scholarly journals Recommended physical activity and all cause and cause specific mortality in US adults: prospective cohort study

BMJ ◽  
2020 ◽  
pp. m2031 ◽  
Author(s):  
Min Zhao ◽  
Sreenivas P Veeranki ◽  
Costan G Magnussen ◽  
Bo Xi
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Respiratory Tract ◽  
Lower Respiratory Tract ◽  
Respiratory Tract Diseases ◽  
Physical Activity Guidelines ◽  
Muscle Strengthening ◽  
Aerobic Activity ◽  
Specific Mortality ◽  
Recommended Physical Activity

AbstractObjectiveTo determine the association between recommended physical activity according to the 2018 physical activity guidelines for Americans and all cause and cause specific mortality using a nationally representative sample of US adults.DesignPopulation based cohort study.SettingNational Health Interview Survey (1997-2014) with linkage to the National Death Index records to 31 December 2015.Participants479 856 adults aged 18 years or older.ExposuresParticipant self-reports of the amount of leisure time spent in aerobic physical activity and muscle strengthening activity each week were combined and categorised into four groups: insufficient activity, aerobic activity only, muscle strengthening only, and both aerobic and muscle strengthening activities according to the physical activity guidelines.Main outcome measuresAll cause mortality and cause specific mortality (cardiovascular disease, cancer, chronic lower respiratory tract diseases, accidents and injuries, Alzheimer’s disease, diabetes mellitus, influenza and pneumonia, and nephritis, nephrotic syndrome, or nephrosis) obtained from the National Death Index records.ResultsDuring a median follow-up of 8.75 years, 59 819 adults died from all causes, 13 509 from cardiovascular disease, 14 375 from cancer, 3188 from chronic lower respiratory tract diseases, 2477 from accidents and injuries, 1470 from Alzheimer’s disease, 1803 from diabetes mellitus, 1135 from influenza and pneumonia, and 1129 from nephritis, nephrotic syndrome, or nephrosis. Compared with those who did not meet the physical activity guidelines (n=268 193), those who engaged in recommended muscle strengthening activity (n=21 428; hazard ratio 0.89, 95% confidence interval 0.85 to 0.94) or aerobic activity (n=113 851; 0.71, 0.69 to 0.72) were found to be at reduced risk of all cause mortality; and even larger survival benefits were found in those engaged in both activities (n=76 384; 0.60, 0.57 to 0.62). In addition, similar patterns were reported for cause specific mortality from cardiovascular disease, cancer, and chronic lower respiratory tract diseases.ConclusionsAdults who engage in leisure time aerobic and muscle strengthening activities at levels recommended by the 2018 physical activity guidelines for Americans show greatly reduced risk of all cause and cause specific mortality. These data suggest that the physical activity levels recommended in the guidelines are associated with important survival benefits.

scholarly journals State of the Art Review

2016 ◽  
Vol 11 (1) ◽  
pp. 42-57 ◽  
Author(s):  
Caroline A. Macera ◽  
Alyson Cavanaugh ◽  
John Bellettiere
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Healthy Lifestyle ◽  
Even Start ◽  
Major Health ◽  
Physical Activity Guidelines ◽  
Muscle Strengthening ◽  
Aerobic Activity ◽  
Physical Activity Recommendations ◽  
Activity Recommendations

Physical activity is an important component of a healthy lifestyle for all adults and especially for older adults. Using information from the updated 2008 Physical Activity Guidelines, 3 dimensions of physical activity are identified for older adults. These include increasing aerobic activity, increasing muscle-strengthening activity, and reducing sedentary or sitting behavior. Although the overall goal of the physical activity recommendations is to prevent chronic diseases and conditions from developing, many older adults are already affected. Therefore, suggested types of physical activity are described for specific diseases and conditions that are designed to mediate the condition or prevent additional disability. Finally, barriers to participation in physical activity specific to older adults are described, and possible solutions offered. Encouraging older adults to continue or even start a physical activity program can result in major health benefits for these individuals.

scholarly journals Effect of physical activity on mortality and hospitalization for lower respiratory tract infection in patients with cardiovascular disease

