Association of Smartphone‐Recorded Steps Over Years and Change in Cardiovascular Risk Factors Among Working‐Age Adults
Background Few data exist on long‐term steps and their relation to changes in cardiovascular disease risk factors. We aimed to examine the associations using long‐term smartphone‐recorded steps. Methods and Results The present analysis made use of data from 2 national databases and a commercial app...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-07-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| Subjects: | |
| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.121.025689 |
| _version_ | 1828046264637325312 |
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| author | Rikuta Hamaya Masaki Mori Kuniaki Miyake I‐Min Lee |
| author_facet | Rikuta Hamaya Masaki Mori Kuniaki Miyake I‐Min Lee |
| author_sort | Rikuta Hamaya |
| collection | DOAJ |
| description | Background Few data exist on long‐term steps and their relation to changes in cardiovascular disease risk factors. We aimed to examine the associations using long‐term smartphone‐recorded steps. Methods and Results The present analysis made use of data from 2 national databases and a commercial app database. We evaluated the associations between smartphone‐recorded daily steps over 2 years and 2‐year changes in the cardiovascular disease risk factors. A total of 15 708 participants with mean (SD) age of 44.1 (9.5) and 23.5% women were included. After adjustment for potential confounders, differences in weight were almost linearly associated with 2‐year steps in men (estimate [SE] per 1000 steps/d: −0.33 [0.029] kg), and inversely related only above 5000 steps/d in women (−0.18 [0.054] kg). An inverse linear association with systolic blood pressure was observed in men (−0.34 [0.097] mm Hg) but not in women. Greater steps were associated with change in high‐density lipoprotein cholesterol and triglycerides (0.61 [0.068] and −3.4 [0.61] mg/dL in men; 0.64 [0.17] and −2.3 [0.67] mg/dL in women), while changes in low‐density lipoprotein cholesterol were evident in men only (−0.59 [0.17] mg/dL). A significant negative association with hemoglobin A1c was observed only in women (−0.012 [0.0043] %). Conclusions In a large cohort of Japanese adults, smartphone‐recorded steps over years were associated with beneficial changes in cardiovascular disease risk factors, with some differences between men and women in the associational patterns. The findings support the benefit of long‐term physical activity for cardiovascular disease health and suggest a useful role of smartphone‐recorded steps for monitoring cardiovascular disease risk over the long term. |
| first_indexed | 2024-04-10T18:24:08Z |
| format | Article |
| id | doaj.art-182fece52e2e4551a8f88e9f3ea3e5ac |
| institution | Directory Open Access Journal |
| issn | 2047-9980 |
| language | English |
| last_indexed | 2024-04-10T18:24:08Z |
| publishDate | 2022-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj.art-182fece52e2e4551a8f88e9f3ea3e5ac2023-02-02T06:20:21ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802022-07-01111410.1161/JAHA.121.025689Association of Smartphone‐Recorded Steps Over Years and Change in Cardiovascular Risk Factors Among Working‐Age AdultsRikuta Hamaya0Masaki Mori1Kuniaki Miyake2I‐Min Lee3Division of Preventive Medicine, Department of Medicine Brigham and Women’s Hospital and Harvard Medical School Boston MADeSC Healthcare Inc. Tokyo JapanDeSC Healthcare Inc. Tokyo JapanDivision of Preventive Medicine, Department of Medicine Brigham and Women’s Hospital and Harvard Medical School Boston MABackground Few data exist on long‐term steps and their relation to changes in cardiovascular disease risk factors. We aimed to examine the associations using long‐term smartphone‐recorded steps. Methods and Results The present analysis made use of data from 2 national databases and a commercial app database. We evaluated the associations between smartphone‐recorded daily steps over 2 years and 2‐year changes in the cardiovascular disease risk factors. A total of 15 708 participants with mean (SD) age of 44.1 (9.5) and 23.5% women were included. After adjustment for potential confounders, differences in weight were almost linearly associated with 2‐year steps in men (estimate [SE] per 1000 steps/d: −0.33 [0.029] kg), and inversely related only above 5000 steps/d in women (−0.18 [0.054] kg). An inverse linear association with systolic blood pressure was observed in men (−0.34 [0.097] mm Hg) but not in women. Greater steps were associated with change in high‐density lipoprotein cholesterol and triglycerides (0.61 [0.068] and −3.4 [0.61] mg/dL in men; 0.64 [0.17] and −2.3 [0.67] mg/dL in women), while changes in low‐density lipoprotein cholesterol were evident in men only (−0.59 [0.17] mg/dL). A significant negative association with hemoglobin A1c was observed only in women (−0.012 [0.0043] %). Conclusions In a large cohort of Japanese adults, smartphone‐recorded steps over years were associated with beneficial changes in cardiovascular disease risk factors, with some differences between men and women in the associational patterns. The findings support the benefit of long‐term physical activity for cardiovascular disease health and suggest a useful role of smartphone‐recorded steps for monitoring cardiovascular disease risk over the long term.https://www.ahajournals.org/doi/10.1161/JAHA.121.025689cardiovascular diseaseglucose metabolismmobile healthphysical activitysmartphonestep counts |
| spellingShingle | Rikuta Hamaya Masaki Mori Kuniaki Miyake I‐Min Lee Association of Smartphone‐Recorded Steps Over Years and Change in Cardiovascular Risk Factors Among Working‐Age Adults Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease cardiovascular disease glucose metabolism mobile health physical activity smartphone step counts |
| title | Association of Smartphone‐Recorded Steps Over Years and Change in Cardiovascular Risk Factors Among Working‐Age Adults |
| title_full | Association of Smartphone‐Recorded Steps Over Years and Change in Cardiovascular Risk Factors Among Working‐Age Adults |
| title_fullStr | Association of Smartphone‐Recorded Steps Over Years and Change in Cardiovascular Risk Factors Among Working‐Age Adults |
| title_full_unstemmed | Association of Smartphone‐Recorded Steps Over Years and Change in Cardiovascular Risk Factors Among Working‐Age Adults |
| title_short | Association of Smartphone‐Recorded Steps Over Years and Change in Cardiovascular Risk Factors Among Working‐Age Adults |
| title_sort | association of smartphone recorded steps over years and change in cardiovascular risk factors among working age adults |
| topic | cardiovascular disease glucose metabolism mobile health physical activity smartphone step counts |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.121.025689 |
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