There's Even More Evidence That Fitness Trackers Don't Work (fortune.com) 160
Turns out it's really hard to persuade people to exercise -- even when they have access to how many steps they've taken, and even when they get paid for it. A staggering 90 percent of people stop wearing fitness trackers when given the choice. Fortune reports: In the new yearlong study, published in The Lancet Diabetes & Endocrinology, researchers randomized 800 people in Singapore who had a full-time job into four groups. Some wore a Fitbit Zip and were paid a small amount of money to get moving -- which they were instructed either to keep or to donate to charity -- while others didn't wear Fitbits. Researchers measured their physical activity, weight, blood pressure, the body's ability to use oxygen (called cardiorespiratory fitness) and their self-reported quality of life. For the last six months of the study, all incentives were dropped, and people could choose whether or not to continue wearing their fitness trackers. (About 40% of people had stopped wearing it in the first six months anyway.) The cash seemed to work at first. Those who were rewarded with cash did an extra 13 minutes of moderate-to-vigorous physical activity each week and added 570 steps to their daily counts. Raising money for charity had no effect. But once the monetary rewards stopped, so did the improvements. By the end of the study, just 10% of people were still wearing the trackers.
Define "work" (Score:5, Insightful)
Re:Define "work" (Score:5, Insightful)
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I'd probably give you a mod point if I ever got one to give.
I'll just add that I think the data is useful. Actually started with a non-wearable sleep tracking device. Not a very good approach, and I don't think they still sell them, but it basically uses a motion sensor to separate shallow sleep from deeper sleep. Currently wearing an Epson device that measures my pulse, too, and makes much better measurements of sleep.
For walking, I use both the Epson and my smartphone. (I'd name the brand but I'm so annoy
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Someone was working on it last year [mobihealthnews.com] but who knows if they actually got anywhere.
Continuous blood pressure monitors (Score:3)
I've been following them for some years. The best approach for continuous is not using pressure, but sound and vibrations to calculate the corresponding blood pressure. Several of them have gotten as far as clinical trials, but none of them is in the market yet. I think the main problem is the large size (on the order of a smartphone that you have to strap on).
I think they'll have better luck if they can do it with several smaller devices that communicate with a larger device (perhaps a smartphone that does
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Obviously you're being forced to wear that Fitbit - the summary can't be wrong, after all.
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Re: Define "work" (Score:2)
Re:Define "work" (Score:5, Insightful)
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Right. Getting a dog probably achieves more than any other method. Dogs have a high desire to exercise, can be annoying nags if you don't exercise them and help you get out of your basement so that you can be rejected by more women. I have sixteen of them.
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And furthermore, fitness, in fact health in general, is one of those things that's hard to get and stay motivated for. Humans have very little incentive to go out of their way to stay in shape for most of their evolutionary history, so there's no one weird trick to the psychology for motivating yourself to stay healthy. Different tactics work for different people. If fitness trackers help 10% of the people stay motivated that's a success for those 10%, and the other 90% just need to try some other method until they hit on something that works for them.
The biggest motivator I have is a profile view in a mirror when I don't suck in my gut. Yikes!
Re:Define "work" (Score:5, Informative)
Exactly. Here's the problem; MOST people naturally gain weight in a modern environment of desk work and easy access to massive amounts of calories. In this basically unhealthy environment a healthy person will gain unhealthy weight unless he (a) artificially restrains his calorie intake[note] and (b) artificially inflates his exercise output.
Most people won't do those things, and therefore naturally tend to gain weight in a way that our ancestors of even fifty years ago didn't.
And activity trackers won't magically change that. Slap one on some random person who is in a weight-gaining mode, and he'll almost certain remain in that mode. HOWEVER: if you want to be in the small minority of people who are successful, then a fitness tracker is useful.
note: most diets that work by macronutrient selection (e.g. Atkins) when they work dos obecause people are sated on fewer calories.
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I personally have not exercised properly for a long time but have never even given my calorie intake a thought. I have not gained any weight (except for the muscles in my arms that grew as my kids got heavier:p). Now I'm probably a lucky bastard, but gaining weight really doesn't require artifical restraint. It just requires eating normal stuff instead of artifical food-like products of the chemical industry and drinking water instead of liquid sugar. From what I've heard that's somewhat difficult in some c
Re:Define "work" (Score:5, Insightful)
First of all fiber is carbohydrate, but of course that's not what you meant, you meant digestible carbs. But for digestible carbs, it depends. Big slugs of refined carbs are especially bad for sedentary people because you get hungry fast.
