The association between physical activity with incident obesity, coronary heart disease, diabetes and hypertension in adults: a systematic review of longitudinal studies published after 2012.
Adults
Cohort study
Coronary heart disease
Diabetes
Hypertension
Longitudinal study
Obesity
Physical activity
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
19 May 2020
19 May 2020
Historique:
received:
29
05
2019
accepted:
15
04
2020
entrez:
21
5
2020
pubmed:
21
5
2020
medline:
10
10
2020
Statut:
epublish
Résumé
A growing body of studies that investigated the longitudinal association between physical activity (PA) and the outcome of incident obesity, coronary heart disease (CHD), diabetes and hypertension has become available in recent years. Thus, the purpose of this systematic review was to provide an update on the association between PA and onset of obesity, CHD, diabetes and hypertension in individuals aged ≥18 years who were free of the respective conditions at baseline. We systematically searched OVID, Pubmed, and Web of Science databases for pertinent literature published between January of 2012 and February of 2019. To ensure that conclusions are based on high quality evidence, we only included longitudinal studies conducted in samples of ≥500 participants and with ≥5 years of follow-up. The search yielded 8929 records of which 26 were included in this review. Three studies were conducted on the outcome of incident obesity, eight on incident CHD, nine on incident diabetes, four on incident hypertension, one on the outcome of both diabetes and hypertension, and one on the outcome of CHD, diabetes and hypertension. Overall, there was an association between PA and lower risk of incident obesity, CHD and diabetes, but not hypertension. Higher levels or amount of PA were associated with a reduced risk of new onset of the respective diseases in 20 studies (77%). Whereas four studies reported an elevated risk of incidence of diseases with lower PA levels (15%). PA was not associated with incidence of diseases in two studies (8%). Higher levels of PA are likely associated with a lower risk of becoming obese, develop CHD or diabetes. These findings replicate and strengthen conclusions from earlier reviews underlining the importance of promoting PA in adults. The associations between PA and incident hypertension were less consistent. More research, particularly using prospective cohort designs in large population-based samples, is needed to further untangle the association between PA and incident hypertension. CRD42019124474 (PROSPERO Protocol registration). Date of registration in PROSPERO 27 February 2019.
Sections du résumé
BACKGROUND
BACKGROUND
A growing body of studies that investigated the longitudinal association between physical activity (PA) and the outcome of incident obesity, coronary heart disease (CHD), diabetes and hypertension has become available in recent years. Thus, the purpose of this systematic review was to provide an update on the association between PA and onset of obesity, CHD, diabetes and hypertension in individuals aged ≥18 years who were free of the respective conditions at baseline.
METHODS
METHODS
We systematically searched OVID, Pubmed, and Web of Science databases for pertinent literature published between January of 2012 and February of 2019. To ensure that conclusions are based on high quality evidence, we only included longitudinal studies conducted in samples of ≥500 participants and with ≥5 years of follow-up.
RESULT
RESULTS
The search yielded 8929 records of which 26 were included in this review. Three studies were conducted on the outcome of incident obesity, eight on incident CHD, nine on incident diabetes, four on incident hypertension, one on the outcome of both diabetes and hypertension, and one on the outcome of CHD, diabetes and hypertension. Overall, there was an association between PA and lower risk of incident obesity, CHD and diabetes, but not hypertension. Higher levels or amount of PA were associated with a reduced risk of new onset of the respective diseases in 20 studies (77%). Whereas four studies reported an elevated risk of incidence of diseases with lower PA levels (15%). PA was not associated with incidence of diseases in two studies (8%).
CONCLUSION
CONCLUSIONS
Higher levels of PA are likely associated with a lower risk of becoming obese, develop CHD or diabetes. These findings replicate and strengthen conclusions from earlier reviews underlining the importance of promoting PA in adults. The associations between PA and incident hypertension were less consistent. More research, particularly using prospective cohort designs in large population-based samples, is needed to further untangle the association between PA and incident hypertension.
TRAIL REGISTRATION
BACKGROUND
CRD42019124474 (PROSPERO Protocol registration). Date of registration in PROSPERO 27 February 2019.
