Carol Kennedy-Armbruster, PhD IUB School of Public Health ... · Up24? Clip on pedometer 20...
Transcript of Carol Kennedy-Armbruster, PhD IUB School of Public Health ... · Up24? Clip on pedometer 20...
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Carol Kennedy-Armbruster, PhDIUB School of Public HealthDepartment of Kinesiology
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*Please Note: Values of Fitbit Flex ($99.95) and Weight Watchers ($129) are considered taxable income and will be reported on box one of the IU employee’s W-2.
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Archer E, Shook RP, Thomas DM, Church TS, Katzmarzyk PT, et al. (2013) 45-Year Trends in Women’s Use of Time and Household Management Energy Expenditure. PLoS ONE 8(2): e56620.
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• Examples: Running, Cycling, Swimming-ACSM -http://journals.lww.com/acsm-msse/Fulltext/2011/07000/Quantity_and_Quality_of_Exercise_for_Developing.26.aspx
Exercise
• Daily PA such as walking to work or walking the dog – CDC http://www.cdc.gov/physicalactivity/basics/index.htm
Physical Activity
• Sitting too much throughout the day - ?Sedentary Living
Human Movement Patterns
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Blair, et al. (1992), “Physical Activity and Health: A Lifestyle Approach” Medicine, Exercise, Nutrition, and Health. 1:1, 54-56.
Busy Bob: “I can’t leave my desk” Moving Mary: “Just move”Running Roy: “Lunch time is for exercise”
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Research shows that bouts < 10 min, multiple times a day:
• Impact cardiovascular health
• Improve systolic blood pressure
• Decrease hypertension
• Decrease stress
• Add stairs: increase HDL and VO2
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Walking the dog????Healthy Inventions????
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How do AT’s work? What’s an accelerometer?
10,000 steps????
http://well.blogs.nytimes.com/projects/activity-trackershttp://well.blogs.nytimes.com/projects/2014/03/accelerometers.htmlhttp://www.wsj.com/articles/review-best-fitness-trackers-to-get-you-up-off-the-couch-1418760813
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Source: Inside Wearables, Endeavour Partners, 2014
Who’s wearing them?
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Source: Inside Wearables, Endeavour Partners, 2014
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Declining Rate of Sustained Use
Source: Inside Wearable's, Endeavour Partners, 2014
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Why Behavioral research vs. Traditional research?
Stackpool graduate thesis 2013- UW Lacrosse – John Porcari, PhD
Count
Purchase socks?
Up24?
Clip on
pedometer
20 subjects; average age 21.5 – 2 -50 min. sessions –portable metabolic analyzer
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• $99.95• Step tracker• Sleep quality• Food tracking• Shows daily
progress• Silent wake alarm• Syncs wirelessly
via Bluetooth
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Fitbit/Jawbone – AT’s recognized as the #1 fitness trend by ACSM
in 2016
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Apple Watch
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Activity Trackers in the medical setting
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Source: Hamilton, M. et al. (2008). Too Little Exercise and Too Much Sitting: Inactivity Physiology and the Need for New
Recommendations on Sedentary Behavior. Current Cardiovascular Risk Reports, 2, 292-298.
What Happens While You Sit
Electrical activity in your muscles
drop
Calorie burning rate immediately
plunges to about 1 kcal/minute
Insulin effectiveness drops
Enzymes responsible for breaking
down lipids and triglycerides plunge
HDL (good cholesterol) falls
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On a scale of 1 to 10 with 1 being use a lot and 10 being do not use;
how would you rate your overall experience using technology devices?
High level of experience
12 3 4 5 6 7 8 9
No experience 10
How Techy are we are IU?
Average for this questions after 8 semesters of data: 4 out of 10
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Pre Average
PostAverage
Extremely 0 1.8
Very 14.6 5
Somewhat 35.6 38
Slightly 23 39.8
Not 9.8 15.2
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% change Best Avg Low
IUB Sp14 +5.1 -2.1 -3
IUB Fa14 +4.8 -3.6 -1.2
IUB Sp15 +3.8 -12.1 -3.8
IUB Fa15 +15 -16.6 +2
% change Best Avg Low
IUPUI Fa 14 +9 +2 -12
IUPUI Sp 15 +13 -18 -5
IUPUI Fa 15 -4.9 -27.6 -6
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THINK differently Behavioral Research
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Pre Survey Post Survey
IUB Fa14 7.69 8.13
IUPUI Fa14 8.0 8.14
IUB Sp15 *6.86 8.43
IUPUI Sp15 *7.64 8.25
IUB Fa15 6.67 7.5
IUPUI Fa15 7.10 7.27
*Note marketing changes
Pre and post combined average
Pre Post
Overall Average
7.32 7.95
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What amount of time do you spend sitting during the course of most days of the week? % who stated approximately ¾ of the time or almost all of the time
Pre Post
Overall Average 81.7% 72%
BRFSS #57: Pre and post averages
Pre Post
Overall Avg 93.6% 92.6%
When you are at work, which of the following best describes your work:% who stated mostly sitting
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Strongly Disagree
Disagree Neutral AgreeStrongly
AgreeMean
1 2 3 4 5
IUB Fall 13 0 1 1 6 15 4.52/5
IUB Spr 14 0 1 3 16 10 4.17/5
IUB Fall 14 0 1 1 11 13 4.38/5
IUPUI Fall 14 1 0 2 7 11 4.29/5
IUB Spr 15 1 0 2 10 16 4.41/5
IUPUI Spr 15 0 0 0 8 9 4.53/5
IUB Fa15 0 0 0 2 13 4.87
IUPUI Fa15 0 1 2 14 5 4.0
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Strongly Disagree
Disagree Neutral Agree Strongly Agree Mean
1 2 3 4 5
IUB Fall 13 0 1 1 7 14 4.48/5
IUB Spr 14 0 1 3 14 12 4.23/5
IUB Fall 14 1 1 4 8 12 4.12/5
IUPUI Fall 14
1 1 2 5 12 4.24/5
IUB Spr 15 0 0 2 10 17 4.50/5
IUPUI Spr 15 0 0 0 6 11 4.65/5
IUB Fa15 0 0 0 2 13 4.87
IUPUI Fa15 0 0 1 12 9 4.36
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0%
5%
10%
15%
20%
25%
30%
35%
40%
45%
50%
Family Friends Coworkers Other /NotSpecific
IUPUI/IUB2015 49% 39% 22% 22%
Have you shared your activity tracker experience with anyone else? If so, please explain:
IUPUI/IUB2015
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Paradigm Shift
40
Individual
Social
Environmental
Policy
FROM: Individual Factors (Personal Responsibility, Motivation, Self-Discipline) TO: Ecological Models (Individual, Microsystem, Exosystem, Macrosystem)
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Recommended Books
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*Please Note: Values of Fitbit Flex ($99.95) and Weight Watchers ($129) are considered taxable income and will be reported on box one of the IU employee’s W-2.
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