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      The effect of a pedometer-based community walking intervention "Walking for Wellbeing in the West" on physical activity levels and health outcomes: a 12-week randomized controlled trial

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          Abstract

          Correction Since publication of our article[1] we have found some imputation errors in the main text and Table Four (Table 1) and Table Five (Table 2) corresponding to the 12-week results. The corrections are as follows: Table 1 Descriptive statistics for age, pedometer step-counts and health related outcomes at baseline and week 12 for intervention and control group. Intervention Group (n = 39) Control Group (n = 40) Baseline Week 12 Baseline Week 12 Age (years) 47.3 (9.3) a 51.2 (7.9) a Steps/day 6802 (3212) 9977 (4669) 6924 (3201) 7078 (2911) PANAS positive 31.2 (6.7) 33.5 (7.4) 31.7 (6.9) 31.3 (7.6) PANAS negative 20.1 (7.2) 19.1 (6.9) 20.2 (8.1) 18.8 (7.5) EQ-5D tariff 0.88 (0.12) 0.89 (0.11) 0.87 (0.12) 0.89 (0.12) EQ VAS 65.4 (18.3) 69.5 (17.8) 69.8 (19.7) 70.7 (18.6) Height (m)b 1.66 (0.08) a 1.64 (0.08) a Body Mass (kg)b 78.9 (15.6) 79.1 (15.2) 79.5 (18.1) 79.5 (17.8) BMI (kg/m2)b 28.5 (4.8) 28.6 (4.8) 29.4 (6.3) 29.5 (6.2) Waist circumference (cm)b 89.5 (12.6) 89.8 (12.7) 90.4 (14.6) 90.9 (15.6) Hip circumference (cm)b 108.9 (8.8) 108.5 (9.7) 110.1 (12.4) 110.2 (11.8) Waist:Hip Ratiob 0.82 (0.08) 0.83 (0.08) 0.82 (0.09) 0.82 (0.09) % body fatb 30.7 (4.4) 31.2 (4.9) 31.8 (5.6) 32.5 (6.3) Systolic blood pressure (mm Hg)b 118.2 (17.9) 119.2 (17.0) 119.9 (15.9) 121.4 (15.1) Diastolic blood pressure (mm Hg)b 75.1 (11.4) 76.3 (12.2) 75.5 (11.8) 78.2 (11.8) Heart Rate (beats.min-1)c 68.6 (7.2) 69.5 (8.3) 67.9 (8.6) 68.9 (9.0) Total Cholesterol (mmol.l-1)c 5.4 (1.3) 5.4 (1.2) 5.5 (1.1) 5.5 (1.0) HDL (mmol-1)c 1.3 (0.3) 1.3 (0.3) 1.4 (0.4) 1.4 (0.4) Chol:HDL Ratioc 4.2 (1.1) 4.2 (1.1) 4.1 (1.2) 4.1 (1.3) Values are mean (M) and standard deviation (SD). a not measured at week 12 b anthropometric measures: (n = 37) for intervention group, (n = 39) for control group c blood measures: (n = 32) for intervention group, (n = 34) for control group Note: there were no significant differences between the intervention and control group for any variable at baseline Table 2 Descriptive statistics for IPAQ variables at baseline and week 12. Intervention Group (n = 39) Control Group (n = 40) Baseline Week 12 Baseline Week 12 Work-related PA Vigorous PA 0 (1080) 0 (1800) 0 (720) 0 (540) Moderate PA 0 (1500) 0 (900) 0 (1500) 0 (600) Walking 0 (1620) 0 (2520) 0 (1350) 0 (1650) Total 0 (3000) 30 (4680) 0 (2550) 0 (2730) Transportation PA Bicycling 0 (0) 0 (0) 0 (40) 0 (40) Walking 105 (1680) 140 (900) 80 (1680) 70 (1680) Total 105 (1680) 140 (900) 80 (1720) 70 (1720) Housework PA Vigorous outside home 0 (840) 0 (840) 0 (750) 0 (360) Moderate outside home 0 (2100) 0 (1680) 0 (1260) 0 (840) Moderate inside home 210 (2100) 150 (840) 180 (1680) 120 (1680) Total 360 (4200) 300 (2520) 255 (2640) 202.5 (2520) Leisure-time PA Walking 40 (840) 100 (840) 35 (600) 16.25 (840) Vigorous PA 0 (180) 0 (120) 0 (120) 0 (600) Moderate PA 0 (360) 0 (60) 0 (180) 0 (180) Total 60 (840) 120 (840) 60 (600) 60 (840) Combined Domains Total Walking 225 (3360) 290 (2850) 167.5 (1740) 155 (1925) Total Moderate PA 420 (4380) 405 (2760) 360 (2640) 262.5 (2590) Total Vigorous PA 0 (1080) 0 (1800) 0 (720) 0 (600) Total PA 690 (6300) 840 (5415) 640 (4300) 577.5 (4270) Time Spent Sitting Weekday 1500 (3750) 1200 (3900) 1500 (3450) 1500 (2850) Weekend 480 (1320) 360 (1200) 600 (1200) 600 (1320) Total 1980 (4650) 1680 (5100) 2130 (4170) 2100 (3630) Values are median (Mdn) and range (r). In the results section of the manuscript the median differences presented in the text for the Wilcoxon's signed-rank tests in the intervention group should be, 1. Leisure minutes walked: "60" not "100" 2. Weekday sitting: "- 300" not "1200" 3. Weekend sitting: "- 120" not "360" 4. Total sitting: "- 300" not "1680" In the results section of the manuscript the median difference presented for the Mann Whitney U test at week 12 between groups should be, 1. Total minutes walked: "135" not "57.5" As a consequence of the amendment to the median leisure minutes walked in the intervention group the following sentence from the discussion should be corrected as follows: Original Sentence "The increase observed in the step-count data was supported by the self-reported results of the IPAQ; a significant increase in reported minutes of leisure time walking was found in the intervention group (median increase of 100 minutes per/week)." Amended Sentence "The increase observed in the step-count data was supported by the self-reported results of the IPAQ; a significant increase in reported minutes of leisure time walking was found in the intervention group (median increase of 60 minutes per/week)."

