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Background. We determined associations between habitual physical activity and metabolic syndrome in elderly persons. Methods. Pedometer/accelerometers measured step count and activity intensity on a 24-hour basis in 220 free-living Japanese persons 65–84 years old throughout an entire year. At year end, participants were screened for metabolic syndrome (modified criteria of National Cholesterol Education Program Adult Treatment Panel III [NCEP-ATP III]). Results. Most individuals 65–74 years old who took &amp;gt;10,000 steps/d and/or spent &amp;gt;30 min/d of activity &amp;gt;3 metabolic equivalents (METs) had ≤2 metabolic syndrome diagnostic markers, as did those 75–84 years old with &amp;gt;8000 steps/d and/or &amp;gt;20 min/d at &amp;gt;3 METs. Multivariate-adjusted logistic regression analyses showed that the risk of metabolic syndrome was 4.3 (1.6–11.7) and 3.3 (1.3–8.8) times greater in the least active quartiles of participants (taking &amp;lt;4700 steps/d and spending &amp;lt;9 min/d at &amp;gt;3 METs, respectively) relative to the most active quartiles (taking &amp;gt;8500 steps/d and spending &amp;gt;24 min/d at &amp;gt;3 METs, respectively). Conclusions. The metabolic syndrome is less likely in elderly people taking &amp;gt;8000–10,000 steps/d, and reaching an intensity &amp;gt;3 METs for &amp;gt;20–30 min/d, relative to their sedentary peers.

Year-Long Physical Activity and Metabolic Syndrome in Older Japanese Adults: Cross-Sectional Data From the Nakanojo Study