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Impact of a walking program of 10,000 steps per day and dietary counseling on health-related quality of life, energy expenditure and anthropometric parameters in obese subjects

Abstract

Purpose

The aim of this pilot study was to assess the impact of a physical activity program of walking 10,000 steps per day along with monthly dietary counseling on the body composition, biological parameters, resting energy expenditure (REE) and health-related quality of life (HRQoL) of obese individuals.

Methods

Thirty-five obese adults (26 women; age: 39.2 ± 13.4 years, body mass, BM: 104.1 ± 18.7 kg and body mass index, BMI: 38.3 ± 6.6 kg m−2) followed a walking program (instructions were provided so that the participants increase their walking distance by 1000 steps each week, until to perform at least 10,000 steps per day) and received qualitative dietary advice (cookbook presenting numerous recipes with low calories and dietary advices was provided) for 6 months. Before and after the intervention, anthropometric (BM, BMI, waist and hip circumferences, fat mass: FM and lean body mass: LBM) and biological data (total cholesterol, high-density lipoprotein, low-density lipoprotein, triglyceride and glucose concentrations), REE and HRQoL (including eight dimensions and two summaries) were assessed.

Results

After the intervention, BM (difference: 3.8 kg or 3.7 %), BMI (difference: 1.4 kg m−2 or 3.7 %), hip circumference (difference: 4.6 cm or 4.3 %), FM in kg (difference: 4.0 kg or 8.9 %) and FM in percentage of BM (difference: 1.6 kg or 6.1 %) were significantly decreased, whereas number of steps (difference: 7579 steps or 135 %), LBM in percentage of BM (difference: 2.6 kg or 4.5 %) and REE (difference: 78 kcal d−1 or 4.8 %) were significantly increased (p < 0.05). Moreover, two HRQoL subdimension scores (physical functioning and physical component summary; increase by 15.3 and 4.6, respectively, p < 0.05) and anxiety (reduction by 1.2, p < 0.05) were also significantly improved. Conversely, the biological data showed no significant change (p > 0.05).

Conclusion

Walking 10,000 steps per day in association with dietary counseling improved anthropometric data, REE, the physical domains of HRQoL and anxiety in obese adults.

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Acknowledgments

This project was not directly supported by any Grants or other financial assistance. Special thanks are given to Professor Pierre Dechelotte (Service de Nutrition, CHU Rouen; INSERM U1073) and Doctor Vanessa Folope (Service de Nutrition, CHU Rouen) for recruiting of subjects, the provision of materials and dietary counseling, but also the subjects for their cooperation.

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Correspondence to I. Castres.

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The authors declare that they have no conflict of interest.

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All procedures performed in this study were in accordance with the ethical standards of the institution and with the 1964 Helsinki declaration and its amendments.

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All participants provided written informed consent.

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Castres, I., Tourny, C., Lemaitre, F. et al. Impact of a walking program of 10,000 steps per day and dietary counseling on health-related quality of life, energy expenditure and anthropometric parameters in obese subjects. J Endocrinol Invest 40, 135–141 (2017). https://doi.org/10.1007/s40618-016-0530-9

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Keywords

  • Physical activity
  • Obesity
  • Body mass
  • Walk
  • Anxiety