Predictors of sedentary status in overweight and obese patients with multiple chronic conditions: a cohort study
Authors Joven MH, Croghan IT, Quigg SM, Ebbert JO, Takahashi PY
Received 7 April 2017
Accepted for publication 7 August 2017
Published 3 October 2017 Volume 2017:8 Pages 203—209
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr David Price
Mark H Joven, Ivana T Croghan, Stephanie M Quigg, Jon O Ebbert, Paul Y Takahashi
Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, Minnesota, MN, USA
Purpose: Walking may improve health in obese patients with multimorbidity. We aimed to identify predictors associated with achieving <5000 steps per day after 4 months.
Patients and methods: We conducted a cohort study of 125 adult patients with a body mass index >25 kg/m2 and ≥7 comorbidities. We evaluated potential predictors for <5000 steps per day using logistic regression and adjusting for age >65 years and sex.
Results: The mean (range) age was 63.6 (20.3–89.8) years. Daily step counts <5000 at baseline showed the highest risk of <5000 daily steps at 4 months (odds ratio [OR] 31.82, 95% confidence interval [CI]: 12.14–95.50). Other significant characteristics were physical quality of life (OR 6.21, 95% CI: 2.32–18.54), gait speed <1 m/s (OR 2.57, 95% CI: 1.18–5.71), age ≥65 years (OR 2.21, 95% CI: 1.05–4.77), waist circumference ≥102 cm (OR 2.48, 95% CI: 1.05–6.06), and body mass index ≥30 kg/m2 (OR 2.69, 95% CI: 1.20–6.26).
Conclusion: New models to increase walking may be required for higher-risk patients.
Keywords: multimorbidity, obesity, pedometer, walking
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