Prevention & lipidsCohort study

Association of accelerometer-derived physical activity with all-cause and cause-specific mortality among individuals with cardiovascular diseases: a prospective cohort study

Eur J Prev CardiolPublished

  • Prospective cohort study
  • UK Biobank
  • wrist-worn accelerometers

Authors' conclusion

We found an inverse non-linear association between all intensities of PA (LPA, MPA, VPA, and MVPA) and mortality risk in CVD patients using accelerometer-derived data, but with a larger magnitude of the associations than that in previous studies based on self-reported PA.

Study context

Population
Individuals with pre-existing cardiovascular disease (CVD) from the UK Biobank (mean age 66.6 years, 34.1% female)691 deaths
Participants
8,024 individuals
Exposure
Highest vs lowest quartile of accelerometer-measured physical activity (PA) by intensity
Outcome
All-cause mortality (also cancer and CVD mortality)
Follow-up
Median 6.8 years

Main finding

As reported in the abstract

All-cause mortality, highest quartile of PA
Hazard ratio (95% CI)
Highest quartile LPAlight-intensity PA
0.63(0.51–0.79)
Highest quartile MPAmoderate-intensity PA
0.42(0.33–0.54)
Highest quartile VPAvigorous-intensity PA
0.47(0.37–0.60)

min/week

HR plateau, LPA
1800
HR plateau, MPA
320
HR plateau, VPA
15

Observational data: associations, not effects.

Further findings

Cancer and CVD mortality

Deaths from cancer
273
Deaths from CVD
219
Similar associations observed for cancer and CVD mortality

Population-attributable fractions

Highest population-attributable fractions (PAFs) for VPA, followed by MPA

Original publication

Association of accelerometer-derived physical activity with all-cause and cause-specific mortality among individuals with cardiovascular diseases: a prospective cohort study. Eur J Prev Cardiol. Published 1 August 2024. doi:10.1093/eurjpc/zwae248

Summarised from the published abstract; every number is checked against it