On the othe rhand some of my gym rat buddies need to eat almost 4000 calories per day to keep from losing weight. These are people who spend more than a dozen hours a week in the gym. In other words these are very atypical people, which is why I says "it depends". For these people avoiding carbs may actually be bad. The bodybuilders in particular when they're preparing for a competition have to cut their calorie intake, but to keep from losing muscle keep their protein up. That translates into a very low-carb routine. This gets them "cut", but their lifting performance drops dramatically because they aren't eating enough carbs to support their normal, very high level of activity. They're relying on gluconeogensis to provide glucose, but if athletic performance was what they were aiming for (rather than appearance) they should be eating moderate amounts of carbs -- very possibly quantities that would be unhealthy for a sedentary person.
So it's the overall pattern of energy intake and output that matters, not one parameters (such as steps, or grams of carbs). It's a great big "depends". If you're gong to take conscious control of this situation, you've got to be prepared to dive into the data, not just one piece, but everything.
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While I've always believed this is true, I would caution about extrapolating study results to the real world at this point. The difference over a lifetime between being thin and fat is an imperceptible change in equilibrium. The weight of a nickel (5 grams) a day over 10 years equals forty pounds. What's more the human system is dynamic; it responds to the makeup of the calories it consumes in various non-linear ways. So this is a limitation of studies in which calories are strictly controlled, which a
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So it ends up a religion. The religion of diet.
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I have. One of my college buddies at MIT was in one. He had a duffel bag with his equipment which he used to collect his fecal output, and the only thing he could eat all semester were these nutritional shakes. Once a week he'd show up at the lab and eat a couple pounds of radioactive cheese.
You get a sense for why such well-controlled studies are rare, because to get volunteers they had to pay them a LOT. He chose this as his semester "job" because it left him with the most free time, but otherwise it
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Nope. The studies have shown that the calories matter more than the makeup of them. All the issues with fat solids vs protein is from poor studies, not reality.
Wrong. This the same argument that claims that you can burn gasoline or wood in your car.
"BTUs is BTUs Man! No difference!" The human body is an amazing thing to be sure, but the TYPE of fuel does make a difference.
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There is no easy solution, unless you are constrained in multiple ways. It is very easy for a normal person to eat far more calories than he can burn, even if he makes a marginal increase in burning (e.g. walking more). You have to walk more, and reduce calories, and eat better quality calories. All of it.
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People who are in good shape didn't get that way because of a fitness tracker. Like the vast majority of exercise equipment, this is just another gadget bought primarily by lazy slobs who think it will somehow magically make them "fit".
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two of my friends did, they thought of it like game and kept trying to push score up higher and beat their friend. been going on for almost 3 years now.
Some people, it motivates them.
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Sometimes gamification turns a chore into something fun. It's good when it does.
Monetization is also a tricky thing. If you try to monetize something that people previously found fun, it can ruin the fun. Alternately, like in this case, if you start off with money attached to something and then take the money away, you're maybe also taking the incentive away. I haven't read the article, but from the summary it sounds like "removing an incentive demotivates people" is a better conclusion than "fitness tracke
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Extrinsic rewards destroy intrinsic motivation [wordpress.com]. I first heard that in the context of achievements in games, but it applies even more obviously here.
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Truth: Both figured that attaching it to their wrist while fapping was the lowest effort solution. Geeks and their optimizations.
They just invented the 'fitness tracker circle jerk'.
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as long as they properly put in the correct caloric requirements of single handed jerking and categorized the activity timespan as such, what's the problem?
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People who are in good shape didn't get that way because of a fitness tracker. Like the vast majority of exercise equipment, this is just another gadget bought primarily by lazy slobs who think it will somehow magically make them "fit".
As you pointed out, couldn't the same be said for any piece of fitness equipment, whether we're talking about running shoes, a weight machine, or a yoga mat? And yet, we can't deny the role that they play in helping us get healthy, can we?
