overweight persons (5.4% and 3.8%, respectively). The health sign increased stair use to 7.2% among normal-weight persons and 6.3% among overweight persons; the weight-control sign prompted stair use to increase to 6.9% among persons of normal weight and to 7.6% among overweight persons. CONCLUSIONS: Simple, inexpensive interventions can increase physical activity. Research is needed to identify effective motivators to promote activity among black persons.

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Authors: Andersen, R. E., Franckowiak, S. C., Snyder, J., Bartlett, S. J., & Fontaine, K. R.
Affiliations: Johns Hopkins University (US)
ORCID: Bartlett, Susan J.
Fontaine, Kevin R.
Venue: Annals of Internal Medicine
Publisher: American College of Physicians
Published: 1998-09-01
Volume: 129
Issue: 5
Pages: 363-369
ISSN: 0003-4819 (ISSN-L)
1539-3704
DOI: 10.7326/0003-4819-129-5-199809010-00003
OpenAlex: W2084552708
Cited by: 175
References: 18
Citations by year: 2024: 1 · 2023: 1 · 2022: 2 · 2021: 1 · 2020: 4 · 2019: 3 · 2018: 2 · 2017: 3 · 2016: 5 · 2015: 5 · 2014: 6 · 2013: 8 · 2012: 4
FWCI: 4.29
Type: journal article
Language: en
Open access: closed
Licence: www.acpjournals.org/journal/aim/text-and-data-mining (tdm)
Locations: Annals of Internal Medicine (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Social Sciences › Transportation › Urban Transport and Accessibility
Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords: stair climbing, escalators, environmental cues, physical activity promotion, weight management, shopping centers, community-based intervention, overweight, older adults, racial differences, moderate physical activity
MeSH terms: Adult, Age Factors, Body Weight, Ethnicity, Female, Health Promotion, Humans, Male, Motivation, Sex Factors, Exercise, Chi-Square Distribution

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Can Inexpensive Signs Encourage the Use of Stairs? Results from a Community Intervention

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