HypertensionCohort study

Prospective associations of daily step count and stepping intensity with overall and type-specific major adverse cardiovascular events in people with hypertension

Eur J Prev CardiolPublished

  • Prospective cohort study
  • UK Biobank accelerometry sub-study
  • wrist-worn accelerometer for 7 days

Authors' conclusion

Incremental 1000-step increases in daily step count, up to 10 000 steps/day, were associated with substantially lower MACE risk in adults with hypertension, particularly when accrued at a higher stepping intensity.

Study context

Population
Adults with established hypertension, UK Biobank accelerometry sub-study
Participants
36,192 adults
Exposure
Per 1000-step increase in daily step count
Outcome
MACE:
  • CV mortality
  • HF
  • MI
  • Stroke
Follow-up
7.8 years

Main finding

As reported in the abstract

MACE and components, per 1000-step increase in daily step count

Lower risk of MACE per 1000-step increase

17.1% (95% CI: 10.2-23.2)

Lower risk of heart failure (HF) per 1000-step increase

22.4% (95% CI: 11.0-31.7)

Lower risk of myocardial infarction (MI) per 1000-step increase

9.3% (95% CI: −2.8 to 19.6)

Lower risk of stroke per 1000-step increase

24.5% (95% CI: 5.3-39.0)

Observational data: associations, not effects.

Further findings

Comparison with people without hypertension

Associations comparable with vs without hypertension for MACE, HF and stroke; lower magnitude for MI

Original publication

Prospective associations of daily step count and stepping intensity with overall and type-specific major adverse cardiovascular events in people with hypertension. Eur J Prev Cardiol. Published 6 August 2025. doi:10.1093/eurjpc/zwaf441

Summarised from the published abstract; every number is checked against it