Eric J Shiroma1, I-Min Lee2,3, Mitchell A Schepps1, Masamitsu Kamada4, Tamara B Harris1. 1. Laboratory of Epidemiology and Population Science, National Institute on Aging, Bethesda, MD. 2. Division of Preventive Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, MA. 3. Department of Epidemiology, Harvard TH Chan School of Public Health, Boston, MA. 4. Department of Social and Behavioral Sciences, Harvard TH Chan School of Public Health, Boston, MA.
Abstract
PURPOSE: This study aimed to examine how accelerometer-assessed physical activity accumulation patterns (e.g., is activity performed daily or only 1 or 2 d·wk or is activity accrued in bouts) may affect the association with mortality. METHODS: Adults (N = 3438), age 40 yr and older, who wore an accelerometer (ActiGraph 7164), were drawn from the longitudinal follow-up of the National Health and Nutritional Examination Survey (2003-2006), a population-based survey of the United States. Accelerometer-assessed moderate-to-vigorous physical activity (MVPA) was described by activity patterns. Participants engaging in the majority of their activity on only 1 or 2 d·wk· were classified as "weekend warriors." Activity bouts were defined as a period of at least moderate intensity lasting at least 10 min. Bout characteristics included bout frequency and length. Mortality was assessed through National Death Index matching through 2013. Mortality rates were compared among groups with different activity patterns. RESULTS: Over an average follow-up of 77.4 months, 394 deaths occurred. Compared to participants with <37.5 min of MVPA per week, those with greater amounts of activity had a 60% to 69% mortality rate reduction after adjusting for relevant covariables. Similar risk reductions were found when contrasting weekend warriors with those who were more frequently active. An increase of one MVPA bout per week was associated with a 13% increased mortality rate. Bout duration was not associated with mortality. CONCLUSION: Physical activity is associated with decreased mortality rate, even among those who are active 1 or 2 d·wk.
PURPOSE: This study aimed to examine how accelerometer-assessed physical activity accumulation patterns (e.g., is activity performed daily or only 1 or 2 d·wk or is activity accrued in bouts) may affect the association with mortality. METHODS: Adults (N = 3438), age 40 yr and older, who wore an accelerometer (ActiGraph 7164), were drawn from the longitudinal follow-up of the National Health and Nutritional Examination Survey (2003-2006), a population-based survey of the United States. Accelerometer-assessed moderate-to-vigorous physical activity (MVPA) was described by activity patterns. Participants engaging in the majority of their activity on only 1 or 2 d·wk· were classified as "weekend warriors." Activity bouts were defined as a period of at least moderate intensity lasting at least 10 min. Bout characteristics included bout frequency and length. Mortality was assessed through National Death Index matching through 2013. Mortality rates were compared among groups with different activity patterns. RESULTS: Over an average follow-up of 77.4 months, 394 deaths occurred. Compared to participants with <37.5 min of MVPA per week, those with greater amounts of activity had a 60% to 69% mortality rate reduction after adjusting for relevant covariables. Similar risk reductions were found when contrasting weekend warriors with those who were more frequently active. An increase of one MVPA bout per week was associated with a 13% increased mortality rate. Bout duration was not associated with mortality. CONCLUSION: Physical activity is associated with decreased mortality rate, even among those who are active 1 or 2 d·wk.
Authors: Derek J Roberts; Jean-Francois Ouellet; Paul B McBeth; Andrew W Kirkpatrick; Elijah Dixon; Chad G Ball Journal: Can J Surg Date: 2014-06 Impact factor: 2.089
Authors: William L Haskell; I-Min Lee; Russell R Pate; Kenneth E Powell; Steven N Blair; Barry A Franklin; Caroline A Macera; Gregory W Heath; Paul D Thompson; Adrian Bauman Journal: Med Sci Sports Exerc Date: 2007-08 Impact factor: 5.411
Authors: Tessa J Parsons; Claudio Sartini; Elizabeth A Ellins; Julian P J Halcox; Kirsten E Smith; Sarah Ash; Lucy T Lennon; S Goya Wannamethee; I-Min Lee; Peter H Whincup; Barbara J Jefferis Journal: Atherosclerosis Date: 2016-01-25 Impact factor: 5.162
Authors: Steven C Moore; I-Min Lee; Elisabete Weiderpass; Peter T Campbell; Joshua N Sampson; Cari M Kitahara; Sarah K Keadle; Hannah Arem; Amy Berrington de Gonzalez; Patricia Hartge; Hans-Olov Adami; Cindy K Blair; Kristin B Borch; Eric Boyd; David P Check; Agnès Fournier; Neal D Freedman; Marc Gunter; Mattias Johannson; Kay-Tee Khaw; Martha S Linet; Nicola Orsini; Yikyung Park; Elio Riboli; Kim Robien; Catherine Schairer; Howard Sesso; Michael Spriggs; Roy Van Dusen; Alicja Wolk; Charles E Matthews; Alpa V Patel Journal: JAMA Intern Med Date: 2016-06-01 Impact factor: 21.873
Authors: David A White; Erik A Willis; Lauren T Ptomey; Anna M Gorczyca; Joseph E Donnelly Journal: Med Sci Sports Exerc Date: 2022-01-01 Impact factor: 5.411
Authors: Jessica Piasecki; Alex Ireland; Mathew Piasecki; Kevin Deere; Kimberley Hannam; Jonathan Tobias; Jamie S McPhee Journal: Front Physiol Date: 2019-08-27 Impact factor: 4.566
Authors: Wen-Yi Wang; Yu-Ling Hsieh; Ming-Chun Hsueh; Yang Liu; Yung Liao Journal: Int J Environ Res Public Health Date: 2019-11-10 Impact factor: 3.390
Authors: Evelien J Vandercappellen; Ronald M A Henry; Hans H C M Savelberg; Julianne D van der Berg; Koen D Reesink; Nicolaas C Schaper; Simone J P M Eussen; Martien C J M van Dongen; Pieter C Dagnelie; Miranda T Schram; Marleen M J van Greevenbroek; Anke Wesselius; Carla J H van der Kallen; Sebastian Köhler; Coen D A Stehouwer; Annemarie Koster Journal: J Am Heart Assoc Date: 2020-10-15 Impact factor: 5.501
Authors: Fabian Kleinke; Sabina Ulbricht; Marcus Dörr; Peter Penndorf; Wolfgang Hoffmann; Neeltje van den Berg Journal: PLoS One Date: 2021-09-16 Impact factor: 3.240
Authors: Evelien J Vandercappellen; Annemarie Koster; Hans H C M Savelberg; Simone J P M Eussen; Pieter C Dagnelie; Nicolaas C Schaper; Miranda T Schram; Carla J H van der Kallen; Marleen M J van Greevenbroek; Anke Wesselius; Casper G Schalkwijk; Abraham A Kroon; Ronald M A Henry; Coen D A Stehouwer Journal: Diabetologia Date: 2022-02-04 Impact factor: 10.122