If the point you're trying to make is that having self-motivation is important, you're certainly right. It is. But it doesn't stop there. Our goal should be to motivate people to take action towards getting healthier and then help them stay motivated. Unfortunately, motiva
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If one wants to be in shape, get in shape, or some such, a fitness tracker is helpful. It's difficult to deceive oneself about the amount of exercise one is getting when one has a fitness tracker. It can also be encouraging because one can see what has been achieved. One can also see a progression. I have a running watch. I wear it all the time and it tracks my steps. I rationalize my low step days by reminding myself of my high step days when I run. But it still nags me. I don't like seeing the low s
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It works great at telling me what a lazy sloth I am when I think that one time I remembering exercising (sometime during the Carter administration) means that I "exersize all the time". I look through all those 0s and say yeah, I don't exercise very much.
Also, should I exercise again and get on the treadmill with a book and set it to a vigorous walk "up a steep incline" (setting 3/10) that even my carcass won't break 120 bpm after 20 minutes. Regardless how hard I "felt" I worked, it tells me the truth.
Does
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A person tells me "hey, did you go walking today", then I feel guilty, and mumble "ya, I probably should."
A device tells me "hey, you didn't walk enough today", then I say "screw you phone, you're going back into my smelly pocket!"
My guess is that if the fitness tracker does make someone feel guilty, maybe they're younger generation that treats devices like people, or their devices are an integral part of their concept of "the real world"?
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Pretty much. if you're not motivated to get in shape in the first place, it's unlikely a fitness tracker is going to help you.
For me, it was the tool I needed to find out what I was doing wrong. I've always tried to stay fit, but could never seem to lose weight. The fitness tracker, while not 100% accurate, showed me just how far off I was in my estimation of calories in vs. calories out. Once I fixed that little problem, the weight basically melted away.
But again, if you don't have the motivation to get fi
Good use for taxes (Score:2)
So you're saying if the government offered the populace a small cash incentive to exercise, people would do it (in USA resulting benefits for the current massive third obese and out of shape chunk of the populace would far outweigh the minuscule cost)
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news for you, Russians were and are boozers, before and after communism. I wouldn't trust a teetotaler Russian (or Irishman) as far as I could throw him anyway. In fact you show me someone in former soviet regime country who goes 48 hours or more without alcohol and I'll show you a religious terrorist whackjob ready to blow shit up and kill people. It's that serious.
we already pay people to not work and stuff themselves with twinkies and orange drink on the government dime. my idea has to be better than
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Re: Good use for taxes (Score:3)
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Speaking of the Soviet Union. They're "free healthcare" was abominable. If you managed to develop Type2 Diabetes you were pretty much on your own. You either changed your lifestyle or you DIED.
The best answer isn't always necessarily to baby people.
We try to avoid encouraging dependence in wild animals but gleefly encourage it in people.
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They are "free healthcare"??
Really? If so, send me a couple. I could use some free healthcare on the hoof.
Oh, you meant "their free healthcare"?? Never mind.
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No, they wouldn't. They'd continue to be lazy slobs for the most part, and the people who would do it don't need a "small cash incentive" because they're already doing it. If an improvement in your life and health and happiness isn't enough, a coupon's not going to make a difference.
People like this fat pig, for example, for whom life is just about living off the government teat and self-gratific
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So the people running the study thought th
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Second, you've removed intrinsic motivation for these people to exercise in any way not connected to the payment. On a given day
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this study was funded by Singapore's Ministry of Health partly to see if that was true... unfortunately it turns out not to be (for a 'large' majority of people, at least).
The stupid new item didn't even link to the journal article - the summary and findings are available at http://www.thelancet.com/journ... [thelancet.com]
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Not true of Apple Watches (Score:2)
I can see a device being pretty limited in scope of function, being dropped after a while as most people seemly don't want to track stuff all the time.
That's why I think the Apple Watch is in the long run much more successful in this category - it's not just tracking fitness, also time and whatever other apps you have on board (like running / cycling stats). So the drop-off rate for an Apple Watch will be a lot lower, thus over time more and more people that are even inclined to use a fitness tracker will
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Swatch style jewelry, not Rolex.
Not even in gold, that was a flat on it's face fail.
Gotta give them credit... (Score:5, Funny)
Somewhere out there someone in a marketing department figured out a way to make people pay to wear a tracking device... KUDOS!
