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Leisure-time physical activity, desire to increase physical activity, and mortality : A population-based prospective cohort study

Lindström, Martin LU ; Rosvall, Maria LU and Pirouzifard, Mirnabi LU (2023) In Preventive Medicine Reports 33.
Abstract

The aim was to investigate associations between leisure-time physical activity (LTPA) and mortality, and associations between desire to increase LTPA and mortality within the low LTPA group. A public health survey questionnaire was sent in 2008 to a stratified random sample of the population aged 18-80 in southernmost Sweden, yielding a 54.1% response rate. Baseline 2008 survey data with 25,464 respondents was linked to cause of death register data to create a prospective cohort with 8.3-year follow-up. Associations between LTPA, desire to increase LTPA and mortality were analyzed in logistic regression models. An 18.4% proportion performed regular exercise (at least 90 min/week, leading to sweating), 23.2% moderate regular exercise... (More)

The aim was to investigate associations between leisure-time physical activity (LTPA) and mortality, and associations between desire to increase LTPA and mortality within the low LTPA group. A public health survey questionnaire was sent in 2008 to a stratified random sample of the population aged 18-80 in southernmost Sweden, yielding a 54.1% response rate. Baseline 2008 survey data with 25,464 respondents was linked to cause of death register data to create a prospective cohort with 8.3-year follow-up. Associations between LTPA, desire to increase LTPA and mortality were analyzed in logistic regression models. An 18.4% proportion performed regular exercise (at least 90 min/week, leading to sweating), 23.2% moderate regular exercise (once or twice a week at least 30 min/occasion, leading to sweating), 44.3% moderate exercise (more than two hours walking or equivalent activity/week) and 14.1% reported low LTPA (less than two hours walking or equivalent activity/week). These four LTPA groups were significantly associated with covariates included in the multiple analyses. The results showed significantly higher all-cause, cardiovascular (CVD), cancer and other cause mortality for the low LTPA group but not for the moderate regular exercise and moderate exercise groups compared to the regular exercise group. Both the "Yes, but I need support" and the "No" fractions within the low LTPA group had significantly increased ORs of all-cause mortality compared to the "Yes, and I can do it myself" reference, while no significant associations were observed for CVD mortality. Physical activity promotion is particularly warranted in the low LTPA group.

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author
; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Leisure-time physical activity, Physical activity promotion, Health-related behaviors, Mortality, Cardiovascular mortality, Cancer mortality, Sweden
in
Preventive Medicine Reports
volume
33
article number
102212
pages
7 pages
publisher
Elsevier
external identifiers
  • scopus:85154048473
  • pmid:37223559
ISSN
2211-3355
DOI
10.1016/j.pmedr.2023.102212
language
English
LU publication?
yes
additional info
© 2023 The Author(s).
id
fc5fbedc-e466-4f18-94cf-52c191b3c5c9
date added to LUP
2023-08-18 11:02:00
date last changed
2024-04-20 01:00:42
@article{fc5fbedc-e466-4f18-94cf-52c191b3c5c9,
  abstract     = {{<p>The aim was to investigate associations between leisure-time physical activity (LTPA) and mortality, and associations between desire to increase LTPA and mortality within the low LTPA group. A public health survey questionnaire was sent in 2008 to a stratified random sample of the population aged 18-80 in southernmost Sweden, yielding a 54.1% response rate. Baseline 2008 survey data with 25,464 respondents was linked to cause of death register data to create a prospective cohort with 8.3-year follow-up. Associations between LTPA, desire to increase LTPA and mortality were analyzed in logistic regression models. An 18.4% proportion performed regular exercise (at least 90 min/week, leading to sweating), 23.2% moderate regular exercise (once or twice a week at least 30 min/occasion, leading to sweating), 44.3% moderate exercise (more than two hours walking or equivalent activity/week) and 14.1% reported low LTPA (less than two hours walking or equivalent activity/week). These four LTPA groups were significantly associated with covariates included in the multiple analyses. The results showed significantly higher all-cause, cardiovascular (CVD), cancer and other cause mortality for the low LTPA group but not for the moderate regular exercise and moderate exercise groups compared to the regular exercise group. Both the "Yes, but I need support" and the "No" fractions within the low LTPA group had significantly increased ORs of all-cause mortality compared to the "Yes, and I can do it myself" reference, while no significant associations were observed for CVD mortality. Physical activity promotion is particularly warranted in the low LTPA group.</p>}},
  author       = {{Lindström, Martin and Rosvall, Maria and Pirouzifard, Mirnabi}},
  issn         = {{2211-3355}},
  keywords     = {{Leisure-time physical activity; Physical activity promotion; Health-related behaviors; Mortality; Cardiovascular mortality; Cancer mortality; Sweden}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Preventive Medicine Reports}},
  title        = {{Leisure-time physical activity, desire to increase physical activity, and mortality : A population-based prospective cohort study}},
  url          = {{http://dx.doi.org/10.1016/j.pmedr.2023.102212}},
  doi          = {{10.1016/j.pmedr.2023.102212}},
  volume       = {{33}},
  year         = {{2023}},
}