Orta-Yüksek Yoğunluktaki Fiziksel Aktiviteyi Ölçen Üç Eksenli (3D) Sensör Destekli Pedometre Kullanımının Vücut Kompozisyonuna Etkisi: Randomize Kontrollü Çalışma
Öz
Amaç:
Önerilen
kriterlerde fiziksel aktiviteyi pedometreyle takip etmenin vücut kompozisyonuna
etkisini araştırdık.
Gereç
ve Yöntem: Kontrol, yürüyüş (PAC) ve pedometre
(PAC-PED) gruplarına katılımcılar rastgele atanarak orta-yüksek şiddette
fiziksel aktivite reçete edildi. Önerilen egzersizleri; PAC grubu takip
kartlarına not alarak, PAC-PED grubu pedometreyle takip ederek, kontrol grubu
takip olmadan müdahale gerçekleştirildi.
Bulgular:
Kontrol
grubuna 23, PAC grubuna 11, PAC-PED grubuna 16 hasta olmak üzere toplam 50
katılımcıyla tamamlandı. Tüm katılımcıların yaş ortalaması 47,1 ± 12,8 (25 – 81),
cinsiyete göre kadınların oranı %74, erkeklerin %26 oldu. Katılımcıların vücut
kitle indeksi ortalama 29,7 ± 5,5 kg/m2, vücut yağ oranı ortalama 33,8
± 8,5 saptandı. Katılımcılar ortalama 2,0 0 ± 1,2 [0,5 – 6,3] ay süreyle takip
edildi. Tüm gruplarda vücut ağırlığında anlamlı düşüş saptandı. Vücut yağ oranı
kontrol grubunda değişmezken, PAC ve PAC-PED gruplarında anlamlı oranında
düştü.
Sonuç:
Orta-yüksek şiddette fiziksel aktivite verilen
hastalarda kartla bireysel takip sağlamak vücut yağ oranını azaltmaktayken,
pedometreyle bireysel takip sağlamak vücut yağ oranını daha fazla
azaltmaktadır. Bireysel takip yapılmadığında vücut ağırlığı düşmesine karşın vücut
yağ oranı değişmemektedir.
Anahtar Kelimeler
fiziksel aktivite pedometre vücut kompozisyonu vücut yağ oranı
Kaynakça
- 1. Kaul S, Rothney MP, Peters DM, et al. Dual-Energy X-Ray Absorptiometry for Quantification of Visceral Fat. Obesity. 2012;20(6):1313-1318. doi:10.1038/oby.2011.393.
- 2. Falaschetti E, Hingorani AD, Jones A, et al. Adiposity and cardiovascular risk factors in a large contemporary population of pre-pubertal children. Eur Heart J. 2010;31(24):3063-3072. doi:10.1093/eurheartj/ehq355.
- 3. Balady GJ, Williams MA, Ades PA, et al. Core Components of Cardiac Rehabilitation/Secondary Prevention Programs: 2007 Update: A Scientific Statement From the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2007;115(20):2675-2682. doi:10.1161/CIRCULATIONAHA.106.180945.
- 4. Fan JX, Brown BB, Hanson H, Kowaleski-Jones L, Smith KR, Zick CD. Moderate to Vigorous Physical Activity and Weight Outcomes: Does Every Minute Count? Am J Heal Promot. 2013;28(1):41-49. doi:10.4278/ajhp.120606-QUAL-286.
- 5. Ayabe M, Kumahara H, Morimura K, Sakane N, Ishii K, Tanaka H. Accumulation of Short Bouts of Non-Exercise Daily Physical Activity is Associated with Lower Visceral Fat in Japanese Female Adults. Int J Sports Med. 2012;34(1):62-67. doi:10.1055/s-0032-1314814.
- 6. 2008 Physical Activity Guidelines for Americans. In: US Department of Health and Human Services. Washington, DC: US Dept of Health and Human Services: ODPHP publication U0036; 2008. https://health.gov/paguidelines/.
