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A randomized controlled trial of continuous activity, short bouts, and a 10,000 step guideline in inactive adults |
Samuels TY, Raedeke TD, Mahar MT, Karvinen KH, DuBose KD |
Preventive Medicine 2011 Feb 1;52(2):120-125 |
clinical trial |
6/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: Yes; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: Although several studies have examined the effect of accumulated bouts on health outcomes, the impact of recommending short bouts on activity-related behavior in health promotion efforts has received minimal investigation. METHOD: During this 5-week study in 2007-2008, 43 university employees (8 male, 35 female) in the Southeastern United States were randomly assigned to a group recommended to achieve (a) 10,000 steps (10 K), (b) 30-minutes (30 min) of continuous physical activity, or (c) 30-minutes of activity in bouts of at least 10 minutes (bouts). RESULTS AND CONCLUSIONS: Repeated measures ANOVA revealed that the 10. K group showed the largest increase in step counts whereas the bouts group showed the smallest change over the intervention period, p = 0.01. Condition differences were most pronounced on days in which participants met their activity recommendation. Accelerometer results revealed that the 10. K (d = 1.1) and 30 min groups (d = 0.89) showed large increases in minutes of moderate to vigorous activity (MVPA), whereas the bouts group showed minimal change (d = 0.11). Although activity recommendations did not differentially affect self-efficacy, participants from all conditions showed decreased self-efficacy across the intervention (p = 0.02), highlighting the need to develop strategies to increase self-efficacy in activity promotion efforts.
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