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          The effect of a pedometer-based community walking intervention "Walking for Wellbeing in the West" on physical activity levels and health outcomes: a 12-week randomized controlled trial

          Background Recent systematic reviews have suggested that pedometers may be effective motivational tools to promote walking. However, studies tend to be of a relatively short duration, with small clinical based samples. Further research is required to demonstrate their effectiveness in adequately powered, community based studies. Objective Using a randomized controlled trial design, this study assessed the impact of a 12-week graduated pedometer-based walking intervention on daily step-counts, self-reported physical activity and health outcomes in a Scottish community sample not meeting current physical activity recommendations. Method Sixty-three women and 16 men (49.2 years ± 8.8) were randomly assigned to either an intervention (physical activity consultation and 12-week pedometer-based walking program) or control (no action) group. Measures for step-counts, 7-day physical activity recall, affect, quality of life (n = 79), body mass, BMI, % body fat, waist and hip circumference (n = 76), systolic/diastolic blood pressure, total cholesterol and HDL cholesterol (n = 66) were taken at baseline and week 12. Analyses were performed on an intention to treat basis using 2-way mixed factorial analyses of variance for parametric data and Mann Whitney and Wilcoxon tests for non-parametric data. Results Significant increases were found in the intervention group for step-counts (p < .001), time spent in leisure walking (p = .02) and positive affect (p = .027). Significant decreases were found in this group for time spent in weekday (p = .003), weekend (p = .001) and total sitting (p = .001) with no corresponding changes in the control group. No significant changes in any other health outcomes were found in either group. In comparison with the control group at week 12, the intervention group reported a significantly greater number of minutes spent in leisure time (p = .008), occupational (p = .045) and total walking (p = .03), and significantly fewer minutes in time spent in weekend (p = .003) and total sitting (p = .022). Conclusion A pedometer-based walking program, incorporating a physical activity consultation, is effective in promoting walking and improving positive affect over 12 weeks in community based individuals. The discussion examines possible explanations for the lack of significant changes in health outcomes. Continued follow-up of this study will examine adherence to the intervention and possible resulting effects on health outcomes.
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            Journal
            Int J Behav Nutr Phys Act
            The International Journal of Behavioral Nutrition and Physical Activity
            BioMed Central
            1479-5868
            2010
            27 May 2010
            : 7
            : 51
            Affiliations
            [1 ]Medical Research Council Social and Public Health Sciences Unit, 4 Lilybank Gardens, Glasgow, G12 8RZ, Scotland
            Article
            1479-5868-7-51
            10.1186/1479-5868-7-51
            2893448
            20507592
            131953c2-5c9c-41ec-926f-0f3d714700d4
            Copyright ©2010 Baker et al; licensee BioMed Central Ltd.

            This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

            History
            : 26 May 2010
            : 27 May 2010
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            Nutrition & Dietetics
            Nutrition & Dietetics

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