- 7. McTiernan A, Sorensen B, Irwin ML, et al. Exercise effect on weight and body fat in men and women. Obesity. 2007;15(6):1496-1512. doi:10.1038/oby.2007.178.
- 8. Palta P, McMurray RG, Gouskova NA, et al. Self-reported and accelerometer-measured physical activity by body mass index in US Hispanic/Latino adults: HCHS/SOL. Prev Med Reports. 2015;2:824-828. doi:10.1016/j.pmedr.2015.09.006.
- 9. Ward LC. Segmental bioelectrical impedance analysis. Curr Opin Clin Nutr Metab Care. 2012;15(5):424-429. doi:10.1097/MCO.0b013e328356b944.10. Bravata DM, Smith-Spangler C, Sundaram V, et al. Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 2007;298(19):2296-2304. doi:10.1001/jama.298.19.2296.
- 11. Gardner PJ, Campagna PD. Pedometers as measurement tools and motivational devices: new insights for researchers and practitioners. Health Promot Pract. 2011;12(1):55-62. doi:10.1177/1524839909334623.
- 12. Noland MP. The effects of self-monitoring and reinforcement on exercise adherence. Res Q Exerc Sport. 1989;60(3):216-224. doi:10.1080/02701367.1989.10607443.
- 13. Kelly JS, Metcalfe J. Validity and Reliability of Body Composition Analysis Using the Tanita BC418-MA. J Exerc Physiol Online. 2012;15(6):74-83.
- 14. Steeves JA, Tyo BM, Connolly CP, Gregory DA, Stark NA, Bassett DR. Validity and Reliability of the Omron HJ-303 Tri-Axial Accelerometer-Based Pedometer. J Phys Act Health. 2011;8(7):1014-1020.
- 15. Moreau KL, Degarmo R, Langley J, et al. Increasing daily walking lowers blood pressure in postmenopausal women. Med Sci Sports Exerc. 2001;33(11):1825-1831. doi:10.1097/00005768-200111000-00005.
- 16. Rooney B, Smalley K, Larson J, Havens S. Is knowing enough? Increasing physical activity by wearing a pedometer. WMJ. 2003;102(4):31-36. http://www.ncbi.nlm.nih.gov/pubmed/12967019. Accessed February 12, 2018.
- 17. Blamey A, Mutrie N. Changing the individual to promote health-enhancing physical activity: the difficulties of producing evidence and translating it into practice. J Sports Sci. 2004;22(8):741-754. doi:10.1080/02640410410001712449.
- 18. Chan CB, Ryan DAJ, Tudor-Locke C. Health benefits of a pedometer-based physical activity intervention in sedentary workers. Prev Med (Baltim). 2004;39(6):1215-1222. doi:10.1016/j.ypmed.2004.04.053.
- 19. Saris WHM, Blair SN, van Baak M a, et al. How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev. 2003;4(2):101-114. http://www.ncbi.nlm.nih.gov/pubmed/12760445.
- 20. Tudor-Locke C, Sisson SB, Collova T, Lee SM, Swan PD. Pedometer-determined step count guidelines for classifying walking intensity in a young ostensibly healthy population. Can J Appl Physiol. 2005;30(6):666-676. http://www.ncbi.nlm.nih.gov/pubmed/16485518. Accessed February 12, 2018.
- 21. Voss S, Kroke A, Klipstein-Grobusch K, Boeing H. Obesity as a major determinant of underreporting in a self-administered food frequency questionnaire: Results from the EPIC-Potsdam study. Z Ernahrungswiss. 1997;36(3):229-236. doi:10.1007/BF01623369.
- 22. Vance VA, Woodruff SJ, McCargar LJ, Husted J, Hanning RM. Self-reported dietary energy intake of normal weight, overweight and obese adolescents. Public Health Nutr. 2009;12(2):222. doi:10.1017/S1368980008003108.
