Effect of Walking Steps Measured by a Wearable Activity Tracker on Improving Components of Metabolic Syndrome: A Prospective Study

We compared the improvement in components of metabolic syndrome (MS) before and after lifestyle modification, as determined by daily step counts (on a wrist-worn Fitbit®) in participants with and without MS recruited from volunteers attending medical health checkup programs. A linear mixed model was...

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Bibliographic Details
Published in:International journal of environmental research and public health 2022-04, Vol.19 (9), p.5433
Main Authors: Park, Jae-Min, Choi, Ja-Eun, Lee, Hye Sun, Jeon, Soyoung, Lee, Ji-Won, Hong, Kyung-Won
Format: Article
Language:English
Subjects:
Blood pressure
Body mass index
Compliance
Confidence intervals
Exercise
Fitness Trackers
Heart rate
Humans
Lifestyles
Metabolic disorders
Metabolic Syndrome
Obesity
Physical fitness
Prospective Studies
Public health
Regression analysis
Review boards
Sleep
Statistical analysis
Triglycerides
Variables
Waist Circumference
Walking
Wrist
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Summary:We compared the improvement in components of metabolic syndrome (MS) before and after lifestyle modification, as determined by daily step counts (on a wrist-worn Fitbit®) in participants with and without MS recruited from volunteers attending medical health checkup programs. A linear mixed model was used to analyze the change in MS components between participants with and without MS by group × time interaction. Multiple logistic regression analysis after adjustment for confounders was used to obtain odds ratios (ORs) and 95% confidence intervals (CIs) for improvements in MS components per 1000-steps/day increments. Waist circumference, triglycerides, fasting plasma glucose, and diastolic blood pressure were significantly different between participants with and without MS (group × time: p = 0.010, p < 0.001, p = 0.025, and p = 0.010, respectively). Multivariable-adjusted ORs (95% CI) of improvement in MS components per 1000-steps/day increments were 1.24 (1.01−1.53) in participants with and 1.14 (0.93−1.40) in participants without MS. Walking improved MS components more in individuals with than without MS. From a public health perspective, walking should be encouraged for high-risk MS individuals.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph19095433