Effect of ‘activity monitor-based’ counseling on physical activity and health-related outcomes in patients with chronic diseases: A systematic review and meta-analysis

Abstract Aim. This review evaluated the effects of activity monitor-based counseling on physical activity (PA) and generic and disease-specific health-related outcomes in adults with diabetes mellitus type II (DMII), chronic obstructive pulmonary disease (COPD), or chronic heart failure (CHF). Methods. Four electronic databases were searched for randomized controlled trials using activity monitor-based counseling versus control intervention or usual care in adults with DMII, COPD, or CHF. Pooled effect sizes were calculated using a random effects model. Results. Twenty-four articles were included: 21 DMII studies and 3 COPD studies. No CHF studies were identified. Pooled analysis showed that activity monitor-based counseling resulted in a significantly greater improvement in PA compared to control intervention or usual care in DMII. Furthermore, these interventions had a beneficial effect on hemoglobin A1c (HbA1c), systolic blood pressure, and body mass index (BMI) (P < 0.05), whereas no differences were found on diastolic blood pressure, and health-related quality of life. Meta-analysis of COPD studies was not possible due to lack of available data. Conclusion. Activity monitor-based counseling had a beneficial effect on PA, HbA1c, systolic blood pressure, and BMI in patients with DMII. Data in patients with COPD and CHF are limited or non-existing, respectively.

[1]  Darren Flynn,et al.  Changing Physical Activity Behavior in Type 2 Diabetes , 2012, Diabetes Care.

[2]  K. Oka,et al.  Determination of the effectiveness of accelerometer use in the promotion of physical activity in cardiac patients: a randomized controlled trial. , 2012, Archives of physical medicine and rehabilitation.

[3]  Katharina Eckert,et al.  Impact of physical activity and bodyweight on health-related quality of life in people with type 2 diabetes , 2012, Diabetes, metabolic syndrome and obesity : targets and therapy.

[4]  A. Curtis,et al.  Analysis of daily activity data from implanted cardiac defibrillators: The minimum clinically important difference and relationship to mortality/life expectancy , 2012 .

[5]  S. Blair,et al.  Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy , 2012, BDJ.

[6]  U. Ekelund,et al.  Global physical activity levels: surveillance progress, pitfalls, and prospects , 2012, The Lancet.

[7]  Ruth Tal-Singer,et al.  Physical activity monitoring in COPD: compliance and associations with clinical characteristics in a multicenter study. , 2012, Respiratory medicine.

[8]  S. Sutton,et al.  Effectiveness of physical activity promotion based in primary care: systematic review and meta-analysis of randomised controlled trials , 2012, British medical journal.

[9]  Kenneth Meijer,et al.  Objective physical activity assessment in patients with chronic organ failure: a validation study of a new single-unit activity monitor. , 2011, Archives of physical medicine and rehabilitation.

[10]  Patricia Gómez Aguilar,et al.  Quality of Life in People With Type 2 Diabetes , 2011 .

[11]  C. Tudor-Locke,et al.  Increasing Physical Activity in Belgian Type 2 Diabetes Patients: a Three-Arm Randomized Controlled Trial , 2011, International journal of behavioral medicine.

[12]  G. Cardon,et al.  A cost-effectiveness study of the community-based intervention ‘10 000 Steps Ghent’ , 2011, Public Health Nutrition.

[13]  Ilse de Bourdeaudhuij,et al.  The effects of a pedometer-based behavioral modification program with telephone support on physical activity and sedentary behavior in type 2 diabetes patients. , 2011, Patient education and counseling.

[14]  Olaf Holz,et al.  Physical activity is the strongest predictor of all-cause mortality in patients with COPD: a prospective cohort study. , 2011, Chest.

[15]  Ilse de Bourdeaudhuij,et al.  How many steps/day are enough? For older adults and special populations , 2011, The international journal of behavioral nutrition and physical activity.

[16]  C. Richardson,et al.  A Randomized Trial of Telephonic Counseling Plus Walking for Depressed Diabetes Patients , 2011, Medical care.

[17]  Daniel Umpierre,et al.  Physical activity advice only or structured exercise training and association with HbA1c levels in type 2 diabetes: a systematic review and meta-analysis. , 2011, JAMA.

[18]  J. Hansen,et al.  Self-reported physical inactivity predicts survival after hospitalization for heart disease , 2011, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[19]  Long-Term Effects of Intensive Glucose Lowering on Cardiovascular Outcomes , 2011 .

[20]  Philip C. Morin,et al.  Lessened decline in physical activity and impairment of older adults with diabetes with telemedicine and pedometer use: results from the IDEATel study. , 2011, Age and ageing.

