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Predictors of sedentary status in overweight and obese patients with multiple chronic conditions: a cohort study.


ABSTRACT: PURPOSE:Walking may improve health in obese patients with multimorbidity. We aimed to identify predictors associated with achieving <5000 steps per day after 4 months. PATIENTS AND METHODS:We conducted a cohort study of 125 adult patients with a body mass index >25 kg/m2 and ?7 comorbidities. We evaluated potential predictors for <5000 steps per day using logistic regression and adjusting for age >65 years and sex. RESULTS:The mean (range) age was 63.6 (20.3-89.8) years. Daily step counts <5000 at baseline showed the highest risk of <5000 daily steps at 4 months (odds ratio [OR] 31.82, 95% confidence interval [CI]: 12.14-95.50). Other significant characteristics were physical quality of life (OR 6.21, 95% CI: 2.32-18.54), gait speed <1 m/s (OR 2.57, 95% CI: 1.18-5.71), age ?65 years (OR 2.21, 95% CI: 1.05-4.77), waist circumference ?102 cm (OR 2.48, 95% CI: 1.05-6.06), and body mass index ?30 kg/m2 (OR 2.69, 95% CI: 1.20-6.26). CONCLUSION:New models to increase walking may be required for higher-risk patients.

SUBMITTER: Joven MH 

PROVIDER: S-EPMC5633315 | biostudies-literature | 2017

REPOSITORIES: biostudies-literature

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Predictors of sedentary status in overweight and obese patients with multiple chronic conditions: a cohort study.

Joven Mark H MH   Croghan Ivana T IT   Quigg Stephanie M SM   Ebbert Jon O JO   Takahashi Paul Y PY  

Pragmatic and observational research 20171003


<h4>Purpose</h4>Walking may improve health in obese patients with multimorbidity. We aimed to identify predictors associated with achieving <5000 steps per day after 4 months.<h4>Patients and methods</h4>We conducted a cohort study of 125 adult patients with a body mass index >25 kg/m<sup>2</sup> and ≥7 comorbidities. We evaluated potential predictors for <5000 steps per day using logistic regression and adjusting for age >65 years and sex.<h4>Results</h4>The mean (range) age was 63.6 (20.3-89.8  ...[more]

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