Daily Step Counts in Relation to Metabolic Syndrome and Lifestyle Behaviors: Findings from a Two-Year Observational Study in Mhealth-Based Healthy Lifestyle Clubs in Cambodia.

Purpose: This study aimed to investigate the relation between daily step counts, metabolic health, and lifestyle practices among participants in a healthy lifestyle club in Cambodia. Methods: A single-group repeated-measures observational design was used to examine temporal changes in metabolic heal...

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Publicado en:Research in Community & Public Health Nursing (RCPHN) Vol. 37; no. 2; pp. 212 - 226
Autores principales: Kwon, Eunjoo, Kim, Hyunseung, Hwang, Oknam, Ryoo, Seungwan, Kim, Yukyung, Yang, Youngran
Formato: research tables/charts Journal Article
Publicado: Korean Academy of Community Health Nursing Jun2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2026
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      pub: Korean Academy of Community Health Nursing
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        10.12799/rcphn.2025.01375
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        atl: Daily Step Counts in Relation to Metabolic Syndrome and Lifestyle Behaviors: Findings from a Two-Year Observational Study in Mhealth-Based Healthy Lifestyle Clubs in Cambodia.
      aug:
        au:
          Kwon, Eunjoo
          Kim, Hyunseung
          Hwang, Oknam
          Ryoo, Seungwan
          Kim, Yukyung
          Yang, Youngran
        affil: Team Chief, Medicheck Research Institute, Korea Association of Health Promotion, Seoul, Korea
      sug:
        subj:
          Metabolic Diseases Epidemiology
          Step
          Energy Metabolism
          Life Style In Adulthood
          Health Behavior In Adulthood
          Metabolic Diseases Prevention and Control
          Mobile Applications
          Community Programs
          Program Evaluation
          Human
          Male
          Female
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Cambodia
          Comparative Studies
          Nonexperimental Studies
          Repeated Measures
          Anthropometry
          Hematologic Tests
          Blood Glucose Analysis
          Triglycerides Blood
          Lipoproteins, HDL Cholesterol Blood
          Questionnaires
          Smoking
          Alcohol Drinking
          Fruit
          Vegetables
          Food Intake
          Sweetened Beverages
          Exercise
          Descriptive Statistics
          Data Analysis Software
          Waist Circumference
          Blood Pressure
          Metabolic Diseases Risk Factors
          Risk Assessment
          Dancing
          Walking
          Aerobic Exercises
          Prevalence
          Sex Factors
          Age Factors
          Marital Status
          Employment Status
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Purpose: This study aimed to investigate the relation between daily step counts, metabolic health, and lifestyle practices among participants in a healthy lifestyle club in Cambodia. Methods: A single-group repeated-measures observational design was used to examine temporal changes in metabolic health and health behaviors over a 2-year period. 204 participants were residents aged 40 years or older who enrolled in the project "noncommunicable disease prevention and management program using mHealth in Prek Pnov, Cambodia" in 2022-2024. They were retrospectively categorized as either the low-step volume group(LSG) or the high-step volume group(HSG), based on average daily step counts using the 8,000 steps per day criterion. Metabolic syndrome(MetS) was identified using the Joint Interim Statement criteria. Results: Significant within-group changes in metabolic parameters over 2 years in both groups, including reductions in waist circumference(WC), diastolic blood pressure(DBP), fasting blood glucose(FBG), as well as increases in high-density lipoprotein(HDL) cholesterol. Improvements were also found in the prevalence of MetS, high triglyceride(TG), high BP, and low HDL-cholesterol, and in health behaviors such as regular exercise, daily fruit intake, and reduced sugar-sweetened beverages or artificially sweetened beverages consumption(p<.05). These changes were more pronounced at the 1-year follow-up, with a slight decline at 2-year follow-up. Conclusion: Participation in the mHealth- and peer-supported healthy lifestyle club was associated with favorable changes in metabolic health and health behaviors among Cambodian residents in the program. Continuous engagement in community-based health promotion activities may be more relevant than achieving a specific absolute daily step count.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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