+ Site Statistics
References:
54,258,434
Abstracts:
29,560,870
PMIDs:
28,072,757
+ Search Articles
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ PDF Full Text
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Translate
+ Recently Requested

Physical activity, mortality, and cardiovascular disease: is domestic physical activity beneficial? The Scottish Health Survey -- 1995, 1998, and 2003



Physical activity, mortality, and cardiovascular disease: is domestic physical activity beneficial? The Scottish Health Survey -- 1995, 1998, and 2003



American Journal of Epidemiology 169(10): 1191-1200



Intense domestic physical activity (IDPA) is promoted by preventive health campaigns, but this recommendation is not supported by evidence. The authors used data from the 1995, 1998, and 2003 Scottish Health Survey samples and the associated mortality and hospital episode records to determine the independent effects of IDPA on cardiovascular disease (CVD) events and all-cause mortality. The sample comprised 13,726 (6,102 men) CVD-free respondents (> or =35 years). Multivariable survival analysis assessed the relation between IDPA and the risk for CVD (fatal/nonfatal combined) or all-cause mortality. During 8.4 (standard deviation, 3.4) years of follow-up, there were 1,103 deaths (573 among men) and 890 CVD events (521 among men). Participation in IDPA was associated with lower all-cause mortality (men: relative risk = 0.68, 95% confidence interval: 0.50, 0.91; women: relative risk = 0.70, 95% confidence interval: 0.52, 0.93). In both sexes, IDPA was unrelated to the risk for CVD. Total physical activity (including IDPA) was unrelated to fatal/nonfatal CVD, but when domestic activity was excluded from the calculations there was an association (men: relative risk = 0.76, 95% confidence interval: 0.58, 0.98; women: relative risk = 0.68, 95% confidence interval: 0.50, 0.93). These results indicate that IDPA may not offer protection against CVD, but it may protect against all-cause mortality. CVD preventive efforts may need to focus on moderate-to-vigorous-intensity physical activities other than those performed in and around the household.

(PDF emailed within 0-6 h: $19.90)

Accession: 054993746

Download citation: RISBibTeXText

PMID: 19329529

DOI: 10.1093/aje/kwp042


Related references

Physical Activity, Mortality, and Cardiovascular Disease: Is Domestic Physical Activity Beneficial? The Scottish Health Survey1995, 1998, and 2003. Yearbook of Sports Medicine 2010: 116-118, 2010

Physical activity and its impact on health outcomes. Paper 1: The impact of physical activity on cardiovascular disease and all-cause mortality: an historical perspective. Obesity Reviews 3(4): 257-271, 2002

Relationship Between Objectively Measured Physical Activity, Cardiovascular Disease Biomarkers, and Hearing Sensitivity Using Data From the National Health and Nutrition Examination Survey 2003-2006. American Journal of Audiology 26(2): 163-169, 2017

Cardiovascular health metrics and accelerometer-measured physical activity levels: National Health and Nutrition Examination Survey, 2003-2006. Mayo Clinic Proceedings 89(1): 81-86, 2014

The physical activity paradox: six reasons why occupational physical activity (OPA) does not confer the cardiovascular health benefits that leisure time physical activity does. British Journal of Sports Medicine 52(3): 149-150, 2017

Measuring physical activity in older adults: use of the Community Health Activities Model Program for Seniors Physical Activity Questionnaire and the Yale Physical Activity Survey in three behavior change consortium studies. Western Journal of Nursing Research 30(6): 673-689, 2008

Physiotherapy and physical activity: a cross-sectional survey exploring physical activity promotion, knowledge of physical activity guidelines and the physical activity habits of UK physiotherapists. Bmj Open Sport and Exercise Medicine 3(1): E000290, 2017

Leisure-Time, Domestic, and Work-Related Physical Activity and Their Prospective Associations With All-Cause Mortality in Patients With Cardiovascular Disease. American Journal of Cardiology 121(2): 177-181, 2017

Beneficial associations of low and large doses of leisure time physical activity with all-cause, cardiovascular disease and cancer mortality: a national cohort study of 88,140 US adults. British Journal of Sports Medicine 2019, 2019

Physical activity, cardiovascular morbidity and overall mortality: results from a 14-year follow-up of the German Health Interview Survey. Journal of Public Health 12(5): 321-328, 2004

Physical functional health and risk of future cardiovascular disease: the Scottish Health Survey. Archives of Internal Medicine 171(6): 593-594, 2011

Risk assessment of physical activity and physical fitness in the Canada Health Survey mortality follow-up study. Journal of Clinical Epidemiology 45(4): 419-428, 1992

Physical activity intervention studies: what we know and what we need to know: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation 114(24): 2739-2752, 2006

Heartbeat: Is all physical activity beneficial for cardiovascular health?. Heart 104(14): 1137-1139, 2018

How effective is community physical activity promotion in areas of deprivation for inactive adults with cardiovascular disease risk and/or mental health concerns? Study protocol for a pragmatic observational evaluation of the 'Active Herts' physical activity programme. Bmj Open 7(11): E017783, 2018