每日步骤和全因死亡率:一个总体审查和元分析
Eva Rodríguez-Gutiérrez1, Ana Torres-Costoso2, Borja Del Pozo Cruz3
1Health and Social Research Center, Universidad de Castilla-La Mancha, 16071 Cuenca, Spain; Research Network on Chronicity, Primary Care and Health Promotion (RICAPPS), Cuenca, Spain.
增加每天步骤显著降低所有原因的死亡风险. 每天至少3000步提供保护,更高的步数为长寿带来更大的好处.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 老年学是一门学科.
背景情况:
- 在评估每日步骤和死亡率的系统审查中存在变化.
- 了解这种变化对于准确的健康建议至关重要.
研究的目的:
- 从元分析中分析每日步骤的变化和全因死亡率的相关性.
- 确定有助于估计差异的因素.
- 为了提供这种关系的最新,聚合估计.
主要方法:
- 系统地搜索五个数据库进行元分析和队列研究 (至2024年5月).
- 现有审查的定性综合.
- 使用随机效应模型进行前性队列研究的更新元分析.
主要成果:
- 分析了11项系统性审查和14项队列研究.
- 发现每日步骤与减少全因死亡率之间存在非线性关联.
- 在每天3143步被确定为一个保护值,每1000步每天增加0.91的聚合危险比率.
结论:
- 分析中的差异来源于各种暴露量化方法.
- 增加每日步骤对于降低全因死亡率至关重要,最低保护剂量约为3000步/天.
- 最佳的每日步数因年龄和性别而异;未来的研究应该使用标准化方法进行剂量反应分析.
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