Health  Vol.3 No.3 , March 2011
Efficacy and educational role of a daily employment of the accelerometer to improve the life style in overweight-hypertensive population
Abstract: The daily evaluation of the life is funda- mental for the “exercise as prescription” to re- duce the cardiovascular risks factors. The reg- istration by an accelerometer can identify active from inactive subjects. The aim of the present study is to verify, in a small cohort of subjects at high risk level (obese–hypertensive), the health outcomes. A group of 22 subjects were evalu- ated by the questionnaire and also by an accel- erometer positioned on belt for 5 days to estab- lish the daily Physical Activity Level (PAL).The anthropometrics parameters, Body Mass Index (BMI), Waist Circumference, Hip Circumference, Fat Mass, Free Fat Mass, Total Body–Intracellular and Extracellular Water and Phase Angle (PA) were measured at the beginning and after 3 months of regular exercise. The amount of the exercise prescribed for three months and at least 3 times in a weak, was determined by the Cardiopulmonary test at the 60% of the VO2. Sta-tistical analysis included T-Student test for paired data with a significance at P < 0.05value. Respect of the questionnaire the accelerometer report showed a predominantly inactive life (PAL = 1.49 ± 0.13). After three months the BMI was significantly reduced in all (p < 0.05) and in addi-tion a trend toward a reduction was also observed for Fatty Mass and for the body composition parameters. The employment of the accelerometer is therefore associated to an improvement of the parameters strongly related with the cardiovascular risk. The results obtained are suggestive for an educational role of this tool in subjects at high risk level.
Cite this paper: nullStefani, L. , Maone, A. , Mascherini, G. , Scacciati, I. , Corsani, I. , Gilardetti, A. , Ciullini, G. and Galanti, G. (2011) Efficacy and educational role of a daily employment of the accelerometer to improve the life style in overweight-hypertensive population. Health, 3, 141-145. doi: 10.4236/health.2011.33026.

[1]   Lee, I.-M. (2010) Physical activity and cardiac Protection. Exercise is Medicine, 9, 214-219.

[2]   Brown, A. and Siahpush, M. (2007) Risk factors for overweight and obesity: Results from the 2001 National Health Survey. Public Health, 121, 603-613. doi:10.1016/j.puhe.2007.01.008

[3]   HLAQ (1997) Historical leisure activity questionnaire. MSSE, 29, 43-45.

[4]   Bravata, D.M., Smith-Spangler, C. and Sundaram, V. (2007) Using pedometers to increase physical activity and improve health: A systematic review. JAMA, 298, 2296-2304. doi:10.1001/jama.298.19.2296

[5]   Bassett, D.R., Wyatt, H., Thompson, H. and Peters, J. (2010) Pedometer-measured physical activity and health behaviors in US adults. MSSE, 42, 1819-1825.

[6]   Ronda, G., Van Asserrna, P. and Brug, J. (2001) Stages of change, psychological factors and awareness of physical activity levels in the Netherlands. Health Promotion In-ternational, 16, 305-314. doi:10.1093/heapro/16.4.305

[7]   Klem, M.L., Wing, R.R., Mc Guire, M.T., Seagle, H.M. and Hill, J.O. (1997) A descriptive study of individuals successful at long-term maintenances of substantial weight loss. The American Journal of Clinical Nutrition, 66, 239-246.

[8]   Melanson, E.L., Knoll, J.R. and Bell, M.L. (2004) Com-mercially available pedometers: Consideration for accu-rate step counting. Preventive Medicine, 39, 361-368. doi:10.1016/j.ypmed.2004.01.032

[9]   Tudor-Locke, C.E., Ainsworth, B.E., Whitt, M.C., Thompson, R.W., Addy, C.L. and Jones, D. (2001) The relationship between pedometer-determined ambulatory activity and body composition variables. International Journal of Obesity, 25, 1571-1578. doi:10.1038/sj.ijo.0801783

[10]   Bravata, D.M., Spangler, C.S., Sundaram, V., Gienger, A.L., Lin, N., Lewis, R., Stave, D.C., Olkin, I. and Sirard, J. (2007) Using pedometers to increase physical activity and improve health. JAMA, 19, 2296-2304. doi:10.1001/jama.298.19.2296

[11]   Tudor-Locke, C. and Basset, D.R. (2004) How many steps/day are enough? Preliminary pedometers indices, for public health. Sports Medicine, 34, 1-8.

[12]   Mancia, G. and De Backer, G. (2007) The Task Force for the Management of Arterial Hypertension of theEu-ropean Society of Hypertension (ESH) and of the Euro-pean Society of Cardiology (ESC). European Heart Journal, 28, 1462-1536.

[13]   Cheitilin, M.D., Armstrong, W.F. and Aurigemma, G.R. (2003) ACC/AHA/ASE 2003 Guideline Update for the Clinical Application of Echocardiography: A Report of the American College of Cardiology, American Heart As-sociation Task Force on Practice Guidelines. Journal of the American Society of Echocardiography, 16, 1091- 1110. doi:10.1016/S0894-7317(03)00685-0

[14]   Lee, I.M. (2010) Physical Activity and cardiac protection. Current Sport Medicine, 9, 214-219.

[15]   Johnson, F., Cooke, L., Croker, H. and Wardle, J (2008) Changing perceptions of weightn Great Britain: Com-parison of two population surveys. BMJ, 337, 494. doi:10.1136/bmj.a494

[16]   Donnelly, J.E., Blair, S.N., Jakicic, J.M. and Manore, M.M. (2009) Appropriate physical activity intervention strategies for weight loss and prevention of weight regain for adults. MSSE, 41, 459-471.

[17]   Tudor-Locke, C. and Lutes, L. (2009) Why Do Pedome-ters Work? A Reflection upon the factors related to suc-cessfully increasing physical activity. Sports Medicine, 39, 981-993. doi:10.2165/11319600-000000000-00000