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Cardiometabolic thresholds for peak 30-min cadence and steps/day

PURPOSE: To provide empirically-supported thresholds for step-based intensity (i.e., peak 30-min cadence; average of the top 30 steps/min in a day) and steps/day in relation to cardiometabolic health outcomes. METHODS: Receiver operating characteristic curve analysis was applied to the National Heal...

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Autores principales: Adams, Bryan, Fidler, Katie, Demoes, Noah, Aguiar, Elroy J., Ducharme, Scott W., McCullough, Aston K., Moore, Christopher C., Tudor-Locke, Catrine, Thomas, Diana
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6677301/
https://www.ncbi.nlm.nih.gov/pubmed/31374078
http://dx.doi.org/10.1371/journal.pone.0219933
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author Adams, Bryan
Fidler, Katie
Demoes, Noah
Aguiar, Elroy J.
Ducharme, Scott W.
McCullough, Aston K.
Moore, Christopher C.
Tudor-Locke, Catrine
Thomas, Diana
author_facet Adams, Bryan
Fidler, Katie
Demoes, Noah
Aguiar, Elroy J.
Ducharme, Scott W.
McCullough, Aston K.
Moore, Christopher C.
Tudor-Locke, Catrine
Thomas, Diana
author_sort Adams, Bryan
collection PubMed
description PURPOSE: To provide empirically-supported thresholds for step-based intensity (i.e., peak 30-min cadence; average of the top 30 steps/min in a day) and steps/day in relation to cardiometabolic health outcomes. METHODS: Receiver operating characteristic curve analysis was applied to the National Health and Nutrition Examination Survey (NHANES) 2005–2006 accelerometer-derived step data to determine steps/day and peak 30-min cadence as risk screening values (i.e., thresholds) for fasting glucose, body mass index, waist circumference, high blood pressure, triglycerides, and HDL cholesterol. Thresholds for peak 30-min cadence and steps/day were derived that, when exceeded, classify the absence of each cardiometabolic risk factor. Additionally, logistic regression models that included the influence of age and smoking were developed using the sample weights, primary sampling units (PSUs), and stratification variables provided by the NHANES survey. Finally, a decision tree analysis was performed to delineate criteria for at-risk versus healthy populations using cadence bands. RESULTS: Peak 30-min cadence thresholds across cardiometabolic outcomes ranged from 66–72 steps/min. Steps/day thresholds ranged from 4325–6192 steps/day. Higher thresholds were observed in men compared to women. In men, higher steps/day thresholds were observed in age ranges of 30–39, while in women, higher thresholds were observed in the age-range 50–59 years. Decision trees for classifying being at low risk for metabolic syndrome contained one risk-free leaf at higher cadence bands, specifically for any time accumulated at ≥120 steps/min. CONCLUSIONS: Minimum thresholds representing absence of cardiometabolic risk range from 4325–6192 steps/day and 66–72 steps/min for peak 30-min cadence. Any time accumulated at ≥120 steps/min was associated with an absence of cardiometabolic risk. Although based on cross-sectional data, these thresholds represent potentially important and clinically interpretable daily physical activity goals.
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spelling pubmed-66773012019-08-06 Cardiometabolic thresholds for peak 30-min cadence and steps/day Adams, Bryan Fidler, Katie Demoes, Noah Aguiar, Elroy J. Ducharme, Scott W. McCullough, Aston K. Moore, Christopher C. Tudor-Locke, Catrine Thomas, Diana PLoS One Research Article PURPOSE: To provide empirically-supported thresholds for step-based intensity (i.e., peak 30-min cadence; average of the top 30 steps/min in a day) and steps/day in relation to cardiometabolic health outcomes. METHODS: Receiver operating characteristic curve analysis was applied to the National Health and Nutrition Examination Survey (NHANES) 2005–2006 accelerometer-derived step data to determine steps/day and peak 30-min cadence as risk screening values (i.e., thresholds) for fasting glucose, body mass index, waist circumference, high blood pressure, triglycerides, and HDL cholesterol. Thresholds for peak 30-min cadence and steps/day were derived that, when exceeded, classify the absence of each cardiometabolic risk factor. Additionally, logistic regression models that included the influence of age and smoking were developed using the sample weights, primary sampling units (PSUs), and stratification variables provided by the NHANES survey. Finally, a decision tree analysis was performed to delineate criteria for at-risk versus healthy populations using cadence bands. RESULTS: Peak 30-min cadence thresholds across cardiometabolic outcomes ranged from 66–72 steps/min. Steps/day thresholds ranged from 4325–6192 steps/day. Higher thresholds were observed in men compared to women. In men, higher steps/day thresholds were observed in age ranges of 30–39, while in women, higher thresholds were observed in the age-range 50–59 years. Decision trees for classifying being at low risk for metabolic syndrome contained one risk-free leaf at higher cadence bands, specifically for any time accumulated at ≥120 steps/min. CONCLUSIONS: Minimum thresholds representing absence of cardiometabolic risk range from 4325–6192 steps/day and 66–72 steps/min for peak 30-min cadence. Any time accumulated at ≥120 steps/min was associated with an absence of cardiometabolic risk. Although based on cross-sectional data, these thresholds represent potentially important and clinically interpretable daily physical activity goals. Public Library of Science 2019-08-02 /pmc/articles/PMC6677301/ /pubmed/31374078 http://dx.doi.org/10.1371/journal.pone.0219933 Text en https://creativecommons.org/publicdomain/zero/1.0/ This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 (https://creativecommons.org/publicdomain/zero/1.0/) public domain dedication.
spellingShingle Research Article
Adams, Bryan
Fidler, Katie
Demoes, Noah
Aguiar, Elroy J.
Ducharme, Scott W.
McCullough, Aston K.
Moore, Christopher C.
Tudor-Locke, Catrine
Thomas, Diana
Cardiometabolic thresholds for peak 30-min cadence and steps/day
title Cardiometabolic thresholds for peak 30-min cadence and steps/day
title_full Cardiometabolic thresholds for peak 30-min cadence and steps/day
title_fullStr Cardiometabolic thresholds for peak 30-min cadence and steps/day
title_full_unstemmed Cardiometabolic thresholds for peak 30-min cadence and steps/day
title_short Cardiometabolic thresholds for peak 30-min cadence and steps/day
title_sort cardiometabolic thresholds for peak 30-min cadence and steps/day
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6677301/
https://www.ncbi.nlm.nih.gov/pubmed/31374078
http://dx.doi.org/10.1371/journal.pone.0219933
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