Tudor-Locke Catrine, Washington Tracy L, Hart Teresa L
Walking Behavior Laboratory, Pennington Biomedical Research Center, Baton Rouge, LA 70808, USA.
Prev Med. 2009 Aug;49(1):3-11. doi: 10.1016/j.ypmed.2009.04.012. Epub 2009 May 4.
To assemble expected values for free-living steps/day in special populations living with chronic illnesses and disabilities.
Studies identified since 2000 were categorized into similar illnesses and disabilities, capturing the original reference, sample descriptions, descriptions of instruments used (i.e., pedometers, piezoelectric pedometers, accelerometers), number of days worn, and mean and standard deviation of steps/day.
Sixty unique studies represented: 1) heart and vascular diseases, 2) chronic obstructive lung disease, 3) diabetes and dialysis, 4) breast cancer, 5) neuromuscular diseases, 6) arthritis, joint replacement, and fibromyalgia, 7) disability (including mental retardation/intellectual difficulties), and 8) other special populations. A median steps/day was calculated for each category. Waist-mounted and ankle-mounted instruments were considered separately due to fundamental differences in assessment properties. For waist-mounted instruments, the lowest median values for steps/day are found in disabled older adults (1214 steps/day) followed by people living with COPD (2237 steps/day). The highest values were seen in individuals with Type 1 diabetes (8008 steps/day), mental retardation/intellectual disability (7787 steps/day), and HIV (7545 steps/day).
This review will be useful to researchers/practitioners who work with individuals living with chronic illness and disability and require such information for surveillance, screening, intervention, and program evaluation purposes.
汇总慢性病和残疾特殊人群每日自由活动步数的预期值。
将2000年以来确定的研究按相似的疾病和残疾进行分类，记录原始参考文献、样本描述、所用仪器（即计步器、压电计步器、加速度计）的描述、佩戴天数以及每日步数的均值和标准差。
60项独特的研究涵盖了以下几类：1）心脏和血管疾病；2）慢性阻塞性肺疾病；3）糖尿病和透析；4）乳腺癌；5）神经肌肉疾病；6）关节炎、关节置换和纤维肌痛；7）残疾（包括智力迟钝/智力障碍）；8）其他特殊人群。计算了每类人群的每日步数中位数。由于评估特性存在根本差异，分别考虑了腰部佩戴和脚踝佩戴的仪器。对于腰部佩戴的仪器，每日步数中位数最低的是残疾老年人（1214步/天），其次是慢性阻塞性肺疾病患者（2237步/天）。最高值出现在1型糖尿病患者（8008步/天）、智力迟钝/智力残疾者（7787步/天）和艾滋病毒感染者（7545步/天）中。
本综述对与慢性病和残疾患者打交道、并出于监测、筛查、干预和项目评估目的需要此类信息的研究人员/从业者将有所帮助。
