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Cited by 26Physical Activity and HealthCardiovascular Health and Risk FactorsCardiovascular Effects of Exercise

Associations of Leisure‐Time Physical Activity and Television Viewing With Life Expectancy Free of Nonfatal Cardiovascular Disease: The ARIC Study

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Cuthbertson, Carmen C., Tan, Xianming, Heiss, Gerardo, Kucharska‐Newton, Anna, Nichols, Hazel B., Kubota, Yasuhiko, Evenson, Kelly R.·2019·Journal of the American Heart Association
DOI 10.1161/jaha.119.012657PMC PMC6818021
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Abstract

Background: High levels of physical activity have been associated with longer life expectancy free of cardiovascular disease ( CVD ), but specific types of CVD and sedentary behavior have not been examined. We examined associations of leisure‐time moderate‐to‐vigorous physical activity ( LTPA ) and television viewing with life expectancy free of 3 types of CVD . Methods and Results: We included 13 534 participants from the ARIC (Atherosclerosis Risk in Communities) cohort. We used multistate survival models to estimate associations of LTPA in the past year (no LTPA , less than the median, equal to or greater than the median) and television viewing (often or very often, sometimes, seldom or rarely) with life expectancy at age 50 free of nonfatal coronary heart disease ( CHD ), stroke, and heart failure ( HF ). Over 27 years of follow‐up, 4519 participants developed one of the 3 nonfatal CVD s and 5475 deaths occurred. Compared with participants who engaged in no LTPA , participants who engaged in LTPA equal to or greater than the median had longer life expectancy free of nonfatal CHD (men: 1.5 years [95% CI , 1.0–2.0]; women: 1.6 years [95% CI , 1.1–2.2]), stroke (men: 1.8 years [95% CI , 1.2–2.3]; women: 1.8 years [95% CI , 1.3–2.3]), and HF (men: 1.6 years [95% CI , 1.1–2.1]; women: 1.7 years [95% CI , 1.2–2.2]). Compared with viewing more television, watching less television was associated with longer life expectancy free of CHD , stroke, and HF (≈0.8 year). Conclusions: Higher levels of LTPA and less television viewing were associated with longer life expectancy free of CHD, stroke, and HF. Engaging in LTPA and watching less television may increase the number of years lived free of CHD , stroke, and HF .

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  • Of the 28 studies in Table 2, 19 (68%) reported estimates indicating a protective effect of physical activity on risk of total stroke in women.

    “Of the 28 studies in Table 2, Nineteen studies (68%) reported estimates indicating a protective effect of physical activity on risk of stroke”

    From Sex Differences in Physical Activity and Incident Stroke: A Systematic Review (2022) · cites this paper as [36]

    The Results (Table 2; page unavailable) associate higher leisure-time physical activity with lower risk of nonfatal stroke in the ARIC cohort. But this is one cohort study, not a review of 28 studies; it does not report that 19 studies (68%) found a protective effect, nor does Table 2 give that count for women. (LLM, conf=0.86)

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  • Among those 17 papers, 6 (35%) suggested a significant effect of physical activity on total stroke in women but not in men.

    “6 (35%) of studies suggested a significant effect in women but not in men”

    From Sex Differences in Physical Activity and Incident Stroke: A Systematic Review (2022) · cites this paper as [36]

    The Results report an association between leisure-time physical activity and nonfatal stroke in the ARIC cohort, while the Methods describe sex as a covariate. Our copy does not report a review of 17 studies or a finding that 6 found a significant effect in women but not men (searched for the 6/17 figure and sex-specific stroke findings). (LLM, conf=0.76)

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Authors
Cuthbertson, C. C., Tan, X., Heiss, G., Kucharska‐Newton, A., Nichols, H. B., Kubota, Y., & Evenson, K. R.
Affiliations
  • University of North Carolina at Chapel Hill (US)
  • Osaka Center for Cancer and Cardiovascular Disease Prevention (JP)
Corresponding author
Cuthbertson, Carmen C.
ORCID
Venue
Journal of the American Heart Association
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2019-09-17
Volume
8
Issue
18
Pages
e012657-e012657
ISSN
2047-9980 (ISSN-L)
DOI
10.1161/jaha.119.012657
PMC
PMC6818021
OpenAlex
W2971490256
Cited by
26
References
4
Citations by year
2026: 1 · 2025: 3 · 2024: 8 · 2023: 5 · 2022: 4 · 2021: 2 · 2020: 2 · 2019: 1
FWCI
1.54
Type
journal article
Language
en
Open access
Licence
cc-by-nc-nd
Locations
  • Journal of the American Heart Association (publishedVersion, cc-by-nc-nd)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by-nc-nd)
  • PubMed Central (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • UNC Libraries
Funders
  • U.S. Department of Health and Human Services
  • National Institutes of Health
  • National Heart, Lung, and Blood Institute (T32HL007055)
  • National Institute of Environmental Health Sciences (P30ES010126)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Effects of Exercise
Keywords
leisure-time physical activity, television viewing, sedentary behavior, life expectancy, cardiovascular disease, coronary artery disease, stroke, heart failure, moderate-to-vigorous physical activity, sex differences
MeSH terms
Aged, Black or African American, Coronary Disease, Female, Heart Failure, Humans, Leisure Activities, Life Expectancy, Male, Middle Aged, Mortality, Television, United States, Exercise, Stroke, White People, Metabolic Equivalent

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