Associations of daily step count with all-cause mortality and cardiovascular mortality in hypertensive US adults: a cohort study from NHANES 2005–2006
Abstract Background The health benefits of physical activity, including walking, are well-established, but the relationship between daily step count and mortality in hypertensive populations remains underexplored. This study investigates the association between daily step count and both all-cause an...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2025-01-01
|
| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-024-21216-y |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1841544212627062784 |
|---|---|
| author | Tuo Guo Yang Zhou Guifang Yang Aifang Zhong Xiaogao Pan Yuting Pu Michael Simons Lijuan Sheng Xiangping Chai |
| author_facet | Tuo Guo Yang Zhou Guifang Yang Aifang Zhong Xiaogao Pan Yuting Pu Michael Simons Lijuan Sheng Xiangping Chai |
| author_sort | Tuo Guo |
| collection | DOAJ |
| description | Abstract Background The health benefits of physical activity, including walking, are well-established, but the relationship between daily step count and mortality in hypertensive populations remains underexplored. This study investigates the association between daily step count and both all-cause and cardiovascular mortality in hypertensive American adults. Methods We used data from the National Health and Nutrition Examination Survey 2005–2006, including 1,629 hypertensive participants with accelerometer-measured step counts. Cox proportional hazards models and restricted cubic spline regression were employed to assess the associations between daily step count and mortality outcomes. Analyses were adjusted for demographics, lifestyle factors, and comorbidities. Results Over an average follow-up of 12.57 years, 370 deaths occurred, of which 177 were due to cardiovascular causes. We observed non-linear associations between daily step count and mortality. Mortality risks were significantly reduced with step counts to 8,250 steps/day for all-cause mortality and 9,700 steps/day for cardiovascular mortality. Beyond these thresholds, the benefits plateaued. Conclusion Increasing daily step count is associated with reduced all-cause and cardiovascular mortality in hypertensive individuals, with optimal benefits observed below 8,250 and 9,700 daily steps, respectively. Moderate levels of physical activity provide substantial health benefits, highlighting the importance of setting realistic and attainable activity goals for hypertensive populations. |
| format | Article |
| id | doaj-art-c04d5703fda4434baa92b0bb6dc34d04 |
| institution | Kabale University |
| issn | 1471-2458 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj-art-c04d5703fda4434baa92b0bb6dc34d042025-01-12T12:42:59ZengBMCBMC Public Health1471-24582025-01-0125111210.1186/s12889-024-21216-yAssociations of daily step count with all-cause mortality and cardiovascular mortality in hypertensive US adults: a cohort study from NHANES 2005–2006Tuo Guo0Yang Zhou1Guifang Yang2Aifang Zhong3Xiaogao Pan4Yuting Pu5Michael Simons6Lijuan Sheng7Xiangping Chai8Department of Emergency Medicine, The Second Xiangya Hospital, Central South UniversityDepartment of Intensive Care Unit, The Second Xiangya Hospital, Central South UniversityDepartment of Emergency Medicine, The Second Xiangya Hospital, Central South UniversityDepartment of Emergency Medicine, The Second Xiangya Hospital, Central South UniversityDepartment of Emergency Medicine, The Second Xiangya Hospital, Central South UniversityDepartment of Emergency Medicine, The Second Xiangya Hospital, Central South UniversityYale Cardiovascular Research Center, Yale University School of MedicineClinical Nursing Teaching and Research Section, The Second Xiangya Hospital, Central South UniversityDepartment of Emergency Medicine, The Second Xiangya Hospital, Central South UniversityAbstract Background The health benefits of physical activity, including walking, are well-established, but the relationship between daily step count and mortality in hypertensive populations remains underexplored. This study investigates the association between