Identifiants
pubmed: 32429951
doi: 10.1186/s12889-020-08715-4
pii: 10.1186/s12889-020-08715-4
pmc: PMC7238737
doi:
Types de publication
Journal Article
Systematic Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
726Subventions
Organisme : Deutscher Akademischer Austauschdienst
ID : 57451566
Références
Diabetologia. 2012 Jul;55(7):1944-52
pubmed: 22526603
PLoS One. 2014 Nov 10;9(11):e112693
pubmed: 25383626
Adv Nutr. 2014 Mar 01;5(2):177-87
pubmed: 24618758
Eur J Epidemiol. 2015 Jul;30(7):529-42
pubmed: 26092138
Sci Rep. 2018 Mar 29;8(1):5399
pubmed: 29599426
Circulation. 2011 Aug 16;124(7):789-95
pubmed: 21810663
Hypertension. 2013 Dec;62(6):1021-6
pubmed: 24082054
Diabetologia. 2014 Oct;57(10):2048-56
pubmed: 25078481
BMJ Open. 2017 Jan 16;7(1):e013142
pubmed: 28093432
Med Sci Sports Exerc. 2013 Oct;45(10):1948-55
pubmed: 23542895
Obes Rev. 2011 May;12(5):e119-29
pubmed: 20604868
Heart. 2018 Jul;104(14):1165-1172
pubmed: 29440185
Hypertension. 2017 May;69(5):813-820
pubmed: 28348016
Diabetes Care. 2013 Oct;36(10):3305-12
pubmed: 23877979
Prev Med. 2018 Feb;107:54-60
pubmed: 29155225
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Obes Rev. 2016 Dec;17(12):1226-1244
pubmed: 27743411
Clin Chem. 2018 Jan;64(1):99-107
pubmed: 29158251
J Am Heart Assoc. 2018 Feb 8;7(4):
pubmed: 29437600
Int J Med Sci. 2015 Jul 16;12(7):605-12
pubmed: 26283878
N Engl J Med. 1970 May 14;282(20):1109-14
pubmed: 5439408
Circulation. 2000 Aug 29;102(9):975-80
pubmed: 10961960
PLoS One. 2013 Nov 04;8(11):e77919
pubmed: 24223743
Lancet. 2007 Oct 20;370(9596):1453-7
pubmed: 18064739
Diabetes Care. 2010 Dec;33(12):e147-67
pubmed: 21115758
Lancet. 1986 Aug 30;2(8505):473-6
pubmed: 2875235
Arch Intern Med. 2005 Apr 11;165(7):756-62
pubmed: 15824294
Mayo Clin Proc. 2016 Jun;91(6):735-44
pubmed: 27143482
Circulation. 2016 Jan 12;133(2):147-55
pubmed: 26538582
Scand J Prim Health Care. 2001 Mar;19(1):31-3
pubmed: 11303544
J Matern Fetal Med. 2001 Feb;10(1):52-8
pubmed: 11332421
Am J Public Health. 2016 Sep;106(9):1540-5
pubmed: 27459441
Prev Med. 2016 Jun;87:22-34
pubmed: 26876624
N Engl J Med. 2000 Feb 17;342(7):454-60
pubmed: 10675425
Atherosclerosis. 2013 Oct;230(2):278-83
pubmed: 24075757
Eur J Epidemiol. 2012 Feb;27(2):91-9
pubmed: 22311520
Lancet. 2018 Nov 10;392(10159):1683
pubmed: 30415747
Arterioscler Thromb Vasc Biol. 2013 May;33(5):1085-91
pubmed: 23559628
PLoS Med. 2014 Jan;11(1):e1001587
pubmed: 24453948
Neuroepidemiology. 2014;42(4):252-9
pubmed: 24923622
Diabetes Care. 2012 Sep;35(9):1876-83
pubmed: 22751959
J Am Soc Hypertens. 2012 Jul-Aug;6(4):284-90
pubmed: 22789880
Circulation. 2018 Jun 12;137(24):2583-2591
pubmed: 29632216
Lancet. 2016 Oct 8;388(10053):1659-1724
pubmed: 27733284
Am J Clin Nutr. 2016 Nov;104(5):1202-1208
pubmed: 27733398
J Am Geriatr Soc. 2014 Apr;62(4):599-606
pubmed: 24635212
JAMA Netw Open. 2019 Mar 1;2(3):e190419
pubmed: 30874775
J Hum Hypertens. 2018 Apr;32(4):278-286
pubmed: 29483587
PLoS One. 2013 Dec 09;8(12):e81877
pubmed: 24349147
BMC Public Health. 2013 Sep 08;13:813
pubmed: 24010994
Circulation. 2018 Jan 9;137(2):203-205
pubmed: 29109088
Cochrane Database Syst Rev. 2006 Oct 18;(4):CD003817
pubmed: 17054187
Am Heart J. 1994 Nov;128(5):965-72
pubmed: 7942491
Am Heart J. 1986 Oct;112(4):820-5
pubmed: 3766383
Am J Epidemiol. 2016 Apr 15;183(8):729-38
pubmed: 27022033
Circulation. 2016 Jul 26;134(4):290-9
pubmed: 27462052
JAMA. 2010 Nov 24;304(20):2253-62
pubmed: 21098771
JAMA. 1987 Nov 6;258(17):2388-95
pubmed: 3669210
Diabetologia. 2013 May;56(5):1031-5
pubmed: 23404445
Lancet. 2018 Nov 10;392(10159):2052-2090
pubmed: 30340847
Health Policy. 2019 Mar;123(3):317-326
pubmed: 30665712