JAMA Network Open,
Journal Year:
2024,
Volume and Issue:
7(1), P. e2353957 - e2353957
Published: Jan. 30, 2024
Importance
Because
shopping
malls
are
considered
safe
places
for
walking,
several
mall
walking
programs
have
been
developed.
Research
on
the
association
between
use
of
and
number
daily
steps
taken
is
limited.
Objective
To
evaluate
a
smartphone-based
program
after
COVID-19
pandemic.
Design,
Setting,
Participants
This
cohort
study
evaluated
nationwide
longitudinal
data
set
217
344
registered
smartphone
app
users
at
least
18
years
age
residing
in
Japan.
Daily
step
counts
were
collected
from
January
1
to
December
31,
2021.
Exposures
The
Mall
Challenge
integrated
global
positioning
system
with
app’s
incentive
reward
achieving
goal
1000
lottery-based
coupons
win
0
500
points
(1
point
equaled
yen
or
approximately
US
$0.01).
Main
Outcomes
Measures
records
adjusted
gender
age.
Multilevel
analyses
using
mixed-effect
linear
regression
models
used
estimate
coefficients
participation
counts.
Cross-level
interaction
terms
by
included
one
model.
Results
Among
(23
638
110
records;
154
616
[71.1%]
women;
014
[8.3%]
participants
65
older,
199
330
[91.7%]
adults
younger
than
years),
mean
(SD)
7415
(4686)
days
5281
(4339)
without
program.
Walking
associated
1219
additional
(95%
CI,
1205-1232)
compared
nonparticipation
adjusting
By
geographic
region,
was
1130
1113-1146)
more
rural
malls,
1403
1379-1428)
suburban
1433
1408-1457)
urban
nonparticipation.
Moreover,
1422
1405-1439)
large
1059
1041-1077)
small
Regarding
cross-level
interactions,
women
728
698-758)
men,
older
228
183-273)
days.
Conclusions
Relevance
found
that
combined
physical
facilities
digital
may
motivate
people
increase
their
steps.
Scientific Reports,
Journal Year:
2024,
Volume and Issue:
14(1)
Published: July 17, 2024
Abstract
The
negative
effects
of
obesity
and
excess
body
fat
on
bone
mineral
density
(BMD)
have
been
widely
reported.
As
opposed
to
waist
circumference
(WC)
or
mass
index
(BMI),
weight-adjusted
(WWI)
is
a
superior
method
for
assessing
obesity.
WWI
also
indicates
centripetal
independently
the
weight
individual.
An
investigation
adolescents’
BMD
was
conducted
in
this
study.
National
Health
Nutrition
Examination
Survey
(NHANES)
2011–2018
provided
data
cross-sectional
investigation.
In
study,
weighted
multivariate
logit
models
were
employed
assess
correlation
between
teenage
WWI.
Additionally,
we
interaction
tests
subgroup
analysis.
Through
linear
regression,
discovered
that
negatively
linked
with
lumbar,
trunk,
total
but
not
pelvis
which
included
6828
subjects.
We
found
each
unit
increase
resulted
lumbar
decline
0.04
g/cm
2
(95%CI
−0.04,
−0.04),
trunk
decrease
0.03
−0.03,
−0.02),
0.02
−0.02,
−0.02).
conclusion,
US
teenagers,
there
connections
BMD,
BMD.
European Heart Journal - Digital Health,
Journal Year:
2023,
Volume and Issue:
4(5), P. 411 - 419
Published: Aug. 9, 2023
Abstract
Aims
Physical
activity
is
associated
with
decreased
incidence
of
the
chronic
diseases
aging.
We
previously
demonstrated
that
digital
interventions
delivered
through
a
smartphone
app
can
increase
short-term
physical
activity.
Methods
and
results
offered
enrolment
to
community-living
iPhone-using
adults
aged
≥18
years
in
USA,
UK,
Hong
Kong
who
downloaded
MyHeart
Counts
app.
After
completion
1-week
baseline
period,
e-consented
participants
were
randomized
four
7-day
interventions.
Interventions
consisted
of:
(i)
daily
personalized
e-coaching
based
on
individual’s
patterns,
(ii)
prompts
complete
10
000
steps,
(iii)
hourly
stand
following
inactivity,
(iv)
instructions
read
guidelines
from
American
Heart
Association
(AHA)
website.
one
intervention,
subsequently
next
intervention
crossover
trial.
The
trial
was
completed
free-living
setting,
where
neither
nor
investigators
blinded
intervention.
primary
outcome
change
mean
step
count
for
each
interventions,
assessed
modified
intention-to-treat
analysis
(modified
had
7
days
monitoring
at
least
1
day
an
be
included
analyses).
This
registered
ClinicalTrials.gov,
NCT03090321.
Conclusion
Between
January
2017
April
2022,
4500
consented
enrol
(a
subset
approximately
50
larger
study),
whom
2458
(mean
steps
4232
±
73)
Personalized
prompts,
tailored
individual
their
activity,
increased
significantly
(+402
71
baseline,
P
=
7.1⨯10−8).
Hourly
(+292
0.00029)
prompt
AHA
(+215
0.021)
count,
while
reminder
not
(+170
0.11).
Digital
studies
have
significant
advantage
over
traditional
clinical
trials
they
continuously
recruit
cost-effective
manner,
allowing
new
insights
provided
by
statistical
power
refinement
prior
signals.
Here,
we
present
novel
finding
are
effective
increasing
cohort.
These
data
suggest
more
likely
react
positively
when
personalized.
Further
needed
determine
effects
long-term
outcomes.
JAMA Network Open,
Journal Year:
2024,
Volume and Issue:
7(1), P. e2353957 - e2353957
Published: Jan. 30, 2024
Importance
Because
shopping
malls
are
considered
safe
places
for
walking,
several
mall
walking
programs
have
been
developed.
Research
on
the
association
between
use
of
and
number
daily
steps
taken
is
limited.
Objective
To
evaluate
a
smartphone-based
program
after
COVID-19
pandemic.
Design,
Setting,
Participants
This
cohort
study
evaluated
nationwide
longitudinal
data
set
217
344
registered
smartphone
app
users
at
least
18
years
age
residing
in
Japan.
Daily
step
counts
were
collected
from
January
1
to
December
31,
2021.
Exposures
The
Mall
Challenge
integrated
global
positioning
system
with
app’s
incentive
reward
achieving
goal
1000
lottery-based
coupons
win
0
500
points
(1
point
equaled
yen
or
approximately
US
$0.01).
Main
Outcomes
Measures
records
adjusted
gender
age.
Multilevel
analyses
using
mixed-effect
linear
regression
models
used
estimate
coefficients
participation
counts.
Cross-level
interaction
terms
by
included
one
model.
Results
Among
(23
638
110
records;
154
616
[71.1%]
women;
014
[8.3%]
participants
65
older,
199
330
[91.7%]
adults
younger
than
years),
mean
(SD)
7415
(4686)
days
5281
(4339)
without
program.
Walking
associated
1219
additional
(95%
CI,
1205-1232)
compared
nonparticipation
adjusting
By
geographic
region,
was
1130
1113-1146)
more
rural
malls,
1403
1379-1428)
suburban
1433
1408-1457)
urban
nonparticipation.
Moreover,
1422
1405-1439)
large
1059
1041-1077)
small
Regarding
cross-level
interactions,
women
728
698-758)
men,
older
228
183-273)
days.
Conclusions
Relevance
found
that
combined
physical
facilities
digital
may
motivate
people
increase
their
steps.