Walking to Meet Physical Activity Guidelines in Knee Osteoarthritis: Is 10,000 Steps Enough?

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• 作者：Daniel K. White ; PT ; ScD ; MSc^a ; ^{dwtbn@bu.edu" class="auth_mail" title="E-mail the corresponding author} ; Catrine Tudor-Locke ; PhD^b ; David T. Felson ; MD ; MPH^c ; K. Doug Gross ; PT ; ScD^d ; Jingbo Niu ; MD ; PhD^c ; Michael Nevitt ; PhD^e ; Cora E. Lewis ; MD ; MSPH^f ; James Torner ; PhD^g ; Tuhina Neogi ; MD ; PhD^c
• 关键词：Motor activity ; Osteoarthritis ; knee ; Rehabilitation ; Walking
• 刊名：Archives of Physical Medicine and Rehabilitation
• 出版年：2013
• 出版时间：April 2013
• 年：2013
• 卷：94
• 期：4
• 页码：711-717
• 全文大小：248 K

文摘

To study if step goals (eg, walking 10,000 steps a day) approximate meeting the 2008 Physical Activity Guidelines for Americans.

Design

Cross-sectional observational cohort.

Setting

Community.

Participants

People with or at high risk of knee OA (N=1788).

Interventions

None.

Main Outcome Measures

Objective physical activity data were collected over 7 consecutive days from people with or at high risk of knee OA participating in the Multicenter Osteoarthritis Study. Using activity monitor data, we determined the proportion that (1) walked ≥10,000 steps per day, (2) met the 2008 Physical Activity Guidelines, and (3) achieved both recommendations.

Results

Of the subjects studied (mean age ± SD, 67±8y; mean body mass index ± SD, 31±6kg/m²; 60% women), 16.7% of men and 12.6% of women walked ≥10,000 steps per day, while 6% of men and 5% of women met the 2008 Physical Activity Guidelines for Americans. Of those walking ≥10,000 steps per day, 16.7% and 26.7% of men and women, respectively, also met the 2008 Physical Activity Guidelines.

Conclusions

Among this sample of older adults with or at high risk of knee OA, walking ≥10,000 steps a day did not translate into meeting public health guidelines. These findings highlight the disparity between the number of steps believed to be needed per day and the recommended time-intensity guidelines to achieve positive health benefits.