Ann Geriatr Med Res.  2024 Mar;28(1):101-109. 10.4235/agmr.23.0161.

Daily Step Count and its Association with Arterial Stiffness Parameters in Older Adults

Affiliations
  • 1Chulabhorn International College of Medicine, Thammasat University, Pathum Thani, Thailand
  • 2Department of Physical Therapy, Faculty of Allied Health Sciences, Chulalongkorn University, Bangkok, Thailand
  • 3Division of Health and Applied Sciences, Faculty of Science, Prince of Songkla University, Songkhla, Thailand
  • 4Department of Physical Therapy, Faculty of Medicine, Prince of Songkla University, Songkhla, Thailand
  • 5Department of Basic Medical Science, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand

Abstract

Background
Daily step count is a simple parameter for assessing physical activity. However, the potential advantages of setting daily step goals below the traditional 10,000-step threshold remain unclear. The cross-sectional study aimed to determine the relationship between daily step counts and arterial stiffness outcomes in older individuals.
Methods
Forty-eight older adults recorded their daily step counts over a 7-day period using a pedometer. The participants were classified into two groups based on their daily step count: Group 1 (n = 28) consisted of individuals taking fewer than 5000 steps per day, while Group 2 (n = 20) included those who recorded 5,000 to 9,999 steps per day. To evaluate arterial stiffness parameters, we measured pulse wave velocity (PWV), cardio-ankle vascular index (CAVI), and ankle-brachial index (ABI). Hemodynamic and biochemical parameters were also determined.
Results
Participants who accumulated fewer daily steps exhibited higher PWV compared to each group. An inverse association was observed between average steps per day and PWV. However, no significant differences were found between daily step counts and CAVI or ABI.
Conclusions
As individuals increase their daily step count, they may experience a reduction in arterial stiffness. Consequently, the assessment of daily steps has benefits for enhancing vascular health and overall well-being among older individuals.

Keyword

Walking; Physical activity; Arterial stiffness; Pulse wave velocity; Older adult
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