Influence of exercise, walking, cycling, and overall nonexercise physical activity on mortality in Chinese women

被引:254
作者
Matthews, Charles E.
Jurj, Adriana L.
Shu, Xiao-ou
Li, Hong-Lan
Yang, Gong
Li, Qi
Gao, Yu-Tang
Zheng, Wei
机构
[1] Vanderbilt Univ, Sch Med, Inst Med & Publ Hlth, Vanderbilt Epidemiol Ctr,Dept Med,Div Gen Interna, Nashville, TN 37203 USA
[2] Univ S Carolina, Norman J Arnold Sch Publ Hlth, Dept Epidemiol & Biostat, Columbia, SC 29208 USA
[3] Shanghai Canc Inst, Dept Epidemiol, Shanghai, Peoples R China
关键词
cardiovascular diseases; cohort studies; exercise; mortality; motor activity; neoplasms; CORONARY-HEART-DISEASE; ALL-CAUSE MORTALITY; ENERGY-EXPENDITURE; VIGOROUS EXERCISE; PREVENTION; HEALTH; SPORTS; OLDER; TIME; GAIN;
D O I
10.1093/aje/kwm088
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
This investigation described the effects of exercise, walking, and cycling for transportation, as well as the eff ect of overall nonexercise physical activity, on mortality in the Shanghai Women's Health Study (1997-2004). Women without heart disease, stroke, or cancer were followed for an average of 5.7 years (n = 67,143), and there were 1,091 deaths from all causes, 537 deaths from cancer, and 251 deaths from cardiovascular diseases. Information about physical activity and relevant covariates was obtained by interview. Proportional hazards models were used to estimate adjusted hazard ratios and 95% confidence intervals. Exercise and cycling for transportation were both inversely and independently associated with all-cause mortality (p(trend) < 0.05), but walking for transportation was less strongly associated with reduced risk (p(trend) = 0.07). Women reporting no regular exercise but who reported 10 or more metabolic equivalent (MET)-hours/day of nonexercise activity were at 25-50% reduced risk (p(trend) < 0.01) relative to less active women (0-9.9 MET-hours/clay). Among women reporting the least nonexercise activity (0-9.9 MET-hours/clay) but reporting regular exercise participation, exercise was associated with reduced mortality (hazard ratio = 0.78, 95% confidence interval: 0.62, 0.99). These findings add new evidence that overall physical activity levels are an important determinant of longevity, and that health benefit can be obtained through an active lifestyle, exercise, or combinations of both.
引用
收藏
页码:1343 / 1350
页数:8
相关论文
共 31 条
[1]   The effect of social desirability and social approval on self-reports of physical activity [J].
Adams, SA ;
Matthews, CE ;
Ebbeling, CB ;
Moore, CG ;
Cunningham, JE ;
Fulton, J ;
Hebert, JR .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 2005, 161 (04) :389-398
[2]   COMPENDIUM OF PHYSICAL ACTIVITIES - CLASSIFICATION OF ENERGY COSTS OF HUMAN PHYSICAL ACTIVITIES [J].
AINSWORTH, BE ;
HASKELL, WL ;
LEON, AS ;
JACOBS, DR ;
MONTOYE, HJ ;
SALLIS, JF ;
PAFFENBARGER, RS .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1993, 25 (01) :71-80
[3]   Compendium of Physical Activities: an update of activity codes and MET intensities [J].
Ainsworth, BE ;
Haskell, WL ;
Whitt, MC ;
Irwin, ML ;
Swartz, AM ;
Strath, SJ ;
O'Brien, WL ;
Bassett, DR ;
Schmitz, KH ;
Emplaincourt, PO ;
Jacobs, DR ;
Leon, AS .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 2000, 32 (09) :S498-S516
[4]  
Ainsworth BE., 1993, WOMEN SPORT PHYS ACT, V2, P1
[5]   All-cause mortality associated with physical activity during leisure time, work, sports, and cycling to work [J].
Andersen, LB ;
Schnohr, P ;
Schroll, M ;
Hein, HO .
ARCHIVES OF INTERNAL MEDICINE, 2000, 160 (11) :1621-1628
[6]  
[Anonymous], 1999, Applied survival analysis. Regression modeling of time to event data. John wiley and sons
[7]  
[Anonymous], CANC FACTS FIG 2005
[8]   Low physical activity as a predictor for total and cardiovascular disease mortality in middle-aged men and women in Finland [J].
Barengo, NC ;
Hu, G ;
Lakka, TA ;
Pekkarinen, H ;
Nissinen, A ;
Tuomilehto, J .
EUROPEAN HEART JOURNAL, 2004, 25 (24) :2204-2211
[9]   Relationship of walking to mortality among US adults with diabetes [J].
Gregg, EW ;
Gerzoff, RB ;
Caspersen, CJ ;
Williamson, DF ;
Narayan, KMV .
ARCHIVES OF INTERNAL MEDICINE, 2003, 163 (12) :1440-1447
[10]  
Katzmarzyk P T, 2003, Obes Rev, V4, P257, DOI 10.1046/j.1467-789X.2003.00120.x