Journal of Physical Exercise and Sports Science
Online ISSN : 2435-9912
Print ISSN : 1342-1026
Original Investigations
The relationship between the combination of leisure-time physical activity and daily step count and the prevalence of hypertension among middle-aged and older workers
Uta TsunedaSusumu S. SawadaSakura KoriyamaKeizo Hamaya
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2025 Volume 31 Issue 1 Pages 13-23

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Abstract

The purpose of this study was to evaluate the relationship between workers’ overall physical activity level, combining leisure-time physical activity and daily step counts, and the prevalence of hypertension, through a large-scale survey of middle-aged and older workers across Japan.

Physical activity, which could potentially prevent hypertension, is in short supply and is a public health problem that should be addressed on a global scale. However, limited research has investigated the association between overall physical activity, which combines leisure-time physical activity and daily step count, and hypertension prevalence. The study participants were middle-aged and older workers at workplaces throughout Japan. The study participants were 5,812 individuals who agreed to use anonymized data and responded to a comprehensive version of the Health Advice Service Check Sheet.

When comparing the group with low leisure-time physical activity and low daily step counts, the multivariable-adjusted odds ratio (95% CI) for the high leisure-time physical activity and low daily step count group was 0.77 (0.61–0.98), the low leisure-time physical activity and high daily step count group was 0.95 (0.78–1.16), and the high leisure-time physical activity and high daily step count group was 0.72 (0.57–0.90). When leisure-time physical activity and daily step counts were analyzed together, the lowest prevalence of hypertension was observed in those with high leisure-time physical activity and high daily step counts. These results suggest the importance of increasing physical activity to prevent hypertension among Japanese workers.

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© 2025 Japan Society of Physical Exercise and Sport Science
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