Overview
- The systematic review and meta-analysis, published Aug. 13 in the American Journal of Cardiovascular Drugs, pooled nine studies with more than 480,000 adults and a median follow-up of about 14 years.
- Pooled results showed stair climbers had a 39% lower risk of cardiovascular death and a 24% lower risk of death from any cause, and several studies also linked stair use to lower risks of heart attack, stroke and heart failure.
- Authors and commentators stress the evidence is observational, note wide variation in how stair use was measured, and warn that residual confounding could partly explain the associations.
- One large cohort in the review suggested about six flights a day might be linked to the greatest benefit but researchers say wearable tracking and stronger study designs are needed to define a safe, effective daily 'dose'.
- Public-health experts say stair climbing is a practical way for many people to add brief bursts of vigorous activity but people with heart symptoms, severe breathlessness, balance problems or joint limits should consult a clinician before increasing stair use.