
By Pat Ryan
Walking requires little equipment and provides lots of health benefits. You can facilitate walking by helping the older adults you work with use two tools: a step counter (pedometer) and a walking log. These tools are inexpensive and, with your guidance, a great way to start walking or to increase steps. In this article, you'll learn how to use step counters and logs to increase walking. The Client Handout features a walking log to copy for your participants.
Step counters and pedometers
The simplest pedometer is a step counter. It clips to the waistband and counts the number of steps walked for less than $10 U.S. A step counter works like a pendulum, using the movement of the hips to count the steps. That's why it is important to clip the device at the front crease of the pants, where the belt loop is, and straight (horizontally) to make it more accurate.
Step counters and pedometers are more accurate when walking is done at an even pace and less accurate when walking is slower. (But, if the counter is off a few steps, how much does that really matter? Isn't the goal simply to start or increase walking?)
More advanced pedometers ($10 to $30) calculate distance in miles or meters and have a clock. These pedometers require programming in stride length. For a good overview of how to measure stride length, visit www.walking.about.com. Modern pedometers get even more sophisticated ($30 and more) and add a host of functions up to highly accurate devices using Global Satellite Positioning technology.
Your participants don't need a lot of fancy technology. A step counter will get them started.
Why use a step counter?
Just having a step counter hooked onto the waistband is a reminder to walk. Step counters are real eye openers when they show how few (or how many) steps are taken in an average day. They also help walkers set goals and gradually increase the steps they take. When the steps are recorded on the log, the walker can look back and see improvements, which motivates more walking.
Get started using the step counter and log
Here are the basics for using the step counter and log:
Program ideas
How many steps?
The optimum number of steps depends on each person's capabilities. The best motivator is personal improvement. Each individual starts at a personal baseline and gradually increases the number of steps. People are challenging themselves, not competing against a norm.
One program that has gained a lot of momentum is "10,000 steps a day." It is a good goal for many people--about five miles. Keep in mind there is no scientific basis for 10,000 steps, according to walking researcher Catrine Tudor-Locke, Ph.D., at Arizona State University.
For a more frail, elderly or chronically ill adult, this is far too many steps. Tudor-Locke reports that healthy older adults walk about 6,000 to 8,500 steps/day while people with disabilities and chronic diseases walk about 3,500 to 5,000 steps/day. On the one hand you don't want to discourage people who will never be able to achieve a high number of steps from even trying. On the other hand, a healthy and active older adult can walk more than 10,000 steps in a day.
A recommendation you'll find is 6,000 steps for general health and 10,000 steps or more for weight loss. From a different perspective, James O. Hill, Ph.D., at the University of Colorado Health Sciences Center, recommends taking 2,000 more steps (about 1 mile) above the number walked now and eating 100 fewer calories (about a pat of butter) for weight loss.
The U.S. Centers for Disease Control recommends older adults experience 30 minutes of moderate-intensity cardiorespiratory exercise at least five days a week, and more minutes for fitness and weight management.
As your participants' logs enable them to relate the number of steps to the amount of time it takes them to walk, they will be able to work on time goals to meet the Surgeon General's recommendation, along with the step goals.
Pat Ryan is vice president of education for ICAA and wears a pedometer.
References
Bumgardner W. Walking.guide, about.com. Retrieved April 4, 2005, from