Steps per Day and All-Cause Mortality in Middle-aged Adults in the Coronary Artery Risk Development in Young Adults Study

doi:10.1001/jamanetworkopen.2021.24516

Paper

Steps per Day and All-Cause Mortality in Middle-aged Adults in the Coronary Artery Risk Development in Young Adults Study

Published Sep 1, 2021 · Amanda E. Paluch, K. Gabriel, J. Fulton

JAMA Network Open

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97

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1

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Abstract

Key Points Question Are step volume or intensity associated with premature mortality among middle-aged Black and White women and men? Findings In this cohort study of 2110 adults with a mean follow-up of 10.8 years, participants taking at least 7000 steps/d, compared with those taking fewer than 7000 steps/d, had a 50% to 70% lower risk of mortality. There was no association of step intensity with mortality regardless of adjustment for step volume. Meaning This cohort study found that higher daily step volume was associated with a lower risk of premature all-cause mortality among Black and White middle-aged women and men.

Observational Study

Rigorous Journal

Highly Cited

Study Snapshot

Higher daily step volume is associated with a lower risk of premature all-cause mortality in middle-aged Black and White women and men, while step intensity shows no association with mortality.

PopulationOlder adults (50-71 years)

Sample size24

MethodsObservational

OutcomesBody Mass Index projections

ResultsSocial networks mitigate obesity in older groups.

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Paper

Steps per Day and All-Cause Mortality in Middle-aged Adults in the Coronary Artery Risk Development in Young Adults Study

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References

Association of Physical Activity Intensity With Mortality: A National Cohort Study of 403 681 US Adults.

A higher proportion of vigorous physical activity (VPA) to total physical activity is associated with lower all-cause mortality, but not cardiovascular disease or cancer mortality.

United States Life Tables, 2018.

In 2018, life expectancy at birth was 78.7 years for the overall population, 78.6 for non-Hispanic whites, and 74.7 for non-Hispanic blacks.

Effect of exercise training for five years on all cause mortality in older adults—the Generation 100 study: randomised controlled trial

HIIT has a lower all cause mortality trend compared to controls and MICT, but combined MICT and HIIT has no effect on mortality compared to recommended physical activity levels in older adults.

Systematic review of the prospective association of daily step counts with risk of mortality, cardiovascular disease, and dysglycemia

Walking an additional 1000 steps per day can lower the risk of all-cause mortality and cardiovascular disease in adults, with health benefits present below 10,000 steps per day.

Step by step: Association of device‐measured daily steps with all‐cause mortality—A prospective cohort Study

Daily steps measured using a device are associated with a reduced risk of all-cause mortality.

Citations

Physical Exercise as a Therapeutic Approach in Gastrointestinal Diseases

Physical exercise can improve quality of life in gastrointestinal diseases, reduce colorectal cancer risk, and potentially relieve constipation symptoms, but high-intensity exercise may exacerbate symptoms and increase gastrointestinal bleeding.

An Analysis of Young Women University Students’s Physical Activity Levels

Young women university students show 80% compliance with 10,000 steps per day and 220% compliance with 300 minutes of moderate-to-vigorous physical activity per week, with a trend towards higher steps and PA minutes during weekdays and out-of-university time.

Health risk behaviors, depressive symptoms and suicidal ideation among college students: A latent class analysis in middle China.

Different intervention strategies should be customized based on clustering patterns of health risk behaviors to prevent depression and suicide among college students.

Effectiveness of intermittent cash incentives to increase step counts

Intermittent cash incentives significantly increase step counts, making them a viable and cost-effective approach to promoting health behavior.

Associations of step accelerations and cardiometabolic risk markers in early adulthood

Lower physical activity in early adulthood is associated with increased cardiometabolic risk markers, which should be translated into specific recommendations for a healthier lifestyle.

Efficacy of a Wearable Activity Tracker With Step-by-Step Goal-Setting on Older Adults’ Physical Activity and Sarcopenia Indicators: Clustered Trial

A wearable activity tracker with gradual goal-setting effectively improves older adults' physical activity and sarcopenia indicators, promoting behavioral change and preventing sarcopenia.

A Randomized Controlled Trial of Gamification to Increase Physical Activity Among Black and Hispanic Breast and Prostate Cancer Survivors: Rationale and Design of the ALLSTAR Clinical Trial.

Gamification interventions, based on behavioral economic concepts, may be more effective than control treatments in increasing physical activity in Black and Hispanic breast and prostate cancer survivors.

Steps per Day and All-Cause Mortality in Middle-aged Adults in the Coronary Artery Risk Development in Young Adults Study

Sign up to use Study Snapshot

References

Association of Physical Activity Intensity With Mortality: A National Cohort Study of 403 681 US Adults.

A higher proportion of vigorous physical activity (VPA) to total physical activity is associated with lower all-cause mortality, but not cardiovascular disease or cancer mortality.

United States Life Tables, 2018.

In 2018, life expectancy at birth was 78.7 years for the overall population, 78.6 for non-Hispanic whites, and 74.7 for non-Hispanic blacks.

Effect of exercise training for five years on all cause mortality in older adults—the Generation 100 study: randomised controlled trial

HIIT has a lower all cause mortality trend compared to controls and MICT, but combined MICT and HIIT has no effect on mortality compared to recommended physical activity levels in older adults.

Systematic review of the prospective association of daily step counts with risk of mortality, cardiovascular disease, and dysglycemia

Walking an additional 1000 steps per day can lower the risk of all-cause mortality and cardiovascular disease in adults, with health benefits present below 10,000 steps per day.

Step by step: Association of device‐measured daily steps with all‐cause mortality—A prospective cohort Study

Daily steps measured using a device are associated with a reduced risk of all-cause mortality.

Citations

Physical Exercise as a Therapeutic Approach in Gastrointestinal Diseases

Physical exercise can improve quality of life in gastrointestinal diseases, reduce colorectal cancer risk, and potentially relieve constipation symptoms, but high-intensity exercise may exacerbate symptoms and increase gastrointestinal bleeding.

An Analysis of Young Women University Students’s Physical Activity Levels

Young women university students show 80% compliance with 10,000 steps per day and 220% compliance with 300 minutes of moderate-to-vigorous physical activity per week, with a trend towards higher steps and PA minutes during weekdays and out-of-university time.

Health risk behaviors, depressive symptoms and suicidal ideation among college students: A latent class analysis in middle China.

Different intervention strategies should be customized based on clustering patterns of health risk behaviors to prevent depression and suicide among college students.

Effectiveness of intermittent cash incentives to increase step counts

Intermittent cash incentives significantly increase step counts, making them a viable and cost-effective approach to promoting health behavior.

Associations of step accelerations and cardiometabolic risk markers in early adulthood

Lower physical activity in early adulthood is associated with increased cardiometabolic risk markers, which should be translated into specific recommendations for a healthier lifestyle.

Efficacy of a Wearable Activity Tracker With Step-by-Step Goal-Setting on Older Adults’ Physical Activity and Sarcopenia Indicators: Clustered Trial

A wearable activity tracker with gradual goal-setting effectively improves older adults' physical activity and sarcopenia indicators, promoting behavioral change and preventing sarcopenia.

A Randomized Controlled Trial of Gamification to Increase Physical Activity Among Black and Hispanic Breast and Prostate Cancer Survivors: Rationale and Design of the ALLSTAR Clinical Trial.

Gamification interventions, based on behavioral economic concepts, may be more effective than control treatments in increasing physical activity in Black and Hispanic breast and prostate cancer survivors.

Association of Physical Activity Intensity With Mortality: A National Cohort Study of 403 681 US Adults.