Prevention & lipidsCohort study

Intensity or volume: the role of physical activity in longevity

Eur J Prev CardiolPublished

  • Prospective cohort study
  • weighted Cox proportional hazard models

Authors' conclusion

Intensity is a main driver of reduced mortality risk suggesting that the intensity of PA rather than the quantity matters for longevity.

Study context

Population
US adults (age ≥20) with valid accelerometer, covariate and mortality data, National Health and Nutrition Examination Survey (NHANES) 2011–201452.0% women
Participants
7,518 adults
Exposure
Physical activity (PA) volume, intensity, duration and fragmentation
Outcome
All-cause and CVD mortality

Main finding

As reported in the abstract

All-cause mortality · 81-month follow-up

Average acceleration (AvAcc) (volume): risk reduction from 25th to 50th percentile

−14.4% (95% CI, −8.3 to −20.1%)

Intensity gradient (IG) (intensity): risk reduction from 25th to 50th percentile

−37.1% (95% CI, −30.0 to −43.4%)

Observational data: associations, not effects.

Further findings

Cardiovascular disease (CVD) mortality (n = 7016) · 82-month follow-up

IG (intensity) only: risk reduction from 25th to 50th percentile
−41.0% (95% CI, −26.7 to −52.4%)

Original publication

Intensity or volume: the role of physical activity in longevity. Eur J Prev Cardiol. Published 14 September 2024. doi:10.1093/eurjpc/zwae295

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