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Aerobic, Muscle-Strengthening, and Flexibility Physical Activity in Relation to All-Cause and Cancer Mortality: A Population-Based Prospective Cohort Study in Korea
OBJECTIVES: We examined the independent associations of aerobic, muscle-strengthening, and flexibility physical activity with all-cause and cancer mortality. We also compared the mortality risk between participants meeting national guidelines for both aerobic and muscle-strengthening activities and...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9193901/ http://dx.doi.org/10.1093/cdn/nzac067.013 |
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author | Cho, Yoonkyoung Oh, Hannah |
author_facet | Cho, Yoonkyoung Oh, Hannah |
author_sort | Cho, Yoonkyoung |
collection | PubMed |
description | OBJECTIVES: We examined the independent associations of aerobic, muscle-strengthening, and flexibility physical activity with all-cause and cancer mortality. We also compared the mortality risk between participants meeting national guidelines for both aerobic and muscle-strengthening activities and those who do not meet any of the guidelines. METHODS: This analysis included 35,794 participants (aged 19–80 years) in the Korea National Health and Nutrition Examination Survey (KNHANES) 2007–2013 who agreed to mortality follow-up through December 31, 2019 (mean follow-up: 8.1 years). Levels of aerobic, muscle-strengthening, and flexibility physical activity were self-reported at baseline. Participants engaging in ≥10 MET-hr/wk of moderate- and vigorous-intensity aerobic activity and ≥2 d/wk of muscle-strengthening activity were considered as meeting the guidelines. Cox proportional hazards model was used to estimate hazard ratios (HR) and 95% confidence intervals (CI), adjusting for potential confounders. RESULTS: Aerobic activity was inversely associated with both all-cause (≥20 vs. 0 MET-hr/wk: HR [95% CI]: 0.79 [0.70–0.89]) and cancer mortality (0.83 [0.68–1.00]), adjusting for other activity types. Muscle-strengthening (≥5 vs. 0 d/wk: 0.86 [0.71–1.04]) and flexibility activities (≥5 vs. 0 d/wk: 0.84 [0.73–0.96]) were inversely associated with all-cause mortality but were not associated with cancer mortality. Compared to participants who did not meet any guidelines (54%), those meeting both aerobic and muscle-strengthening guidelines (12%) had the lowest all-cause mortality (0.75 [0.62, 0.92]) but the interaction between two activity types was not statistically significant. CONCLUSIONS: Our data suggest that engaging in higher levels of aerobic, muscle-strengthening, and flexibility physical activity are all independently associated with lower all-cause mortality. FUNDING SOURCES: This work was supported by Korea University and National Research Foundation of Korea. |
format | Online Article Text |
id | pubmed-9193901 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-91939012022-06-14 Aerobic, Muscle-Strengthening, and Flexibility Physical Activity in Relation to All-Cause and Cancer Mortality: A Population-Based Prospective Cohort Study in Korea Cho, Yoonkyoung Oh, Hannah Curr Dev Nutr Nutritional Epidemiology OBJECTIVES: We examined the independent associations of aerobic, muscle-strengthening, and flexibility physical activity with all-cause and cancer mortality. We also compared the mortality risk between participants meeting national guidelines for both aerobic and muscle-strengthening activities and those who do not meet any of the guidelines. METHODS: This analysis included 35,794 participants (aged 19–80 years) in the Korea National Health and Nutrition Examination Survey (KNHANES) 2007–2013 who agreed to mortality follow-up through December 31, 2019 (mean follow-up: 8.1 years). Levels of aerobic, muscle-strengthening, and flexibility physical activity were self-reported at baseline. Participants engaging in ≥10 MET-hr/wk of moderate- and vigorous-intensity aerobic activity and ≥2 d/wk of muscle-strengthening activity were considered as meeting the guidelines. Cox proportional hazards model was used to estimate hazard ratios (HR) and 95% confidence intervals (CI), adjusting for potential confounders. RESULTS: Aerobic activity was inversely associated with both all-cause (≥20 vs. 0 MET-hr/wk: HR [95% CI]: 0.79 [0.70–0.89]) and cancer mortality (0.83 [0.68–1.00]), adjusting for other activity types. Muscle-strengthening (≥5 vs. 0 d/wk: 0.86 [0.71–1.04]) and flexibility activities (≥5 vs. 0 d/wk: 0.84 [0.73–0.96]) were inversely associated with all-cause mortality but were not associated with cancer mortality. Compared to participants who did not meet any guidelines (54%), those meeting both aerobic and muscle-strengthening guidelines (12%) had the lowest all-cause mortality (0.75 [0.62, 0.92]) but the interaction between two activity types was not statistically significant. CONCLUSIONS: Our data suggest that engaging in higher levels of aerobic, muscle-strengthening, and flexibility physical activity are all independently associated with lower all-cause mortality. FUNDING SOURCES: This work was supported by Korea University and National Research Foundation of Korea. Oxford University Press 2022-06-14 /pmc/articles/PMC9193901/ http://dx.doi.org/10.1093/cdn/nzac067.013 Text en © The Author 2022. Published by Oxford University Press on behalf of The International Society for Human and Animal Mycology. https://creativecommons.org/licenses/by-nc/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Nutritional Epidemiology Cho, Yoonkyoung Oh, Hannah Aerobic, Muscle-Strengthening, and Flexibility Physical Activity in Relation to All-Cause and Cancer Mortality: A Population-Based Prospective Cohort Study in Korea |
title | Aerobic, Muscle-Strengthening, and Flexibility Physical Activity in Relation to All-Cause and Cancer Mortality: A Population-Based Prospective Cohort Study in Korea |
title_full | Aerobic, Muscle-Strengthening, and Flexibility Physical Activity in Relation to All-Cause and Cancer Mortality: A Population-Based Prospective Cohort Study in Korea |
title_fullStr | Aerobic, Muscle-Strengthening, and Flexibility Physical Activity in Relation to All-Cause and Cancer Mortality: A Population-Based Prospective Cohort Study in Korea |
title_full_unstemmed | Aerobic, Muscle-Strengthening, and Flexibility Physical Activity in Relation to All-Cause and Cancer Mortality: A Population-Based Prospective Cohort Study in Korea |
title_short | Aerobic, Muscle-Strengthening, and Flexibility Physical Activity in Relation to All-Cause and Cancer Mortality: A Population-Based Prospective Cohort Study in Korea |
title_sort | aerobic, muscle-strengthening, and flexibility physical activity in relation to all-cause and cancer mortality: a population-based prospective cohort study in korea |
topic | Nutritional Epidemiology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9193901/ http://dx.doi.org/10.1093/cdn/nzac067.013 |
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