It's hardwired into our brains (Score:5, Interesting)
Re:It's hardwired into our brains (Score:5, Insightful)
My justification for my walking regime comes down "Don't want to have a diabetes, and don't want a heart attack or stroke in the next 10 years." It's not a pleasant motivator, to be sure, but my family's history of heart disease finally convinced me that I needed to change my diet and get my ass out the door. It's often not terribly pleasant, but I do find that during my long walks I actually do a lot of thinking, so I've found there's a bit of a mental payoff as well.
Oh, I did mention numerous studies that suggest being sedentary may contribute to dementia later in life. We may be built to conserve energy, but we're also built to actually do physical activity.
Re:It's hardwired into our brains (Score:5, Insightful)
I totally agree. If I'm stressed or aggravated going for a walk really helps. Like you say it gives time to think - sometimes about nothing - sometimes I resolve algorithms. I purposely don't use headphones or play games because it lets my mind wander. Like all exercise, doing it regularly comes down to erasing the barriers to it - that's why I walk outside at lunchtime instead of walking on a treadmill in the gym. It's not that it's better, it's just easier not to go through the hassle of changing clothes, etc. If I can build exercise into my daily routine even more - I'm thinking of riding to work - then that will be even better.
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I don't like "exercise". I do like to experience the city I live in and the surrounding wilderness. I also like my dog, and he likes to walk. Walking and other moderate activity are all that are required to relieve stress and promote creative thinking on top of the physical benefits.
I'm fit and skinny, but I have never seen someone exercising and thought "Gee, they look like they should be embarrassed". If you are cycling/jogging/whatever, you look fine in lycra no matter your level of fitness. You are wear
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Walking and other moderate activity are all that are required to relieve stress and promote creative thinking on top of the physical benefits.
But, see, 'relieving stress' doesn't make you fit or healthy, which is what we're really discussing.
I'm fit and skinny, but I have never seen someone exercising and thought "Gee, they look like they should be embarrassed". If you are cycling/jogging/whatever, you look fine in lycra no matter your level of fitness. You are wearing the proper gear for the activity, which always looks "right".
If you're 'skinny' then you're probably 'skinnyfat', meaning you have no real muscle anywhere, but more bodyfat than you think. You should go get a DXA scan to determine your body composition. Also, you sound weak. Just like the guy who commented above you, you'll get the same injuries and diseases due to your overall lack of fitness as someone who literally abuses their body, because you do little to nothing
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I just wear shorts and a t-shirt. About the only significant investment I made is to buy some proper running shoes, and stop wearing the Walmart specials, which were fucking up my feet, knees and back. When I have to walk in the dark or the rain, my wife bought my a high-vis vest so I don't get killed.
Believe me, I hate exercise. I get up at 6am to do my walk most days simply because I can't stand the idea of coming home after work and then slogging it. In general the idea of getting out there makes me mise
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I'd say in some ways body building is an activity that in some ways is an antithesis of a healthy lifestyle with moderate exercise. Even excluding the nastier practices like steroids, with the enormous physical problems they can bring, which include, by the way, heart disease after long-term use, the diet and activities are driven purely towards developing muscle mass, with far less focus on cardiovascular workouts. A moderate amount of weightlifting is a good thing, if for no other reason that people with
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But further, using rewards for motivation to exercise is terrible.
Not necessarily. We do things for 2 types of reasons :
1. Habit
2. Intellectually convincing ourselves that it is a good thing to do - this consumes willpower depending on how unpleasant the activity is.
One can't really do a lot of type 2 activities in a day. Willpower - somewhat like muscle, gets fatigued. There is interesting research on this topic, look it up. Somewhat like muscle, it builds up on using it too, but that is a long term plan.
So something as important as exercise is best done through habit. A
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1. Once you have a habit, you don't need motivation.
2. For forming a habit, reward is a necessary but not sufficient condition.
3. Most people don't know the procedure to form habits.
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No, why would it necessarily opposite of what it actually was?
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1. They were paid to use a tracker : yes
2. They were given a reward to develop a habit : there is not enough data to conclude whether it was to develop a habit or just to wear it.
3. They developed a habit : absolutely no evidence in favour of this, there is some evidence against it. Even an attempt at forming a habit was not likely made, let alone a habit.
4. 90% of them broke the habit : can one break something that doesn't exist?
