Associations of daily steps and step intensity with peripheral arterial disease in Chinese community-dwelling older women
Aims: This study aims to investigate the associations of objectively measured daily steps and step intensity with peripheral arterial disease (PAD) in Chinese community-dwelling older women. Methods: Cross-sectional data were derived from the baseline survey of the Physical Activity and Health in Ol...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2025-03-01
|
| Series: | Experimental Gerontology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0531556525000348 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1823859460090626048 |
|---|---|
| author | Chenfei Li Litao Du Xiangli Xue Na Zhao Qiang He Si Chen Xianliang Zhang |
| author_facet | Chenfei Li Litao Du Xiangli Xue Na Zhao Qiang He Si Chen Xianliang Zhang |
| author_sort | Chenfei Li |
| collection | DOAJ |
| description | Aims: This study aims to investigate the associations of objectively measured daily steps and step intensity with peripheral arterial disease (PAD) in Chinese community-dwelling older women. Methods: Cross-sectional data were derived from the baseline survey of the Physical Activity and Health in Older Women Study. Peripheral arterial disease was evaluated through ankle-brachial index (ABI), ABI ≤ 0.9 was defined as cut-off point. Daily steps and step intensity were measured via tri-axial accelerometers. Multivariate logistic regression was used to investigate associations of step variable with PAD. Receiver operating characteristic (ROC) analysis was applied to identify an optimal cut-off value for step variables to screen PAD. Results: After adjusting for confounding factors, it was found that daily steps was not independently associated with PAD, and brisk steps, peak 30 as well as peak 60, were significantly associated with PAD, with ORs of 0.68 (0.50–0.93), 0.71 (0.52–0.96) and 0.60 (0.40–0.90), respectively. The optimal cut-off values for brisk steps, peak 30 and 60 screening PAD were 952.3 steps, 76.7 steps/min and 51.8 steps/min, respectively. Conclusions: Step intensity rather than daily steps was independently associated with PAD in Chinese community-dwelling older women. Increasing the intensity during walking may be a viable strategy to reduce the risk of PAD in self-care and cardiovascular nursing. |
| format | Article |
| id | doaj-art-34f523180481423badd63c957514d886 |
| institution | Kabale University |
| issn | 1873-6815 |
| language | English |
| publishDate | 2025-03-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Experimental Gerontology |
| spelling | doaj-art-34f523180481423badd63c957514d8862025-02-11T04:33:31ZengElsevierExperimental Gerontology1873-68152025-03-01201112706Associations of daily steps and step intensity with peripheral arterial disease in Chinese community-dwelling older womenChenfei Li0Litao Du1Xiangli Xue2Na Zhao3Qiang He4Si Chen5Xianliang Zhang6School of Physical Education, Shandong University, 17922 Jingshi Road, Lixia District, Jinan City, Shandong Province 250061, ChinaSchool of Physical Education, Shandong University, 17922 Jingshi Road, Lixia District, Jinan City, Shandong Province 250061, ChinaSchool of Physical Education, Shandong University, 17922 Jingshi Road, Lixia District, Jinan City, Shandong Province 250061, ChinaCollege of Sports and Health, Shandong Sport University, 10600 Century Avenue, Licheng District, Jinan City, Shandong Province, ChinaSchool of Physical Education, Shandong University, 17922 Jingshi Road, Lixia District, Jinan City, Shandong Province 250061, ChinaSchool of Physical Education, Shandong University, 17922 Jingshi Road, Lixia District, Jinan City, Shandong Province 250061, ChinaSchool of Physical Education, Shandong University, 17922 Jingshi Road, Lixia District, Jinan City, Shandong Province 250061, China; Corresponding author at: Shandong University, 17922 Jingshi Road, Lixia District, Jinan City, Shandong Province 250061, ChinaAims: This study aims to investigate the associations of objectively measured daily steps and step intensity with peripheral arterial disease (PAD) in Chinese community-dwelling older women. Methods: Cross-sectional data were derived from the baseline survey of the Physical Activity and Health in Older Women Study. Peripheral arterial disease was evaluated through ankle-brachial index (ABI), ABI ≤ 0.9 was defined as cut-off point. Daily steps and step intensity were measured via tri-axial accelerometers. Multivariate logistic regression was used to investigate associations of step variable with PAD. Receiver operating characteristic (ROC) analysis was applied to identify an optimal cut-off value for step variables to screen PAD. Results: After adjusting for confounding factors, it was found that daily steps was not independently associated with PAD, and brisk steps, peak 30 as well as peak 60, were significantly associated with PAD, with ORs of 0.68 (0.50–0.93), 0.71 (0.52–0.96) and 0.60 (0.40–0.90), respectively. The optimal cut-off values for brisk steps, peak 30 and 60 screening PAD were 952.3 steps, 76.7 steps/min and 51.8 steps/min, respectively. Conclusions: Step intensity rather than daily steps was independently associated with PAD in Chinese community-dwelling older women. Increasing the intensity during walking may be a viable strategy to reduce the risk of PAD in self-care and cardiovascular nursing.http://www.sciencedirect.com/science/article/pii/S0531556525000348Daily stepsStep intensityPeripheral arterial disease |
| spellingShingle | Chenfei Li Litao Du Xiangli Xue Na Zhao Qiang He Si Chen Xianliang Zhang Associations of daily steps and step intensity with peripheral arterial disease in Chinese community-dwelling older women Experimental Gerontology Daily steps Step intensity Peripheral arterial disease |
| title | Associations of daily steps and step intensity with peripheral arterial disease in Chinese community-dwelling older women |
| title_full | Associations of daily steps and step intensity with peripheral arterial disease in Chinese community-dwelling older women |
| title_fullStr | Associations of daily steps and step intensity with peripheral arterial disease in Chinese community-dwelling older women |
| title_full_unstemmed | Associations of daily steps and step intensity with peripheral arterial disease in Chinese community-dwelling older women |
| title_short | Associations of daily steps and step intensity with peripheral arterial disease in Chinese community-dwelling older women |
| title_sort | associations of daily steps and step intensity with peripheral arterial disease in chinese community dwelling older women |
| topic | Daily steps Step intensity Peripheral arterial disease |
| url | http://www.sciencedirect.com/science/article/pii/S0531556525000348 |
| work_keys_str_mv | AT chenfeili associationsofdailystepsandstepintensitywithperipheralarterialdiseaseinchinesecommunitydwellingolderwomen AT litaodu associationsofdailystepsandstepintensitywithperipheralarterialdiseaseinchinesecommunitydwellingolderwomen AT xianglixue associationsofdailystepsandstepintensitywithperipheralarterialdiseaseinchinesecommunitydwellingolderwomen AT nazhao associationsofdailystepsandstepintensitywithperipheralarterialdiseaseinchinesecommunitydwellingolderwomen AT qianghe associationsofdailystepsandstepintensitywithperipheralarterialdiseaseinchinesecommunitydwellingolderwomen AT sichen associationsofdailystepsandstepintensitywithperipheralarterialdiseaseinchinesecommunitydwellingolderwomen AT xianliangzhang associationsofdailystepsandstepintensitywithperipheralarterialdiseaseinchinesecommunitydwellingolderwomen |