Relationship between Subdomains of Total Physical Activity and Mortality
Relationship between Subdomains of Total Physical Activity and Mortality
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DOI：
10.1249/mss.0b013e318180bcad
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发表时间：
2008-11-01
期刊：
影响因子：
--
通讯作者：
Wareham, Nicholas J.
中科院分区：
文献类型：
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作者：
Besson, Herve;Ekelund, Ulf;Wareham, Nicholas J.
BESSON，H.，联合埃克伦德布拉吉河卢本宾厄姆，K。KHAW和N. J. Wareham。总体力活动亚领域与死亡率的关系。医学科学体育锻炼：1940年，第40卷，第11页。1909-1915年，2008年。目的：本研究的目的是描述整体和特定领域的体力活动对全因和心血管死亡率的关联。大量的流行病学证据表明，身体活动与死亡风险之间存在强烈而一致的负相关。然而，目前还不清楚这种关联如何根据活动发生的生活领域而变化。研究方法：在一个以英国人口为基础的队列中，14，903名参与者（平均年龄63岁），使用经过验证的问卷（EPAQ 2）评估了总体力活动和特定领域的体力活动。在中位随访7年后，有28例H死亡，其中370例死于心血管疾病。结果如下：的相对风险（95%置信区间）由于在家进行体力活动导致的全因死亡率，（工作时、交通时的诱惑运动量分别为0.81（0.66-0.99）、0.66（0.54-0.80）、0.84（0.55-1.30）、0.82（0.67-1.00）和0.77（0.61-0.98）。心血管死亡率与在家（P = 0.03）、运动期间（P = 0.001）和总体（P = 0.007）进行的体力活动呈负相关。在排除了基线时有心脏病、中风和癌症病史的个体以及在随访的前2年内死亡的个体后，结果没有变化。结论：在这项研究中，在家里和锻炼期间的体力活动与死亡风险较低有关，而职业和交通相关活动则不然。促进在家中和锻炼期间进行的体育活动的潜在益处可能是老龄化人口的一个重要公共卫生信息。
BESSON, H., U. EKELUND, S. BRAGE, R. LUBEN, S. BINGHAM, K. KHAW, and N. J. WAREHAM. Relationship between Subdomains of Total Physical Activity and Mortality. Med. Sci. Sports Exerc., Vol, 40, No. 11, pp. 1909-1915, 2008. Purpose: The purpose of this study was to describe the association of the overall and domain-specific physical activity on all-cause and cardiovascular mortality. A large body of epidemiological evidence suggests a strong and consistent inverse association between physical activity and mortality risk. However, it is unclear how this association varies according to the domain of life in which the activity takes place. Methods: In an English population-based cohort of 14,903 participants (mean age 63 yr), total and domain-specific physical activity was assessed using a validated questionnaire (EPAQ2). After a median follow-Lip of 7 yr, there were H 28 deaths, with 370 from cardiovascular disease. Results: The relative risks (95% confidence interval) for all-cause mortality due to physical activity undertaken at home, (luring exercise, at work, for transport, and in total were 0.81 (0.66-0.99), 0.66 (0.54-0.80), 0.84 (0.55-1.30), 0.82 (0.67-1.00), and 0.77 (0.61-0.98), respectively, after adjustment for baseline age, sex, social class, alcohol consumption, smoking status, history of diabetes, history of cancer, and history of cardiovascular disease and stroke. Cardiovascular mortality was inversely associated with physical activity undertaken at home (P for trend = 0.03), during exercise (P for trend = 0.001), and in total (P for trend = 0.007). The results were unchanged after excluding individuals with a history of heart disease, stroke, and cancer at baseline and those who died within the first 2 yr of follow-up. Conclusions: In this study, physical activities at home and during exercise are associated with lower risk of mortality, whereas occupational and transportation-related activities are not. Promoting the potential benefits of physical activity undertaken at home and during exercise may be an important public health message for aging populations.