Step count and multiple health outcomes: An umbrella review

IF 3.6 2区医学 Q1 MEDICINE, GENERAL & INTERNAL

Journal of Evidence‐Based Medicine Pub Date : 2024-04-02 DOI:10.1111/jebm.12596

Zhimin Ao, Hongbo He, Hongxia Shi, Hong Liu

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引用次数: 0

Abstract

Objective

This study aimed to quantify the association between step count and multiple health outcomes in a healthy population.

Methods

PubMed, Embase, Web of Science, and The Cochrane Library were systematically searched for systematic reviews and meta-analyses from inception to April 1, 2022. Literature screening, data extraction, and data analysis were performed in this umbrella review. The intervention factor was daily step counts measured based on devices. Multiple health outcomes included metabolic diseases, cardiovascular diseases, all-cause mortality, and other outcomes in the healthy population.

Results

Twenty studies with 94 outcomes were identified in this umbrella review. The increase in daily step count contributed to a range of human health outcomes. Furthermore, the special population, different age groups, countries, and cohorts should be carefully considered. Negative correlation between step counts and the following outcomes: metabolic outcomes, cardiovascular diseases, all-cause mortality, postural balance, cognitive function, and mental health. However, there was no association between participation in the outdoor walking group and the improvement of systolic blood pressure and diastolic blood pressure. Analysis of the dose–response association between increasing daily step count and the risk of cardiovascular disease events and all-cause mortality showed a substantially linear relationship.

Conclusion

A wide range of health outcomes can benefit from the right number of steps.

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步数与多种健康结果：综述

方法系统检索了PubMed、Embase、Web of Science 和 Cochrane 图书馆从开始到 2022 年 4 月 1 日的系统综述和荟萃分析。本综述进行了文献筛选、数据提取和数据分析。干预因素是根据设备测量的每日步数。多种健康结果包括代谢性疾病、心血管疾病、全因死亡率以及健康人群的其他结果。每日步数的增加有助于改善一系列人类健康状况。此外，还应仔细考虑特殊人群、不同年龄组、国家和队列。步数与以下结果呈负相关：代谢结果、心血管疾病、全因死亡率、姿势平衡、认知功能和心理健康。不过，参加户外步行组与收缩压和舒张压的改善之间没有关联。对每天增加步数与心血管疾病事件和全因死亡风险之间的剂量-反应关系进行的分析表明，两者之间基本上呈线性关系。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Evidence‐Based Medicine MEDICINE, GENERAL & INTERNAL-

CiteScore

11.20

自引率

1.40%

发文量

期刊介绍： The Journal of Evidence-Based Medicine (EMB) is an esteemed international healthcare and medical decision-making journal, dedicated to publishing groundbreaking research outcomes in evidence-based decision-making, research, practice, and education. Serving as the official English-language journal of the Cochrane China Centre and West China Hospital of Sichuan University, we eagerly welcome editorials, commentaries, and systematic reviews encompassing various topics such as clinical trials, policy, drug and patient safety, education, and knowledge translation.