Leisure-time physical activities and the risk of cardiovascular mortality in the Malmö diet and Cancer study
Bergwall, Sara LU ; Acosta, Stefan LU
; Ramne, Stina
LU
; Mutie, Pascal
LU
and Sonestedt, Emily
LU
(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).
(Less)
- 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
-
- pmid:34702239
- scopus:85118249778
- 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
- 2024-06-15 19:32:22
@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}},
}