Association between physical activity level and cardiovascular disease: An empirical analysis based on CHARLS data in 2018.
<h4>Objective</h4>Cardiovascular disease (CVD) was a global public health challenge. This study aimed to investigate the association between physical activity level (PAL) and CVD among middle-aged and older adults in China, to provide evidence to inform strategies for CVD prevention and...
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| Format: | Article |
| Language: | English |
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Public Library of Science (PLoS)
2025-01-01
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| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0329232 |
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| author | Haiwei Li Liang Luo Jing Zhang Yanhao Zhao Peipei Cheng Dan Liu Liwei Guo |
| author_facet | Haiwei Li Liang Luo Jing Zhang Yanhao Zhao Peipei Cheng Dan Liu Liwei Guo |
| author_sort | Haiwei Li |
| collection | DOAJ |
| description | <h4>Objective</h4>Cardiovascular disease (CVD) was a global public health challenge. This study aimed to investigate the association between physical activity level (PAL) and CVD among middle-aged and older adults in China, to provide evidence to inform strategies for CVD prevention and management.<h4>Methods</h4>The diagnosis of CVD was based on self-reported physician-diagnosed heart disease or stroke, while PAL were classified using calculations derived from a structured questionnaire. Both datasets were obtained from the 2018 China Health and Retirement Longitudinal Study (CHARLS) survey. A multivariate logistic regression model was used for the primary correlation analysis. Additionally, restricted cubic spline (RCS) regression was employed to examine the potential nonlinear association between PAL and CVD.<h4>Results</h4>The final analysis included 9,015 participants, 1,069 of whom were diagnosed with CVD, yielding a prevalence of 11.86%. After adjusting for all covariates, the multivariate-adjusted odds ratios (ORs) for the moderate PAL group (600-3000 MET-minutes/week) and the high PAL group (>3000 MET-minutes/week) were 0.79 (95% CI: 0.64-0.97) and 0.72 (95% CI: 0.60-0.87), respectively, compared to the low PAL group (<600 MET-minutes/week). Furthermore, restricted cubic spline analysis revealed a significant linear relationship between PAL and CVD (nonlinear P > 0.05), indicating that the OR for CVD decreased with higher levels of PAL.<h4>Conclusions</h4>This study revealed a negative correlation between PAL and the prevalence of CVD. Furthermore, our findings suggested that middle-aged and older adults should maintain moderate to high levels of physical activity, as this was associated with a lower risk of CVD. |
| format | Article |
| id | doaj-art-e57ea7d300554f8ab6dc5b1a38a8e06c |
| institution | Kabale University |
| issn | 1932-6203 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj-art-e57ea7d300554f8ab6dc5b1a38a8e06c2025-08-20T03:39:14ZengPublic Library of Science (PLoS)PLoS ONE1932-62032025-01-01208e032923210.1371/journal.pone.0329232Association between physical activity level and cardiovascular disease: An empirical analysis based on CHARLS data in 2018.Haiwei LiLiang LuoJing ZhangYanhao ZhaoPeipei ChengDan LiuLiwei Guo<h4>Objective</h4>Cardiovascular disease (CVD) was a global public health challenge. This study aimed to investigate the association between physical activity level (PAL) and CVD among middle-aged and older adults in China, to provide evidence to inform strategies for CVD prevention and management.<h4>Methods</h4>The diagnosis of CVD was based on self-reported physician-diagnosed heart disease or stroke, while PAL were classified using calculations derived from a structured questionnaire. Both datasets were obtained from the 2018 China Health and Retirement Longitudinal Study (CHARLS) survey. A multivariate logistic regression model was used for the primary correlation analysis. Additionally, restricted cubic spline (RCS) regression was employed to examine the potential nonlinear association between PAL and CVD.<h4>Results</h4>The final analysis included 9,015 participants, 1,069 of whom were diagnosed with CVD, yielding a prevalence of 11.86%. After adjusting for all covariates, the multivariate-adjusted odds ratios (ORs) for the moderate PAL group (600-3000 MET-minutes/week) and the high PAL group (>3000 MET-minutes/week) were 0.79 (95% CI: 0.64-0.97) and 0.72 (95% CI: 0.60-0.87), respectively, compared to the low PAL group (<600 MET-minutes/week). Furthermore, restricted cubic spline analysis revealed a significant linear relationship between PAL and CVD (nonlinear P > 0.05), indicating that the OR for CVD decreased with higher levels of PAL.<h4>Conclusions</h4>This study revealed a negative correlation between PAL and the prevalence of CVD. Furthermore, our findings suggested that middle-aged and older adults should maintain moderate to high levels of physical activity, as this was associated with a lower risk of CVD.https://doi.org/10.1371/journal.pone.0329232 |
| spellingShingle | Haiwei Li Liang Luo Jing Zhang Yanhao Zhao Peipei Cheng Dan Liu Liwei Guo Association between physical activity level and cardiovascular disease: An empirical analysis based on CHARLS data in 2018. PLoS ONE |
| title | Association between physical activity level and cardiovascular disease: An empirical analysis based on CHARLS data in 2018. |
| title_full | Association between physical activity level and cardiovascular disease: An empirical analysis based on CHARLS data in 2018. |
| title_fullStr | Association between physical activity level and cardiovascular disease: An empirical analysis based on CHARLS data in 2018. |
| title_full_unstemmed | Association between physical activity level and cardiovascular disease: An empirical analysis based on CHARLS data in 2018. |
| title_short | Association between physical activity level and cardiovascular disease: An empirical analysis based on CHARLS data in 2018. |
| title_sort | association between physical activity level and cardiovascular disease an empirical analysis based on charls data in 2018 |
| url | https://doi.org/10.1371/journal.pone.0329232 |
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