Relationship of Daily Step Counts to All-Cause Mortality and Cardiovascular Events

Stens, Niels A.; Bakker, Esmée A.; Mañas, Asier; Buffart, Laurien M.; Ortega, Francisco B.; Lee, Duck-chul; Thompson, Paul D.; Thijssen, Dick H.J.; Eijsvogels, Thijs M.H.

doi:10.1016/j.jacc.2023.07.029

Cited by 27 publications

(7 citation statements)

References 49 publications

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“…Results from these new studies provide an alternative approach to estimating the proportion of adults who are at higher or lower risk based on their activity level and suggest that the physical activity public health glass may indeed be half full, at least for aerobic activity in relation to mortality from all causes. A recent meta-analysis of step counts and CVD outcomes and all-cause mortality suggested that this observation may also hold for step counts and CVD outcomes (15), but more work is needed to confirm the applicability of our observations for different health outcomes. To be clear, this report is focused only on aerobic activity measured by accelerometer, and if we included participation in two or more days of muscle strengthening activities, the proportion of adults meeting both elements of the recommendation would be considerably lower.…”

Section: New Insight From Accelerometer-based Physical Activity and M...supporting

confidence: 53%

Physical Activity and Public Health for Adults: Is the Glass Mostly Empty or Half Full?

MATTHEWS,

SAINT-MAURICE,

BERRIGAN

2024

Medicine &Amp; Science in Sports &Amp; Exercise

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Early observations that only a small proportion of United States (US) adults were engaging in enough aerobic physical activity to provide substantial health benefit helped shape our public health messaging for physical activity. This messaging has consistently indicated that most adults should increase their activity levels. However, it has been difficult to accurately estimate the proportion of adults who engage in sufficient levels of aerobic activity in the population, with survey-based estimates ranging from 22% in 1994 to 54% in 2018 and widely differing estimates from device-based measures. Recent accelerometer-based studies of physical activity and mortality risk provide new evidence that at least 50% of US adults engage in enough aerobic physical activity to be at low risk for premature mortality. We argue that this observation should lend greater confidence to our current survey-based surveillance estimates which indicate that a large proportion of adults is physically active. This new insight may also provide clues that could further strengthen our public health messaging for physical activity by placing more emphasis on the maintenance of healthy activity levels throughout life and possibly by using descriptive social norms as an additional intervention element—while continuing current efforts to encourage the adoption of healthy activity levels for less active adults in the population.

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Section: New Insight From Accelerometer-based Physical Activity and M...supporting

confidence: 53%

Physical Activity and Public Health for Adults: Is the Glass Mostly Empty or Half Full?

MATTHEWS,

SAINT-MAURICE,

BERRIGAN

2024

Medicine &Amp; Science in Sports &Amp; Exercise

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“… 13–15 20 21 A meta-analysis has introduced 7200 and 8800 step counts per day as potential targets for reducing CVD and all-cause mortality risks, respectively. 16 Given that healthy life years are shorter than life expectancy, it is conceivable that the optimal targets of daily step counts, for prolonging healthy life years, may necessitate more step counts than what are required for the reduction of mortality and CVD risk.…”

Section: Discussionmentioning

confidence: 99%

“… 13–15 In this context, target step counts of 7200 and 8800 per day have been suggested for mitigating the risk of CVD and all-cause mortality, respectively. 16 …”

Section: Introductionmentioning

confidence: 99%

Association between daily step counts and healthy life years: a national cross-sectional study in Japan

Nishi,

Nagamitsu,

Matoba

2024

BMJ Health Care Inform

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BackgroundDespite accumulating evidence concerning the association between daily step counts and mortality or disease risks, it is unclear whether daily step counts are associated with healthy life years.MethodsWe used the combined dataset of the Comprehensive Survey of Living Conditions and the National Health and Nutrition Survey conducted for a randomly sampled general population in Japan, 2019. Daily step counts were measured for 4957 adult participants. The associations of daily step counts with activity limitations in daily living and self-assessed health were evaluated using a multivariable logistic regression model. The bootstrap method was employed to mitigate uncertainties in estimating the threshold of daily step counts.ResultsThe median age was 60 (44–71) years, and 2592 (52.3%) were female. The median daily step counts were 5650 (3332–8452). The adjusted OR of activity limitations in daily living for the adjacent daily step counts was 0.27 (95% CI 0.26 to 0.27) for all ages and 0.25 (95% CI 0.25 to 0.26) for older adults at the lowest, with the thresholds of significant association at 9000 step counts. The OR of self-assessed unhealthy status was 0.45 (95% CI 0.44 to 0.46) for all ages and 0.42 (95% CI 0.41 to 0.43) for older adults at the lowest, with the thresholds at 11 000 step counts.ConclusionDaily step counts were significantly associated with activity limitations in daily living and self-assessed health as determinants of healthy life years, up to 9000 and 11 000 step counts, respectively. These results suggest a target of daily step counts to prolong healthy life years within health initiatives.

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“…Previous studies have found that PA measured by daily step counts was associated with lower cardiac death or all-cause mortality. 21 , 22 However, CA is a specific event that can be one of the causes of cardiac death. Cardiac arrest can result from various factors, including but not limited to cardiac death, drug toxicity, respiratory cause neurological event gastrointestinal case, endocrine/metabolic causes, and etc.…”

Section: Discussionmentioning

confidence: 99%

Association between accelerometer-derived physical activity and incident cardiac arrest

Qiu,

Xing

2023

Europace

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Aims Studies on objectively measured physical activity (PA) have investigated acute cardiovascular outcomes but not cardiac arrest (CA). Our study aimed to investigate the dose–response relationship between accelerometer-measured PA and CA by intensity of PA. Methods and results This prospective cohort study included 98 893 UK Biobank participants whose PA data were measured using wrist-worn accelerometers. Total PA volume was measured using the average overall acceleration. Minutes per week of light PA (LPA), moderate PA (MPA), and vigorous PA (VPA) were recorded. The incident CA was identified using diagnostic codes linked to hospital encounters and death records. Cox proportional hazard models with restricted cubic splines were used to study the associations, including sex differences. During the follow-up period (median: 7.31 years; interquartile range: 6.78–7.82 years), 282 incident CAs (0.39 per 1000 person-years) occurred. Total PA was inversely related to CA risk. The CA risk decreased sharply until the time spent in MPA or VPA reached ∼360 min or 20 min per week, respectively, after which it was relatively flat. The LPA was not associated with CA risk. Subgroup analyses showed a more pronounced association between PA and a reduced risk of CA in women compared to men. Conclusion Accelerometer-measured PA, particularly MPA and VPA, was associated with a lower CA risk. Furthermore, a stronger association was observed in women than men.

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Relationship of Daily Step Counts to All-Cause Mortality and Cardiovascular Events

Cited by 27 publications

References 49 publications

Physical Activity and Public Health for Adults: Is the Glass Mostly Empty or Half Full?

Physical Activity and Public Health for Adults: Is the Glass Mostly Empty or Half Full?

Association between daily step counts and healthy life years: a national cross-sectional study in Japan

Association between accelerometer-derived physical activity and incident cardiac arrest

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