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Step Count, Self-reported Physical Activity, and Predicted 5-Year Risk of Atrial Fibrillation: Cross-sectional Analysis

Shapira-Daniels, Ayelet
Kornej, Jelena
Spartano, Nicole L
Wang, Xuzhi
Zhang, Yuankai
Pathiravasan, Chathurangi H
Liu, Chunyu
Trinquart, Ludovic
Borrelli, Belinda
McManus, David D
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Abstract

Participants from the electronic Framingham Heart Study used an Apple smartwatch. Individuals with diagnosed AF were excluded. Daily step count, watch wear time (hours and days), and self-reported physical activity data were collected. Individuals' 5-year risk of AF was estimated, using the Cohorts for Heart and Aging Research in Genomic Epidemiology (CHARGE)-AF score. The relation between daily step count and predicted 5-year AF risk was examined via linear regression, adjusting for age, sex, and wear time. Secondary analyses examined effect modification by sex and obesity (BMI≥30 kg/m2), as well as the relation between self-reported physical activity and predicted 5-year AF risk.

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Shapira-Daniels A, Kornej J, Spartano NL, Wang X, Zhang Y, Pathiravasan CH, Liu C, Trinquart L, Borrelli B, McManus DD, Murabito JM, Benjamin EJ, Lin H. Step Count, Self-reported Physical Activity, and Predicted 5-Year Risk of Atrial Fibrillation: Cross-sectional Analysis. J Med Internet Res. 2023 Mar 6;25:e43123. doi: 10.2196/43123. PMID: 36877540; PMCID: PMC10028513.

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10.2196/43123
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36877540
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©Ayelet Shapira-Daniels, Jelena Kornej, Nicole L Spartano, Xuzhi Wang, Yuankai Zhang, Chathurangi H Pathiravasan, Chunyu Liu, Ludovic Trinquart, Belinda Borrelli, David D McManus, Joanne M Murabito, Emelia J Benjamin, Honghuang Lin. Originally published in the Journal of Medical Internet Research (https://www.jmir.org), 06.03.2023. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in the Journal of Medical Internet Research, is properly cited. The complete bibliographic information, a link to the original publication on https://www.jmir.org/, as well as this copyright and license information must be included.Attribution 4.0 International