scholarly journals Do highly physically active workers die early? A systematic review with meta-analysis of data from 193 696 participants

2018 ◽  
Vol 52 (20) ◽  
pp. 1320-1326 ◽  
Author(s):  
Pieter Coenen ◽  
Maaike A Huysmans ◽  
Andreas Holtermann ◽  
Niklas Krause ◽  
Willem van Mechelen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Health Outcomes ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Meta Analysis ◽  
Occupational Physical Activity ◽  
Low Level ◽  
All Cause Mortality ◽  
High Level

ObjectiveRecent evidence suggests the existence of a physical activity paradox, with beneficial health outcomes associated with leisure time physical activity, but detrimental health outcomes for those engaging in high level occupational physical activity. This is the first quantitative systematic review of evidence regarding the association between occupational physical activity and all-cause mortality.DesignSystematic review with meta-analysis.Data sourceA literature search was performed in electronic databases PubMed, Embase, CINAHL, PsycINFO and Cochrane.Eligibility criteria for selecting studiesWe screened for peer reviewed articles from prospective studies assessing the association of occupational physical activity with all-cause mortality. A meta-analysis assessed the association of high (compared with low) level occupational physical activity with all-cause mortality, estimating pooled hazard ratios (HR) (with 95% CI).Results2490 unique articles were screened and 33 (from 26 studies) were included. Data from 17 studies (with 193 696 participants) were used in a meta-analysis, showing that men with high level occupational physical activity had an 18% increased risk of early mortality compared with those engaging in low level occupational physical activity (HR 1.18, 95% CI 1.05 to 1.34). No such association was observed among women, for whom instead a tendency for an inverse association was found (HR 0.90, 95% CI 0.80 to 1.01).ConclusionsThe results of this review indicate detrimental health consequences associated with high level occupational physical activity in men, even when adjusting for relevant factors (such as leisure time physical activity). These findings suggest that research and physical activity guidelines may differentiate between occupational and leisure time physical activity.

Leisure-time physical activity and lung cancer risk: A systematic review and meta-analysis

Lung Cancer ◽  
2016 ◽  
Vol 95 ◽  
pp. 17-27 ◽  
Author(s):  
Darren R. Brenner ◽  
Demetra H. Yannitsos ◽  
Megan S. Farris ◽  
Mattias Johansson ◽  
Christine M. Friedenreich
Keyword(s):  
Physical Activity ◽  
Lung Cancer ◽  
Systematic Review ◽  
Cancer Risk ◽  
Leisure Time ◽  
Lung Cancer Risk ◽  
Leisure Time Physical Activity ◽  
Meta Analysis

scholarly journals Longitudinal association between leisure-time physical activity and vascular elasticity indices

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gábor Szaló ◽  
Margareta Hellgren ◽  
Matthew Allison ◽  
Lennart Råstam ◽  
Ulf Lindblad ◽  
...  
Keyword(s):  
Physical Activity ◽  
Leisure Time ◽  
Linear Models ◽  
Leisure Time Physical Activity ◽  
Arterial Compliance ◽  
Arterial Elasticity ◽  
Swedish Population ◽  
Low Level ◽  
Positive Effects ◽  
High Level

Abstract Aim We investigated the association between levels of leisure-time physical activity and vascular stiffness in a longitudinal observational study from a representative Swedish population. Method A total of 2816 randomly selected individuals were examined at visit 1 (2002–2005, Men = 1400). After a mean follow-up of 9.7 ± 1.4 years, a representative sample of 1327 of the original participants were re-examined at visit 2. After excluding subjects with hypertension at baseline, 761 participants were included in the longitudinal analyses. Leisure-time physical (LTPA) activity was self-reported and dichotomized as high or low (level 3, 4 and level 1, 2, respectively). Large Arterial Elasticity Index (LAEI) and Small Arterial Elasticity Index (SAEI) were measured using the HDI/Pulse Wave™ CR2000. Multivariable general linear models were used to investigate the differences in changes SAEI and LAEI based on LTPA levels. Results At visit 1, and after adjustment for possible confounders, participants in the high LTPA group had better small artery elasticity (SAEI) (SAEI in low-level LTPA: 7.89 ± 0.11, SAEI in high-level LTPA: 8.32 ± 0.15, ΔSAEI: 0.42, CI: 0.07–0.78; p = 0.020). SAEI decreased between the two assessments (Visit 1: SAEI 8.01 ± 3.37 ml/mmHg; Δ SAEI: 1.4, CI 1.2–1.6, p < 0.001). Participants with a higher LTPA at visit 1 had significantly better SAEI at visit 2 (ΔSAEI: 0.44, CI 0.03–0.85, p = 0.037). No significant associations were observed between LAEI and LTPA after adjustments. Conclusions High LTPA predicted higher small arterial compliance at visit 2 suggesting that positive effects of LTPA on arterial elasticity persists over time.

scholarly journals Leisure-time physical activity and sciatica: A systematic review and meta-analysis

2016 ◽  
Vol 20 (10) ◽  
pp. 1563-1572 ◽  
Author(s):  
R. Shiri ◽  
K. Falah-Hassani ◽  
E. Viikari-Juntura ◽  
D. Coggon
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Meta Analysis

scholarly journals Leisure time and occupational physical activity, resting heart rate and mortality in the Arctic region of Norway: The Finnmark Study

2019 ◽  
Vol 26 (15) ◽  
pp. 1636-1644 ◽  
Author(s):  
Rune Hermansen ◽  
Bjarne K Jacobsen ◽  
Maja-Lisa Løchen ◽  
Bente Morseth
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Heart Rate ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Occupational Physical Activity ◽  
Resting Heart Rate ◽  
Cardiovascular Disease Mortality ◽  
Disease Mortality ◽  
All Cause Mortality

Aims This study examined the association of leisure time physical activity, occupational physical activity, and resting heart rate with all-cause and cardiovascular disease mortality in Sami and non-Sami populations. Study design This was a longitudinal, observational population-based study. Methods The Finnmark 3 study cohort was examined in 1987–1988 and followed for all-cause and cardiovascular disease mortality for 26 years. The cohort included 17,697 men and women with a mean age of 47.2 years at baseline. Leisure time physical activity and occupational physical activity were assessed with a validated questionnaire at baseline, whereas cause of death was obtained from the Norwegian Cause of Death Registry. Results A total of 1983 women and 3147 men died during follow-up. Leisure time physical activity was linearly and inversely associated with all-cause mortality, but not coronary heart disease mortality. Compared to inactive subjects, all-cause mortality was significantly reduced by 16% in the active leisure time physical activity group (hazard ratio 0.84; 95% confidence interval 0.76–0.92). Both for all-cause and cardiovascular disease mortality, we observed a U-shaped relationship with occupational physical activity, as participants in the walking and lifting group had significantly lower mortality than both the mostly sedentary and the heavy manual labour group ( p < 0.05). An increase in resting heart rate by one beat per minute was associated with a 1.1% increase in all-cause mortality (hazard ratio 1.011; 95% confidence interval 1.009–1.013). The associations were similar in Sami and non-Sami subjects. Conclusion In this population-based study, leisure time physical activity was inversely associated with all-cause mortality, whereas resting heart rate was positively associated with all-cause and cardiovascular disease mortality. There was a U-shaped association between occupational physical activity and cardiovascular disease and all-cause mortality.

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