{"title":"每日步数与健康寿命之间的关系:日本一项全国性横断面研究","authors":"Masahiro Nishi, Reo Nagamitsu, Satoaki Matoba","doi":"10.1136/bmjhci-2024-101051","DOIUrl":null,"url":null,"abstract":"Background Despite accumulating evidence concerning the association between daily step counts and mortality or disease risks, it is unclear whether daily step counts are associated with healthy life years. Methods We used the combined dataset of the Comprehensive Survey of Living Conditions and the National Health and Nutrition Survey conducted for a randomly sampled general population in Japan, 2019. Daily step counts were measured for 4957 adult participants. The associations of daily step counts with activity limitations in daily living and self-assessed health were evaluated using a multivariable logistic regression model. The bootstrap method was employed to mitigate uncertainties in estimating the threshold of daily step counts. Results The median age was 60 (44–71) years, and 2592 (52.3%) were female. The median daily step counts were 5650 (3332–8452). The adjusted OR of activity limitations in daily living for the adjacent daily step counts was 0.27 (95% CI 0.26 to 0.27) for all ages and 0.25 (95% CI 0.25 to 0.26) for older adults at the lowest, with the thresholds of significant association at 9000 step counts. The OR of self-assessed unhealthy status was 0.45 (95% CI 0.44 to 0.46) for all ages and 0.42 (95% CI 0.41 to 0.43) for older adults at the lowest, with the thresholds at 11 000 step counts. Conclusion Daily step counts were significantly associated with activity limitations in daily living and self-assessed health as determinants of healthy life years, up to 9000 and 11 000 step counts, respectively. These results suggest a target of daily step counts to prolong healthy life years within health initiatives. Data may be obtained from a third party and are not publicly available. We are prohibited from publicly opening the data. Data can be accessed through the Household Statistics Office of the Japanese Ministry of Health, Labour and Welfare (<https://www.mhlw.go.jp/toukei/itiran/eiyaku.html>).","PeriodicalId":9050,"journal":{"name":"BMJ Health & Care Informatics","volume":null,"pages":null},"PeriodicalIF":4.1000,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Association between daily step counts and healthy life years: a national cross-sectional study in Japan\",\"authors\":\"Masahiro Nishi, Reo Nagamitsu, Satoaki Matoba\",\"doi\":\"10.1136/bmjhci-2024-101051\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background Despite accumulating evidence concerning the association between daily step counts and mortality or disease risks, it is unclear whether daily step counts are associated with healthy life years. Methods We used the combined dataset of the Comprehensive Survey of Living Conditions and the National Health and Nutrition Survey conducted for a randomly sampled general population in Japan, 2019. Daily step counts were measured for 4957 adult participants. The associations of daily step counts with activity limitations in daily living and self-assessed health were evaluated using a multivariable logistic regression model. The bootstrap method was employed to mitigate uncertainties in estimating the threshold of daily step counts. Results The median age was 60 (44–71) years, and 2592 (52.3%) were female. The median daily step counts were 5650 (3332–8452). The adjusted OR of activity limitations in daily living for the adjacent daily step counts was 0.27 (95% CI 0.26 to 0.27) for all ages and 0.25 (95% CI 0.25 to 0.26) for older adults at the lowest, with the thresholds of significant association at 9000 step counts. The OR of self-assessed unhealthy status was 0.45 (95% CI 0.44 to 0.46) for all ages and 0.42 (95% CI 0.41 to 0.43) for older adults at the lowest, with the thresholds at 11 000 step counts. Conclusion Daily step counts were significantly associated with activity limitations in daily living and self-assessed health as determinants of healthy life years, up to 9000 and 11 000 step counts, respectively. These results suggest a target of daily step counts to prolong healthy life years within health initiatives. Data may be obtained from a third party and are not publicly available. We are prohibited from publicly opening the data. Data can be accessed through the Household Statistics Office of the Japanese Ministry of Health, Labour and Welfare (<https://www.mhlw.go.jp/toukei/itiran/eiyaku.html>).\",\"PeriodicalId\":9050,\"journal\":{\"name\":\"BMJ Health & Care Informatics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":4.1000,\"publicationDate\":\"2024-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"BMJ Health & Care Informatics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1136/bmjhci-2024-101051\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"HEALTH CARE SCIENCES & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Health & Care Informatics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1136/bmjhci-2024-101051","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
摘要
背景 尽管有越来越多的证据表明每天的步数与死亡率或疾病风险有关,但每天的步数是否与健康寿命有关尚不清楚。方法 我们使用了 2019 年在日本对随机抽样的普通人群进行的 "生活状况综合调查 "和 "国民健康与营养调查 "的合并数据集。对 4957 名成年参与者的每日步数进行了测量。使用多变量逻辑回归模型评估了每日步数与日常生活活动限制和自我评估健康状况之间的关系。在估算每日步数阈值时,采用了引导法来减少不确定性。结果 年龄中位数为 60(44-71)岁,2592 人(52.3%)为女性。每日步数中位数为 5650 步(3332-8452 步)。在所有年龄组中,相邻日步数的日常生活活动受限调整 OR 值为 0.27(95% CI 0.26 至 0.27),在最低年龄组中,老年人的调整 OR 值为 0.25(95% CI 0.25 至 0.26),在 9000 步时达到显著关联的临界值。所有年龄段的自我评估不健康状态的OR值为0.45(95% CI 0.44至0.46),最低的老年人为0.42(95% CI 0.41至0.43),临界值为11000步。结论 每日步数与日常生活中的活动限制和作为健康寿命年数决定因素的自我健康评估有显著相关性,分别达到 9000 步和 11000 步。这些结果表明,每日步数是健康计划中延长健康寿命的目标。数据可能来自第三方,不对外公开。我们不得公开这些数据。数据可通过日本厚生劳动省家庭统计办公室()获取。
Association between daily step counts and healthy life years: a national cross-sectional study in Japan
Background Despite accumulating evidence concerning the association between daily step counts and mortality or disease risks, it is unclear whether daily step counts are associated with healthy life years. Methods We used the combined dataset of the Comprehensive Survey of Living Conditions and the National Health and Nutrition Survey conducted for a randomly sampled general population in Japan, 2019. Daily step counts were measured for 4957 adult participants. The associations of daily step counts with activity limitations in daily living and self-assessed health were evaluated using a multivariable logistic regression model. The bootstrap method was employed to mitigate uncertainties in estimating the threshold of daily step counts. Results The median age was 60 (44–71) years, and 2592 (52.3%) were female. The median daily step counts were 5650 (3332–8452). The adjusted OR of activity limitations in daily living for the adjacent daily step counts was 0.27 (95% CI 0.26 to 0.27) for all ages and 0.25 (95% CI 0.25 to 0.26) for older adults at the lowest, with the thresholds of significant association at 9000 step counts. The OR of self-assessed unhealthy status was 0.45 (95% CI 0.44 to 0.46) for all ages and 0.42 (95% CI 0.41 to 0.43) for older adults at the lowest, with the thresholds at 11 000 step counts. Conclusion Daily step counts were significantly associated with activity limitations in daily living and self-assessed health as determinants of healthy life years, up to 9000 and 11 000 step counts, respectively. These results suggest a target of daily step counts to prolong healthy life years within health initiatives. Data may be obtained from a third party and are not publicly available. We are prohibited from publicly opening the data. Data can be accessed through the Household Statistics Office of the Japanese Ministry of Health, Labour and Welfare ().