Cadence and Intensity Across the Adult Lifespan

NCT02650258 | Completed

• 1 other identifier: 1R01AG049024
• Study Type: observational
• Target: 260
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to determine and link cadence (the number of steps taken in a minute) to the intensity of physical activity (e.g. low-, moderate- and vigorous-intensity) in adults (21-85 years old). The investigators anticipate that cadence will be a good indicator of exercise intensity. Identifying how cadence relates to activity intensity will allow for physical activity guidelines to be communicated to the public in a manner that is more accessible to the lay person.

Conditions

Aging; Walking; Motor Activity; Activities of Daily Living

Outcome Measures

Primary Outcomes (2)

• Cadence (steps/min) as assessed by observation (hand tallied counts) of cadence

  The identification of cadence value cut-points associated with low, moderate and vigorous activity.

  Cross-sectional data; single time point, throughout study, up to 5 years

• Monitor validation (difference in steps/min compared to observation/hand tallied counts)

  Compare the ability of different activity monitors to accurately measure cadence

  Cross-sectional data; single time point, throughout study, up to 5 years

Study Arms (3)

Young Adult

80 Adults 21-40 years of age: 10 Male and 10 Female in each 5 year increment (21-25, 26-30, 31-35, 36-40).

Behavioral: treadmill walking

Middle Aged Adults

80 Adults 41-60 years of age: 10 Male and 10 Female in each 5 year increment (41-45, 46-50, 51-55, 56-60).

Behavioral: treadmill walking

Older Adults

100 Adults 61-85 years of age: 10 Male and 10 Female in each 5 year increment (61-65, 66-69, 70-75, 76-80, 81-85).

Behavioral: treadmill walking

Interventions

treadmill walking BEHAVIORAL

all participants walking at increasing speeds on a treadmill

Middle Aged Adults; Older Adults; Young Adult

Eligibility Criteria

• Age: 21 Years - 85 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

A convenience sample from the surrounding community of male and females 21-85 years will be recruited as participants. Specifically, 10 men and 10 women for each 5-year age-group category (21-25, 26-30, 31-35, etc.) will be collected.

You may qualify if:

• Adults between ages 21-85 years, able to ambulate on a treadmill (self-report)

You may not qualify if:

• BMI less than 18.5 or more than 40kg/m\^2
• Having smoked tobacco within the past 6 months
• wheelchair bound, or conditions that prevent normal ambulation
• Resting systolic blood pressure \> 159 mm HG, or diastolic blood pressure \> 99 mm HG
• Hospitalization for mental illness within the past 5 years (for the 41-60 and 61-85 year old cohorts this was change to "within the past 1 year").
• Any condition/medication that may affect heart rate response to exercise testing.
• Previous history of, or clinical symptoms or signs of, cardiovascular disease, stroke or transient ischemic attacks, chest pain, unusual dyspnea during physical activity/exercise, severe ankle swelling, or leg pain while walking.
• Any significant medical condition that may interfere with the study.
• Previous history of musculoskeletal injuries or problems causing severe pain during physical activity or exercise which interferes with daily activities.
• Participant has a pacemaker or other implanted medical device (including metal joint replacements).
• Participant is pregnant.
• Participant is unable to complete all testing (1 or two sessions, based on risk factors) within a maximal two week period.
• Individuals wearing a full beard may need to be excluded from the study, as large amounts of facial hair around the mouth and nose interfere with the seal of the device that measures the air you breath. Because of this we are seeking participants that are clean-shaven or with a beard where areas around the nose and mouth are clean-shaven (e.g. goatee).

Sponsors & Collaborators

• University of Massachusetts, Amherst: lead

Study Sites (1)

Walking Research Laboratory, University of North Carolina at Charlotte

Charlotte, North Carolina, 28223, United States

Location

Related Publications (15)

• Tudor-Locke C, Rowe DA. Using cadence to study free-living ambulatory behaviour. Sports Med. 2012 May 1;42(5):381-98. doi: 10.2165/11599170-000000000-00000.

  PMID: 22462794 BACKGROUND

• Tudor-Locke C, Sisson SB, Collova T, Lee SM, Swan PD. Pedometer-determined step count guidelines for classifying walking intensity in a young ostensibly healthy population. Can J Appl Physiol. 2005 Dec;30(6):666-76. doi: 10.1139/h05-147.

  PMID: 16485518 BACKGROUND

• Tudor-Locke C, Camhi SM, Leonardi C, Johnson WD, Katzmarzyk PT, Earnest CP, Church TS. Patterns of adult stepping cadence in the 2005-2006 NHANES. Prev Med. 2011 Sep;53(3):178-81. doi: 10.1016/j.ypmed.2011.06.004. Epub 2011 Jun 25.

  PMID: 21708187 BACKGROUND

• Tudor-Locke C, Han H, Aguiar EJ, Barreira TV, Schuna JM Jr, Kang M, Rowe DA. How fast is fast enough? Walking cadence (steps/min) as a practical estimate of intensity in adults: a narrative review. Br J Sports Med. 2018 Jun;52(12):776-788. doi: 10.1136/bjsports-2017-097628.

  PMID: 29858465 BACKGROUND

• Moore CC, McCullough AK, Aguiar EJ, Ducharme SW, Tudor-Locke C. Toward Harmonized Treadmill-Based Validation of Step-Counting Wearable Technologies: A Scoping Review. J Phys Act Health. 2020 Jul 11;17(8):840-852. doi: 10.1123/jpah.2019-0205. Print 2020 Aug 1.

