A tiny electronic gadget can encourage more of us to move. Called a pedometer, Latin for foot measure, the device is worn on a belt or waistband and records the movement of the hip with each step. Over the course of a day it counts the number of footsteps you have taken.
Does this simple and inexpensive measurement technique really motivate people to get more exercise? Some studies say it may, though it’s certainly not perfect, but anything that helps get people out of their chairs and moving is a plus.
Our nation has been receiving a failing grade in physical activity. Data from the National Health Interview Survey indicate that only about one in three adults engage in regular exercise.
Sponsored by the Centers for Disease Control and Prevention, the survey states that 70% of Americans are not reaching the minimum recommended exercise amount of 30 minutes, five days a week. Worse yet, nearly half the population reports no activity at all.
After smoking and obesity, lack of exercise is the third-leading cause of premature death in the US today. The President’s Council on Physical Fitness and Sports estimates that physical inactivity contributes to 300,000 preventable deaths in the nation each year. Inactive people are twice as likely to develop coronary heart disease, the number one killer of men and women in the US. They’re also at increased risk for obesity, type 2 diabetes, high blood pressure, increased cholesterol, cancer, stroke, osteoporosis, osteoarthritis, anxiety, and depression. Today, some of these ailments increasingly affect young adults, as well as children and teens who perform insufficient exercise.
Pedometers may help motivate people to move. A study conducted by Brenda Rooney, PhD, at the Gundersen Lutheran Medical Center in La Crosse, Wisconsin provides some data on the topic. Dr. Rooney and her colleagues studied 510 people over a period of eight weeks. Participants were instructed on how to wear a pedometer and were encouraged to walk at least 10,000 steps daily. They were asked to complete a survey at the beginning and at the end of the study.
The results indicated that 80% of the people gained an increased awareness of their daily activity. In addition, 66% recognized the need for more exercise, and 36% increased their level of physical activity during the study. Researchers concluded that “wearing a pedometer is a simple, non-invasive way to increase awareness of daily activity and does lead to increased activity.”
Dr. Rooney and her colleagues noted that participants who set a step goal had a significantly higher increase in physical activity compared to those without a specific step goal. People with goals also noticed greater improvements in energy, had decreased stress and more weight loss, and found that their clothes were fitting better.
Other research shows that taking more steps each day can lead to reductions in blood pressure and cholesterol and improvements in bone density and body composition.
So, put on that pedometer and set it to zero. By bedtime the meter will tell you how many steps you took during the day. If you took only 5,000 steps in a day, you’re quite sedentary. Most middle-aged adults take 6,000-7,000 steps a day, an amount that is considered insufficiently active. For good health, the Centers for Disease Control and Prevention recommend a goal of 10,000 steps each day. However, this may be too high for adults who are chronically ill, disabled, or usually sedentary, and it is too low for most children.
No matter what fitness level you are starting from, you can gain health dividends simply by increasing your daily steps. Here’s how to get started. First, get your doctor’s okay if you’re unaccustomed to exercise. Second, determine your baseline number of daily steps. Third, pick a personal step goal, one that is appropriate for your individual situation and one that you can sustain. Fourth, gradually increase your activity beyond your baseline. Lastly, stay in close contact with your doctor in case any health problems occur as you increase your activity.
Here are some practical tips from the Centers for Disease Control and Prevention on how to increase your fitness level using a pedometer:
All the while your health is improving as your pedometer counts the steps.
American Academy of Family Physicians
American Heart Association
National Heart, Lung, and Blood Institute
Fact sheet: physical activity and health. The President’s Council on Physical Fitness and Sports website. Available at: http://fitness.gov/physical_activity_fact_sheet.html. Accessed March 24 2003.
Pedometers make Americans move. American Institute for Cancer Research Newsletter. 2002;77:4.
Pedometers: a step on path to fitness. Family Practice News. 2002 July 1;5.
Taking steps toward increased physical activity: Using pedometers to measure and motivate. President’s Council on Physical Fitness and Sports Research Digest. 2002 June;17:1-8.
Tudor-Locke C. Increasing walking using a pedometer. International Council on Active Aging website. Available at: http://www.icaa.cc/researchcenter/walking.htm. Accessed April 8, 2007.
Last reviewed April 2007 by Marcin Chwistek, MD
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.