2021 ◽  
Vol 42 (Supplement_1) ◽  
Author(s):  
M Jung
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Tract Infection ◽  
Respiratory Tract ◽  
Respiratory Tract Infection ◽  
Risk Reduction ◽  
Lower Respiratory Tract Infection ◽  
Lower Respiratory Tract ◽  
Activity Level ◽  
Cubic Spline Curve

Abstract Background Despite the well-validated benefit of physical activity on various health outcomes, little is known about its effect on lower respiratory tract infection. We explored the dose-response associations between physical activity and lower respiratory tract infection outcomes in patients with cardiovascular disease. Methods Using the Korean National Health Insurance data, we identified more than 1 million individuals with cardiovascular diseases who had data on self-reported physical activity (baseline 2009–2012). Participants were followed up until 2018–2019 regarding the risk of death or hospitalization due to lower respiratory tract infection according to their physical activity level. Results Age- and sex-adjusted hazard ratios (95% confidence interval) for lower respiratory tract infection mortality were 1.00 (reference), 0.70 (0.67–0.74), 0.63 (0.59–0.66), 0.48 (0.43–0.53), and 0.51 (0.45–0.56) for those engaging in physical activity of 0, <500, 500–999, 1000–1499, and ≥1500 MET min/week, respectively. This was similarly applied to hospitalization due to lower respiratory tract infection. Generally, the association was stronger in the elderly population than in the younger population. Restricted cubic spline curve showed a non-linear association, that is, gradual risk reduction with a steeper slope between 0 and 500 MET min/week, reaching a plateau for 1500–1800 MET/min, and the curve flattened out thereafter. Conclusions In patients with cardiovascular disease, engaging in even low level of physical activity was associated decreased risk for lower respiratory tract infection outcomes and incremental risk reduction was shown with an increasing physical activity. FUNDunding Acknowledgement Type of funding sources: None.

The Association of Physical Activity and Mortality Risk Reduction Among Smokers: Results From 1998–2009 National Health Interview Surveys–National Death Index Linkage

2019 ◽  
Vol 16 (10) ◽  
pp. 865-871 ◽  
Author(s):  
Mohammad Siahpush ◽  
Trish D. Levan ◽  
Minh N. Nguyen ◽  
Brandon L. Grimm ◽  
Athena K. Ramos ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
National Health ◽  
Lower Risk ◽  
National Death Index ◽  
Physical Activity Guidelines ◽  
Muscle Strengthening ◽  
Health Interview ◽  
Risk Of Mortality ◽  
Federal Guidelines

Background: The mortality benefits of meeting the US federal guidelines for physical activity, which includes recommendations for both aerobic and muscle-strengthening activities, have never been examined among smokers. Our aim was to investigate the association between reporting to meet the guidelines and all-cause, cancer, cardiovascular disease, and respiratory disease mortality among smokers. Methods: We pooled data from the 1998–2009 National Health Interview Survey, which were linked to records in the National Death Index (n = 68,706). Hazard ratios (HR) were computed to estimate the effect of meeting the physical activity guidelines on mortality. Results: Smokers who reported meeting the guidelines for physical activity had 29% lower risk of all-cause mortality (HR: 0.71; 95% confidence interval [CI], 0.62–0.81), 46% lower risk of mortality from cardiovascular disease (HR: 0.54; 95% CI, 0.39–0.76), and 26% lower risk of mortality from cancer (HR: 0.74; 95% CI, 0.59–0.93), compared with those who reported meeting neither the aerobic nor the muscle-strengthening recommendations of the guidelines. Meeting the aerobic recommendation of the guidelines was associated with a 42% decline in that risk (HR: 0.58; 95% CI, 0.44–0.77). Conclusion: Smokers who adhere to physical activity guidelines show a significant reduction in mortality.

scholarly journals Walking Cadence to Exercise at Moderate Intensity for Adults: A Systematic Review

2017 ◽  
Vol 2017 ◽  
pp. 1-12 ◽  
Author(s):  
J. Slaght ◽  
M. Sénéchal ◽  
T. J. Hrubeniuk ◽  
A. Mayo ◽  
D. R. Bouchard
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Older Adults ◽  
Leisure Activity ◽  
Moderate Intensity ◽  
Activity Levels ◽  
Physical Activity Guidelines ◽  
Aerobic Activity ◽  
Physical Activity Levels