  PMID: 32652514 BACKGROUND

• Tudor-Locke C, Aguiar EJ, Han H, Ducharme SW, Schuna JM Jr, Barreira TV, Moore CC, Busa MA, Lim J, Sirard JR, Chipkin SR, Staudenmayer J. Walking cadence (steps/min) and intensity in 21-40 year olds: CADENCE-adults. Int J Behav Nutr Phys Act. 2019 Jan 17;16(1):8. doi: 10.1186/s12966-019-0769-6.

  PMID: 30654810 RESULT

• Tudor-Locke C, Ducharme SW, Aguiar EJ, Schuna JM Jr, Barreira TV, Moore CC, Chase CJ, Gould ZR, Amalbert-Birriel MA, Mora-Gonzalez J, Chipkin SR, Staudenmayer J. Walking cadence (steps/min) and intensity in 41 to 60-year-old adults: the CADENCE-adults study. Int J Behav Nutr Phys Act. 2020 Nov 10;17(1):137. doi: 10.1186/s12966-020-01045-z.

  PMID: 33168018 RESULT

• Tudor-Locke C, Mora-Gonzalez J, Ducharme SW, Aguiar EJ, Schuna JM Jr, Barreira TV, Moore CC, Chase CJ, Gould ZR, Amalbert-Birriel MA, Chipkin SR, Staudenmayer J. Walking cadence (steps/min) and intensity in 61-85-year-old adults: the CADENCE-Adults study. Int J Behav Nutr Phys Act. 2021 Sep 23;18(1):129. doi: 10.1186/s12966-021-01199-4.

  PMID: 34556146 RESULT

• McAvoy CR, Moore CC, Aguiar EJ, Ducharme SW, Schuna JM Jr, Barreira TV, Chase CJ, Gould ZR, Amalbert-Birriel MA, Chipkin SR, Staudenmayer J, Tudor-Locke C, Mora-Gonzalez J. Correction: Cadence (steps/min) and relative intensity in 21 to 60-year-olds: the CADENCE-adults study. Int J Behav Nutr Phys Act. 2022 Jun 2;19(1):62. doi: 10.1186/s12966-022-01295-z. No abstract available.

  PMID: 35655283 RESULT

• Mora-Gonzalez J, Gould ZR, Moore CC, Aguiar EJ, Ducharme SW, Schuna JM Jr, Barreira TV, Staudenmayer J, McAvoy CR, Boikova M, Miller TA, Tudor-Locke C. A catalog of validity indices for step counting wearable technologies during treadmill walking: the CADENCE-adults study. Int J Behav Nutr Phys Act. 2022 Sep 8;19(1):117. doi: 10.1186/s12966-022-01350-9.

  PMID: 36076265 RESULT

• Moore CC, Aguiar EJ, Ducharme SW, Tudor-Locke C. Development of a Cadence-based Metabolic Equation for Walking. Med Sci Sports Exerc. 2021 Jan;53(1):165-173. doi: 10.1249/MSS.0000000000002430.

  PMID: 32555022 RESULT

• Aguiar EJ, Gould ZR, Ducharme SW, Moore CC, McCullough AK, Tudor-Locke C. Cadence-based Classification of Minimally Moderate Intensity During Overground Walking in 21- to 40-Year-Old Adults. J Phys Act Health. 2019 Dec 1;16(12):1092-1097. doi: 10.1123/jpah.2019-0261. Epub 2019 Nov 6.

  PMID: 31698337 RESULT

• Ducharme SW, Lim J, Busa MA, Aguiar EJ, Moore CC, Schuna JM Jr, Barreira TV, Staudenmayer J, Chipkin SR, Tudor-Locke C. A Transparent Method for Step Detection using an Acceleration Threshold. J Meas Phys Behav. 2021 Dec;4(4):311-320. doi: 10.1123/jmpb.2021-0011. Epub 2021 Oct 25.

  PMID: 36274923 RESULT

• McAvoy CR, Miller TA, Aguiar EJ, Ducharme SW, Moore CC, Schuna JM Jr, Barreira TV, Chase CJ, Gould ZR, Amalbert-Birriel MA, Chipkin SR, Staudenmayer J, Tudor-Locke C, Bucko A, Mora-Gonzalez J. Cadence (steps/min) and relative intensity in 61 to 85-year-olds: the CADENCE-Adults study. Int J Behav Nutr Phys Act. 2023 Nov 29;20(1):141. doi: 10.1186/s12966-023-01543-w.

  PMID: 38031156 DERIVED

• McAvoy CR, Moore CC, Aguiar EJ, Ducharme SW, Schuna JM Jr, Barreira TV, Chase CJ, Gould ZR, Amalbert-Birriel MA, Chipkin SR, Staudenmayer J, Tudor-Locke C, Mora-Gonzalez J. Cadence (steps/min) and relative intensity in 21 to 60-year-olds: the CADENCE-adults study. Int J Behav Nutr Phys Act. 2021 Feb 10;18(1):27. doi: 10.1186/s12966-021-01096-w.

  PMID: 33568188 DERIVED

MeSH Terms

Conditions

Motor Activity

Condition Hierarchy (Ancestors)

Behavior

Study Officials

• Catrine Tudor-Locke, PhD

  University of North Carolina at Charlotte

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: December 24, 2015
• First Posted: January 8, 2016
• Study Start: December 1, 2015
• Primary Completion: August 5, 2019
• Study Completion: August 5, 2019
• Last Updated: December 6, 2022

Record last verified: 2020-10

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, ANALYTIC CODE
• Time Frame: Researchers can request supporting information for two years post-publication
• Access Criteria: Contact PI

Locations

US (1)