Prevention & lipidsCohort study

Joint association of physical activity and sleep duration with risk of all-cause and cause-specific mortality: a population-based cohort study using accelerometry

Eur J Prev CardiolPublished

  • Prospective cohort study
  • population-based
  • accelerometry

Authors' conclusion

MVPA meeting recommendations or a higher volume of PA at any intensity potentially diminished the adverse effects on all-cause and cause-specific mortality associated with short and long sleep duration.

Study context

Population
UK Biobank participants with 7-day accelerometer recording, 2013–20153,080 deaths
Participants
92,221 participants
Exposure
Combinations of moderate-to-vigorous PA (MVPA) and sleep duration
Outcome
All-cause and cause-specific (CVD, cancer) mortality
Follow-up
Median 7.0 years

Main finding

As reported in the abstract

All-cause mortality
Each group vs recommended MVPA + normal sleepHazard ratio (95% CI)
No recommended MVPA + short sleep
1.88(1.61–2.20)
No recommended MVPA + long sleep
1.69(1.49–1.90)
Physical activity (PA) and sleep duration had additive and multiplicative interactions on mortality risk
P for interaction < 0.05
Curvilinear dose-response associations of PA and sleep duration with mortality
Pnonlinearity <0.001

Observational data: associations, not effects.

Further findings

All-cause and cardiovascular disease (CVD) mortality

Higher PA volume or recommended MVPA attenuated the detrimental effects of short or long sleep
  • 1074 CVD deaths; 1871 cancer deaths

Original publication

Joint association of physical activity and sleep duration with risk of all-cause and cause-specific mortality: a population-based cohort study using accelerometry. Eur J Prev Cardiol. Published 29 March 2023. doi:10.1093/eurjpc/zwad060

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