Prevention & lipids

Associations Between Physical Activity Patterns and Cardiovascular Events and Risk Factors: Cross-Sectional and Prospective Studies

JACC AdvPublished Population-based cohort study

Authors' conclusion

In a population-based study, we observed a higher risk for cardiovascular events in participants whose daily PA occurred predominantly in the early morning (7 am-12 am) or was evenly distributed throughout the day. No PA pattern was consistently associated with hypertension, blood lipids, or diabetes markers.

Study context

Population
Participants of the CoLaus-PsyCoLaus study, Lausanne, Switzerland; S1: 55.3% females, mean age 61.2 ± 9.7 years; S2: 54.3% females, 64.4 ± 9.5 yearsS1 2,465
Exposure
Physical activity (PA) timing patterns
Outcome
Cardiovascular disease (CVD) events and CVD risk factors
Methodological detailsaccelerometer-assessed PA, K-means clustering
  • Accelerometer-assessed PA
  • K-means clustering

Main finding

As reported in the abstract

CVD events
Hazard ratio (95% CI)
Morning PA
3.33(1.08–10.3)
Evenly distributed daily PA
3.16(1.04–9.57)

Observational data: associations, not effects.

Further findings

Hypertension (S1)

OR (95% CI)
Morning PAMultivariable-adjusted; similar trend in S21.36 (1.00–1.84)
OutcomeEstimate
Hypolipidemic drug treatment (S2)1.88 (CI 1.07–3.30)
DM (S2)Similar trend in S11.82 (95% CI 1.06–3.12)

Total, HDL-, LDL-cholesterol, TG

No significant association with PA clusters

Original publication

Associations Between Physical Activity Patterns and Cardiovascular Events and Risk Factors: Cross-Sectional and Prospective Studies. JACC Adv. Published 9 October 2024. doi:10.1016/j.jacadv.2024.101324

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