Evidence map›Paper›PMID 27050185›Full record

ArticleJournal of the American College of Cardiology2016

International Mobile-Health Intervention on Physical Activity, Sitting, and Weight: The Stepathlon Cardiovascular Health Study.

Anand N Ganesan, Jennie Louise, Matthew Horsfall, Shane A Bilsborough, Jeroen Hendriks, Andrew D McGavigan, Joseph B Selvanayagam, Derek P Chew

Abstract read
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In one paragraph

Article in Journal of the American College of Cardiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 11 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

50 citing papers in PubMed, 11 syntheses or guidelines pooled it.

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  8. Workplace interventions for reducing sitting at work.The Cochrane database of systematic reviews · 2018
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  10. Workplace interventions for reducing sitting at work.The Cochrane database of systematic reviews · 2018
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Anand N GanesanSchool of Medicine, Flinders University of South Australia, Adelaide, Australia; Department of Cardiovascular Medicine, Flinders Medical Centre, Adelaide, Australia. Electronic address: anand.ganesan@flinders.edu.au.
Jennie LouiseCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia.
Matthew HorsfallHealth Systems Research, South Australian Health and Medical Research Institute, Adelaide, Australia.
Shane A BilsboroughStepathlon Private Limited, Mumbai, India.
Jeroen HendriksCentre for Heart Rhythm Disorders, University of Adelaide, Adelaide, Australia; Health Systems Research, South Australian Health and Medical Research Institute, Adelaide, Australia.
Andrew D McGaviganSchool of Medicine, Flinders University of South Australia, Adelaide, Australia; Department of Cardiovascular Medicine, Flinders Medical Centre, Adelaide, Australia.
Joseph B SelvanayagamSchool of Medicine, Flinders University of South Australia, Adelaide, Australia; Department of Cardiovascular Medicine, Flinders Medical Centre, Adelaide, Australia; Health Systems Research, South Australian Health and Medical Research Institute, Adelaide, Australia.
Derek P ChewSchool of Medicine, Flinders University of South Australia, Adelaide, Australia; Department of Cardiovascular Medicine, Flinders Medical Centre, Adelaide, Australia; Health Systems Research, South Australian Health and Medical Research Institute, Adelaide, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough proof-of-concept for mobile health (mHealth) life-style programs targeting physical inactivity and overweight/obesity has been established in randomized trials, the feasibility and effect of a globally distributed, large-scale, mass-participation mHealth implementation has not been investigated.

objectivesThe purpose of this study was to determine the effect of Stepathlon, an international, low-cost, mass-participation mHealth intervention, on physical activity, sitting, and weight.

methodsWe prospectively collected cohort data from participants completing Stepathlon, an annual 100-day global event in 2012, 2013, and 2014. Participants were organized in worksite-based teams, issued pedometers, and encouraged to increase daily steps and physical activity as part of the team-based race. The program was conducted via an interactive multiplatform application available on mobile devices and the Internet. Analysis was performed according to a pre-specified plan.

resultsA total of 69,219 subjects participated (481 employers, 1,481 cities, 64 countries, all populated continents, age 36 ± 9 years, 23.9% female, 8.0% high-income countries, and 92.0% lower-middle income countries). After Stepathlon completion, participants recorded improved step count (+3,519 steps/day; 95% confidence interval [CI]: 3,484 to 3,553 steps/day; p < 0.0001), exercise days (+0.89 days; 95% CI: 0.87 to 0.92 days; p < 0.0001), sitting duration (-0.74 h; 95% CI: -0.78 to -0.71 h; p < 0.0001) and weight (-1.45 kg; 95% CI: -1.53 to -1.38 kg; p < 0.0001). Improvements occurred in women and men, in all geographic regions, and in both high and lower-middle income countries, and the results were reproduced in 2012, 2013, and 2014 cohorts. Predictors of weight loss included step increase, sitting duration decrease, and increase in exercise days (all p < 0.0001).

conclusionsDistributed mHealth implementation of a low-cost life-style intervention is associated with short-term, reproducible, large-scale improvements in physical activity, sitting, and weight. (Effect of the Stepathlon Pedometer Program on Physical Activity, Weight and Well-Being; ACTRN12615001310550).

Indexed as

ExerciseSedentary BehaviorTelemedicineWeight LossAccelerometryAdultBody WeightCohort StudiesFemaleHealth PromotionHumansInternationalityMaleObesitymobile healthphysical activitypreventionsittingweight loss

Identifiers

PMID27050185

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.