Key result
Higher daily step counts and frequent ≥8000-step days are linked to lower metabolic syndrome risk.
Why the study?
Do higher daily step counts and a greater frequency of achieving ≥ 8000 steps/day reduce the prevalence and incidence of metabolic syndrome in middle-aged and older adults?
Observational (n=1,723)
Do higher daily step counts and a greater frequency of achieving ≥ 8000 steps/day reduce the prevalence and incidence of metabolic syndrome in middle-aged and older adults?
Higher total daily step volume is strongly associated with a lower risk of metabolic syndrome, with regular achievement of step thresholds offering additional benefits within specific activity ranges.
BACKGROUND: We examined whether daily step count and the frequency of achieving ≥ 8000 steps/day, independently and in combination, are associated with the prevalence and 5-year incidence of metabolic syndrome (MetS) in middle-aged and older adults. METHODS: Cross-sectional (n = 1723) and 5-year prospective (n = 977) analyses were conducted. Daily steps were recorded over 7 consecutive days at baseline using a pedometer. Average daily steps were classified as < 6000, 6000-7999, 8000-10,000, or > 10,000. Each category was stratified into high- or low-frequency subgroups according to the proportion of days with ≥ 8000 steps. Logistic regression, adjusted for potential confounders, was used to assess associations with MetS. RESULTS: Higher step categories were consistently associated with lower odds of MetS in both cross-sectional and 5-year follow-up analyses (p for trend <0.05). A greater frequency of days achieving ≥ 8000 steps was also associated with lower MetS risk, although this effect diminished after adjustment for average step count. In both cross-sectional and longitudinal analyses, the high-frequency subgroup within the 8000-10,000 steps/day category consistently showed lower odds of MetS than the low-frequency subgroup. CONCLUSION: Total step volume showed a stronger association with MetS than step frequency. Nonetheless, regularly achieving step thresholds may be associated with potential benefits within specific activity ranges.
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Yamamoto et al. (2025) conducted an observational in Metabolic syndrome (n=1,723). Higher daily step count and frequency of achieving ≥ 8000 steps/day vs. Lower step count and lower frequency of achieving ≥ 8000 steps/day was evaluated on Prevalence and 5-year incidence of metabolic syndrome (p=<0.05). Higher daily step counts and greater frequency of achieving ≥8000 steps/day were consistently associated with lower odds of metabolic syndrome (p for trend <0.05).
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