Correlation between moderate to vigorous physical activity levels and cardiovascular disease in middle-aged and elderly people

Objective To investigate the correlation between moderate to vigorous physical activity (MVPA) levels and cardiovascular disease (CVD), so as to provide a basis for the prevention and control of CVD. Methods Data for this study were obtained from the China Health and Retirement Longitudinal Study (C...

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Main Authors: Mengya HE, Lan LI
Format: Article
Language:zho
Published: Editorial Office of Journal of Guangxi Medical University 2025-06-01
Series:Guangxi Yike Daxue xuebao
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Online Access:https://journal.gxmu.edu.cn/article/doi/10.16190/j.cnki.45-1211/r.2025.03.018
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author Mengya HE
Lan LI
author_facet Mengya HE
Lan LI
author_sort Mengya HE
collection DOAJ
description Objective To investigate the correlation between moderate to vigorous physical activity (MVPA) levels and cardiovascular disease (CVD), so as to provide a basis for the prevention and control of CVD. Methods Data for this study were obtained from the China Health and Retirement Longitudinal Study (CHARLS) in 2015 and 2020. A cohort of 6, 100 middle-aged and elderly people with data on physical activity and cardiovascular status was included. Logistic regression modeling was used to explore the association between MVPA and CVD, and subgroup analyses were conducted for age and gender. Results The amount of MVPA in the population with CVD was significantly lower than that in the normal population (5, 040 MET min/week vs 6, 160 MET min/week, P < 0.001). After adjusting for confounding factors, for every one quartile increase in MVPA, the risk of developing CVD was decreased by 13.2% (OR=0.868, 95% CI: 0.765-0.985). Moreover, there was a non-linear dose- response relationship between MVPA and the risk of new-onset CVD (Poverall < 0.05, Pnonlinearity < 0.10), and the inflection point for the risk of new-onset CVD was 5, 674.47 MET min/week. When MVPA was calculated according to quartile, compared with the first quartile (Q1) of MVPA, the third quartile (Q3) and fourth quartile (Q4) were associated with a reduced risk of new-onset CVD (OR=0.76, 95% CI=0.63-0.92; OR=0.81, 95% CI=0.66-0.98). The outcomes of heart diseases were similar to those of CVD. The risk of new-onset heart diseases in Q3 of MVPA was reduced by 22% compared with that in Q4 (OR=0.78, 95% CI=0.63-0.95). Conclusion MVPA may be a protective factor for CVD/heart disease, and this association may benefit more in women and older populations.
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spelling doaj-art-bffafbc8f0944455b39ad6a00a0122c42025-08-20T03:29:47ZzhoEditorial Office of Journal of Guangxi Medical UniversityGuangxi Yike Daxue xuebao1005-930X2025-06-0142345746310.16190/j.cnki.45-1211/r.2025.03.018gxykdxxb-42-3-457Correlation between moderate to vigorous physical activity levels and cardiovascular disease in middle-aged and elderly peopleMengya HE0Lan LI1The Fourth Clinical Medical College of Xinjiang Medical University, Urumqi 830000, ChinaThe Fourth Clinical Medical College of Xinjiang Medical University, Urumqi 830000, ChinaObjective To investigate the correlation between moderate to vigorous physical activity (MVPA) levels and cardiovascular disease (CVD), so as to provide a basis for the prevention and control of CVD. Methods Data for this study were obtained from the China Health and Retirement Longitudinal Study (CHARLS) in 2015 and 2020. A cohort of 6, 100 middle-aged and elderly people with data on physical activity and cardiovascular status was included. Logistic regression modeling was used to explore the association between MVPA and CVD, and subgroup analyses were conducted for age and gender. Results The amount of MVPA in the population with CVD was significantly lower than that in the normal population (5, 040 MET min/week vs 6, 160 MET min/week, P < 0.001). After adjusting for confounding factors, for every one quartile increase in MVPA, the risk of developing CVD was decreased by 13.2% (OR=0.868, 95% CI: 0.765-0.985). Moreover, there was a non-linear dose- response relationship between MVPA and the risk of new-onset CVD (Poverall < 0.05, Pnonlinearity < 0.10), and the inflection point for the risk of new-onset CVD was 5, 674.47 MET min/week. When MVPA was calculated according to quartile, compared with the first quartile (Q1) of MVPA, the third quartile (Q3) and fourth quartile (Q4) were associated with a reduced risk of new-onset CVD (OR=0.76, 95% CI=0.63-0.92; OR=0.81, 95% CI=0.66-0.98). The outcomes of heart diseases were similar to those of CVD. The risk of new-onset heart diseases in Q3 of MVPA was reduced by 22% compared with that in Q4 (OR=0.78, 95% CI=0.63-0.95). Conclusion MVPA may be a protective factor for CVD/heart disease, and this association may benefit more in women and older populations.https://journal.gxmu.edu.cn/article/doi/10.16190/j.cnki.45-1211/r.2025.03.018physical activitycardiovascular diseasechina health and retirement longitudinal studycohort study
spellingShingle Mengya HE
Lan LI
Correlation between moderate to vigorous physical activity levels and cardiovascular disease in middle-aged and elderly people
Guangxi Yike Daxue xuebao
physical activity
cardiovascular disease
china health and retirement longitudinal study
cohort study
title Correlation between moderate to vigorous physical activity levels and cardiovascular disease in middle-aged and elderly people
title_full Correlation between moderate to vigorous physical activity levels and cardiovascular disease in middle-aged and elderly people
title_fullStr Correlation between moderate to vigorous physical activity levels and cardiovascular disease in middle-aged and elderly people
title_full_unstemmed Correlation between moderate to vigorous physical activity levels and cardiovascular disease in middle-aged and elderly people
title_short Correlation between moderate to vigorous physical activity levels and cardiovascular disease in middle-aged and elderly people
title_sort correlation between moderate to vigorous physical activity levels and cardiovascular disease in middle aged and elderly people
topic physical activity
cardiovascular disease
china health and retirement longitudinal study
cohort study
url https://journal.gxmu.edu.cn/article/doi/10.16190/j.cnki.45-1211/r.2025.03.018
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AT lanli correlationbetweenmoderatetovigorousphysicalactivitylevelsandcardiovasculardiseaseinmiddleagedandelderlypeople