True cadence and step accumulation are not equivalent: The effect of intermittent claudication on free-living cadence

Abstract ‘True cadence’ is the rate of stepping during the period of stepping. ‘Step accumulation’ is the steps within an epoch of time (e.g. 1 min). These terms have been used interchangeably in the literature. These outcomes are compared within a population with intermittent claudication (IC). Multiday, 24 h stepping activity of those with IC (30) and controls (30) was measured objectively using the activPAL physical activity monitor. ‘True cadence’ and ‘step accumulation’ outcomes were calculated. Those with IC took fewer steps/d 6531 ± 2712 than controls 8692 ± 2945 ( P  = 0.003). However, these steps were taken within approximately the same number of minute epochs (IC 301 ± 100 min/d; controls 300 ± 70 min/d, P  = 0.894) with only slightly lower true cadence (IC 69 (IQ 66,72) steps/min; controls 72 (IQ 68,76) steps/min, P  = 0.026), giving substantially lower step accumulation (IC 22 (IQ 19,24) steps/min; controls 30 (IQ 23,34) steps/min) ( P P