Evidence map›Paper›PMID 39384238›Full record

SynthesisBMJ open2024

Objectively measured daily steps and health outcomes: an umbrella review of the systematic review and meta-analysis of observational studies.

Chunlan Xu, Jinli Jia, Binbin Zhao, Man Yuan, Nan Luo, Fan Zhang, Hui Wang

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Chunlan XuDepartment of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Jinli JiaDepartment of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Binbin ZhaoDepartment of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Man YuanDepartment of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Nan LuoDepartment of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China.
Fan ZhangDepartment of Nephrology A, Longhua Hospital Shanghai University of Traditional Chinese Medicine, Shanghai, China 1051071914@qq.com gcd159@163.com.ORCID http://orcid.org/0000-0003-4692-0526
Hui WangDepartment of Nursing, Beijing Tiantan Hospital, Capital Medical University, Beijing, China 1051071914@qq.com gcd159@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe purpose of this review is to summarise the evidence from a systematic review and meta-analysis of observational studies that objectively measure daily steps and health outcomes.

designThis is an umbrella review. DATA SOURCES: PubMed, Embase, Scopus, the Cochrane Library and Web of Science databases were searched through 31 January 2024. ELIGIBILITY: We included systematic reviews of observational studies (with or without meta-analysis) that assessed the association of objectively measured daily steps with human health-related outcomes. Methodological quality was assessed using 'A MeaSurement Tool to Assess systematic Reviews 2'.

resultsA total of 10 systematic reviews and 6 health outcomes were included after excluding irrelevant and duplicate studies. Higher daily steps were associated with more benefits than harms for a range of health-related outcomes, including all-cause mortality, cardiovascular event, skeletal muscle lesions, metabolic diseases and respiratory disease. A dose-response analysis showed that an increase of 500-1000 steps per day was associated with lower all-cause mortality and cardiovascular events. Beneficial associations were also found in patients with asthma and acutely hospitalised older adults. Conversely, one study within a systematic review suggested that higher daily steps (≥10 000) might be associated with an increased 52% risk of meniscal pathologies in individuals without knee osteoarthritis. However, one study within a systematic review suggested a potential increased risk of meniscal pathologies in individuals without knee osteoarthritis. Specifically, those exceeding 10 000 steps per day showed a 52% increase in risk.

conclusionThe results of this study suggest that daily steps are associated with a lower risk of all-cause mortality and cardiovascular events. Future research could focus on identifying specific populations that may benefit most from increased daily steps and exploring potential mechanisms to enhance our understanding of how daily steps contribute to improved health outcomes. PROSPERO REGISTRATION NUMBER: CRD42022347055.

Indexed as

WalkingCardiovascular DiseasesHumansObservational Studies as TopicRespiratory Tract DiseasesSystematic Reviews as TopicHealthMeta-AnalysisPhysical ExaminationSystematic Review

Identifiers

PMID39384238
PMCPMC11474941

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.