Probably you don't know the meaning of the word "habit" in the context which I
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But I still don't see how your point on habit acquisition does anything to refute my point on the de-motivating impact of extrinsic rewards (or for that matter, punishments)
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habit-related education as they need it. But no direct payments or prizes.
A small part of habit formation is usually rewards. You now change the terms to direct payments or prizes, but originally you were arguing against rewards.
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Walk five miles a day? Who has time to do that? I have a job and are raising a family, there's too much to do for me to spend several hours walking five miles for no reason! Who would even DO that? Don't you have a car? Can't you take a bus? Do you have some sort of mental issues? That's insane!
That's what MOST PEOPLE would say if you told them to walk five miles a day. MOST PEOPLE you can't even get to walk ONE mile a day. They won't even do it if they need to, they'll call someone for a ride instead because they don't want to do it. You're another outlier, non-typical; you tell people you walk five miles a day, and MOST PEOPLE will look at you like you're nuts, or poor and have to walk, or something other than with 'admiration'. Also 'just walking', while better than nothing, isn't very complete
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Actually, rewards are hard-wired, unless you're defective (hi). They vary between people greatly, as well.
I've recently read a patent where some rats were given free access to rat chow, and could get better rat chow by operating a lever repeatedly (work). The rats in every group ate roughly the same amount of rat chow.
These rats, once trained to obtain rat chow, were given a vehicle (all inert ingredients) or drugs (inert ingredients plus amphetamine, methylphenidate, or a third drug). Rats fed the
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Paid? (Score:3)
1. enroll in paid fitness tracker program
2. put it on your dog
3. ???
4. Profit!
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The dog is actually a good one. The smaller dogs count higher steps when you take it for a walk. The Americans in our company came up with all sorts of schemes. A dryer on a sensitive cycle clocks up quite a few steps in 30min if you really need that extra incentive.
I told them I was amazed at our ingenuity. They made some comment about my lack of creativity if I haven't figured it out myself *pointing to my fitbit*. Then I blew their minds by saying I have free healthcare and I wear mine for me because I w
Bullshit study (Score:3)
Study summary: Select a bunch of people who aren't currently using a tracker and encourage them to use a tracker. Then drop the encouragement and see what sticks.
If you want to see if fitness trackers work, use a self-selection group. Find a bunch of people who have been wanting to get in better shape but are not currently vigorous exercisers (or whatever standardizable measure of success you can use), and divide them up randomly. Give some fitness trackers. See how it impacts them. Doing it this way would take groups who are both interested (want to) but not necessarily motivated (experience reward which encourages effort) to exercise regularly and identify between them.
Problems with this approach: poor reporting (one group must self-report; the other has actual data); and masked reporting has an impact (a group with a fitness tracker that tells them nothing will do extra work to ensure data IS there). It's actually worth it to study a group without a tracker, a group with a tracker, and a group with an occluded tracker who are also self-reporting (to compare perception to data). Likewise, the act of reporting creates confounding.
I'd love stats, but I want them accurate (Score:2)
Most of these trackers are glorified pedometers.
The heart rate measurement on the newer models (to my knowledge) is quite inaccurate, especially when sweaty or in certain weather.
I would love to know:
heart rate
blood pressure
breathing rate
blood sugar level
At least those 4 quite accurate would be pretty nice or at least within a true 5%.
I imagine this is basically impossible without some kind of small implant (then how do you charge it? is it safe? how long does it last?)
We're getting closer to this stuff bu
What about the other functions (Score:2)
I have a Xiaomi Mi Band, not for a fitness tracker, but for a wearable notification device. I never hear/notice my alerts when my phone is in my pocket. My fat ass could give a fuck that it monitors my steps and heart rate.
you don't need to exercise to loose weight (Score:1)
I went from 98Kg to 78Kg simply by eating better and smaller portions.
I still smash a pizza every so often - but I can bring my weight back in days...
exercise... bah
Earth shattering revelation (Score:2)
Newsflash: people are lazy and do not change (Score:1)
Most unfit, unhealthy people are just like my wife, who has been "going to get fit" for literally as long as I've known her (coming up on 20 years). And the scary thing is they actually think they will do it. They actually imagine that they will become one of the healthy fit people who don't sound like a steam train whenever they need to walk up a flight of steps, despite the decades of evidence that what they will actually do is go for maybe a walk or two and eat a salad before going back to sitting on t
Are they upset? (Score:2)
Were any of these people personally motivated? (Score:2)
Many years ago I worked at a place where they would hand out catalogs to all the employees every holiday season as their "gift" and you could pick out anything you wanted.
