Prevention & lipids

The proteomic profile of leisure time physical activity across two decades: implications for future cardiovascular risk and mortality

Eur J Prev CardiolPublished Prospective cohort study with nested case-cohort study

Authors' conclusion

These findings confirm and extend our understanding of how physical activity could assert its beneficial effect on cardiovascular health through proteins involved with modulating inflammatory, immune, and metabolic pathways.

Study context

Population
Men of the Uppsala Longitudinal Study of Adult Men (physical activity self-reported at ages 50, 60 and 70; proteins at age 70); MIMI nested case-cohort from six European cohortscase-cohort: 420 cases, 1598 controls
Participants
782 men
Exposure
Higher vs lower cumulative leisure time physical activity
Outcome
Associations of leisure time physical activity cumulated over 20 years with 720 plasma proteins
Methodological detailsmulticohort (six European cohorts)
  • Multicohort (six European cohorts)

Main finding

As reported in the abstract

Plasma proteins inversely associated with higher physical activity
Plasma proteins inversely associated with higher leisure time physical activity (adjusted)
12

Observational data: associations, not effects.

Further findings

Imminent myocardial infarction (MI), interleukin-6 (MIMI case-cohort) · within 6 months of blood draw

HR (95% CI)
Interleukin-6Increased incidence of imminent MI1.22 (1.09–1.37)

Long-term MI, tumour necrosis factor receptor superfamily member 11A · up to 19.3 years

HR (CI)
Tumour necrosis factor receptor superfamily member 11AIncreased long-term MI incidence1.22 (1.01–1.48)
OutcomeHR (CI)
Mortality, 11 of the 12 proteins · up to 26.3 yearsIncreased mortality1.14-1.30 (1.01–1.42)

Original publication

The proteomic profile of leisure time physical activity across two decades: implications for future cardiovascular risk and mortality. Eur J Prev Cardiol. Published 8 January 2026. doi:10.1093/eurjpc/zwag016

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