[21]  J. Iqbal,et al.  Quality of life in patients with chronic heart failure and their carers: a 3‐year follow‐up study assessing hospitalization and mortality , 2010, European journal of heart failure.

[22]  Jos M G A Schols,et al.  Symptoms of anxiety and depression in COPD patients entering pulmonary rehabilitation , 2010, Chronic respiratory disease.

[23]  U. Aguirre,et al.  Impact of changes in physical activity on health-related quality of life among patients with COPD , 2010, European Respiratory Journal.

[24]  Ilse de Bourdeaudhuij,et al.  A cognitive-behavioural pedometer-based group intervention on physical activity and sedentary behaviour in individuals with type 2 diabetes , 2010, Health education research.

[25]  D. Matthews,et al.  An assessment of lifestyle video education for people newly diagnosed with type 2 diabetes. , 2010, Journal of human nutrition and dietetics : the official journal of the British Dietetic Association.

[26]  D. Munroe,et al.  Promoting Physical Activity for Persons With Diabetes , 2010, The Diabetes educator.

[27]  V. Basevi.  Standards of Medical Care in Diabetes—2010 , 2010, Diabetes Care.

[28]  H. Magnussen,et al.  The metabolic syndrome in patients with chronic bronchitis and COPD: frequency and associated consequences for systemic inflammation and physical inactivity. , 2009, Chest.

[29]  D. Moher,et al.  Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. , 2010, International journal of surgery.

[30]  Deborah Vincent.  Culturally tailored education to promote lifestyle change in Mexican Americans with type 2 diabetes , 2009, Journal of the American Academy of Nurse Practitioners.

[31]  D. Moher,et al.  Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement , 2009, BMJ : British Medical Journal.

[32]  N. T. ten Hacken,et al.  Enhancement of daily physical activity increases physical fitness of outclinic COPD patients: results of an exercise counseling program. , 2009, Patient education and counseling.

[33]  N. Mutrie,et al.  A randomized trial investigating the 12‐month changes in physical activity and health outcomes following a physical activity consultation delivered by a person or in written form in Type 2 diabetes: Time2Act , 2009, Diabetic medicine : a journal of the British Diabetic Association.

[34]  Grant D. Huang,et al.  Glucose control and vascular complications in veterans with type 2 diabetes. , 2009, The New England journal of medicine.

[35]  S. Schinner.  Intensive Blood Glucose Control and Vascular Outcomes in Patients with Type 2 Diabetes , 2009 .

[36]  F. Franssen,et al.  Obesity and the lung: 5 · Obesity and COPD , 2008, Thorax.

[37]  B. Braun,et al.  Continuous glucose monitoring counseling improves physical activity behaviors of individuals with type 2 diabetes: A randomized clinical trial. , 2008, Diabetes research and clinical practice.

[38]  S. Lydersen,et al.  Regular use of pedometer does not enhance beneficial outcomes in a physical activity intervention study in type 2 diabetes mellitus. , 2008, Metabolism: clinical and experimental.

[39]  N. Oldridge,et al.  Economic burden of physical inactivity: healthcare costs associated with cardiovascular disease , 2008, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[40]  Basia Belza,et al.  A randomized clinical trial of an activity and exercise adherence intervention in chronic pulmonary disease. , 2008, Archives of physical medicine and rehabilitation.

[41]  A. Bhalla,et al.  Images in clinical medicine. Paget's disease of the mandible. , 2008, The New England journal of medicine.

[42]  D. Moczulski,et al.  Pedometer improves doctor´s advive to enhance physical activity in type 2 diabetes , 2008 .

[43]  D. Mayne,et al.  The effectiveness of a brief intervention using a pedometer and step-recording diary in promoting physical activity in people diagnosed with type 2 diabetes or impaired glucose tolerance. , 2008, Health promotion journal of Australia : official journal of Australian Association of Health Promotion Professionals.

[44]  I. Olkin,et al.  Using pedometers to increase physical activity and improve health: a systematic review. , 2007, JAMA.

[45]  A. King,et al.  Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. , 2007, Medicine and science in sports and exercise.

[46]  Carmen Castaneda-Sceppa,et al.  Physical activity and public health in older adults: recommendation from the American College of Sports Medicine and the American Heart Association. , 2007, Circulation.

[47]  M. Ory,et al.  Mexican Americans With Type 2 Diabetes: Perspectives on Definitions, Motivators, and Programs of Physical Activity , 2007, Preventing chronic disease.

[48]  G. Kwakkel,et al.  Effects of exercise training on cardiac performance, exercise capacity and quality of life in patients with heart failure: A meta‐analysis , 2006, European journal of heart failure.

