U.S. Department of Health and Human Services
Indian Health Service: The Federal Health Program for American Indians and Alaska Natives
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Friday, September 21, 2012

Division of Diabetes Treatment and Prevention - Leading the effort to treat and prevent diabetes in American Indians and Alaska Natives


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Native Pedometer Trekking

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Why is this important?

  • Pedometer trekking programs are designed as a series of local foot trails tailored to the fitness levels of participating community members.
  • The variable terrain of natural outdoor environments provides increased interest and energy expenditure, and helps reduce cardiometabolic risk factors.
  • Exposure to natural sunlight helps in vitamin D synthesis and may improve seasonal affective disorder.
  • Course distances are validated by pedometer measurement and can range in miles or total steps counted.
  • Brief stops and activities along the trek can be added that include cultural and spiritual landmarks specific to the community.

Action steps:

  • Locate several foot trails or park-like courses (or local less-traffic roadways) that circulate through the community or pueblo.
  • Complete a Pedometer Course Certification indicating trekking level and level of difficulty.  down arrow up arrow
  • Certify the course:

    • With a well-engineered pedometer (e.g. Accusplit 2720, New-Lifestyles, Walk4Life) walk off a course, carefully keeping the same relative walking pace throughout the course.
    • Repeat this measurement. The two step count measurements should agree within 5%. Average the difference between the two measurements.
    • Draw out the course and post the approximate step count with a notation that the posted step count is approximate and depends somewhat on height and walking pace. Actual individual step count will probably agree within 10% of the posted step count.
    • Label courses as Level 1, 2 … and note their level of difficulty depending on terrain and grade.

    Establish trekking level:

    • Level 1:   1000 – 3000 steps (0.5 – 1.5 mile courses)
    • Level 2:   3000 – 6000 steps (1.5 – 3 miles)
    • Level 3:   6000 – 10,000 steps (3 – 5 miles)
    • Level 4:   >10,000 steps (>5 miles)

    Identify level of difficulty:

    • Easy (minimum terrain/grade)
    • Moderate (moderate terrain/grade)
    • Difficult (significant variable terrain and grade)
  • Provide recommendations for trekking level and level of difficulty.  down arrow up arrow
  • Individual Trek Recommendations

    • Those who are obese and or have diabetes should begin with Level 1 courses.
    • Level 1 courses with variable-terrain treks should be recommended for adults who have been previously sedentary and/or who are at moderate cardiometabolic risk (i.e., ≤2 risk factors).
    • Level 2 or 3 course treks are recommended for those who have previously engaged in Level 1 courses with no adverse musculoskeletal or cardiorespiratory symptoms or responses.
    • Level 4 courses and or difficult treks are recommended for those who have previously engaged in Level 3 courses and had no adverse responses.
Overview How To Other Resources EHR Documentation

Division of Diabetes Treatment and Prevention | Phone: (505) 248-4182 | Fax: (505) 248-4188 | diabetesprogram@ihs.gov