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      How many days of pedometer monitoring predict weekly physical activity in adults?

      Preventive Medicine
      Adult, Female, Humans, Male, Middle Aged, Monitoring, Physiologic, instrumentation, methods, standards, Motor Activity, physiology, Predictive Value of Tests, Reference Standards, Regression Analysis, Reproducibility of Results, Time Factors, Walking

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          Abstract

          The study purpose was to establish the number (and type) of days needed to estimate mean pedometer-determined steps/day in a field setting. Seven days of data were collected from 90 participants (33 males, age = 49.1 +/- 16.2 years, BMI = 27.2 +/- 4.1 kg/m(2); 57 females, age = 44.8 +/- 16.9 years, BMI = 27.0 +/- 5.9 kg/m(2)). Mean steps/day were computed for all 7 days (the criterion), each single day, and combinations of days. Analyses included repeated measures ANOVA, intra-class correlations (ICC), and regression. There was a significant difference (P < 0.001) between days. The difference was limited to Sunday and accounted for 5% of the variance. ICC analyses indicated a minimum of 3 days is necessary to achieve a reliability of 0.80. The adjusted R(2) was 0.79 for a single day (specifically Wednesday), 0.89 for 2 days (Wednesday, Thursday), and 0.94 for 3 days (Wednesday, Thursday, Friday). Sunday was the last day to enter the model. Although there is a statistical difference between days, there is little practical difference, and the primary distinction appears limited to Sunday. Although a single day of collection is not acceptable, any 3 days can provide a sufficient estimate.

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