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Abstract
Cardiovascular disease (CVD) continues to be one of the leading causes of death for women. New approaches need to be identified that will enable women to recognize modifiable risk factors and target their efforts toward prevention. The objectives of this study were to (1) determine if women would access Vivametrica™ to assess CVD risk, (2) identify whether women would increase their physical activity as measured by their daily step counts, and (3) elicit women's opinions about using the system, prospective observational study design.Thirty-six English-speaking women aged 45–64 years of age, without physical disability, were recruited. Participants attended two clinic visits and were asked to wear a sensor-based activity monitor (Garmin Vivosmart® HR Wrist Tracker) for 12 weeks. Twenty-six (72%) of participants accessed Vivametrica for the course of the study. The median number of steps at baseline and at study completion was 9329 (range 5406–18,228) and 10,181 (range 5398–21,401), respectively. There was no significant change in number of steps taken by the participants for the study period (Z = −1.086, p = 0.278). The women's responses to the three statements (related to using Vivametrica) are represented on bar graphs. Women's opinions were important to provide an understanding about how they realized the technology. Women did access Vivametrica. Women did not significantly increase their step count. However, these women were achieving beyond sedentary levels of activity (>5000 steps/day). Although the change in steps was not statistically significant, it represents a median increase in daily steps of 9%, which is clinically important.
Highlights
Mortality rates from cardiovascular disease (CVD)have been substantially reduced for the past 60 years, with a reduction of 40% in the past decade.[1]
Physical activity is a modifiable CVD risk factor that is currently absent from cardiovascular risk scoring tools, including the ‘‘gold standard’’ Framingham risk score.[6]
Thirty-six women who varied in age from 45 to 63 years participated in this study (Table 1)
Summary
Have been substantially reduced for the past 60 years, with a reduction of 40% in the past decade.[1] women continue to die prematurely of heart disease.[2,3] A recent Canadian Heart and Stroke report[4] suggests factors contributing to this problem are that women are ‘‘under-researched, underdiagnosed, undersupported, and underaware’’ of their CVD risk. New approaches need to be identified that will enable women to recognize modifiable risk factors (i.e., smoking, diabetes, physical inactivity, high blood pressure, high blood cholesterol, and obesity)[5] and target their efforts toward prevention. Physical activity is a modifiable CVD risk factor that is currently absent from cardiovascular risk scoring tools, including the ‘‘gold standard’’ Framingham risk score.[6] CVD risk can be reduced by as much as 30%
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