Am J Psychiatry 1980; 137:1540-1545
Copyright © 1980 by American Psychiatric Association
Evaluation and modification of exercise patterns in the natural environment
KD Brownell, AJ Stunkard and JM Albaum
Using a new experimental paradigm to evaluate physical activity in the
natural environment, the authors made of 45,694 observations of persons
using stairs or an adjacent escalator at a shopping mall, train station,
and bus terminal. In study 1, stair use more than doubled for both obese
and nonobese persons during two-week periods when a colorful sign
encouraging use of the stairs was positioned at the stairs/escalator choice
point. In study 2, stair use remained elevated for 15 consecutive days
while the sign was present, decreased during a 1-month follow-up period,
and returned to baseline by 3 months. These results not only demonstrate
the usefulness of this paradigm, but also suggest the strength of simple,
inexpensive public health interventions to increase physical activity.
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