成人每日步行數與健康：日行萬步健康才保固？

陳上迪; 陳俐蓉; 古博文

doi:10.6288/TJPH.202002_39(1).108044

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P17 - 26

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6288/TJPH

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成人每日步行数与健康：日行万步健康才保固？

Daily steps and health in adults: should we walk 10,000 steps per day for optimal well-being?

陈上迪(SHANG-TI CHEN) ；陈俐蓉(LI-JUNG CHEN) ；古博文(PO-WEN KU)

台湾公共卫生杂志； 39 卷 1 期 (2020 / 02 / 26) ， P17 - 26

繁体中文 DOI： 10.6288/TJPH.202002_39(1).108044

走路；规律运动；健康行为；日行万步； walk ； regular exercise ； health behavior ； 10,000 steps a day

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摘要 │ 参考文献 (30) │ 被引用文献 (4) │ 国际计量

摘要〈TOP〉

并列摘要〈TOP〉

Walking is an essential activity for everyday life. Walking 10,000 steps per day is a frequently promoted goal for health promotion. However, this widely accepted slogan has been criticized as unrealistic. Additionally, public health professionals have not reached agreement on the effect of this goal on health outcomes in adults. The following procedures were implemented to review the evidence for the relationship between number of daily steps and health outcomes. First, the country profiles of the daily steps of adults were described. Second, guidelines for the number of daily steps issued by government authorities in various countries were reviewed. Third, evidence obtained through systematic reviews and meta-analyses was examined to explore relationships between the number of daily steps and health outcomes. Finally, research topics regarding the association between number of daily steps and health outcomes were discussed. In summary, evidence from systematic reviews and meta-analyses, which were mainly based on cross-sectional studies, revealed health benefits are likely to be gained by fewer than 10,000 steps per day in adults. Recent prospective cohort studies have indicated that as few as approximately 4,000-5,000 steps per day are significantly related to health benefits when compared with inactive individuals (i.e., 2,000-3,000 steps per day); The benefits progressively increased for those who took at least 7,000-8,000 steps per day. Overall, the current study suggested that people could reap health benefits even when taking fewer than 10,000 steps per day. Individuals who are inactive should be encouraged to progressively increase their daily steps in order to reach the goal of at least 7,000-8,000 steps per day. Because robust evidence relating daily steps and health outcomes is lacking, large-scale prospective studies based on representative samples with broader age groups and meta-regression analyses are required.

参考文献 ( 30 ) 〈TOP〉

Althoff, T,Sosič, R,Hicks, JL,King, AC,Delp, SL,Leskovec, J(2017).Large-scale physical activity data reveal worldwide activity inequality.Nature,547,336-339.
Bohannon, RW(2007).Number of pedometer-assessed steps taken per day by adults: a descriptive meta-analysis.Phys Ther,87,1642-1650.
Cavero-Redondo, I,Tudor-Locke, C,Álvarez-Bueno, C,Cunha, PG,Aguiar, EJ,Martínez-Vizcaíno, V(2019).Steps per day and arterial stiffness.Hypertension,73,350-363.
Chen, ST,Stevinson, C,Tian, T,Chen, LJ,Ku, PW(2020).Accelerometer-measured daily steps and cognitive ability in older adults: a two-year follow-up study.Exp Gerontol,133,110874.
Dijkstra, B,Zijlstra, W,Scherder, E,Kamsma, Y(2008).Detection of walking periods and number of steps in older adults and patients with Parkinson’s disease: accuracy of a pedometer and an accelerometry-based method.Age Ageing,37,436-441.

被引用文献 ( 4 ) 〈TOP〉

陈俐蓉,孙继光,古博文(2021)。青少年静态行为与身心健康之文献回顾。中华体育季刊，35(4)，271-282。
陈俐蓉,田甜,古博文,王湘(2020)。COVID-19大流行期间的身体活动建议。台湾公共卫生杂志，39(4)，364-372。
黄长发,贺湘邦,李贞(2022)。大学运动社团的参与动机与建立运动习惯之相关研究。运动与游憩研究，16(4)，39-50。
(2024)。以生态瞬时评估探讨成人每日步行数与户外情境接触对於每日情感的关系。户外游憩研究，37(1)，1-32。

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