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Understanding walking activity in multiple sclerosis: step count, walking intensity and uninterrupted walking activity duration related to degree of disability

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Abstract

In multiple sclerosis (MS), physical activity (PA) is most commonly measured as number of steps, while also walking intensity and walking activity duration are keys for a healthy lifestyle. The aim of this study was to investigate (1) the number of steps persons with MS (PwMS) take; (2) the number of steps they take at low and moderate intensity; and (3) their walking activity duration for 2, 3, 6, 10, 12 and 14 uninterrupted minutes; all related to the degree of disability. 64 PwMS participated, distinguished in a mild (n = 31) and moderate MS subgroup (n = 34) based on their ambulatory dysfunction (Disease Steps). Standardized clinical tests were performed, and step data from the StepWatch Activity Monitor were collected for seven consecutive days. The results showed that (1) step count in PwMS was lower than PA recommendations, and is negatively influenced by a higher disability degree. (2) No walking was registered during 77 % of the day. PwMS are making steps for 22 % at low and only 1 % at moderate intensity. (3) Both MS subgroups rarely walk for more than six uninterrupted minutes, especially not at moderate intensity. PwMS need to be encouraged to make steps at moderate intensity, and to make steps for longer periods of time (minimal ten uninterrupted minutes).

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Acknowledgments

The authors want to thank all PwMS for their voluntary participation.

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Authors and Affiliations

  1. Transportation Research Institute (IMOB), Hasselt University, Wetenschapspark Building 5 Bus 6, 3590, Diepenbeek, Belgium

    An Neven, Davy Janssens & Geert Wets

  2. Hasselt University, Diepenbeek, Belgium

    Annelien Vanderstraeten

  3. Faculty of Medicine and Life Sciences, REVAL Rehabilitation Research Center, BIOMED Biomedical Research Institute, Hasselt University, Diepenbeek, Belgium

    Peter Feys

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  1. An Neven
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  2. Annelien Vanderstraeten
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  3. Davy Janssens
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  4. Geert Wets
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Correspondence to An Neven.

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The authors report no conflicts of interest. The study was financially supported by a PhD fellowship from the Research council of Hasselt University (BOF-Grant).

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Neven, A., Vanderstraeten, A., Janssens, D. et al. Understanding walking activity in multiple sclerosis: step count, walking intensity and uninterrupted walking activity duration related to degree of disability. Neurol Sci 37, 1483–1490 (2016). https://doi.org/10.1007/s10072-016-2609-7

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