scholarly journals Using an electronic activity monitor system as an intervention modality: A systematic review

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Zakkoyya H. Lewis ◽  
Elizabeth J. Lyons ◽  
Jessica M. Jarvis ◽  
Jacques Baillargeon
Author(s):  
Zakkoyya H. Lewis ◽  
Kenneth J. Ottenbacher ◽  
Steve R. Fisher ◽  
Kristofer Jennings ◽  
Arleen F. Brown ◽  
...  

Background: Brief counseling and self-monitoring with a pedometer are common practice within primary care for physical activity promotion. It is unknown how high-tech electronic activity monitors compare to pedometers within this setting. This study aimed to investigate the outcomes, through effect size estimation, of an electronic activity monitor-based intervention to increase physical activity and decrease cardiovascular disease risk. Method: The pilot randomized controlled trial was pre-registered online at clinicaltrials.gov (NCT02554435). Forty overweight, sedentary participants 55–74 years of age were randomized to wear a pedometer or an electronic activity monitor for 12 weeks. Physical activity was measured objectively for 7 days at baseline and follow-up by a SenseWear monitor and cardiovascular disease risk was estimated by the Framingham risk calculator. Results: Effect sizes for behavioral and health outcomes ranged from small to medium. While these effect sizes were favorable to the intervention group for physical activity (PA) (d = 0.78) and general health (d = 0.39), they were not favorable for measures. Conclusion: The results of this pilot trial show promise for this low-intensity intervention strategy, but large-scale trials are needed to test its efficacy.


2016 ◽  
Vol 24 (4) ◽  
pp. 555-558 ◽  
Author(s):  
Anne M. Hollewand ◽  
Anouk G. Spijkerman ◽  
Henk J.G. Bilo ◽  
Nanne Kleefstra ◽  
Yvo Kamsma ◽  
...  

This study aimed to investigate the validity of the accelerometer-based DynaPort system to detect physical activity in frail, older subjects. Eighteen home-dwelling subjects (Groningen Frailty Indicator [GFI] score ≥ 4, ≥ 75 years) were included. Activities in their home environment were simultaneously observed by two researchers and measured with the DynaPort system during six consecutive hours. Primary outcome measures were the sensitivity and specificity of the DynaPort for locomotion (90% considered as sufficient agreement). Other outcome measures were overall agreement, and sensitivity and specificity for other activities. Sensitivity and specificity for locomotion were 83.3% and 100.0%, respectively. Overall agreement was 74.6%. Sensitivity was sufficient for sitting (94.4%), but not for lying and standing (59.2% and 69.6%, respectively). Specificity was sufficient for lying and standing (100.0% and 93.3%, respectively), but not for sitting (80.7%). In conclusion, the DynaPort system is not a valid method for assessing physical activity in frail, older subjects.


2015 ◽  
Vol 37 (1) ◽  
pp. 68-76 ◽  
Author(s):  
Shivayogi V. Hiremath ◽  
Stephen S. Intille ◽  
Annmarie Kelleher ◽  
Rory A. Cooper ◽  
Dan Ding

1996 ◽  
Vol 54 (2) ◽  
pp. 479-483 ◽  
Author(s):  
Martin H. Teicher ◽  
Susan L. Andersen ◽  
Paul Wallace ◽  
Diane A. Klein ◽  
Jack Hostetter

Author(s):  
Jonathan J. Neville ◽  
Alexander Macdonald ◽  
John Fell ◽  
Muhammad Choudhry ◽  
Munther Haddad

Abstract Purpose Childhood stricturing Crohn’s disease (CD) has significant morbidity. Interventions including resection, stricturoplasty and endoscopic balloon dilatation (EBD) are often required. Optimal intervention modality and timing, and use of adjuvant medical therapies, remains unclear. We aim to review the therapies used in paediatric stricturing CD. Methods A systematic review in accordance with PRISMA was performed (PROSPERO: CRD42020164464). Demographics, stricture features, interventions and outcomes were extracted. Results Fourteen studies were selected, including 177 patients (183 strictures). Strictures presented at 40.6 months (range 14–108) following CD diagnosis. Medical therapy was used in 142 patients for an average of 20.4 months (2–36), with a complete response in 11 (8%). Interventions were undertaken in 138 patients: 53 (38%) resections, 39 (28%) stricturoplasties, and 17 (12%) EBD. Complications occurred in 11% of resections, versus 15% stricturoplasties, versus 6% EBD (p = 0.223). At a median follow-up of 1.9 years (interquartile range 1.2–2.4) pooled stricture recurrence was 22%. Resection had 9% recurrence, versus 38% stricturoplasty, versus 47% EBD (p < 0.001). Conclusions Resection is associated with a low incidence of recurrence and complications. There remains a paucity of evidence regarding adjuvant medical therapy and the role of EBD. We propose a minimum reported dataset for interventions in paediatric stricturing CD.


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