Of course there is literally nothing in the catalog that I wanted and it's all cheap junk anyway. So I got a simple pedometer. Nothing fancy, just an LCD showing number of steps. I know I wore it at least one day just out of curiosity but it quickly got put away and forgotten about.
Now I'm actually a bit more than curious about my fitn
What if I get to bury the author of the article? (Score:2)
Not a threat. Just the Russian promise to outlive the author who says activity trackers don't work.
Actually, not even a promise, but I think data is good and useful. Definitely imagine that I am healthier for paying attention to it, and also definitely feel it is too soon to draw any conclusions.
I'd like to see some research on whether or not the author wears one. My initial hypothesis is "Hell, no!"
Not really a surprise (Score:2)
The people who want to be involved in fitness already are, and never needed a tracker to do it. Trackers are mostly for people who want to feel like they made some effort without actually making the effort. It's the same deal with exercise bikes and tread mills in homes. They're often purchased and infrequently used.
Because of ignorance (Score:3)
A lot of people have this great idea about getting in shape, becoming healthier and what not. the problem is all the crap they are fed.
Drink this fucking protein shake, eat 6 meals a day, train HIIT, do weights, callisthenics, 3 times a week, 7 grams of protein per ounce, buy this gizmo, use this electrode belt, avoid fat etc etc.
All-of-a-sudden become fit is a research project. You need 10,000 steps a day, people that take stairs have less chance of heart disease and so on and so on.
Guess what most people do? choose the easy fucking way out. Step 1, buy this fitness device (because you'll need it with all the fitness you're gonna do right?!), step 2 follow magic formula??, step 3 get fit
Here's my "magic formula" to get fit: Move your fucking ass. Do whatever workout you want that is COMPOUND movement at the intensity you can SUSTAIN. Listen to your body, if you're feeling depleted take it easy, if you're feeling pumped put your back into it.
It's the same thing with gym memberships after the Olympics, 2-4 weeks later they never come back. No fucking gizmo is gonna lift those weights, run up that hill or do 100 burpees for you. That's you that has to do that. Do it. -remember that when you're watching other fitter people work. (You know, NFL, NBA, Olympics, they're at work)
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Some people really don't have time for serious exercise (not as many as will claim lack of time). Lots of people have motivational issues that aren't going to be helped by people telling them to exercise.
It's really easy to tell people to get more physical activity, and pretty much useless.
This just in (Score:2)
I have wasted 39.4 seconds of my life reading the summary and commenting and burned 1.2 calories.
So... (Score:2)
... if people start doing something they didn't used to do, sometimes they don't want to keep doing it? Amazing! Armed with this knowledge, I can finally shave off these mutton chops I grew in the 70s, and give up my paper route.
Just Couldn't Do It (Score:2)
I have a Fitbit that I've owned for barely 10 months. Eight of which it has been sitting in a drawer. I tried to get on board with this craze, but the damn thing kept falling off my wrist. I tried a different side and fared no better. I had two major problems. First, the fastener is utter rubbish. Every time I'd brush against something the damn thing would fall off and most of the time I wouldn't feel it. I'd see it laying on the ground or in a seat before realizing it fell off. Second, I've got enough junk
You know what works to improve fitness? (Score:2)
because it was a sole-use tracker (Score:1)
When it's a sole-use device, sure, people are going to bail. Combine it with a watch with a few features THEN do the trial again.
Implications for employer heath care rates (Score:1)
Is the problem with the trackers? (Score:2)
It seems to me that 90 percent of people will gorge on Cool Ranch Doritos when given the chance, too...that doesn't mean that eating healthy is a flawed proposition.
The fundamental issue is that these trackers were put forth as a magic bullet, with the implicit promise that they will replace willpower, discipline, and self-determination. "Wear our tracker and you'll magically start exercising more and keeping fit," as the implicit promise goes. In truth, they're just another tool...like a jumprope, runnin
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Now why would you want to install Windows 10 on it?