- 23. Jennersjö P, Ludvigsson J, Länne T, Nystrom FH, Ernerudh J, Östgren CJ. Pedometer-determined physical activity is linked to low systemic inflammation and low arterial stiffness in Type 2 diabetes. Diabet Med. 2012;29(9):1119-1125. doi:10.1111/j.1464-5491.2012.03621.x.
Effect of Using Tri-axial (3D) Sensor-Assisted Pedometer Measuring Moderate- To High-Intensity Physical Activity on Body Composition: Randomised Controlled Trial
Öz
Objective:
We investigated the effect of tracking recommended dose of physical activity
with pedometer on body composition.
Methods:
Participants were randomly assigned to control, walking (PAC) and pedometer
(PAC-PED) groups, and moderate- to high-intensity physical activity was
prescribed. The partcipants performed the recommended exercises in PAC group by
taking notes on follow-up cards, in PAC-PED group by pedometer, and in control
group without a follow-up.
Results:
A total of 50 participants, 23 in the control group, 11 in the PAC group and 16
in the PAC-PED group, were completed. The average age of all participants was
47,1 ± 12,8 (25 - 81), the proportion of women and men was 74% and 26%,
respectively. The mean body mass index of the participants was 29,7 ± 5,5 kg /
m2 and body fat ratio was 33,8 ± 8,5. Participants were followed up
for an average of 2,0 ± 1,2 [0,5 – 6,3] months. There was a significant
decrease in body weight in all groups. Body fat percentage did not change in
the control group, but significantly decreased in the PAC and PAC-PED groups.
Conclusion:
Individualized follow-up by card in patients with personalized physical
activity reduces body fat ratio while individual follow-up by pedometer reduces
body fat ratio even more. Body fat ratio does not change when individual
follow-up is not performed.
Anahtar Kelimeler
Kaynakça
- 1. Kaul S, Rothney MP, Peters DM, et al. Dual-Energy X-Ray Absorptiometry for Quantification of Visceral Fat. Obesity. 2012;20(6):1313-1318. doi:10.1038/oby.2011.393.
- 2. Falaschetti E, Hingorani AD, Jones A, et al. Adiposity and cardiovascular risk factors in a large contemporary population of pre-pubertal children. Eur Heart J. 2010;31(24):3063-3072. doi:10.1093/eurheartj/ehq355.
- 3. Balady GJ, Williams MA, Ades PA, et al. Core Components of Cardiac Rehabilitation/Secondary Prevention Programs: 2007 Update: A Scientific Statement From the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2007;115(20):2675-2682. doi:10.1161/CIRCULATIONAHA.106.180945.
- 4. Fan JX, Brown BB, Hanson H, Kowaleski-Jones L, Smith KR, Zick CD. Moderate to Vigorous Physical Activity and Weight Outcomes: Does Every Minute Count? Am J Heal Promot. 2013;28(1):41-49. doi:10.4278/ajhp.120606-QUAL-286.
- 5. Ayabe M, Kumahara H, Morimura K, Sakane N, Ishii K, Tanaka H. Accumulation of Short Bouts of Non-Exercise Daily Physical Activity is Associated with Lower Visceral Fat in Japanese Female Adults. Int J Sports Med. 2012;34(1):62-67. doi:10.1055/s-0032-1314814.
- 6. 2008 Physical Activity Guidelines for Americans. In: US Department of Health and Human Services. Washington, DC: US Dept of Health and Human Services: ODPHP publication U0036; 2008. https://health.gov/paguidelines/.
- 7. McTiernan A, Sorensen B, Irwin ML, et al. Exercise effect on weight and body fat in men and women. Obesity. 2007;15(6):1496-1512. doi:10.1038/oby.2007.178.
- 8. Palta P, McMurray RG, Gouskova NA, et al. Self-reported and accelerometer-measured physical activity by body mass index in US Hispanic/Latino adults: HCHS/SOL. Prev Med Reports. 2015;2:824-828. doi:10.1016/j.pmedr.2015.09.006.
