The Association Between Stair Climbing and Modifiable Cardiovascular Disease Risk Factors: the Suita Study

Overview

Journal Environ Health Prev Med

Specialties Environmental Health
Public Health

Date 2024 May 6

PMID 38710616

Authors

Ahmed Arafa

Yuka Yasui

Yuka Kato

Chisa Matsumoto

Yoshihiro Kokubo

Affiliations

Soon will be listed here.

Abstract

Background: Stair climbing is a readily available form of physical activity with potential cardiovascular benefits. This study aimed to investigate the association between stair climbing and numerous modifiable cardiovascular disease (CVD) risk factors.

Methods: In this cross-sectional study, we used data from 7282 Japanese people (30-84 years) residing in Suita City, Osaka. CVD risk factors and stair climbing frequency were assessed during the Suita Study health examination. Logistic regressions were used to calculate the odds ratios (ORs) and 95% confidence intervals (95% CIs) for CVD risk factors across stair climbing frequencies.

Results: After adjustment for age, sex, lifestyle, and medical conditions, stair climbing >60% of the time, compared to <20% of the time, was inversely associated with obesity, smoking, physical inactivity, and stress: ORs (95% CIs) = 0.63 (0.53, 0.75), 0.81 (0.69, 0.96), 0.48 (0.41, 0.55), and 0.67 (0.58, 0.78), respectively (p-trends < 0.05).

Conclusion: Stair climbing was inversely associated with obesity, smoking, physical inactivity, and stress; suggesting a potential role for cardiovascular disease prevention.

References

Bays H, Kulkarni A, German C, Satish P, Iluyomade A, Dudum R . Ten things to know about ten cardiovascular disease risk factors - 2022. Am J Prev Cardiol. 2022; 10:100342. PMC: 9061634. DOI: 10.1016/j.ajpc.2022.100342. View

Flora G, Nayak M . A Brief Review of Cardiovascular Diseases, Associated Risk Factors and Current Treatment Regimes. Curr Pharm Des. 2019; 25(38):4063-4084. DOI: 10.2174/1381612825666190925163827. View

Arafa A, Kashima R, Yasui Y, Kawachi H, Matsumoto C, Nosaka S . Development of new scores for atherosclerotic cardiovascular disease using specific medical examination items: the Suita Study. Environ Health Prev Med. 2023; 28:61. PMC: 10613553. DOI: 10.1265/ehpm.23-00099. View

Vieira da Silva M, Sao-Joao T, Brizon V, Franco D, Mialhe F . Impact of implementation intentions on physical activity practice in adults: A systematic review and meta-analysis of randomized clinical trials. PLoS One. 2018; 13(11):e0206294. PMC: 6235272. DOI: 10.1371/journal.pone.0206294. View

Arafa A, Kashima R, Kokubo Y . Life satisfaction and the risk of atherosclerotic cardiovascular disease in the general Japanese population: the Suita Study. Environ Health Prev Med. 2023; 28:62. PMC: 10613556. DOI: 10.1265/ehpm.23-00125. View

Whittaker A, Eves F, Carroll D, Roseboom T, Ginty A, Painter R . Daily stair climbing is associated with decreased risk for the metabolic syndrome. BMC Public Health. 2021; 21(1):923. PMC: 8122558. DOI: 10.1186/s12889-021-10965-9. View

Cleven L, Krell-Roesch J, Nigg C, Woll A . The association between physical activity with incident obesity, coronary heart disease, diabetes and hypertension in adults: a systematic review of longitudinal studies published after 2012. BMC Public Health. 2020; 20(1):726. PMC: 7238737. DOI: 10.1186/s12889-020-08715-4. View

Charilaou M, Karekla M, Constantinou M, Price S . Relationship between physical activity and type of smoking behavior among adolescents and young adults in Cyprus. Nicotine Tob Res. 2009; 11(8):969-76. DOI: 10.1093/ntr/ntp096. View

Arafa A, Lee H, Eshak E, Shirai K, Liu K, Li J . Modifiable Risk Factors for Cardiovascular Disease in Korea and Japan. Korean Circ J. 2021; 51(8):643-655. PMC: 8326218. DOI: 10.4070/kcj.2021.0121. View

10.

Roth G, Mensah G, Johnson C, Addolorato G, Ammirati E, Baddour L . Global Burden of Cardiovascular Diseases and Risk Factors, 1990-2019: Update From the GBD 2019 Study. J Am Coll Cardiol. 2020; 76(25):2982-3021. PMC: 7755038. DOI: 10.1016/j.jacc.2020.11.010. View

11.

Arafa A, Kokubo Y, Shimamoto K, Kashima R, Watanabe E, Sakai Y . Stair climbing and incident atrial fibrillation: a prospective cohort study. Environ Health Prev Med. 2022; 27:10. PMC: 9093618. DOI: 10.1265/ehpm.21-00021. View

12.

Meyer P, Kayser B, Kossovsky M, Sigaud P, Carballo D, Keller P . Stairs instead of elevators at workplace: cardioprotective effects of a pragmatic intervention. Eur J Cardiovasc Prev Rehabil. 2010; 17(5):569-75. DOI: 10.1097/HJR.0b013e328338a4dd. View

13.

Arafa A, Kashima R, Kokubo Y . Stair climbing and the risk of all-cause, cancer, and cardiovascular mortality among older adults: The Suita Study. Geriatr Gerontol Int. 2023; 23(7):577-579. DOI: 10.1111/ggi.14618. View

14.

Song Z, Wan L, Wang W, Li Y, Zhao Y, Zhuang Z . Daily stair climbing, disease susceptibility, and risk of atherosclerotic cardiovascular disease: A prospective cohort study. Atherosclerosis. 2023; 386:117300. DOI: 10.1016/j.atherosclerosis.2023.117300. View

15.

Habib M, Dey M, Chowdhury A, Rahman T, Kundu R . Current knowledge, attitude, and practice (KAP) towards physical activity (PA) and its impact on obesity management in Bangladesh: A cross-sectional study. Health Sci Rep. 2022; 5(6):e960. PMC: 9686359. DOI: 10.1002/hsr2.960. View

16.

Hwang Y, Oh J . Factors Affecting Health-Promoting Behaviors among Nursing Students. Int J Environ Res Public Health. 2020; 17(17). PMC: 7503930. DOI: 10.3390/ijerph17176291. View

17.

Olsen I, Garritsen H, van de Goor I, Kunst A, Rozema A . Adolescents' beliefs, attitudes and social norms with regard to smoking and sports: a qualitative study. BMJ Open. 2021; 11(8):e046613. PMC: 8381324. DOI: 10.1136/bmjopen-2020-046613. View

18.

Kennedy R, Boreham C, Murphy M, Young I, Mutrie N . Evaluating the effects of a low volume stairclimbing programme on measures of health-related fitness in sedentary office workers. J Sports Sci Med. 2013; 6(4):448-54. PMC: 3794484. View

19.

Bassett D, Vachon J, Kirkland A, Howley E, Duncan G, Johnson K . Energy cost of stair climbing and descending on the college alumnus questionnaire. Med Sci Sports Exerc. 1997; 29(9):1250-4. DOI: 10.1097/00005768-199709000-00019. View

20.

Rey-Lopez J, Stamatakis E, Mackey M, Sesso H, Lee I . Associations of self-reported stair climbing with all-cause and cardiovascular mortality: The Harvard Alumni Health Study. Prev Med Rep. 2019; 15:100938. PMC: 6627027. DOI: 10.1016/j.pmedr.2019.100938. View