Cited by 244Physical Activity and HealthContext-Aware Activity Recognition SystemsHealth disparities and outcomes

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Objectively measured physical activity, sedentary behaviour and all-cause mortality in older men: does volume of activity matter more than pattern of accumulation?

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Jefferis, Barbara J, Parsons, Tessa J, Sartini, Claudio, Ash, Sarah, Lennon, Lucy T, Papacosta, Olia, Morris, Richard W, Wannamethee, S Goya, Lee, I-Min, Whincup, Peter H·2019·British Journal of Sports Medicine

DOI 10.1136/bjsports-2017-098733PMC PMC6691867

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Abstract

Objectives: To understand how device-measured sedentary behaviour and physical activity are related to all-cause mortality in older men, an age group with high levels of inactivity and sedentary behaviour. Methods: Prospective population-based cohort study of men recruited from 24 UK General Practices in 1978–1980. In 2010–2012, 3137 surviving men were invited to a follow-up, 1655 (aged 71–92 years) agreed. Nurses measured height and weight, men completed health and demographic questionnaires and wore an ActiGraph GT3x accelerometer. All-cause mortality was collected through National Health Service central registers up to 1 June 2016. Results: After median 5.0 years’ follow-up, 194 deaths occurred in 1181 men without pre-existing cardiovascular disease. For each additional 30 min in sedentary behaviour, or light physical activity (LIPA), or 10 min in moderate to vigorous physical activity (MVPA), HRs for mortality were 1.17 (95% CI 1.10 to 1.25), 0.83 (95% CI 0.77 to 0.90) and 0.90 (95% CI 0.84 to 0.96), respectively. Adjustments for confounders did not meaningfully change estimates. Only LIPA remained significant on mutual adjustment for all intensities. The HR for accumulating 150 min MVPA/week in sporadic minutes (achieved by 66% of men) was 0.59 (95% CI 0.43 to 0.81) and 0.58 (95% CI 0.33 to 1.00) for accumulating 150 min MVPA/week in bouts lasting ≥10 min (achieved by 16% of men). Sedentary breaks were not associated with mortality. Conclusions: In older men, all activities (of light intensity upwards) were beneficial and accumulation of activity in bouts ≥10 min did not appear important beyond total volume of activity. Findings can inform physical activity guidelines for older adults.

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Authors: Jefferis, B. J., Parsons, T. J., Sartini, C., Ash, S., Lennon, L. T., Papacosta, O., Morris, R. W., Wannamethee, S. G., Lee, I.-M., & Whincup, P. H.
Affiliations: University College London (GB)
University of Bristol (GB)
Brigham and Women's Hospital (US)
St George's, University of London (GB)
Corresponding author: Jefferis, Barbara J
ORCID: Jefferis, Barbara J
Parsons, Tessa J
Sartini, Claudio
Ash, Sarah
Lennon, Lucy T
Papacosta, Olia
Morris, Richard W
Wannamethee, S Goya
Lee, I-Min
Whincup, Peter H
Venue: British Journal of Sports Medicine
Publisher: BMJ
Published: 2018-02-12
Volume: 53
Issue: 16
Pages: 1013-1020
ISSN: 0306-3674 (ISSN-L)
1473-0480
DOI: 10.1136/bjsports-2017-098733
PMC: PMC6691867
OpenAlex: W2788594244
Cited by: 244
References: 36
Citations by year: 2026: 9 · 2025: 14 · 2024: 24 · 2023: 35 · 2022: 31 · 2021: 30 · 2020: 58 · 2019: 30 · 2018: 13
FWCI: 22.52
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: cc-by
Locations: British Journal of Sports Medicine (publishedVersion, cc-by)
PubMed Central (publishedVersion, cc-by)
PubMed (publishedVersion)
Bristol Research (University of Bristol) (publishedVersion, cc-by)
St George's Online Research Archive (St George's University of London) (acceptedVersion)
UCL Discovery (University College London) (submittedVersion)
HighWire Press Open Archive (submittedVersion)
Funders: British Heart Foundation
Research Trainees Coordinating Centre
Topics: Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Context-Aware Activity Recognition Systems
Social Sciences › Health › Health disparities and outcomes
Keywords: physical activity, sedentary behavior, all-cause mortality, older men, light physical activity, moderate-to-vigorous physical activity, bout duration, sedentary breaks, accelerometer-measured activity, physical activity guidelines
MeSH terms: Aged, Aged, 80 and over, Follow-Up Studies, Heart Rate, Humans, Male, Mortality, Prospective Studies, Surveys and Questionnaires, Exercise, Body Mass Index, Actigraphy, Sedentary Behavior

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Objectively measured physical activity, sedentary behaviour and all-cause mortality in older men: does volume of activity matter more than pattern of accumulation?

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