Cited by 162Physical Activity and HealthCardiovascular Health and Risk FactorsCardiovascular and exercise physiology

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Association of Light Physical Activity Measured by Accelerometry and Incidence of Coronary Heart Disease and Cardiovascular Disease in Older Women

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LaCroix, Andrea Z., Bellettiere, John, Rillamas-Sun, Eileen, Di, Chongzhi, Evenson, Kelly R., Lewis, Cora E., Buchner, David M., Stefanick, Marcia L., Lee, I-Min, Rosenberg, Dori E., LaMonte, Michael J., for the Women’s Health Initiative (WHI)·2019·JAMA Network Open

DOI 10.1001/jamanetworkopen.2019.0419PMC PMC6484645

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Abstract

Importance: To our knowledge, no studies have examined light physical activity (PA) measured by accelerometry and heart disease in older women. Objective: To investigate whether higher levels of light PA were associated with reduced risks of coronary heart disease (CHD) or cardiovascular disease (CVD) in older women. Design, Setting, and Participants: Prospective cohort study of older women from baseline (March 2012 to April 2014) through February 28, 2017, for up to 4.91 years. The setting was community-dwelling participants from the Women's Health Initiative. Participants were ambulatory women with no history of myocardial infarction or stroke. Exposures: Data from accelerometers worn for a requested 7 days were used to measure light PA. Main Outcomes and Measures: Cox proportional hazards regression models estimated hazard ratios (HRs) and 95% CIs for physician-adjudicated CHD and CVD events across light PA quartiles adjusting for possible confounders. Light PA was also analyzed as a continuous variable with and without adjustment for moderate to vigorous PA (MVPA). Results: Among 5861 women (mean [SD] age, 78.5 [6.7] years), 143 CHD events and 570 CVD events were observed. The HRs for CHD in the highest vs lowest quartiles of light PA were 0.42 (95% CI, 0.25-0.70; P for trend <.001) adjusted for age and race/ethnicity and 0.58 (95% CI, 0.34-0.99; P for trend = .004) after additional adjustment for education, current smoking, alcohol consumption, physical functioning, comorbidity, and self-rated health. Corresponding HRs for CVD in the highest vs lowest quartiles of light PA were 0.63 (95% CI, 0.49-0.81; P for trend <.001) and 0.78 (95% CI, 0.60-1.00; P for trend = .004). The HRs for a 1-hour/day increment in light PA after additional adjustment for MVPA were 0.86 (95% CI, 0.73-1.00; P for trend = .05) for CHD and 0.92 (95% CI, 0.85-0.99; P for trend = .03) for CVD. Conclusions and Relevance: The present findings support the conclusion that all movement counts for the prevention of CHD and CVD in older women. Large, pragmatic randomized trials are needed to test whether increasing light PA among older women reduces cardiovascular risk.

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Additional file 1 of Associations between accelerometer-measured physical activity and sedentary behaviour with physical function among older women: a cross-sectional study
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Additional file 1 of Association of daily composition of physical activity and sedentary behaviour with incidence of cardiovascular disease in older adults
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Additional file 2 of Association of daily composition of physical activity and sedentary behaviour with incidence of cardiovascular disease in older adults
Yerramalla, M. S., McGregor, D. E., van Hees, V. T., Fayossé, A., Dugravot, A., Tabák, Á. G., Chen, M., Chastin, S. F. M., & Sabia, S. (2021) · Figshare · doi:10.6084/m9.figshare.14955980
Additional file 1 of Psychometric properties of the Last-7-Day Sedentary Time Questionnaire (SIT-Q-7d): Testing the validity and reliability among general population
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Additional file 3 of Association of daily composition of physical activity and sedentary behaviour with incidence of cardiovascular disease in older adults
Yerramalla, M. S., McGregor, D. E., van Hees, V. T., Fayossé, A., Dugravot, A., Tabák, Á. G., Chen, M., Chastin, S. F. M., & Sabia, S. (2021) · Figshare · doi:10.6084/m9.figshare.14955983
Additional file 1 of Associations between physical function and device-based measures of physical activity and sedentary behavior patterns in older adults: moving beyond moderate-to-vigorous intensity physical activity
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Zablocki, R., Nguyen, S., Wang, Y., Dillon, L. W., LaMonte, M. J., Richey, P. A., Casanova, R., Stefanick, M. L., Hartman, S. J., Di, C., et al. (2026) · doi:10.2196/preprints.115220

Authors: LaCroix, A. Z., Bellettiere, J., Rillamas-Sun, E., Di, C., Evenson, K. R., Lewis, C. E., Buchner, D. M., Stefanick, M. L., Lee, I.-M., Rosenberg, D. E., LaMonte, M. J., & (WHI), F. T. W. H. I.
Affiliations: University of California San Diego (US)
San Diego State University (US)
Division of Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, Washington
Fred Hutch Cancer Center (US)
University of North Carolina at Chapel Hill (US)
University of Alabama at Birmingham (US)
University of Illinois at Urbana-Champaign, Champaign
Stanford Medicine (US)
Brigham and Women's Hospital (US)
Kaiser Permanente Washington Health Research Institute (US)
University at Buffalo, State University of New York (US)
Corresponding author: LaCroix, Andrea Z.
ORCID: LaCroix, Andrea Z.
Bellettiere, John
Di, Chongzhi
Evenson, Kelly R.
Lewis, Cora E.
Stefanick, Marcia L.
Lee, I-Min
Rosenberg, Dori E.
LaMonte, Michael J.
Venue: JAMA Network Open
Publisher: American Medical Association (AMA)
Published: 2019-03-15
Volume: 2
Issue: 3
Pages: e190419
ISSN: 2574-3805 (ISSN-L)
DOI: 10.1001/jamanetworkopen.2019.0419
PMC: PMC6484645
OpenAlex: W2921167015
Cited by: 162
References: 43
Citations by year: 2026: 10 · 2025: 18 · 2024: 22 · 2023: 15 · 2022: 27 · 2021: 30 · 2020: 28 · 2019: 11
FWCI: 16.45
Type: journal article
Language: en
Open access: gold
doi.org
Licence: cc-by
Locations: JAMA Network Open (publishedVersion, cc-by)
Europe PMC (PubMed Central) (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
UA Campus Repository (The University of Arizona) (acceptedVersion, cc-by)
Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
UNC Libraries
Funders: U.S. Department of Health and Human Services
Women's Health Initiative
National Institutes of Health
National Heart, Lung, and Blood Institute (HHSN268201600018C, HHSN268201600004C, HHSN268201600001C, HHSN268201600003C, HHSN268201600002C, R01HL130483, T32HL079891)
National Institute of Diabetes and Digestive and Kidney Diseases (P30DK079626)
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Keywords: light physical activity, accelerometry, coronary artery disease, cardiovascular disease, older women, moderate-to-vigorous physical activity, heart disease risk, Women's Health Initiative, community-dwelling women, physical activity measurement
MeSH terms: Aged, Cardiovascular Diseases, Coronary Disease, Female, Humans, Prospective Studies, Risk Factors, United States, Cohort Studies, Exercise, Proportional Hazards Models, Risk Reduction Behavior, Independent Living, Accelerometry

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Association of Light Physical Activity Measured by Accelerometry and Incidence of Coronary Heart Disease and Cardiovascular Disease in Older Women

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