Evidence map›Paper›PMID 35288490›Full record

ArticleEnvironmental health and preventive medicine2022

Stair climbing and incident atrial fibrillation: a prospective cohort study.

Ahmed Arafa, Yoshihiro Kokubo, Keiko Shimamoto, Rena Kashima, Emi Watanabe, Yukie Sakai, Jiaqi Li, Masayuki Teramoto, Haytham A Sheerah, Kengo Kusano

Open access · goldAbstract read
In one paragraph

Article in Environmental health and preventive medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
2.8field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Evaluating the Impact of Stair Climbing on Cardiovascular Risk Reduction: A Systematic Review and Meta-analysis.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026
    Pooled it
  2. Pooled it
  3. Article
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  5. Article
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  7. New 2019 JSH guidelines and the risk of incident cardiovascular disease: The Suita Study.Hypertension research : official journal of the Japanese Society of Hypertension · 2023
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 3 countries.

Ahmed ArafaDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Yoshihiro KokuboDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Keiko ShimamotoDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center.
Rena KashimaDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Emi WatanabeDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Yukie SakaiDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Jiaqi LiDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Masayuki TeramotoDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Haytham A SheerahDepartment of Preventive Cardiology, National Cerebral and Cardiovascular Center.
Kengo KusanoDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular Center.
National Cerebral and Cardiovascular Center · JPOsaka University · JPPublic Health Department · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA protective role for physical activity against the development of atrial fibrillation (AF) has been suggested. Stair climbing is a readily available form of physical activity that many people practice. Herein, we investigated the association between stair climbing and the risk of AF in a Japanese population.

methodsIn this prospective cohort study, we used data of 6,575 people registered in the Suita Study, aged 30-84 years, and had no history of AF. The frequency of stair climbing was assessed by a baseline questionnaire, while AF was diagnosed during the follow-up using a 12-lead ECG, health records, check-ups, and death certificates. We used the Cox regression to calculate the hazard ratios and 95% confidence intervals of AF incidence for climbing stairs in 20-39%, 40-59%, and ≥60% compared with <20% of the time.

resultsWithin 91,389 person-years of follow-up, 295 participants developed AF. The incidence of AF was distributed across the stair climbing groups <20%, 20-39%, 40-59%, and ≥60% as follows: 3.57, 3.27, 3.46, and 2.63/1,000 person-years, respectively. Stair climbing ≥60% of the time was associated with a reduced risk of AF after adjustment for age and sex 0.69 (0.49, 0.96). Further adjustment for lifestyle and medical history did not affect the results 0.69 (0.49, 0.98).

conclusionFrequent stair climbing could protect from AF. From a preventive point of view, stair climbing could be a simple way to reduce AF risk at the population level.

Indexed as

Atrial FibrillationStair ClimbingAdultAgedAged, 80 and overHumansIncidenceMiddle AgedProspective StudiesRisk FactorsAtrial fibrillationJapanProspective studiesStair climbing

Identifiers

PMID35288490
PMCPMC9093618
OpenAlexW4214931175

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.