Background. Most adults choose walking as a leisure activity. However, many do not reach the international physical activity guidelines for adults, which recommend moderate intensity aerobic activity for at least 150 minutes/week in bouts of 10 minutes. Purpose. This systematic review provides an update on the walking cadence required to reach moderate intensity in adults and older adults, identifies variables associated with reaching moderate intensity, and evaluates how walking cadence intensity should be measured, but the main purpose is to report the interventions that have been attempted to prescribe walking cadence to increase time spent at moderate intensity or other outcomes for adults and older adults. Methods. SportDISCUS, Scopus, and PubMed databases were searched. We identified 3,917 articles and 31 were retained for this systematic review. Only articles written in English were included. Results. In general, 100 steps/minute is prescribed for adults to achieve moderate intensity, but older adults may require a higher cadence. Currently, few studies have explored using walking cadence prescription as an intervention to increase physical activity levels. Conclusion. Prescribing walking cadence as a way to increase physical activity levels has potential as a practical and useful strategy, but more evidence is required to assess its ability to increase physical activity levels at moderate intensity.

scholarly journals Public Posting as a Strategy to Increase Walking

2004 ◽  
Vol 2 (4) ◽  
pp. 65-71
Author(s):  
Rayleen Earney ◽  
Timothy J. Bungum
Keyword(s):  
Physical Activity ◽  
Intervention Period ◽  
Post Intervention ◽  
Activity Data ◽  
Walking Behavior ◽  
Physical Activity Guidelines ◽  
Innovative Strategies ◽  
The Public ◽  
Public Posting ◽  
Recommended Physical Activity

Because most American adults do not meet recommended physical activity guidelines, the need for new and innovative strategies is apparent. The current study employed public posting in an attempt to increase walking behavior in a worksite setting. Pedometer generated data was publicly posted in a prominent location in the worksite. In our study that utilized a pre-experimental design, we found that walking steps were statistically higher during the intervention and in a post intervention period as compared to the baseline data. We conclude that the public posting of physical activity data has the potential to increase walking behavior.

Using the Wrist-Worn Atlas Wristband2 Monitor to Objectively Measure Resistance Training Exercises

2019 ◽  
Vol 2 (4) ◽  
pp. 218-227
Author(s):  
Jeremy A. Steeves ◽  
Scott A. Conger ◽  
Joe R. Mitrzyk ◽  
Trevor A. Perry ◽  
Elise Flanagan ◽  
...  
Keyword(s):  
Physical Activity ◽  
Resistance Training ◽  
Classification Accuracy ◽  
Absolute Error ◽  
Left Wrist ◽  
Physical Activity Guidelines ◽  
Aerobic Activity ◽  
Exercise Type ◽  
The Right ◽  
Training Exercises

Background: Devices for monitoring physical activity have focused mainly on measuring aerobic activity; however, the 2018 Physical Activity Guidelines for Americans also recommend muscle-resistance training two or more days per week. Recently, a wrist-worn activity monitor, the Atlas Wristband2, was developed to recognize resistance training exercises. Purpose: To assess the ability of the Wristband2 to identify the type and number of repetitions of resistance training exercises, when worn on the left wrist as directed by the manufacturer, and when worn on the right wrist. Methods: While wearing monitors on both wrists, 159 participants completed a circuit-style workout consisting of two sets of 12 repetitions of 14 different resistance training exercises. Data from the monitors were used to determine classification accuracies for identifying exercise type verses direct observation. The average repetitions and mean absolute error (MAE) for repetitions were calculated for each exercise. Results: The Wristband2 classification accuracy for exercise type was 78.4 ± 2.5%, ranging from 54.7 ± 3.4% (dumbbell [DB] bench press) to 97.5 ± 1.0% (DB biceps curls), when worn on the left wrist. An average of 11.0 ± 0.2 repetitions, ranging from 9.0 ± 0.3 repetitions (DB lunges) to 11.9 ± 0.1 repetitions (push-ups), were identified. For all exercises, MAE ranged from 0.0–4.6 repetitions. When worn on the right wrist, exercise type classification accuracy dropped to 24.2 ± 5.1%, and repetitions decreased to 8.1 ± 0.8 out of 12. Conclusions: The Wristband2, worn on the left wrist, had acceptable exercise classification and repetition counting capabilities for many of the 14 exercises used in this study, and may be a useful tool to objectively track resistance training.

