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.
OBJECTIVE
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-2or 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-1or 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).


CONCLUSIONS
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.
UFR STAPS, CETAPS, EA3832, Université de Rouen, 76821, Mont Saint Aignan, France. ingrid.castres@univ-rouen.fr.
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Castres
UFR STAPS, CETAPS, EA3832, Université de Rouen, 76821, Mont Saint Aignan, France.
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Tourny
UFR STAPS, CETAPS, EA3832, Université de Rouen, 76821, Mont Saint Aignan, France.
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Lemaitre
UFR STAPS, CETAPS, EA3832, Université de Rouen, 76821, Mont Saint Aignan, France.
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Coquart
D000328:Adult; D000886:Anthropometry; D001481:Basal Metabolism; D001823:Body Composition; D015992:Body Mass Index; D004032:Diet; D002149:Energy Intake; D004734:Energy Metabolism; D015444:Exercise; D005260:Female; D006801:Humans; D009765:Obesity / Q000378:metabolism*; D010865:Pilot Projects; D011788:Quality of Life; D016138:Walking
Anxiety; Body mass; Obesity; Physical activity; Walk