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Volume and Intensity of Stepping Activity and Cardiometabolic Risk Factors in a Multi-ethnic Asian Population

Author

Listed:
  • Jennifer Sumner

    (Yong Loo Lin School of Medicine, National University of Singapore, Singapore 119077, Singapore
    Medical Affairs—Research Innovation & Enterprise, Alexandra Hospital, National University Health System, Singapore 117549, Singapore
    Department of Health Sciences, University of York, York YO10 5DD, UK)

  • Léonie Uijtdewilligen

    (Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore)

  • Anne Chu Hin Yee

    (Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore)

  • Sheryl Ng Hui Xian

    (Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore)

  • Tiago V Barreira

    (Department of Exercise Science, School of Education, Syracuse University, Syracuse, NY 13244, USA)

  • Robert Alan Sloan

    (Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima 890-8544, Japan)

  • Rob M Van Dam

    (Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore)

  • Falk Müller-Riemenschneider

    (Saw Swee Hock School of Public Health, National University of Singapore and National University Health System, Singapore 117549, Singapore
    Institute for Social Medicine, Epidemiology and Health Economics, Charite University Medical Centre, 10117 Berlin, Germany)

Abstract

The health benefits of objectively measured physical activity volume versus intensity have rarely been studied, particularly in non-western populations. The aim of this study was to investigate the association between cardiometabolic risk factors and stepping activity including; volume (step count), intensity (cadence) or inactivity (zero-steps/minute/day), in a multi-ethnic Asian population. Participants clinical data was collected at baseline and their physical activity was monitored for seven days, using an accelerometer (Actigraph GT3X+) in 2016. Tertiles (low, moderate, high) of the mean daily step count, peak one-minute, 30-min, 60-min cadences and time/day spent at zero-steps/minute were calculated. Adjusted linear regressions explored the association between stepping activity tertiles and cardiometabolic risk factors. A total of 635 participants (41% male, 67% Chinese, mean age 48.4 years) were included in the analyses. The mean daily step count was 7605 (median daily step count 7310) and 7.8 h of awake time per day were spent inactive (zero-steps/minute). A greater number of associations were found for step intensity than volume. Higher step intensity was associated with reduced body mass index (BMI), waist circumference, blood pressures and higher high-density lipoprotein (HDL). Future health promotion initiatives should consider the greater role of step intensity to reduce cardiometabolic risk.

Suggested Citation

  • Jennifer Sumner & Léonie Uijtdewilligen & Anne Chu Hin Yee & Sheryl Ng Hui Xian & Tiago V Barreira & Robert Alan Sloan & Rob M Van Dam & Falk Müller-Riemenschneider, 2020. "Volume and Intensity of Stepping Activity and Cardiometabolic Risk Factors in a Multi-ethnic Asian Population," IJERPH, MDPI, vol. 17(3), pages 1-12, January.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:3:p:863-:d:314373
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    Cited by:

    1. Falk Müller-Riemenschneider & Yueheng Hong & Kristin Hui Xian Tan & Rob M. van Dam & Léonie Uijtdewilligen, 2020. "The Association of Different Types of Leisure Time Physical Activities with Cardiometabolic Outcomes in Singapore—Findings from the Multi-Ethnic Cohort Study," IJERPH, MDPI, vol. 17(23), pages 1-15, December.

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