Heart failure & cardiomyopathies

Accelerometer-Measured Physical Activity, Sedentary Time, and Heart Failure Risk in Women Aged 63 to 99 Years

JAMA CardiolPublished Prospective cohort study

Authors' conclusion

Higher accelerometer-measured PA (MVPA, light PA, steps per day) was associated with lower risk (and greater total sedentary time with higher risk) of overall HF and HFpEF in a racially and ethnically diverse cohort of older women.

Study context

Population
Women aged 63 to 99 years without known heart failure (HF) (Objective Physical Activity and Cardiovascular Health (OPACH) study), accelerometry 2012–2014, follow-up through February 2022407 HF cases
Participants
5,951 women
Exposure
Accelerometer-measured physical activity (PA) and sedentary time
Outcome
Adjudicated incident HF, HFpEF and HFrEF
Follow-up
Mean (SD) 7.5 (2.6) years

Main finding

As reported in the abstract

Incident HF, HFpEF and HFrEF per 1-SD increment (fully adjusted) · mean (SD) 7.5 (2.6) years follow-up
Hazard ratio (95% CI)
Minutes per day total PAoverall HF, per 1-SD increment
0.85(0.75–0.95)
Minutes per day total PAHFpEF, per 1-SD increment
0.78(0.67–0.91)
Minutes per day total PAHFrEF, per 1-SD increment
1.02(0.81–1.28)
Steps per dayoverall HF, per 1-SD increment
0.74(0.63–0.88)
Steps per dayHFpEF, per 1-SD increment
0.71(0.57–0.88)
Steps per dayHFrEF, per 1-SD increment
0.83(0.62–1.12)
Minutes per day total sedentaryoverall HF, per 1-SD increment
1.17(1.04–1.33)
Minutes per day total sedentaryHFpEF, per 1-SD increment
1.29(1.10–1.51)
Minutes per day total sedentaryHFrEF, per 1-SD increment
0.94(0.75–1.18)

Each row per its own increment, as printed

Observational data: associations, not effects.

Further findings

Subgroups by age, race and ethnicity, BMI, physical function, comorbidity score

Associations did not meaningfully differ

Sedentary bout duration

Results inconsistent

Original publication

Accelerometer-Measured Physical Activity, Sedentary Time, and Heart Failure Risk in Women Aged 63 to 99 Years. JAMA Cardiol. Published 1 April 2024. doi:10.1001/jamacardio.2023.5692

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