1504 lines
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1504 lines
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<time class="article-date">December 13, 2022</time>
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<h1 class="page-title">Steps to Better Health with All of Us</h1>
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<span><strong>Last Reviewed: </strong>December 13, 2022</span>
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<h2><strong>Key points</strong></h2>
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<ul>
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<li>Researchers compared <em>All of Us</em> Fitbit data and electronic health records.</li>
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<li>Taking at least 8,200 daily steps was linked to lowering risk for certain health conditions—including depression, sleep apnea, acid reflux, high blood pressure, obesity, and diabetes.</li>
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<div class="col-md-5"><img alt="Logo of the All of Us Research Program. Taking at least 8200 steps a day may lower risk for depression, sleep apnea, acid reflux, obesity, diabetes and high blood pressure. Thanks to the data that All of Us participants share, this study found new links between steps and a lower risk for depression, sleep apnea and acid reflux. Reference: Master, H., et al. Association of step counts over time with the risk of chronic disease in the All of Us Research Program. Nature Medicine 2022." class="img-fluid" height="785" src="/sites/default/files/Steps for BH_Full Graphic___3021x3271_ENGLISH.png" width="725" loading="lazy"></div>
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<p><strong>Fitness is hard to study.</strong> We know that walking every day can help prevent diseases. Exactly how many steps protect against which diseases is harder to understand. Most of what we know about steps and health comes from short studies that use self-reported data.</p>
|
||
<p>A new study in <a href="https://www.nature.com/articles/s41591-022-02012-w">Nature Medicine</a> used <em>All of Us</em> participant data to learn more.</p>
|
||
<p>Researchers linked data from personal Fitbit devices with data from electronic health records (EHRs). Taking at least 8,200 daily steps was associated with a lower risk for certain health conditions. This included chronic diseases like high blood pressure, obesity, and diabetes. The study also uncovered new links between daily steps and lower risk for sleep apnea, depression, and acid reflux.</p>
|
||
<h2>Wearable Trackers for Fitness Research</h2>
|
||
<p><em>All of Us</em> participants can choose to share their Fitbit data with the program. Using data from personal trackers allows participants to track exercise on their own time. It also lets them share data from as far back as when they started using their device.</p>
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<p><strong>Wearables improve the quality of study data.</strong> They provide real-world data on a person’s physical activity levels. This is more accurate than relying on a person’s recollection of what they did (called “self-reported data”). Researchers can also look at changes in activity over a longer period. All participants in this study had at least six months’ worth of data. Many people shared four years or more of their activity data.</p>
|
||
<h2>Daily Step Counts to Protect Against Disease</h2>
|
||
<p>This study also used electronic health records (EHRs). Fitness research often looks at links between exercise and major causes of death, like heart disease. <strong>Having access to data from EHRs meant the researchers could study a range of other conditions that affect people across their life span.</strong></p>
|
||
<p>The researchers analyzed more than 1,700 medical conditions. They compared these disease records with participant Fitbit data. People who took<strong> at least 8,200 steps each day had lower rates of certain health conditions.</strong> Previous research has studied this link for diabetes, high blood pressure, and obesity. Thanks to the variety of <em>All of Us</em> participant data available, though, this study found new links to lowering risk for acid reflux, depression, and sleep apnea.</p>
|
||
<h2>What’s Next</h2>
|
||
<p><strong>These results give doctors more evidence for recommending certain levels of exercise to patients.</strong> Doctors call these “personalized activity prescriptions.”</p>
|
||
<p>However, there are some limitations to the study. Most of the people in this study were White, female, and college educated. They were also very active and healthy. Therefore, these findings may not apply to people who are already living with disease or have trouble walking.</p>
|
||
<p>We need more diversity in this type of research. <strong>Over time, <em>All of Us </em>hopes that more participants of different races, genders, ages, and walks of life will choose to share data from their fitness trackers.</strong> That way, findings like these can better represent communities across the country.</p>
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<li>See more <strong><a href="https://www.researchallofus.org/research-projects-directory/">research projects made possible by <em><em>All of Us</em></em> data and tools</a></strong>. </li>
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What <em class="aou-text">All of Us</em> Data Says About Blindness and Mental Health During COVID-19
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<img src="/sites/default/files/23-0213%20AoU%20March%20Research%20Highlight%20Graphics%20Dementia%20Risk%20Factors_dev14_4%20sizes%20ENG_landingEng_900x900px.png" width="900" height="900" alt="Learning more about dementia risk. Logo of the All of Us Research program. A cutaway illustration of a human head showing the brain. Several areas of the brain are highlighted. An inset illustration shows a blood pressure cuff and a heart with an electrocardiogram graph line running through it. The inset illustration has an arrow pointing to the brain." loading="lazy" typeof="foaf:Image" class="img-fluid" />
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Learning More About Dementia Risk Through <em class="aou-text">All of Us</em>
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