daily step count and both all-cause and cardiovascular mortality in hypertensive American adults. Methods We used data from the National Health and Nutrition Examination Survey 2005–2006, including 1,629 hypertensive participants with accelerometer-measured step counts. Cox proportional hazards models and restricted cubic spline regression were employed to assess the associations between daily step count and mortality outcomes. Analyses were adjusted for demographics, lifestyle factors, and comorbidities. Results Over an average follow-up of 12.57 years, 370 deaths occurred, of which 177 were due to cardiovascular causes. We observed non-linear associations between daily step count and mortality. Mortality risks were significantly reduced with step counts to 8,250 steps/day for all-cause mortality and 9,700 steps/day for cardiovascular mortality. Beyond these thresholds, the benefits plateaued. Conclusion Increasing daily step count is associated with reduced all-cause and cardiovascular mortality in hypertensive individuals, with optimal benefits observed below 8,250 and 9,700 daily steps, respectively. Moderate levels of physical activity provide substantial health benefits, highlighting the importance of setting realistic and attainable activity goals for hypertensive populations.https://doi.org/10.1186/s12889-024-21216-yHypertensionDaily step countMortalityNHANES |
| spellingShingle | Tuo Guo Yang Zhou Guifang Yang Aifang Zhong Xiaogao Pan Yuting Pu Michael Simons Lijuan Sheng Xiangping Chai Associations of daily step count with all-cause mortality and cardiovascular mortality in hypertensive US adults: a cohort study from NHANES 2005–2006 BMC Public Health Hypertension Daily step count Mortality NHANES |
| title | Associations of daily step count with all-cause mortality and cardiovascular mortality in hypertensive US adults: a cohort study from NHANES 2005–2006 |
| title_full | Associations of daily step count with all-cause mortality and cardiovascular mortality in hypertensive US adults: a cohort study from NHANES 2005–2006 |
| title_fullStr | Associations of daily step count with all-cause mortality and cardiovascular mortality in hypertensive US adults: a cohort study from NHANES 2005–2006 |
| title_full_unstemmed | Associations of daily step count with all-cause mortality and cardiovascular mortality in hypertensive US adults: a cohort study from NHANES 2005–2006 |
| title_short | Associations of daily step count with all-cause mortality and cardiovascular mortality in hypertensive US adults: a cohort study from NHANES 2005–2006 |
| title_sort | associations of daily step count with all cause mortality and cardiovascular mortality in hypertensive us adults a cohort study from nhanes 2005 2006 |
| topic | Hypertension Daily step count Mortality NHANES |
| url | https://doi.org/10.1186/s12889-024-21216-y |
| work_keys_str_mv | AT tuoguo associationsofdailystepcountwithallcausemortalityandcardiovascularmortalityinhypertensiveusadultsacohortstudyfromnhanes20052006 AT yangzhou associationsofdailystepcountwithallcausemortalityandcardiovascularmortalityinhypertensiveusadultsacohortstudyfromnhanes20052006 AT guifangyang associationsofdailystepcountwithallcausemortalityandcardiovascularmortalityinhypertensiveusadultsacohortstudyfromnhanes20052006 AT aifangzhong associationsofdailystepcountwithallcausemortalityandcardiovascularmortalityinhypertensiveusadultsacohortstudyfromnhanes20052006 AT xiaogaopan associationsofdailystepcountwithallcausemortalityandcardiovascularmortalityinhypertensiveusadultsacohortstudyfromnhanes20052006 AT yutingpu associationsofdailystepcountwithallcausemortalityandcardiovascularmortalityinhypertensiveusadultsacohortstudyfromnhanes20052006 AT michaelsimons associationsofdailystepcountwithallcausemortalityandcardiovascularmortalityinhypertensiveusadultsacohortstudyfromnhanes20052006 AT lijuansheng associationsofdailystepcountwithallcausemortalityandcardiovascularmortalityinhypertensiveusadultsacohortstudyfromnhanes20052006 AT xiangpingchai associationsofdailystepcountwithallcausemortalityandcardiovascularmortalityinhypertensiveusadultsacohortstudyfromnhanes20052006 |