ArticleJournal of the American Geriatrics Society2020
Objectively Measured Daily Step Counts and Prevalence of Frailty in 3,616 Older Adults.
Article in Journal of the American Geriatrics Society, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers.
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Who cites it
41 citing papers in PubMed, 66 citations in OpenAlex.
- A high intensity vs. casual speed walking intervention to reverse frailty among older adults: a cluster randomized controlled trial.PloS one · 2026Trial
- Walking cadence as a measure of activity intensity and impact on functional capacity for prefrail and frail older adults.PloS one · 2025Trial
- Impact of Frailty on Gait Speed Improvements in Home Health after Hospital Discharge: Secondary Analysis of Two Randomized Controlled Trials.The Journal of frailty & aging · 2024Trial
- Short-term changes in frailty status and associated factors over 3 months of multidisciplinary outpatient care in older adults.Journal of physical therapy science · 2026Article
- Daily Step Count Is Associated with Frailty Status in Veterans Presenting for Major Operations.Geriatrics (Basel, Switzerland) · 2026Article
- Multidimensional frailty assessment integrating physical, mental and oral health: a multicentric study.BMC oral health · 2026Observational
- Limitations of Daily Step Count for Assessing Health in Older Adults: The Need to Consider Walking Intensity.Epidemiologia (Basel, Switzerland) · 2026Article
- Relationship between 24-h movement behaviors and frailty-a scoping review.Frontiers in public health · 2026Article
- Assessment of Frailty in Community-Dwelling Older Adults Using Smartphone-Based Digital Lifelogging: A Multi-Center, Prospective Observational Study.Sensors (Basel, Switzerland) · 2025Observational
- Normative percentile curves of accelerometer-measured daily step counts in Korean older adults.Physical activity and nutrition · 2025Article
- Daily Steps After Hip Fracture in Older Adults and Their Relationship with Functional Recovery.Journal of clinical medicine · 2025Article
- Association of the interaction between daily step counts and frailty with disability in older adults.GeroScience · 2025Article
- Associations of neighbourhood walkability with patterns of device-measured stepping, standing and sitting.The international journal of behavioral nutrition and physical activity · 2025Article
- Older adults' Internet use behavior and its association with accelerometer-derived physical activity.Frontiers in public health · 2025Article
- Skeletal Muscle Mass and Physical Function during Neoadjuvant Therapy for Pancreatic Cancer: A Multimodal Prehabilitation Approach.Progress in rehabilitation medicine · 2025Article
- Article
- Dose-response relationship between physical activity and frailty: A systematic review and meta-analysis.Heliyon · 2024Article
- Prevalence and associated factors of frailty in patients with chronic kidney disease: a cross-sectional analysis of PEAKING study.International urology and nephrology · 2024Article
- Association between doubly labelled water-calibrated energy intake and objectively measured physical activity with mortality risk in older adults.The international journal of behavioral nutrition and physical activity · 2023Article
- Use of a wearable accelerometer to evaluate physical frailty in people receiving haemodialysis.BMC nephrology · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesAlthough previous studies have reported lower mortality and morbidity in people with higher daily step counts, the association between frailty and objectively measured step counts has not been evaluated well. We investigated the association between step counts and prevalence of frailty in community-dwelling older adults.
designA cross-sectional study.
settingThe Kyoto-Kameoka study in Japan.
participantsWe used data of 3,616 Japanese older adults, aged 65 years or older, with valid daily step count data, obtained by an accelerometer-based pedometer. MEASUREMENTS: The step count during 4 or more days was objectively obtained by a validated triaxial accelerometer. Participants were classified by quartiles (Qs) based on their step counts. Frailty was defined using the Fried phenotype (FP) model and the Kihon Checklist (KCL). We evaluated the association between prevalence of frailty and step counts using multivariate logistic regression and the restricted cubic spline model.
resultsMean step counts across low-to-high Qs of distribution were 1,759, 2,988, 4,377, and 7,200 steps/day, respectively. The prevalence of frailty, as defined by the FP model and KCL, was 11.3% and 26.8%, respectively. After adjusting for confounders, there was a negative association between the odds ratio (OR) and prevalence of frailty, as defined by the FP model among people with higher step counts (Q1: reference; Q2: OR = 0.73; 95% confidence interval (CI) = 0.56-0.96; Q3: OR = 0.56; 95% CI = 0.42-0.76; and Q4: OR = 0.41; 95% CI = 0.30-0.57; P for trend <.001). The mean step count of the population was 4,081. The OR of frailty for a 1,000-steps/day increment was 0.74 (95% CI = 0.58-0.91) and 0.85 (95% CI = 0.72-0.97) below 4,000 steps and above 4,000 steps, respectively. In the spline model, this relationship was similar between the FP model and KCL.
conclusionThese findings suggest that slightly increasing the current step count, as by 1,000 steps/day (about 10 minutes of activity), may potentially prevent frailty. J Am Geriatr Soc 68:2310-2318, 2020.
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