Volume and intensity of stepping activity and cardiometabolic risk factors in a multi-ethnic asian population

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

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


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-minute, 60-minute 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 hours 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.

Original languageEnglish (US)
Article number863
JournalInternational journal of environmental research and public health
Issue number3
StatePublished - Feb 2020


  • Cardiometabolic risk
  • Peak cadence
  • Physical activity
  • Step counts

ASJC Scopus subject areas

  • Pollution
  • Public Health, Environmental and Occupational Health
  • Health, Toxicology and Mutagenesis


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