Adrian Mole measured his …….

“I measured my thing, it grew 1cm”  – The Secret Diary of Adrian Mole, Aged 13 ¾, and the series that followed  were required reading for anyone, like me, who grew up in the 80s or early 90s. Adrian devotes much of his first two diaries to worrying about the state of his skin and an obsession about measuring the length of his manhood. And very little has changed for me. adrian1Like most  runners I am fixated on measuring everything –  speed, heart rate, distance, averages, etc. When it comes to “time” there is no other group that’s as fanatical about measurement as runners are. GPS watches are a relatively recent addition to running. The first watches were introduced in the early 2000s. They didn’t offer users the option to upload data for storage or analysis. Since then, GPS reception and battery life has improved significantly, and advances in the technology have allowed devices to get much smaller, making them more practical for everyday wear. So technology is now wearable. They allow sleep quality, the number steps taken and calories burned to be measured. It is capable of tracking heart rate, daily activity levels and exercise; and can even be used as a GPS running watch. It makes these measurements available at a glance and some claim that wearing one means “it’s easier to be healthy and achieve more”. But do these watches really change behaviour, increase activity levels and reduce the risk of health problems…… Yes they do (Lyons et al., 2014) ….. But How? Observing behaviour changes behaviour – known as the “Hawthorne Effect”. Fitness band wearers increase their activity levels due to the fact it’s being measured (McCambridge, Witton and Elbourne, 2014). It has been suggested that social support and comparison (social media boasting) facilitated by the fitness bands may be one of the behavioural change techniques responsible (Lyons et al., 2014). But let’s be honest, it’s like wearing your conscience on your wrist. It brings the guilt of “not being active” into the now, rather than postponing it, and turning it into a promise. Reaching for the remote, the watch sneaks out from under the sleeve and asks – could you do more? Have you hit your recommended step count for today? Have you earned the calories to eat the fruit and nut? So the obsession with technology often blamed for making us lazy, unhealthy and obese may have the potential to cure us, but only if we can tolerate having our conscience on our wrist.

But what happened when my eight year old asked Santa Clause for a fit bit? Intuitively, it felt unnecessary and wrong. Yes I love using technology to dissect and analyse my runs, sleeps and steps, but my initial reaction to Molly popping an activity tracker on her wrist was – Hell no! Molly doesn’t need to understand heart rates, distances or steps. She doesn’t need a watch to tell her to move, she wants to move on her own. Don’t most kids? ……… Well no they don’t, not any more. In the Ireland of 1975, one in every hundred children was obese. In Ireland of 2019 one in five 5 year olds are overweight or obese. And even though the causes are multifactorial, one of the main reasons is that 4 out of 5 kids are not meeting their required physical activity levels. The National Guidelines on Physical Activity for Ireland suggest all children (2-18 years) should be active at a moderate to vigorous level for at least 60 minutes every day. People may assume children are naturally energetic and require little encouragement but the majority aren’t. Is outsourcing this responsibility to Fitbit  the answer? Isn’t the dream to let our kids enjoy all the things we did, when play was unstructured impulsive and dangerous. Shouldn’t we cut off technology and go on family walks and bike rides, trips to the park, games of football , tip the can, and hide-and-go-seek? Why must we pay for a lifeless object to parent our children? In fact British research proves that the activity levels of parents may have a direct influence on how active – or not – their children are  (Hesketh et al., 2014). The most valuable present for children this Christmas will not be wrapped and it won’t even need batteries. Children are hardwired to learn by imitation (Jones (Jones, 2009). Family can be the seedbed for a physically active life (Eyler et al., 1999) (Ferreira et al., 2007).  The long term feasibility and effectiveness of physical activity trackers in increasing children’s activity is still unclear but the initial studies are encouraging (Ridgers, McNarry and Mackintosh, 2016).Yes it may not be the unpasteurised free play of previous “Adrian Mole” generations, but to continue to expect kids to exercise in the same way may be unrealistic and if technology is the route to get the next generation moving then it should be embraced.

 

References

Eyler, A. A., Brownson, R. C., Donatelle, R. J., King, A. C., Brown, D. and Sallis, J. F. (1999) ‘Physical activity social support and middle- and older-aged minority women: results from a US survey’, Soc Sci Med, 49(6), pp. 781-9.

Ferreira, I., van der Horst, K., Wendel-Vos, W., Kremers, S., van Lenthe, F. J. and Brug, J. (2007) ‘Environmental correlates of physical activity in youth – a review and update’, Obes Rev, 8(2), pp. 129-54.

Hesketh, K. R., Goodfellow, L., Ekelund, U., McMinn, A. M., Godfrey, K. M., Inskip, H. M., Cooper, C., Harvey, N. C. and van Sluijs, E. M. F. (2014) ‘Activity Levels in Mothers and Their Preschool Children’, Pediatrics, 133(4), pp. e973.

Jones, S. S. (2009) ‘The development of imitation in infancy’, Philos Trans R Soc Lond B Biol Sci, 364(1528), pp. 2325-35.

Lyons, E. J., Lewis, Z. H., Mayrsohn, B. G. and Rowland, J. L. (2014) ‘Behavior change techniques implemented in electronic lifestyle activity monitors: a systematic content analysis’, J Med Internet Res, 16(8), pp. e192.

McCambridge, J., Witton, J. and Elbourne, D. R. (2014) ‘Systematic review of the Hawthorne effect: new concepts are needed to study research participation effects’, J Clin Epidemiol, 67(3), pp. 267-77.

Ridgers, N. D., McNarry, M. A. and Mackintosh, K. A. (2016) ‘Feasibility and Effectiveness of Using Wearable Activity Trackers in Youth: A Systematic Review’, JMIR Mhealth Uhealth, 4(4), pp. e129.

 

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I qualified with an Honours degree in Physiotherapy from Trinity College Dublin in 2004. Since graduating I have worked in St. James Hospital Dublin and have worked in all the areas of speciality within the hospital including cardiorespiratory, orthopaedics, rheumatology, care of the elderly, neurology, burns and plastic surgery among others . I have also completed a post graduate certificate in acupuncture in UCD 2009. The Physiotherapy Department in SJH has strong links with Trinity College Dublin (TCD) and I have supervised undergraduate and postgraduate physiotherapy students on practice placements and also delivered lectures on the undergraduate academic programme in TCD. I have a keen interest in all sports and currently plays with Cill Dara RFC 1st team squad, and Milltown GAA. I have previously worked as Physiotherapist to Co. Carlow Senior GAA Team, Milltown GAA, Leinster Junior Rugby Team and Cill Dara RFC. I am an experienced runner and competed in the Dublin City Marathon in 2002. I continue to participate in running events and multisport disciplines such as Gaelforce West, Gaelforce North and the Motivate Challenge. I have a particular interest in strength and conditioning. I utilise this knowledge of resistance training in the treatment of his clients. I am committed to continuous learning and development in order to ensure the optimal level of care is offered to my clients, and with this in mind I am currently undertaking a certification in Strength and Conditioning (CSCS) with the NSCA.

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