ArticleCirculation research2020
Association of Habitual Physical Activity With Cardiovascular Disease Risk.
Article in Circulation research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it, 74 citations in OpenAlex.
- The COVID-19 Pandemic and Daily Steps in the General Population: Meta-analysis of Observational Studies.JMIR public health and surveillance · 2023Pooled it
- Trial
- Changes in cardiovascular health and physical functioning in non-hospitalized, adult COVID-19 patients after 3 years of follow-up.Physiological reports · 2026Article
- Article
- A digital-health multidomain lifestyle management framework and its associations with cardiometabolic health: a real-world observational study.BMC medicine · 2026Observational
- Machine and Deep Learning for Detection of Moderate-to-Vigorous Physical Activity From Accelerometer Data: Systematic Scoping Review.Interactive journal of medical research · 2026Review
- The association between perceived 15-minute fitness circle accessibility and physical activity in China: the mediating role of informal social support.International journal for equity in health · 2025Article
- Effects of the '10,000 Steps Duesseldorf' intervention promoting physical activity in community-dwelling adults: results of a nonrandomized controlled trial.The international journal of behavioral nutrition and physical activity · 2025Article
- The chain mediating role of interest and physical activity level in the PE teacher autonomy support to primary students' physical and mental health.Scientific reports · 2025Article
- Every 1,000 steps matter: incremental reductions in metabolic syndrome risk in Japanese office workers.Diabetology & metabolic syndrome · 2025Article
- Feasibility pilot of a novel coaching intervention to optimize cannabis use for chronic pain management among Veterans.Journal of cannabis research · 2025Article
- Preventive Effects of Physical Activity on the Development of Atherosclerosis: A Narrative Review.Journal of atherosclerosis and thrombosis · 2025Review
- Associations between physical activity and heart disease among middle-aged and older Chinese adults.Frontiers in cardiovascular medicine · 2025Article
- Associations between wearables vital parameters and self-perceived mood-an ecological momentary assessment study among healthy adolescents.Frontiers in psychology · 2025Article
- The Ultra-Long-Term Sleep study: Design, rationale, data stability and user perspective.Journal of sleep research · 2024Article
- Association of Wearable Device-Measured Step Volume and Variability With Blood Pressure in Older Chinese Adults: Mobile-Based Longitudinal Observational Study.Journal of medical Internet research · 2024Observational
- Agreement Between Apple Watch and Actical Step Counts in a Community Setting: Cross-Sectional Investigation From the Framingham Heart Study.JMIR biomedical engineering · 2024Article
- Joint association of sedentary time and physical activity with abnormal heart rate recovery in young and middle-aged adults.BMC public health · 2024Observational
- Association of Smartwatch-Based Heart Rate and Physical Activity With Cardiorespiratory Fitness Measures in the Community: Cohort Study.Journal of medical Internet research · 2024Article
- Do the associations of daily steps with mortality and incident cardiovascular disease differ by sedentary time levels? A device-based cohort study.British journal of sports medicine · 2024Article
Corrections and comments
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Authors and funding
17 authors at 7 institutions in 4 countries.
Funding
Abstract
rationaleA sedentary lifestyle is associated with increased risk for cardiovascular disease (CVD). Smartwatches enable accurate daily activity monitoring for physical activity measurement and intervention. Few studies, however, have examined physical activity measures from smartwatches in relation to traditional risk factors associated with future risk for CVD.
objectiveTo investigate the association of habitual physical activity measured by smartwatch with predicted CVD risk in adults. METHODS AND
resultsWe enrolled consenting FHS (Framingham Heart Study) participants in an ongoing eFHS (electronic Framingham Heart Study) at the time of their FHS research center examination. We provided participants with a smartwatch (Apple Watch Series 0) and instructed them to wear it daily, which measured their habitual physical activity as the average daily step count. We estimated the 10-year predicted risk of CVD using the American College of Cardiology/American Heart Association 2013 pooled cohort risk equation. We estimated the association between physical activity and predicted risk of CVD using linear mixed effects models adjusting for age, sex, wear time, and familial structure. Our study included 903 eFHS participants (mean age 53±9 years, 61% women, 9% non-White) who wore the smartwatch ≥5 hours per day for ≥30 days. Median daily step count was similar among men (7202 with interquartile range 3619) and women (7260 with interquartile range 3068;
conclusionsIn this community-based sample of adults, higher daily physical activity measured by a study smartwatch was associated with lower predicted risk of CVD. Future research should examine the longitudinal association of prospectively measured daily activity and incident CVD.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.