Key Points Question Is objectively measured ambulatory activity (ie, steps per day) associated with risk of death among young and middle-aged American Indian individuals who reside in rural communities? Findings… Click to show full abstract
Key Points Question Is objectively measured ambulatory activity (ie, steps per day) associated with risk of death among young and middle-aged American Indian individuals who reside in rural communities? Findings In this cohort study of 2204 American Indian individuals aged 14 to 65 years, there were 449 deaths during a mean 17-year follow-up. Participants who accumulated at least 3126 steps/d had a 28% to 35% lower risk of death compared with those who accumulated fewer steps per day. Meaning These findings suggest that physical inactivity may be associated with mortality among young and middle-aged American Indian individuals and that physical activity outreach programs that target inactive individuals are needed.
               
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