No impact of patient and intervention characteristics on the effect estimates were found .
Short conclusion Low quality of evidence was found for a moderate effect of physical activity monitor-based interventions on physical activity compared with control interventions .
Background The body of evidence related to the effect of physical activity monitor-based interventions has grown over the recent years .
However , the effect of physical activity monitor-based interventions in older adults remains unclear and should be systematic ally review ed .
Objective The objective of this systematic review was to estimate the effect of physical activity monitor-based interventions on physical activity behavior  in participants aged 65 and above .
Subsequently we explored the effect on body mass index , physical capacity , and health-related quality of life and finally the impact of patient- and intervention characteristics .
Effectiveness of a Pragmatic Education Program Designed to Promote Walking Activity in Individuals With Impaired Glucose Tolerance
OBJECTIVE To investigate whether a pragmatic structured education program with and without pedometer use is effective for promoting physical activity and improving glucose tolerance in those with impaired glucose tolerance ( IGT ) . RESEARCH DESIGN AND METHODS Overweight and obese individuals with IGT were recruited from ongoing screening studies at the University Hospitals of Leicester , U.K. Participants were r and omly assigned to one of three groups . Group 1 received a 3-h group-based structured education program design ed to promote walking activity using personalized steps-per-day goals and pedometers . Group 2 received a 3-h group-based structured education program design ed to promote walking activity using generic time-based goals . Group 3 received a brief information leaflet ( control condition ) . Outcomes included an oral glucose tolerance test , st and ard anthropometric measures , ambulatory activity , and psychological variables . Follow-up was conducted at 3 , 6 , and 12 months . RESULTS A total of 87 individuals ( 66 % male , mean age 65 years ) were included in this study . At 12 months , significant decreases in 2-h postchallenge glucose and fasting glucose of −1.31 mmol/l ( 95 % CI −2.20 to −0.43 ) and −0.32 mmol/l ( −0.59 to −0.03 ) , respectively , were seen in the pedometer group compared with the control group . No significant improvements in glucose control were seen in those given the st and ard education program . CONCLUSIONS This study suggests that a pragmatic structured education program that incorporates pedometer use is effective for improving glucose tolerance in those with IGT . This result is likely to have important implication s for future primary care – based diabetes prevention initiatives
No impact of patient and intervention characteristics on the effect estimates were found .
Short conclusion Low quality of evidence was found for a moderate effect of physical activity monitor-based interventions on physical activity compared with control interventions .
Background The body of evidence related to the effect of physical activity monitor-based interventions has grown over the recent years .
However , the effect of physical activity monitor-based interventions in older adults remains unclear and should be systematic ally review ed .
Objective The objective of this systematic review was to estimate the effect of physical activity monitor-based interventions on physical activity behavior  in participants aged 65 and above .
Subsequently we explored the effect on body mass index , physical capacity , and health-related quality of life and finally the impact of patient- and intervention characteristics .