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Training & movement

A

Non-occupational physical activity and risk of cardiovascular disease, cancer and mortality outcomes: a dose-response meta-analysis of large prospective studies

Garcia L, Pearce M, Abbas A, Mok A, Strain T, Ali S, Crippa A, Dempsey PC, Golubic R, Kelly P, Laird Y, McNamara E, Moore S, de Sa TH, Smith AD, Wijndaele K, Woodcock J, Brage S · 2023 · British Journal of Sports Medicine

REZA evidence rating A: High confidence

Methodology

Meta-analysis

Population

196 articles covering 94 cohorts with >30 million adults from the general population

Intervention

Non-occupational physical activity (exposure), analysed in marginal MET-hours/week

Findings

More non-occupational physical activity is associated with lower mortality, cardiovascular disease and cancer risk, in a non-linear dose-response relationship. At roughly 150 min/week of moderate activity, all-cause mortality risk is already 31% lower; most benefit accrues in the low-to-moderate range, flattening above ~17.5 mMET-h/week.

Outcome measures

All-cause mortality; incident total CVD, coronary heart disease, stroke, heart failure; total and site-specific cancers

Limitations

Observational data: residual confounding, reverse causation, self-reported activity in most cohorts; heterogeneity in exposure assessment.

Original source

DOI: 10.1136/bjsports-2022-105669 · PMID: 36854652

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