Related Experiment Video
Updated: Jun 12, 2026

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Home-Based Monitor for Gait and Activity Analysis
Published on: August 8, 2019
Alternative placements for women wearing pedometers
Catherine G Ling1, Sheila O Smith
1College of Nursing, Medical University of South Carolina, Charleston, South Carolina, USA. lingcg@musc.edu
Summary
Pedometer placement on a bra strap or shoe did not provide equivalent step counts compared to waist placement in women. Consistent pedometer wear is crucial for monitoring physical activity and improving body mass index (BMI).
Area of Science:
- Physical activity monitoring
- Biometric data collection
- Women's health research
Background:
- Waist placement of pedometers can be hindered by women's clothing and body composition.
- Daily walking is a recommended and accessible physical activity.
- Nurse practitioners (NPs) can utilize pedometers for physical activity counseling.
Purpose of the Study:
- To evaluate alternative pedometer placement sites (bra strap, shoe) against traditional waist placement in women.
- To determine the accuracy and reliability of non-waist pedometer placements for step counting.
- To assess participant preference and adherence to different pedometer placements.
Main Methods:
- A pilot study involving 12 women who rotated pedometers between bra strap, waist, and shoe placements over one week each.
- Participants maintained their usual routines and recorded daily step counts.
- Body mass index (BMI), waist-to-hip measurements, and placement preferences were collected.
Main Results:
- Bra strap and shoe pedometer placements were not equitable alternatives to waist placement for accurate step counts.
- Despite no lifestyle intervention, 75% of participants showed improvements in BMI and waist-to-hip ratio.
- Participants favored pedometer placements that were perceived as comfortable and consistent.
Conclusions:
- Alternative pedometer sites like bra straps and shoes are not recommended for women due to inequitable results compared to waist placement.
- Consistent pedometer use, preferably at the waist, is vital for women participating in walking programs to achieve beneficial changes in BMI.
- Nurse practitioners should encourage consistent pedometer use for monitoring daily physical activity and promoting health improvements.

