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Associations of Long-Term Physical Activity Trajectories With All-Cause Mortality in a General Population

Objectives: We investigated the associations of mean levels of leisure-time physical activity (LTPA) and latent LTPA trajectories with all-cause mortality risk. Methods: Trajectories of LTPA were established using group-based trajectory analysis with a latent class growth model in a population-based...

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Autores principales: Lee, Chia-Lin, Liu, Wei-Ju, Chen, Ching-Hsien, Wang, Jun-Sing
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884672/
https://www.ncbi.nlm.nih.gov/pubmed/36726527
http://dx.doi.org/10.3389/ijph.2023.1605332
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author Lee, Chia-Lin
Liu, Wei-Ju
Chen, Ching-Hsien
Wang, Jun-Sing
author_facet Lee, Chia-Lin
Liu, Wei-Ju
Chen, Ching-Hsien
Wang, Jun-Sing
author_sort Lee, Chia-Lin
collection PubMed
description Objectives: We investigated the associations of mean levels of leisure-time physical activity (LTPA) and latent LTPA trajectories with all-cause mortality risk. Methods: Trajectories of LTPA were established using group-based trajectory analysis with a latent class growth model in a population-based cohort between 1996 and 2014. A Cox-proportional hazard model was conducted to examine the associations of LTPA quintiles and LTPA trajectories with all-cause mortality. Results: A total of 21,211 participants (age 18–90 years) were analyzed (median follow-up 16.8 years). The study participants were divided into five groups according to percentiles of LTPA (<20th, 20th–<40th, 40th–<60th, 60th–<80th, ≥80th) and LTPA trajectories (low/stable, medium/stable, increasing, decreasing, and fluctuating), respectively. Participants with a decreasing trajectory did not have a significantly lower risk of all-cause mortality despite having the highest baseline level of LTPA. In contrast, participants with a medium/stable (HR 0.84, 95% CI 0.72–0.98, p = 0.031) or an increasing (HR 0.57, 95% CI 0.33–0.97, p = 0.037) trajectory had a significantly lower risk of all-cause mortality. Conclusion: Promotion of maintaining stable LTPA is beneficial for public health and survival.
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spelling pubmed-98846722023-01-31 Associations of Long-Term Physical Activity Trajectories With All-Cause Mortality in a General Population Lee, Chia-Lin Liu, Wei-Ju Chen, Ching-Hsien Wang, Jun-Sing Int J Public Health Public Health Archive Objectives: We investigated the associations of mean levels of leisure-time physical activity (LTPA) and latent LTPA trajectories with all-cause mortality risk. Methods: Trajectories of LTPA were established using group-based trajectory analysis with a latent class growth model in a population-based cohort between 1996 and 2014. A Cox-proportional hazard model was conducted to examine the associations of LTPA quintiles and LTPA trajectories with all-cause mortality. Results: A total of 21,211 participants (age 18–90 years) were analyzed (median follow-up 16.8 years). The study participants were divided into five groups according to percentiles of LTPA (<20th, 20th–<40th, 40th–<60th, 60th–<80th, ≥80th) and LTPA trajectories (low/stable, medium/stable, increasing, decreasing, and fluctuating), respectively. Participants with a decreasing trajectory did not have a significantly lower risk of all-cause mortality despite having the highest baseline level of LTPA. In contrast, participants with a medium/stable (HR 0.84, 95% CI 0.72–0.98, p = 0.031) or an increasing (HR 0.57, 95% CI 0.33–0.97, p = 0.037) trajectory had a significantly lower risk of all-cause mortality. Conclusion: Promotion of maintaining stable LTPA is beneficial for public health and survival. Frontiers Media S.A. 2023-01-16 /pmc/articles/PMC9884672/ /pubmed/36726527 http://dx.doi.org/10.3389/ijph.2023.1605332 Text en Copyright © 2023 Lee, Liu, Chen and Wang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health Archive
Lee, Chia-Lin
Liu, Wei-Ju
Chen, Ching-Hsien
Wang, Jun-Sing
Associations of Long-Term Physical Activity Trajectories With All-Cause Mortality in a General Population
title Associations of Long-Term Physical Activity Trajectories With All-Cause Mortality in a General Population
title_full Associations of Long-Term Physical Activity Trajectories With All-Cause Mortality in a General Population
title_fullStr Associations of Long-Term Physical Activity Trajectories With All-Cause Mortality in a General Population
title_full_unstemmed Associations of Long-Term Physical Activity Trajectories With All-Cause Mortality in a General Population
title_short Associations of Long-Term Physical Activity Trajectories With All-Cause Mortality in a General Population
title_sort associations of long-term physical activity trajectories with all-cause mortality in a general population
topic Public Health Archive
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9884672/
https://www.ncbi.nlm.nih.gov/pubmed/36726527
http://dx.doi.org/10.3389/ijph.2023.1605332
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