How many steps a day to reduce the risk of all‐cause mortality? A dose–response meta‐analysis

Cruz, Borja del Pozo; Gallardo-Gómez, Daniel; Pozo-Cruz, Jesús del; Ding, Ding

doi:10.1111/joim.13413

Cited by 15 publications

(21 citation statements)

References 9 publications

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“…It is important to note that a person is considered sedentary when he did not reach 5000 steps per day, and some of the participants had records close to this value at the start of the study. However, participation in the ET sessions meant that in all cases, participants exceeded 7500 steps per day on ET days [ 36 , 37 ]. These results indicate that participating as a volunteer in therapeutic ET sessions involved a physical effort that helps to comply with the minimum daily activity requirements recommended by international agencies [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, participation in the ET sessions meant that in all cases, participants exceeded 7500 steps per day on ET days [ 36 , 37 ]. These results indicate that participating as a volunteer in therapeutic ET sessions involved a physical effort that helps to comply with the minimum daily activity requirements recommended by international agencies [ 37 ].…”

Section: Discussionmentioning

confidence: 99%

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Physical Activity and Sleep Improvements in a Group of Equestrian Therapy Volunteers: A Pilot Study

García-Peña

Gómez

Guerrero‐Barona

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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This study aims to assess whether participation as a supportive volunteer in equestrian therapy (ET) sessions influences participants’ physiological health-related parameters, including physical activity and sleep. Physical activity, measured in steps, and hours of sleep were measured in 10 subjects who participated regularly as volunteers in ET sessions using a triaxial accelerometer which continuously recorded their activity for 30 days. On the one hand, the subjects showed higher physical activity levels on days when they volunteered in ET sessions versus the days they did not. A significant difference and large effect magnitude were found. On the other hand, on the days they attended ET, they slept an average of 30 minutes more, with significant differences and a moderate effect. Thus, participation as a volunteer in ET sessions seems to have a positive influence on physical activity and sleep time, so it should be recommended as an activity to promote healthy habits.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Physical Activity and Sleep Improvements in a Group of Equestrian Therapy Volunteers: A Pilot Study

García-Peña

Gómez

Guerrero‐Barona

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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“…In summary, the findings from del Pozo Cruz and colleagues [4] challenge the commonly held belief that 10,000 steps per day is needed to yield health benefits, suggesting that no lower threshold exists for health benefits and only marginal gains are achieved beyond 7500 steps/day. Promotion of a lower step target may provide a more realistic and achievable goal for the public.…”

mentioning

confidence: 98%

“…In the current issue, del Pozo Cruz and colleagues [4] performed a meta‐analysis to investigate dose–response associations between step count and mortality, hypothesizing that the relationship may be nonlinear. They included 10 cohort studies ( n = 30,172 participants; 1985 deaths over a median follow‐up of 8.75 years) and assessed the nonlinear associations with a restricted cubic spline model.…”

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confidence: 99%

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The step count conundrum

Hamer

Blodgett

2022

J Intern Med

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Prospective Associations of Daily Step Counts and Intensity With Cancer and Cardiovascular Disease Incidence and Mortality and All-Cause Mortality

et al. 2022

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IMPORTANCERecommendations for the number of steps per day may be easier to enact for some people than the current time-and intensity-based physical activity guidelines, but the evidence to support steps-based goals is limited.OBJECTIVE To describe the associations of step count and intensity with all-cause mortality and cancer and cardiovascular disease (CVD) incidence and mortality. DESIGN, SETTING, AND PARTICIPANTSThis population-based prospective cohort study used data from the UK Biobank for 2013 to 2015 (median follow-up, 7 years) and included adults 40 to 79 years old in England, Scotland, and Wales. Participants were invited by email to partake in an accelerometer study. Registry-based morbidity and mortality were ascertained through October 2021. Data analyses were performed during March 2022.EXPOSURES Baseline wrist accelerometer-measured daily step count and established cadence-based step intensity measures (steps/min): incidental steps, (<40 steps/min), purposeful steps (Ն40 steps/min); and peak-30 cadence (average steps/min for the 30 highest, but not necessarily consecutive, min/d).MAIN OUTCOMES AND MEASURES All-cause mortality and primary and secondary CVD or cancer mortality and incidence diagnosis. For cancer, analyses were restricted to a composite cancer outcome of 13 sites that have a known association with reduced physical activity. Cox restricted cubic spline regression models were used to assess the dose-response associations. The linear mean rate of change (MRC) in the log-relative hazard ratio for each outcome per 2000 daily step increments were also estimated. RESULTSThe study population of 78 500 individuals (mean [SD] age, 61 [8] years; 43 418 [55%] females; 75 874 [97%] White individuals) was followed for a median of 7 years during which 1325 participants died of cancer and 664 of CVD (total deaths 2179). There were 10 245 incident CVD events and 2813 cancer incident events during the observation period. More daily steps were associated with a lower risk of all-cause (MRC, −0.08; 95% CI, −0.11 to −0.06), CVD (MRC, −0.10; 95% CI, −0.15 to −0.06), and cancer mortality (MRC, 95% CI, −0.11; −0.15 to −0.06) for up to approximately 10 000 steps. Similarly, accruing more daily steps was associated with lower incident disease. Peak-30 cadence was consistently associated with lower risks across all outcomes, beyond the benefit of total daily steps. CONCLUSIONS AND RELEVANCEThe findings of this population-based prospective cohort study of 78 500 individuals suggest that up to 10 000 steps per day may be associated with a lower risk of mortality and cancer and CVD incidence. Steps performed at a higher cadence may be associated with additional risk reduction, particularly for incident disease.

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How many steps a day to reduce the risk of all‐cause mortality? A dose–response meta‐analysis

Cited by 15 publications

References 9 publications

Physical Activity and Sleep Improvements in a Group of Equestrian Therapy Volunteers: A Pilot Study

Physical Activity and Sleep Improvements in a Group of Equestrian Therapy Volunteers: A Pilot Study

The step count conundrum

Prospective Associations of Daily Step Counts and Intensity With Cancer and Cardiovascular Disease Incidence and Mortality and All-Cause Mortality

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