ArticleJournal of sport and health science2022
Association of accelerometer-derived step volume and intensity with hospitalizations and mortality in older adults: A prospective cohort study.
Article in Journal of sport and health science, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 3 of them syntheses that pooled it.
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Who cites it
26 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- How to Keep the Balance between Red and Processed Meat Intake and Physical Activity Regarding Mortality: A Dose-Response Meta-Analysis.Nutrients · 2023Pooled it
- Daily steps and all-cause mortality: a meta-analysis of 15 international cohorts.The Lancet. Public health · 2022Pooled it
- The relationships between step count and all-cause mortality and cardiovascular events: A dose-response meta-analysis.Journal of sport and health science · 2021Pooled it
- Physical health outcomes and step cadence improvements: a digital physical activity intervention in cancer survivors.JNCI cancer spectrum · 2025Trial
- Limitations of Daily Step Count for Assessing Health in Older Adults: The Need to Consider Walking Intensity.Epidemiologia (Basel, Switzerland) · 2026Article
- Association between sedentary behavior and daily step count with physical performance of community-dwelling older adults participating in an exercise program interrupted by the COVID-19 pandemic: a cross-sectional study in Brazil.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologicas · 2026Article
- Associations between within-day step accumulation pattern and clinical measures of physical function: a change-for-change analysis of longitudinal data in community-dwelling older adults.The international journal of behavioral nutrition and physical activity · 2025Article
- App-Recorded Daily Step Counts, Sex Differences, and Risk of Cardiovascular Outcomes Among Middle-Aged Population.Journal of the American Heart Association · 2025Article
- Association of daily step counts and intensity in obesity among older Chinese women: a cross-sectional study.BMC public health · 2025Article
- Isotemporal Substitution Effect of 24-h Movement Behaviors on Well-Being, Cognition, and BMI Among Older Adults.Journal of clinical medicine · 2025Article
- Goal setting for WHO guideline adherence: accelerometer steps/day translation of moderate-to-vigorous physical activity in older adults.Frontiers in public health · 2025Article
- Relationship between activity and sleep, as measured through a wearable accelerometer, and appropriate cardioverter defibrillator interventions: a prospective SafeHeart substudy.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 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
- Cross-sectional associations between patterns and composition of upright and stepping events with physical function: insights from The Maastricht Study.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024Article
- Association between daily step counts and healthy life years: a national cross-sectional study in Japan.BMJ health & care informatics · 2024Article
- Dose-response associations, physical activity intensity and mortality risk: A narrative review.Journal of sport and health science · 2024Review
- Is Cognitive Reserve a Determinant of Functional and Mental Health in Older People of the Sardinian Blue Zone? A Mediational Approach.The Psychiatric quarterly · 2023Article
- Women with metastatic breast cancer don't just follow step-count trends, they exceed them: an exploratory study.Breast cancer research and treatment · 2023Article
- The Analytical and Clinical Validity of the pfSTEP Digital Biomarker of the Susceptibility/Risk of Declining Physical Function in Community-Dwelling Older Adults.Sensors (Basel, Switzerland) · 2023Article
- Ambulatory Activity and Risk of Premature Mortality Among Young and Middle-aged American Indian Individuals.JAMA network open · 2023Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThis study aimed to examine the associations of accelerometer-derived steps volume and intensity with hospitalizations and all-cause mortality in older adults.
methodsThis prospective cohort study involved 768 community-dwelling Spanish older adults (78.8 ± 4.9 years, mean ± SD; 53.9% females) from the Toledo Study for Healthy Aging (2012-2017). The number of steps per day and step cadence (steps/min) were derived from a hip-mounted accelerometer worn for at least 4 days at baseline. Participants were followed-up over a mean period of 3.1 years for hospitalization and 5.7 years for all-cause mortality. Cox proportional hazards regression models were used to estimate the individual and joint associations between daily steps and stepping intensity with hospitalizations and all-cause mortality.
resultsIncluded participants walked 5835 ± 3445 steps/day with an intensity of 7.3 ± 4.1 steps/min. After adjusting for age, sex, body mass index (BMI), education, income, marital status and comorbidities, higher step count (hazard ratio (HR) = 0.95, 95% confidence interval (95%CI: 0.90-1.00, and HR = 0.87, 95%CI: 0.81-0.95 per additional 1000 steps) and higher step intensity (HR = 0.95, 95%CI: 0.91-0.99, and HR = 0.89, 95%CI: 0.84-0.95 per each additional step/min) were associated with fewer hospitalizations and all-cause mortality risk, respectively. Compared to the group having low step volume and intensity, individuals in the group having high step volume and intensity had a lower risk of hospitalization (HR = 0.72, 95%CI: 0.52-0.98) and all-cause mortality (HR = 0.60, 95%CI: 0.37-0.98).
conclusionAmong older adults, both high step volume and step intensity were significantly associated with lower hospitalization and all-cause mortality risk. Increasing step volume and intensity may benefit older people.
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