Integrating evidence based pedometry for adolescents into the physical activity on prescription (PAP) model in Sweden
ISPAH ePoster Library. Raustorp A. Oct 16, 2018; 225491; 385
Assoc. Prof. Anders Raustorp
Assoc. Prof. Anders Raustorp
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Abstract BackgroundIn Swedish primary care, licensed professionals, i.e. physicians, physiotherapists and nurses, can prescribe PA if they have knowledge about the patient’s current state of health, how PA can be used for promotion, prevention and treatment and are trained in patient-centred counselling and the PAP method. In a randomised controlled trial, PAP significantly improved body composition and reduced metabolic risk factors. Since 2015 this model includes adolescents.To lower barriers, tools for implementation and structures for delivery must be readily available. Examples include handbook FYSS (, the PAP model and the use of evidencebased pedometery. MethodsIn the improved understanding of the unique measurement and motivational proprieties of pedometers as behavior change tools, Tudor Locke et al (2009) outline an evidencebased model of hardware (i.e. scientifically validated pedometer) and software (i.e. researchbased indices to interpret data, as step/day recommendations, including BMI reference standards for pedometer determined steps/day.ResultsPreviously published BMI reference standards indicate 12000 steps/day for young adults and 12000-15000 steps/day for children. By extrapolation, 12000 steps/day was decided for adolescents.DiscussionsStrength (individualised hands on method starting with baseline and goal to aim for) as well as limitations (how to interpret intensity and the step function in consumer devices) will be discussed.
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