Advertisement
Original article| Volume 94, ISSUE 8, P1534-1539, August 2013

Steps Per Day Among Persons With Multiple Sclerosis: Variation by Demographic, Clinical, and Device Characteristics

Published:February 18, 2013DOI:https://doi.org/10.1016/j.apmr.2012.12.014

      Abstract

      Objectives

      To identify steps per day in a large sample of persons with multiple sclerosis (MS) and to describe variation by demographic and clinical characteristics and device type.

      Design

      Cross-sectional design.

      Setting

      General community.

      Participants

      Convenience sample of persons with multiple sclerosis (N=645) recruited from the general community who were ambulatory and relapse free for 30 days. Mean age ± SD of the participants was 46.3±10.6 years old. Participants were mostly women (85%), white (93%), and employed (64%).

      Interventions

      Not applicable.

      Main Outcome Measure

      Step counts measured by a motion sensor during a 7-day period.

      Results

      The average value for the entire sample was 5903±3185 steps per day. This value varied by demographic and clinical characteristics, but not device type, and indicated that men, participants who were unemployed, had a high school education or less, progressive MS, a longer disease duration, and higher disability were less physically active based on the metric of steps per day.

      Conclusions

      This study provides an expected value for average steps per day among persons with MS. Such an expected value for this population is an important first step to help researchers and clinicians interested in improving the overall health of persons with MS through physical activity promotion.

      Keywords

      List of abbreviations:

      ANCOVA (analysis of covariance), CI (confidence interval), EDSS (Expanded Disability Status Scale), MS (multiple sclerosis), PDDS (Patient Determined Disease Steps)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Archives of Physical Medicine and Rehabilitation
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Garrett M.
        • Coote S.
        Multiple sclerosis and exercise in people with minimal gait impairment: a review.
        Phys Ther Rev. 2009; 14: 169-180
        • White L.J.
        • Castellano V.
        Exercise and brain health–implications for multiple sclerosis: Part 1–neuronal growth factors.
        Sports Med. 2008; 38: 91-100
        • Motl R.W.
        Physical activity and its measurement and determinants in multiple sclerosis.
        Minerva Med. 2008; 99: 157-165
        • Motl R.W.
        • McAuley E.
        • Snook E.M.
        Physical activity and multiple sclerosis: a meta-analysis.
        Mult Scler. 2005; 1: 459-463
        • Sandroff B.M.
        • Dlugonski D.
        • Weikert M.
        • Suh Y.
        • Balantrapu S.
        • Motl R.W.
        Physical activity and multiple sclerosis: new insights regarding inactivity.
        Acta Neurol Scand. 2012; 126: 256-262
        • Hirvensalo M.
        • Telama R.
        • Schmidt M.D.
        • et al.
        Daily steps among Finnish adults: variation by age, sex, and socioeconomic position.
        Scand J Public Healt. 2011; 39: 669-677
        • Tudor-Locke C.
        • Johnson W.D.
        • Katzmarzyk P.T.
        Accelerometer-determined steps per day in US adults.
        Med Sci Sports Exer. 2009; 41: 1384-1391
        • Tudor-Locke C.
        • Washington T.L.
        • Hart T.L.
        Expected values for steps/day in special populations.
        Prev Med. 2009; 49: 3-11
        • Tudor-Locke C.
        • Bassett D.R.
        How many steps/day are enough? Preliminary pedometer indices for public health.
        Sports Med. 2004; 34: 1-8
        • Tudor-Locke C.
        • Craig C.L.
        • Aoyagi Y.
        • et al.
        How many steps/day are enough? For older adults and special populations.
        Int J Behav Nutr Phys Act. 2011; 8: 80-98
        • Hadjimichael O.
        • Kerns R.D.
        • Rizzo M.A.
        • Cutter G.
        • Vollmer T.
        Persistent pain and uncomfortable sensations in persons with multiple sclerosis.
        Pain. 2007; 127: 35-41
        • Cohen J.
        A power primer.
        Psychol Bull. 1992; 112: 155-159
        • Motl R.W.
        • Zhu W.
        • Park Y.
        • McAuley E.
        • Scott J.
        • Snook E.
        Reliability of scores from physical activity monitors in adults with multiple sclerosis.
        Adapt Phys Act Q. 2007; 24: 245-253
        • De Cocker K.
        • Cardon G.
        • De Bourdeaudhuij I.
        Pedometer-determined physical activity and its comparison with the International Physical Activity Questionnaire in a sample of Belgian adults.
        Res Q Exer Sport. 2007; 78: 429-437
        • Beckerman H.
        • de Groot V.
        • Scholten M.A.
        • Kempen J.C.E.
        • Lankhorst G.J.
        Physical activity behavior of people with multiple sclerosis: understanding how they can become more physically active.
        Phys Ther. 2010; 90: 1001-1013
        • Marrie R.A.
        • Horwitz R.
        • Cutter G.
        • Tyry T.
        • Campagnolo D.
        • Vollmer T.
        High frequency of adverse health behaviors in multiple sclerosis.
        Mult Scler. 2009; 15: 105-113
        • Motl R.W.
        • McAuley E.
        • Snook E.M.
        • Scott J.A.
        Validity of physical activity measures in ambulatory individuals with multiple sclerosis.
        Disabil Rehabil. 2006; 28: 1151-1156
        • Harris T.J.
        • Owen C.G.
        • Victor C.R.
        • Adams R.
        • Ekelund U.
        • Cook D.G.
        A comparison of questionnaire, accelerometer, and pedometer: measures in older people.
        Med Sci Sport Exer. 2009; 41: 1392-1402
        • Weikert M.W.
        • Dlugonski D.
        • Balantrapu S.
        • Motl R.W.
        Most common types of physical activity self-selected by persons with multiple sclerosis.
        Int J MS Care. 2011; 13: 16-20
        • Rietberg M.B.
        • van Wegen E.E.
        • Uitdehaag B.M.
        • de Vet H.C.
        • Kwakkel G.
        How reproducible is home-based 24-hour ambulatory monitoring of motor activity in patients with multiple sclerosis?.
        Arch Phys Med Rehabil. 2010; 91: 1537-1541
        • Motl R.W.
        • Dlugonski D.
        • Wójcicki T.R.
        • McAuley E.
        • Mohr D.C.
        Internet intervention for increasing physical activity in persons with multiple sclerosis.
        Mult Scler. 2011; 17: 116-128
        • Dlugonski D.
        • Motl R.W.
        • Mohr D.C.
        • Sandroff B.M.
        Internet-delivered behavioral intervention to increase physical activity in persons with multiple sclerosis: sustainability and secondary outcomes.
        Psychol Health Med. 2012; 17: 636-651