Leisure-time physical activities and the risk of cardiovascular mortality in the Malmö diet and Cancer study
(2021) In BMC Public Health 21(1).- Abstract
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... (More)
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).
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- author
- Bergwall, Sara LU ; Acosta, Stefan LU ; Ramne, Stina LU ; Mutie, Pascal LU and Sonestedt, Emily LU
- organization
- publishing date
- 2021-10-26
- type
- Contribution to journal
- publication status
- published
- subject
- in
- BMC Public Health
- volume
- 21
- issue
- 1
- article number
- 1948
- publisher
- BioMed Central (BMC)
- external identifiers
-
- scopus:85118249778
- pmid:34702239
- ISSN
- 1471-2458
- DOI
- 10.1186/s12889-021-11972-6
- project
- Diet, physical activity and cardiovascular disease (Sara Bergwall)
- language
- English
- LU publication?
- yes
- additional info
- © 2021. The Author(s).
- id
- c710981f-409c-4033-b9af-a3b650b8ee82
- date added to LUP
- 2021-10-31 16:45:01
- date last changed
- 2024-09-22 04:31:21
@article{c710981f-409c-4033-b9af-a3b650b8ee82, abstract = {{<p>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.</p><p>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.</p><p>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.</p><p>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).</p>}}, author = {{Bergwall, Sara and Acosta, Stefan and Ramne, Stina and Mutie, Pascal and Sonestedt, Emily}}, issn = {{1471-2458}}, language = {{eng}}, month = {{10}}, number = {{1}}, publisher = {{BioMed Central (BMC)}}, series = {{BMC Public Health}}, title = {{Leisure-time physical activities and the risk of cardiovascular mortality in the Malmö diet and Cancer study}}, url = {{http://dx.doi.org/10.1186/s12889-021-11972-6}}, doi = {{10.1186/s12889-021-11972-6}}, volume = {{21}}, year = {{2021}}, }