Coronary disease & ACS

Non-occupational physical activity and all-cause mortality in patients with coronary heart disease: a dose–response meta-analysis

Eur J Prev CardiolPublished Systematic review and dose-response meta-analysis of prospective cohort studies

Authors' conclusion

Higher non-occupational PA was associated with lower all-cause mortality in CHD, particularly at low-to-moderate levels.

Study context

Population
Patients with coronary heart disease (CHD)
Participants
176,862 patients · 17 studies
Comparison
Non-occupational physical activity (PA) dose vs 0 mMET-h/week
Outcome
All-cause mortality (dose-response curve over 0-40 mMET-h/week)
Methodological detailstwo-stage random-effects, restricted cubic splines
  • Two-stage random-effects
  • Restricted cubic splines

Pooled result

As reported in the abstract

All-cause mortality
Each group vs 0 mMET-h/weekRelative risk (95% CI)
8.75 mMET-h/week38% lower
0.62(0.54–0.73)
17.5 mMET-h/week39% lower
0.61(0.47–0.79)
30 mMET-h/weekimprecise; only 8 of 17 studies had data to this knot
0.92(0.51–1.67)
Non-linear inverse association
P for non-linearity <0.001

Original publication

Non-occupational physical activity and all-cause mortality in patients with coronary heart disease: a dose–response meta-analysis. Eur J Prev Cardiol. Published 30 September 2026. doi:10.1093/eurjpc/zwag510

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

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