Impact of different domains of physical activity on cause-specific mortality: A longitudinal study

PREVENTIVE MEDICINE

卷:62

Article

Wanner, Miriam¹  Tarnutzer, Silvan²  Martin, Brian W.¹  Braun, Julia²  Rohrmann, Sabine³  Bopp, Matthias²  Faeh, David² 

[1] Univ Zurich, Inst Social & Prevent Med, Phys Act & Hlth Working Unit, CH-8001 Zurich, Switzerland

[2] Univ Zurich, Inst Social & Prevent Med, Demog & Hlth Stat Working Unit, CH-8001 Zurich, Switzerland

[3] Univ Zurich, Inst Social & Prevent Med, Div Canc Epidemiol & Prevent, CH-8001 Zurich, Switzerland

关键词: Physical activity;    Mortality;    Cancer;    Cardiovascular disease;    Adults;    Switzerland;   

DOI  :  10.1016/j.ypmed.2014.01.025

来源: Elsevier

【 摘 要 】

Objective. The aim of this paper is to examine the associations between different domains of physical activity and all-cause, cardiovascular disease (CVD) and cancer mortality. Methods. Participants (n = 17,663, aged 16-92 years) of two general population health studies conducted between 1977 and 1993 in Switzerland were included. Physical activity was assessed at baseline in the domains of commuting to work, work-related physical activity, and leisure-time physical activity (including leisure-time activity level and sport activity). A median follow-up time of 20.2 years was obtained with anonymous record linkage providing 3878 deaths (CVD: 1357; cancer: 1351). Adjusted Cox proportional hazard models were calculated. Results. There were no significant associations between commuting and work-related physical activities, respectively, and mortality. Leisure-time activity level was associated with all-cause mortality in men [adjusted hazard ratio (HR) 0.75, 95% confidence intervals (CI) 0.63-0.89] and women [HR 0.82 (0.74-0.91)], with CVD mortality in women only [HR 0.79 (0.67-0.94)] and with cancer mortality in men only [HR 0.63 (0.47-0.86)].Sport activity was associated with all-cause, CVD and cancer mortality in men [HR ranged between 0.76 (0.63-0.92) and 0.85 (0.76-0.95)], but not in women. Conclusions. These results underline the public health relevance of physical activity for the prevention of CVD and cancer, especially regarding leisure-time physical activity. (C) 2014 Elsevier Inc. All rights reserved.

【 授权许可】

Free