Interplay between physical activity volume and intensity with modeled life expectancy in women and men: A prospective cohort analysis

Background: There is a lack of research examining the interplay between objectively measured physical activity volume and intensity with life expectancy. The purpose of the study was to investigate the interplay between objectively measured PA volume and intensity profiles with modeled life expectan...

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Main Authors: Francesco Zaccardi, Alex V. Rowlands, Paddy C. Dempsey, Cameron Razieh, Joe Henson, Jonathan Goldney, Benjamin D. Maylor, Atanu Bhattacharjee, Yogini Chudasama, Charlotte Edwardson, Jari A. Laukkanen, Ulf Ekelund, Melanie J. Davies, Kamlesh Khunti, Thomas Yates
Format: Article
Language:English
Published: Elsevier 2025-12-01
Series:Journal of Sport and Health Science
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Online Access:http://www.sciencedirect.com/science/article/pii/S2095254624001261
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author Francesco Zaccardi
Alex V. Rowlands
Paddy C. Dempsey
Cameron Razieh
Joe Henson
Jonathan Goldney
Benjamin D. Maylor
Atanu Bhattacharjee
Yogini Chudasama
Charlotte Edwardson
Jari A. Laukkanen
Ulf Ekelund
Melanie J. Davies
Kamlesh Khunti
Thomas Yates
author_facet Francesco Zaccardi
Alex V. Rowlands
Paddy C. Dempsey
Cameron Razieh
Joe Henson
Jonathan Goldney
Benjamin D. Maylor
Atanu Bhattacharjee
Yogini Chudasama
Charlotte Edwardson
Jari A. Laukkanen
Ulf Ekelund
Melanie J. Davies
Kamlesh Khunti
Thomas Yates
author_sort Francesco Zaccardi
collection DOAJ
description Background: There is a lack of research examining the interplay between objectively measured physical activity volume and intensity with life expectancy. The purpose of the study was to investigate the interplay between objectively measured PA volume and intensity profiles with modeled life expectancy in women and men within the UK Biobank cohort study and interpret findings in relation to brisk walking. Methods: Individuals from UK Biobank with wrist-worn accelerometer data were included. The average acceleration and intensity gradient were extracted to describe the physical activity volume and intensity profile. Mortality data were obtained from national registries. Adjusted life expectancies were estimated using parametric flexible survival models. Results: 40,953 (57.1%) women (median age = 61.9 years) and 30,820 (42.9%) men (63.1 years) were included. Over a median follow-up of 6.9 years, there were 1719 (2.4%) deaths (733 in women; 986 in men). At 60 years, life expectancy was progressively longer for higher physical activity volume and intensity profiles, reaching 95.6 years in women and 94.5 years in men at the 90th centile for both volume and intensity, corresponding to 3.4 additional years (95% confidence interval (95%CI): 2.4–4.4) in women and 4.6 additional years (95%CI: 3.6–5.6) in men compared to those at the 10th centiles. An additional 10-min or 30-min daily brisk walk was associated with 0.9 (95%CI: 0.5–1.3) and 1.4 years (95%CI: 0.9–1.9) longer life expectancy, respectively, in inactive women; and 1.4 years (95%CI: 1.0–1.8) and 2.5 (95%CI: 1.9–3.1) in inactive men. Conclusion: Higher physical activity volumes were associated with longer life expectancy, with a higher physical activity intensity profile further adding to a longer life. Adding as little as a 10-min brisk walk to daily activity patterns may result in a meaningful benefit to life expectancy.
