Association of Accelerometer‐Derived Physical Activity Pattern With the Risks of All‐Cause, Cardiovascular Disease, and Cancer Death
Background Current guidelines suggest engaging in a minimum of 150 minutes of moderate to vigorous physical activity (MVPA) each week to support overall health. However, the effect of concentrated versus evenly distributed physical activity (PA) on health outcomes remains uncertain. This study aims...
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Wiley
2025-04-01
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| Series: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
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| Online Access: | https://www.ahajournals.org/doi/10.1161/JAHA.124.039225 |
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| author | Dan‐Qing Liao Hong‐Min Li Hao‐Jie Chen Shu‐Min Lai Xu‐Lian Tang Cheng‐Shen Qiu Li‐Ying Du Hong‐Xuan Huang Zhi‐Yuan Xiong Ling Kuang Bing‐Yun Zhang Pei‐Dong Zhang Jian Gao Wen‐Fang Zhong Pei‐Liang Chen Dan Liu Jin Yang Qing‐Mei Huang Chen Mao Zhi‐Hao Li |
| author_facet | Dan‐Qing Liao Hong‐Min Li Hao‐Jie Chen Shu‐Min Lai Xu‐Lian Tang Cheng‐Shen Qiu Li‐Ying Du Hong‐Xuan Huang Zhi‐Yuan Xiong Ling Kuang Bing‐Yun Zhang Pei‐Dong Zhang Jian Gao Wen‐Fang Zhong Pei‐Liang Chen Dan Liu Jin Yang Qing‐Mei Huang Chen Mao Zhi‐Hao Li |
| author_sort | Dan‐Qing Liao |
| collection | DOAJ |
| description | Background Current guidelines suggest engaging in a minimum of 150 minutes of moderate to vigorous physical activity (MVPA) each week to support overall health. However, the effect of concentrated versus evenly distributed physical activity (PA) on health outcomes remains uncertain. This study aims to investigate the associations of “weekend warrior” pattern, where most MVPA is completed in 1 to 2 days, and a more evenly spread MVPA pattern with mortality risk. Methods Data from the UK Biobank were used, with participants having a full week of device‐measured PA data from 2013 to 2015. Three MVPA patterns were defined: inactive, active weekend warrior, and active regular. The relationships between PA patterns and mortality risk were investigated using the Cox proportional hazards model. Results During an 8.1‐year median follow‐up, 3965 adults died from all causes, including 667 from cardiovascular disease and 1780 from cancer. Both the active weekend warrior group (all‐cause death: hazard ratio [HR], 0.68 [95% CI, 0.64–0.74]; cardiovascular disease death: HR, 0.69 [95% CI, 0.58–0.83]; cancer death: HR, 0.79 [95% CI, 0.71–0.89]) and the active regular group (all‐cause death: HR, 0.74 [95% CI, 0.68–0.81]; cardiovascular disease death: HR, 0.76 [95% CI, 0.61–0.94]; cancer death: HR, 0.87 [95% CI, 0.76–0.99]) demonstrated a lower mortality risk compared with the inactive group after following the recommended 150 minutes of MVPA per week. Furthermore, there was no discernible difference in the mortality risk between the active regular group and the active weekend warrior group. Conclusions Engaging in PA concentrated within 1 to 2 days was related with a similar reduction in mortality risk as more evenly spread activity. Our findings are particularly significant for individuals who find it challenging to engage in regular PA due to time constraints. |
| format | Article |
| id | doaj-art-53bbff8bdaa74a579ed0ed3ceed36289 |
| institution | Kabale University |
| issn | 2047-9980 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease |
