دورية أكاديمية
أعرض في EDS

Step Count, Self-reported Physical Activity, and Predicted 5-Year Risk of Atrial Fibrillation: Cross-sectional Analysis.

التفاصيل البيبلوغرافية
العنوان: Step Count, Self-reported Physical Activity, and Predicted 5-Year Risk of Atrial Fibrillation: Cross-sectional Analysis.
المؤلفون: Shapira-Daniels A; Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States., Kornej J; Boston University's Framingham Heart Study, National Heart, Lung, and Blood Institute, Framingham, MA, United States., Spartano NL; Section of Endocrinology, Diabetes, Nutrition and Weight Management, Department of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States., Wang X; Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States., Zhang Y; Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States., Pathiravasan CH; Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States., Liu C; Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States., Trinquart L; Department of Biostatistics, Boston University School of Public Health, Boston, MA, United States., Borrelli B; Center for Behavioral Science Research, Henry M Goldman School of Dental Medicine, Boston University, Boston, MA, United States., McManus DD; Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, United States.; Department of Quantitative Health Sciences, University of Massachusetts Chan Medical School, Worcester, MA, United States., Murabito JM; Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States.; Boston University's Framingham Heart Study, National Heart, Lung, and Blood Institute, Framingham, MA, United States., Benjamin EJ; Boston University's Framingham Heart Study, National Heart, Lung, and Blood Institute, Framingham, MA, United States.; Department of Epidemiology, Boston University School of Public Health, Boston, MA, United States.; Section of Cardiovascular Medicine, Department of Medicine, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA, United States., Lin H; Boston University's Framingham Heart Study, National Heart, Lung, and Blood Institute, Framingham, MA, United States.; Department of Medicine, University of Massachusetts Chan Medical School, Worcester, MA, United States.
المصدر: Journal of medical Internet research [J Med Internet Res] 2023 Mar 06; Vol. 25, pp. e43123. Date of Electronic Publication: 2023 Mar 06.
نوع المنشور: Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't
اللغة: English
بيانات الدورية: Publisher: JMIR Publications Country of Publication: Canada NLM ID: 100959882 Publication Model: Electronic Cited Medium: Internet ISSN: 1438-8871 (Electronic) Linking ISSN: 14388871 NLM ISO Abbreviation: J Med Internet Res Subsets: MEDLINE
أسماء مطبوعة: Publication: <2011- > : Toronto : JMIR Publications
Original Publication: [Pittsburgh, PA? : s.n., 1999-
مواضيع طبية MeSH: Atrial Fibrillation*/epidemiology, Male ; Female ; Humans ; Middle Aged ; Cross-Sectional Studies ; Self Report ; Genomics ; Obesity
مستخلص: Background: Physical inactivity is a known risk factor for atrial fibrillation (AF). Wearable devices, such as smartwatches, present an opportunity to investigate the relation between daily step count and AF risk.
Objective: The objective of this study was to investigate the association between daily step count and the predicted 5-year risk of AF.
Methods: Participants from the electronic Framingham Heart Study used an Apple smartwatch. Individuals with diagnosed AF were excluded. Daily step count, watch wear time (hours and days), and self-reported physical activity data were collected. Individuals' 5-year risk of AF was estimated, using the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE)-AF score. The relation between daily step count and predicted 5-year AF risk was examined via linear regression, adjusting for age, sex, and wear time. Secondary analyses examined effect modification by sex and obesity (BMI≥30 kg/m 2 ), as well as the relation between self-reported physical activity and predicted 5-year AF risk.
Results: We examined 923 electronic Framingham Heart Study participants (age: mean 53, SD 9 years; female: n=563, 61%) who had a median daily step count of 7227 (IQR 5699-8970). Most participants (n=823, 89.2%) had a <2.5% CHARGE-AF risk. Every 1000 steps were associated with a 0.08% lower CHARGE-AF risk (P<.001). A stronger association was observed in men and individuals with obesity. In contrast, self-reported physical activity was not associated with CHARGE-AF risk.
Conclusions: Higher daily step counts were associated with a lower predicted 5-year risk of AF, and this relation was stronger in men and participants with obesity. The utility of a wearable daily step counter for AF risk reduction merits further investigation.
(©Ayelet Shapira-Daniels, Jelena Kornej, Nicole L Spartano, Xuzhi Wang, Yuankai Zhang, Chathurangi H Pathiravasan, Chunyu Liu, Ludovic Trinquart, Belinda Borrelli, David D McManus, Joanne M Murabito, Emelia J Benjamin, Honghuang Lin. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 06.03.2023.)
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معلومات مُعتمدة: U01 AG068221 United States AG NIA NIH HHS; U54 HL143541 United States HL NHLBI NIH HHS; R01 HL126911 United States HL NHLBI NIH HHS; U54 HL120163 United States HL NHLBI NIH HHS; R01 HL137734 United States HL NHLBI NIH HHS; R01 HL092577 United States HL NHLBI NIH HHS; R01 HL141434 United States HL NHLBI NIH HHS; R01 HL137794 United States HL NHLBI NIH HHS; 75N92019D00031 United States HL NHLBI NIH HHS; R01 AG066010 United States AG NIA NIH HHS
فهرسة مساهمة: Keywords: atrial fibrillation; cardiology; cardiovascular epidemiology; cross-sectional analysis; exercise; fitness; fitness tracker; heart; physical activity; risk; smartwatch; step count; tracker; walk; wearable
تواريخ الأحداث: Date Created: 20230306 Date Completed: 20230308 Latest Revision: 20230701
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10028513
DOI: 10.2196/43123
PMID: 36877540
قاعدة البيانات: MEDLINE
الوصف
تدمد:1438-8871
DOI:10.2196/43123