[49]  C. Vella,et al.  Efficacy of a pedometer-based physical activity program on parameters of diabetes control in type 2 diabetes mellitus. , 2006, Metabolism: clinical and experimental.

[50]  R. Teasell,et al.  Estimates of quality and reliability with the physiotherapy evidence-based database scale to assess the methodology of randomized controlled trials of pharmacological and nonpharmacological interventions. , 2006, Physical therapy.

[51]  Glen P. Kenny,et al.  Physical Activity/Exercise and Type 2 Diabetes , 2006, Diabetes Care.

[52]  P. Schnohr,et al.  Regular physical activity reduces hospital admission and mortality in chronic obstructive pulmonary disease: a population based cohort study , 2006, Thorax.

[53]  M. Decramer,et al.  Quantifying physical activity in daily life with questionnaires and motion sensors in COPD , 2006, European Respiratory Journal.

[54]  J. Meigs,et al.  Correlates of health-related quality of life in type 2 diabetes , 2006, Diabetologia.

[55]  N. T. ten Hacken,et al.  The effects of a lifestyle physical activity counseling program with feedback of a pedometer during pulmonary rehabilitation in patients with COPD: a pilot study. , 2006, Patient education and counseling.

[56]  R. Ratner,et al.  Achievement of American Diabetes Association clinical practice recommendations among U.S. adults with diabetes, 1999-2002: the National Health and Nutrition Examination Survey. , 2006, Diabetes care.

[57]  Impact of Using a Pedometer on Time Spent Walking in Older Adults With Type 2 Diabetes , 2006, The Diabetes educator.

[58]  A. Krikorian,et al.  Standards of medical care in diabetes--2006. , 2006, Diabetes care.

[59]  Thierry Troosters,et al.  Characteristics of physical activities in daily life in chronic obstructive pulmonary disease. , 2005, American journal of respiratory and critical care medicine.

[60]  Ashok Balasubramanyam,et al.  Accelerometer Feedback to Promote Physical Activity in Adults with Type 2 Diabetes: A Pilot Study , 2005, Perceptual and motor skills.

[61]  Alison Kirk,et al.  Effects of a 12-month physical activity counselling intervention on glycaemic control and on the status of cardiovascular risk factors in people with Type 2 diabetes , 2004, Diabetologia.

[62]  C. Tudor-Locke,et al.  Pedometer accuracy in nursing home and community-dwelling older adults. , 2004, Medicine and science in sports and exercise.

[63]  C. Tudor-Locke,et al.  Controlled outcome evaluation of the First Step Program: a daily physical activity intervention for individuals with type II diabetes , 2004, International Journal of Obesity.

[64]  D. Altman,et al.  Measuring inconsistency in meta-analyses , 2003, BMJ : British Medical Journal.

[65]  E. Wouters,et al.  Striking similarities in systemic factors contributing to decreased exercise capacity in patients with severe chronic heart failure or COPD. , 2003, Chest.

[66]  G. Brundtland.  Reducing Risks to Health, Promoting Healthy Life , 2002 .

[67]  B. Ainsworth,et al.  A randomized trial of an intervention to improve self-care behaviors of African-American women with type 2 diabetes: impact on physical activity. , 2002, Diabetes care.

[68]  Jordi Alonso,et al.  Health-related quality of life and mortality in male patients with chronic obstructive pulmonary disease. , 2002, American journal of respiratory and critical care medicine.

[69]  G. Brundtland.  From the World Health Organization. Reducing risks to health, promoting healthy life. , 2002, JAMA.

[70]  D. Levy,et al.  Impact of high-normal blood pressure on the risk of cardiovascular disease. , 2002, The New England journal of medicine.

[71]  N. Mutrie,et al.  A randomized, controlled trial to study the effect of exercise consultation on the promotion of physical activity in people with Type 2 diabetes: a pilot study , 2001, Diabetic medicine : a journal of the British Diabetic Association.

[72]  Glen P. Kenny,et al.  Effects of Exercise on Glycemic Control and Body Mass in Type 2 Diabetes Mellitus: A Meta-analysis of Controlled Clinical Trials , 2001 .

[73]  M. Thun,et al.  Intentional Weight Loss and Mortality among Overweight Individuals with Diabetes O R I G I N a L a R T I C L E , 2022 .

[74]  Mark A Pereira,et al.  Changes in physical activity patterns in the United States, by sex and cross-sectional age. , 2000, Medicine and science in sports and exercise.

[75]  Steven Blair,et al.  Low Cardiorespiratory Fitness and Physical Inactivity as Predictors of Mortality in Men with Type 2 Diabetes , 2000, Annals of Internal Medicine.

[76]  N. Cook,et al.  Implications of small reductions in diastolic blood pressure for primary prevention. , 1995, Archives of internal medicine.