- 9. Ward LC. Segmental bioelectrical impedance analysis. Curr Opin Clin Nutr Metab Care. 2012;15(5):424-429. doi:10.1097/MCO.0b013e328356b944.10. Bravata DM, Smith-Spangler C, Sundaram V, et al. Using pedometers to increase physical activity and improve health: a systematic review. JAMA. 2007;298(19):2296-2304. doi:10.1001/jama.298.19.2296.
- 11. Gardner PJ, Campagna PD. Pedometers as measurement tools and motivational devices: new insights for researchers and practitioners. Health Promot Pract. 2011;12(1):55-62. doi:10.1177/1524839909334623.
- 12. Noland MP. The effects of self-monitoring and reinforcement on exercise adherence. Res Q Exerc Sport. 1989;60(3):216-224. doi:10.1080/02701367.1989.10607443.
- 13. Kelly JS, Metcalfe J. Validity and Reliability of Body Composition Analysis Using the Tanita BC418-MA. J Exerc Physiol Online. 2012;15(6):74-83.
- 14. Steeves JA, Tyo BM, Connolly CP, Gregory DA, Stark NA, Bassett DR. Validity and Reliability of the Omron HJ-303 Tri-Axial Accelerometer-Based Pedometer. J Phys Act Health. 2011;8(7):1014-1020.
- 15. Moreau KL, Degarmo R, Langley J, et al. Increasing daily walking lowers blood pressure in postmenopausal women. Med Sci Sports Exerc. 2001;33(11):1825-1831. doi:10.1097/00005768-200111000-00005.
- 16. Rooney B, Smalley K, Larson J, Havens S. Is knowing enough? Increasing physical activity by wearing a pedometer. WMJ. 2003;102(4):31-36. http://www.ncbi.nlm.nih.gov/pubmed/12967019. Accessed February 12, 2018.
- 17. Blamey A, Mutrie N. Changing the individual to promote health-enhancing physical activity: the difficulties of producing evidence and translating it into practice. J Sports Sci. 2004;22(8):741-754. doi:10.1080/02640410410001712449.
- 18. Chan CB, Ryan DAJ, Tudor-Locke C. Health benefits of a pedometer-based physical activity intervention in sedentary workers. Prev Med (Baltim). 2004;39(6):1215-1222. doi:10.1016/j.ypmed.2004.04.053.
- 19. Saris WHM, Blair SN, van Baak M a, et al. How much physical activity is enough to prevent unhealthy weight gain? Outcome of the IASO 1st Stock Conference and consensus statement. Obes Rev. 2003;4(2):101-114. http://www.ncbi.nlm.nih.gov/pubmed/12760445.
- 20. Tudor-Locke C, Sisson SB, Collova T, Lee SM, Swan PD. Pedometer-determined step count guidelines for classifying walking intensity in a young ostensibly healthy population. Can J Appl Physiol. 2005;30(6):666-676. http://www.ncbi.nlm.nih.gov/pubmed/16485518. Accessed February 12, 2018.
- 21. Voss S, Kroke A, Klipstein-Grobusch K, Boeing H. Obesity as a major determinant of underreporting in a self-administered food frequency questionnaire: Results from the EPIC-Potsdam study. Z Ernahrungswiss. 1997;36(3):229-236. doi:10.1007/BF01623369.
- 22. Vance VA, Woodruff SJ, McCargar LJ, Husted J, Hanning RM. Self-reported dietary energy intake of normal weight, overweight and obese adolescents. Public Health Nutr. 2009;12(2):222. doi:10.1017/S1368980008003108.
- 23. Jennersjö P, Ludvigsson J, Länne T, Nystrom FH, Ernerudh J, Östgren CJ. Pedometer-determined physical activity is linked to low systemic inflammation and low arterial stiffness in Type 2 diabetes. Diabet Med. 2012;29(9):1119-1125. doi:10.1111/j.1464-5491.2012.03621.x.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 28 Mart 2018 |
| Kabul Tarihi | 5 Mart 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 10 Sayı: 1 |