scholarly journals Adhering to the 2017 Dutch Physical Activity Guidelines: A Trend over Time 2001–2018

2020 ◽  
Vol 17 (3) ◽  
pp. 681
Author(s):  
Marjolein Duijvestijn ◽  
Saskia W. van den Berg ◽  
G. C. Wanda Wendel-Vos
Keyword(s):  
Physical Activity ◽  
Multiple Logistic Regression Analysis ◽  
Positive Trend ◽  
Time Data ◽  
Physical Activity Guidelines ◽  
Muscle Strengthening ◽  
Nationally Representative ◽  
Health Enhancing Physical Activity ◽  
Changes Over Time ◽  
Over Time

Recently, new physical activity (PA) guidelines were adopted in the Netherlands consisting of two components: (1) addressing duration of moderate and vigorous PA, (2) bone and muscle strengthening activities. The aim of this study is to retrospectively assess the long-term trend in fulfilling the criteria of the new PA guidelines and to gain insight into which activities contribute to changes over time. Data were available for 2001–2018 of a nationally representative sample of approximately 7000 Dutch citizens aged 12 years and over using the Short Questionnaire to Assess Health-enhancing physical activity (SQUASH). Multiple logistic regression analysis was performed by age, sex, and level of education. Overall, a positive trend was found from 39.9% adherence in 2001 to 46.0% in 2018. Adherence levels among adolescents decreased and increased among adults and seniors. Intermediate and higher educated groups showed positive trends over time whereas a stable trend was observed among lower educated. Activities contributing most to changes over time were sports, leisure time walking, and strenuous occupational activities. In the period 2001–2018, though an increasing trend was found, less than half of the population was sufficiently active. Special effort is necessary to reach adolescents, seniors, and lower educated groups in PA promotion programs.

Likelihood of Meeting Physical Activity Guidelines of Veterans Who Are Obese by Disability Status

2019 ◽  
Vol 33 (8) ◽  
pp. 1194-1199
Author(s):  
Vijay Vasudevan ◽  
Erin Bouldin ◽  
Shannon Bloodworth ◽  
Linda Rocafort
Keyword(s):  
Physical Activity ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Self Report ◽  
Behavioral Risk ◽  
Mobility Limitations ◽  
Cross Sectional ◽  
Physical Activity Guidelines ◽  
Aerobic Activity ◽  
Disability Status

Purpose:The purpose of this study was to explore the likelihood of meeting the physical activity guidelines in veterans who are obese by disability status.Design:We used data from the 2017 Behavioral Risk Factor Surveillance System, a cross-sectional telephone survey. The mean response rate was 44.9%.Setting:Respondents came from all 50 states, District of Columbia, and 3 US territories.Patients:Respondents included veterans self-reporting being obese (N = 13 798).Measures:We created a mutually exclusive disability variable: no disability, multiple disability, and limitations only with hearing, vision, cognitive, mobility, Activities of Daily Living, or Instrumental Activities of Daily Living. Physical activity guidelines were defined as 150 minutes/week of aerobic activity and 2 days/week of strength activities.Analysis:Prevalence ratios (PRs) were calculated by performing separate log-binomial regression models for meeting strength and aerobic recommendations on veterans who were obese.Results:Obese veterans with mobility limitations only or multiple disabilities were significantly less likely to meet the aerobic (PR = 0.74, P = .002 and PR = .62, P = .021, respectively) or strength (PR = .76, P < .001 and PR = 0.74, P < .001, respectively) recommendations, compared to not having a disability (n = 7964).Conclusions:Inactivity could be explained by a lack of inclusive weight loss programs for veterans with disabilities and barriers to physical activity encountered by people with disabilities. Two primary limitations of this study are self-report of obesity and physical activity and exclusion of adults in institutional settings.

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