Leisure-time physical activities and the risk of cardiovascular mortality in the Malmö diet and Cancer study.
Cardiovascular mortality
High-intensity physical activity
Leisure-time physical activity
Prevention
Running
Journal
BMC public health
ISSN: 1471-2458
Titre abrégé: BMC Public Health
Pays: England
ID NLM: 100968562
Informations de publication
Date de publication:
26 10 2021
26 10 2021
Historique:
received:
19
04
2021
accepted:
11
10
2021
entrez:
27
10
2021
pubmed:
28
10
2021
medline:
3
11
2021
Statut:
epublish
Résumé
The association between leisure-time physical activity and cardiovascular mortality has been previously studied, but few studies have focused on specific activities and intensities. The association between different leisure-time physical activities and cardiovascular mortality was investigated among 25,876 individuals without diabetes or cardiovascular disease from the population-based Malmö Diet and Cancer Study cohort. The individuals estimated the average duration spent on 17 physical activities at baseline in 1991-1996 and after 5 years. Cardiovascular mortality was obtained from a register during a mean of 20 years of follow-up. A total leisure-time physical activity of 15-25 metabolic equivalent task (MET) hours/week was associated with a decreased risk of cardiovascular mortality (HR 15-25 vs < 7.5 MET-h/week =0.80, 95% CI 0.69-0.93), with no further risk reduction at higher levels. Several high-intensity activities (i.e., lawn tennis and running) and moderate-intensity activities (i.e., golf, cycling and gardening) were associated with a reduced risk. Individuals who engaged in high-intensity physical activity for an average of 2.29 MET h/week (30 min/week) had an 18% (95% CI 0.72-0.93) reduced risk of cardiovascular mortality compared with non-participants, and no further risk reductions were observed at higher levels. Decreased risk was observed among individuals who had started (HR 0.56, 95% CI 0.32-0.97) or continued (HR 0.49, 95% CI 0.36-0.66) high-intensity activities at the five-year follow-up. Moderate- and high-intensity leisure-time physical activities reduced the risk of cardiovascular mortality. With regard to total leisure-time physical activity, the largest risk reduction was observed for 15-25 MET-h/week (equivalent to walking for approximately 5 h/week).
Sections du résumé
BACKGROUND
The association between leisure-time physical activity and cardiovascular mortality has been previously studied, but few studies have focused on specific activities and intensities.
METHODS
The association between different leisure-time physical activities and cardiovascular mortality was investigated among 25,876 individuals without diabetes or cardiovascular disease from the population-based Malmö Diet and Cancer Study cohort. The individuals estimated the average duration spent on 17 physical activities at baseline in 1991-1996 and after 5 years. Cardiovascular mortality was obtained from a register during a mean of 20 years of follow-up.
RESULTS
A total leisure-time physical activity of 15-25 metabolic equivalent task (MET) hours/week was associated with a decreased risk of cardiovascular mortality (HR 15-25 vs < 7.5 MET-h/week =0.80, 95% CI 0.69-0.93), with no further risk reduction at higher levels. Several high-intensity activities (i.e., lawn tennis and running) and moderate-intensity activities (i.e., golf, cycling and gardening) were associated with a reduced risk. Individuals who engaged in high-intensity physical activity for an average of 2.29 MET h/week (30 min/week) had an 18% (95% CI 0.72-0.93) reduced risk of cardiovascular mortality compared with non-participants, and no further risk reductions were observed at higher levels. Decreased risk was observed among individuals who had started (HR 0.56, 95% CI 0.32-0.97) or continued (HR 0.49, 95% CI 0.36-0.66) high-intensity activities at the five-year follow-up.
CONCLUSIONS
Moderate- and high-intensity leisure-time physical activities reduced the risk of cardiovascular mortality. With regard to total leisure-time physical activity, the largest risk reduction was observed for 15-25 MET-h/week (equivalent to walking for approximately 5 h/week).
Identifiants
pubmed: 34702239
doi: 10.1186/s12889-021-11972-6
pii: 10.1186/s12889-021-11972-6
pmc: PMC8549319
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1948Informations de copyright
© 2021. The Author(s).
Références
Prev Med. 2008 Sep;47(3):319-23
pubmed: 18455785
NCHS Data Brief. 2017 Mar;(276):1-8
pubmed: 28282020
Am J Hypertens. 2021 May 22;34(5):463-466
pubmed: 33245323
N Engl J Med. 2008 Mar 6;358(10):1037-52
pubmed: 18322285
Prog Cardiovasc Dis. 2017 Jun - Jul;60(1):45-55
pubmed: 28365296
J Am Geriatr Soc. 2017 Mar;65(3):504-510
pubmed: 28024086
Eur J Cancer Prev. 2001 Dec;10(6):489-99
pubmed: 11916347
Br J Sports Med. 2009 Jan;43(1):49-51
pubmed: 18971244
Br J Sports Med. 2019 Nov;53(22):1405-1411
pubmed: 30890520
Am J Cardiol. 2001 Dec 20;88(12A):9N-13N
pubmed: 11788124
Lancet Glob Health. 2018 Oct;6(10):e1077-e1086
pubmed: 30193830
J Health Popul Nutr. 2012 Mar;30(1):66-72
pubmed: 22524121
Trends Cardiovasc Med. 2016 Apr;26(3):232-40
pubmed: 26187713
Med Sci Sports Exerc. 2000 Sep;32(9 Suppl):S498-504
pubmed: 10993420
Med Sci Sports Exerc. 2002 Apr;34(4):592-5
pubmed: 11932565
Sports Med. 2001 Feb;31(2):101-14
pubmed: 11227978
Epidemiology. 2002 Sep;13(5):561-8
pubmed: 12192226
Br J Sports Med. 2015 Apr;49(7):434-40
pubmed: 25568330
Am J Epidemiol. 2002 Nov 1;156(9):832-41
pubmed: 12397001
Mayo Clin Proc. 2015 Nov;90(11):1541-52
pubmed: 26362561
Eur Heart J. 2015 Jun 14;36(23):1445-53
pubmed: 25839670
Public Health Nutr. 2011 May;14(5):835-45
pubmed: 21299917
Br J Sports Med. 2020 Oct;54(20):1195-1201
pubmed: 31406017
Scand J Public Health. 2002;30(2):103-12
pubmed: 12028859
Sci Rep. 2020 Dec 18;10(1):22287
pubmed: 33339835
BMC Public Health. 2020 Feb 21;20(1):261
pubmed: 32085709
Eur J Epidemiol. 2011 Feb;26(2):91-9
pubmed: 21153912
Eur J Prev Cardiol. 2018 Nov;25(17):1864-1872
pubmed: 30157685
Eur J Clin Nutr. 2009 Dec;63(12):1448-51
pubmed: 19639000
Br J Sports Med. 2017 May;51(10):812-817
pubmed: 27895075
J Atr Fibrillation. 2019 Oct 31;12(3):2167
pubmed: 32435330
Front Cardiovasc Med. 2020 Sep 25;7:585692
pubmed: 33102537
J Hypertens. 2017 Jan;35(1):10-17
pubmed: 27906836