Abstract
Abstract Overweight/obesity, diabetes, and chronic kidney disease (CKD) are common multiple chronic conditions (MCCs) in seniors. Fitbit fitness trackers were used to track physical activity and food intake over 12-week in 15 overweight/obese diabetic seniors (age=70.5±4.8) with/without CKD. The associations of percentage of days with tracked steps (PDWTS), percentage of days with food logs (PDWFL) and 7-day mean step count with body mass index, fasting glucose, HbA1c and renal function were examined using Pearson Correlation analysis. Qualitative data assessing perceived factors related to self-monitoring and lifestyle behaviors was collected and analyzed using content analysis. At week 12, PDWTS and PDWFL was positively and negatively associated with renal function (P<0.05) and HbA1c (P<0.05), respectively. Motivation and perceived benefits of self-monitoring were frequently cited facilitators for self-monitoring. Self-monitoring might help seniors manage MCCs. Motivating self-monitoring and providing health education on the benefits of self-monitoring in lifestyle interventions to manage MCCs are warranted.
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