| spelling | doaj-art-53bbff8bdaa74a579ed0ed3ceed362892025-08-20T03:47:44ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802025-04-0114810.1161/JAHA.124.039225Association of Accelerometer‐Derived Physical Activity Pattern With the Risks of All‐Cause, Cardiovascular Disease, and Cancer DeathDan‐Qing Liao0Hong‐Min Li1Hao‐Jie Chen2Shu‐Min Lai3Xu‐Lian Tang4Cheng‐Shen Qiu5Li‐Ying Du6Hong‐Xuan Huang7Zhi‐Yuan Xiong8Ling Kuang9Bing‐Yun Zhang10Pei‐Dong Zhang11Jian Gao12Wen‐Fang Zhong13Pei‐Liang Chen14Dan Liu15Jin Yang16Qing‐Mei Huang17Chen Mao18Zhi‐Hao Li19Department of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Neurosurgery, Institute of Brain Diseases, Nanfang Hospital Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaDepartment of Epidemiology, School of Public Health Southern Medical University Guangzhou Guangdong ChinaBackground Current guidelines suggest engaging in a minimum of 150 minutes of moderate to vigorous physical activity (MVPA) each week to support overall health. However, the effect of concentrated versus evenly distributed physical activity (PA) on health outcomes remains uncertain. This study aims to investigate the associations of “weekend warrior” pattern, where most MVPA is completed in 1 to 2 days, and a more evenly spread MVPA pattern with mortality risk. Methods Data from the UK Biobank were used, with participants having a full week of device‐measured PA data from 2013 to 2015. Three MVPA patterns were defined: inactive, active weekend warrior, and active regular. The relationships between PA patterns and mortality risk were investigated using the Cox proportional hazards model. Results During an 8.1‐year median follow‐up, 3965 adults died from all causes, including 667 from cardiovascular disease and 1780 from cancer. Both the active weekend warrior group (all‐cause death: hazard ratio [HR], 0.68 [95% CI, 0.64–0.74]; cardiovascular disease death: HR, 0.69 [95% CI, 0.58–0.83]; cancer death: HR, 0.79 [95% CI, 0.71–0.89]) and the active regular group (all‐cause death: HR, 0.74 [95% CI, 0.68–0.81]; cardiovascular disease death: HR, 0.76 [95% CI, 0.61–0.94]; cancer death: HR, 0.87 [95% CI, 0.76–0.99]) demonstrated a lower mortality risk compared with the inactive group after following the recommended 150 minutes of MVPA per week. Furthermore, there was no discernible difference in the mortality risk between the active regular group and the active weekend warrior group. Conclusions Engaging in PA concentrated within 1 to 2 days was related with a similar reduction in mortality risk as more evenly spread activity. Our findings are particularly significant for individuals who find it challenging to engage in regular PA due to time constraints.https://www.ahajournals.org/doi/10.1161/JAHA.124.039225accelerometerdeathphysical activity patternprospective studyweekend warrior |
| spellingShingle | Dan‐Qing Liao Hong‐Min Li Hao‐Jie Chen Shu‐Min Lai Xu‐Lian Tang Cheng‐Shen Qiu Li‐Ying Du Hong‐Xuan Huang Zhi‐Yuan Xiong Ling Kuang Bing‐Yun Zhang Pei‐Dong Zhang Jian Gao Wen‐Fang Zhong Pei‐Liang Chen Dan Liu Jin Yang Qing‐Mei Huang Chen Mao Zhi‐Hao Li Association of Accelerometer‐Derived Physical Activity Pattern With the Risks of All‐Cause, Cardiovascular Disease, and Cancer Death Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease accelerometer death physical activity pattern prospective study weekend warrior |
| title | Association of Accelerometer‐Derived Physical Activity Pattern With the Risks of All‐Cause, Cardiovascular Disease, and Cancer Death |
| title_full | Association of Accelerometer‐Derived Physical Activity Pattern With the Risks of All‐Cause, Cardiovascular Disease, and Cancer Death |
| title_fullStr | Association of Accelerometer‐Derived Physical Activity Pattern With the Risks of All‐Cause, Cardiovascular Disease, and Cancer Death |
| title_full_unstemmed | Association of Accelerometer‐Derived Physical Activity Pattern With the Risks of All‐Cause, Cardiovascular Disease, and Cancer Death |
| title_short | Association of Accelerometer‐Derived Physical Activity Pattern With the Risks of All‐Cause, Cardiovascular Disease, and Cancer Death |
| title_sort | association of accelerometer derived physical activity pattern with the risks of all cause cardiovascular disease and cancer death |
| topic | accelerometer death physical activity pattern prospective study weekend warrior |
| url | https://www.ahajournals.org/doi/10.1161/JAHA.124.039225 |
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