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spelling doaj-art-bcce055b85a449c5907a7a24883f87422025-01-11T06:41:10ZengElsevierJournal of Sport and Health Science2095-25462025-12-0114100970Interplay between physical activity volume and intensity with modeled life expectancy in women and men: A prospective cohort analysisFrancesco Zaccardi0Alex V. Rowlands1Paddy C. Dempsey2Cameron Razieh3Joe Henson4Jonathan Goldney5Benjamin D. Maylor6Atanu Bhattacharjee7Yogini Chudasama8Charlotte Edwardson9Jari A. Laukkanen10Ulf Ekelund11Melanie J. Davies12Kamlesh Khunti13Thomas Yates14Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Geelong VIC 3220, AustraliaDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UKDepartment of Medicine, Central Finland Health Care Hospital District 40620 Jyväskylä, Finland; Institute of Clinical Medicine, Department of Medicine, University of Eastern Finland 70210 Kuopio, Finland; Institute of Public Health and Clinical Nutrition, University of Eastern Finland 70210 Kuopio, FinlandDepartment of Sports Medicine, Norwegian School of Sports Sciences 0863 Oslo, Norway; Department of Chronic Diseases and Ageing, Norwegian Institute of Public Health 0473 Oslo, NorwayDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; Leicester Real World Evidence Unit, Diabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; NIHR Applied Research Collaborations East Midlands, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UKDiabetes Research Centre, University of Leicester, Leicester LE5 4PW, UK; NIHR Leicester Biomedical Research Centre, University Hospitals of Leicester NHS Trust, Leicester LE1 5WW, UK; Corresponding author.Background: There is a lack of research examining the interplay between objectively measured physical activity volume and intensity with life expectancy. The purpose of the study was to investigate the interplay between objectively measured PA volume and intensity profiles with modeled life expectancy in women and men within the UK Biobank cohort study and interpret findings in relation to brisk walking. Methods: Individuals from UK Biobank with wrist-worn accelerometer data were included. The average acceleration and intensity gradient were extracted to describe the physical activity volume and intensity profile. Mortality data were obtained from national registries. Adjusted life expectancies were estimated using parametric flexible survival models. Results: 40,953 (57.1%) women (median age = 61.9 years) and 30,820 (42.9%) men (63.1 years) were included. Over a median follow-up of 6.9 years, there were 1719 (2.4%) deaths (733 in women; 986 in men). At 60 years, life expectancy was progressively longer for higher physical activity volume and intensity profiles, reaching 95.6 years in women and 94.5 years in men at the 90th centile for both volume and intensity, corresponding to 3.4 additional years (95% confidence interval (95%CI): 2.4–4.4) in women and 4.6 additional years (95%CI: 3.6–5.6) in men compared to those at the 10th centiles. An additional 10-min or 30-min daily brisk walk was associated with 0.9 (95%CI: 0.5–1.3) and 1.4 years (95%CI: 0.9–1.9) longer life expectancy, respectively, in inactive women; and 1.4 years (95%CI: 1.0–1.8) and 2.5 (95%CI: 1.9–3.1) in inactive men. Conclusion: Higher physical activity volumes were associated with longer life expectancy, with a higher physical activity intensity profile further adding to a longer life. Adding as little as a 10-min brisk walk to daily activity patterns may result in a meaningful benefit to life expectancy.http://www.sciencedirect.com/science/article/pii/S2095254624001261Life expectancyPhysical activity intensityPhysical activity volumeSurvivalWalking
spellingShingle Francesco Zaccardi
Alex V. Rowlands
Paddy C. Dempsey
Cameron Razieh
Joe Henson
Jonathan Goldney
Benjamin D. Maylor
Atanu Bhattacharjee
Yogini Chudasama
Charlotte Edwardson
Jari A. Laukkanen
Ulf Ekelund
Melanie J. Davies
Kamlesh Khunti
Thomas Yates
Interplay between physical activity volume and intensity with modeled life expectancy in women and men: A prospective cohort analysis
Journal of Sport and Health Science
Life expectancy
Physical activity intensity
Physical activity volume
Survival
Walking
title Interplay between physical activity volume and intensity with modeled life expectancy in women and men: A prospective cohort analysis
title_full Interplay between physical activity volume and intensity with modeled life expectancy in women and men: A prospective cohort analysis
title_fullStr Interplay between physical activity volume and intensity with modeled life expectancy in women and men: A prospective cohort analysis
title_full_unstemmed Interplay between physical activity volume and intensity with modeled life expectancy in women and men: A prospective cohort analysis
title_short Interplay between physical activity volume and intensity with modeled life expectancy in women and men: A prospective cohort analysis
title_sort interplay between physical activity volume and intensity with modeled life expectancy in women and men a prospective cohort analysis
topic Life expectancy
Physical activity intensity
Physical activity volume
Survival
Walking
url http://www.sciencedirect.com/science/article/pii/S2095254624001261
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