title: Effect of 'activity monitor-based' counseling on physical activity and health-related outcomes in patients with chronic diseases: A systematic review and meta-analysis.
abstract: OBJECTIVE
  This review evaluated the effects of activity monitor-based counseling on physical activity (PA) and generic and disease-specific health-related outcomes in adults with diabetes mellitus type II (DMII), chronic obstructive pulmonary disease (COPD), or chronic heart failure (CHF).
  
  
  METHODS
  Four electronic databases were searched for randomized controlled trials using activity monitor-based counseling versus control intervention or usual care in adults with DMII, COPD, or CHF. Pooled effect sizes were calculated using a random effects model.
  
  
  RESULTS
  Twenty-four articles were included: 21 DMII studies and 3 COPD studies. No CHF studies were identified. Pooled analysis showed that activity monitor-based counseling resulted in a significantly greater improvement in PA compared to control intervention or usual care in DMII. Furthermore, these interventions had a beneficial effect on hemoglobin A1c (HbA1c), systolic blood pressure, and body mass index (BMI) (P < 0.05), whereas no differences were found on diastolic blood pressure, and health-related quality of life. Meta-analysis of COPD studies was not possible due to lack of available data.
  
  
  CONCLUSIONS
  Activity monitor-based counseling had a beneficial effect on PA, HbA1c, systolic blood pressure, and BMI in patients with DMII. Data in patients with COPD and CHF are limited or non-existing, respectively.
authors: Program Development Centre, CIRO+, Horn, The Netherlands. anoukvaes@ciro-horn.nl
authors: Anouk W
authors: AW
authors: Vaes
authors: Amy
authors: A
authors: Cheung
authors: Maryam
authors: M
authors: Atakhorrami
authors: Miriam T J
authors: MT
authors: Groenen
authors: Oliver
authors: O
authors: Amft
authors: Frits M E
authors: FM
authors: Franssen
authors: Emiel F M
authors: EF
authors: Wouters
authors: Martijn A
authors: MA
authors: Spruit
mesh_terms: D000328:Adult; D002908:Chronic Disease; D003376:Counseling / Q000379:methods*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy; D006333:Heart Failure / Q000628:therapy; D006801:Humans; D009043:Motor Activity; D017063:Outcome Assessment, Health Care; D029424:Pulmonary Disease, Chronic Obstructive / Q000628:therapy; D011788:Quality of Life; D016032:Randomized Controlled Trials as Topic