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Association between Bout Duration of Physical Activity and Health: Systematic Review
Open accessAbstract
Purpose: This study aimed to conduct a systematic literature review to determine whether physical activity episodes of <10 min in duration have health-related benefits or, alternatively, if the benefits are only realized when the duration of physical activity episodes is ≥10 min. Methods: The primary literature search was conducted for the 2018 Physical Activity Guidelines Advisory Committee Report and encompassed literature through June 2017, with an additional literature search conducted to include literature published through March 2018 for inclusion in this systematic review. Results: The literature review identified 29 articles that were pertinent to the research question that used either cross-sectional, prospective cohort, or randomized designs. One prospective cohort study ( N = 4840) reported similar associations between moderate to vigorous physical activity (MVPA) and all-cause mortality when examined as total MVPA, MVPA in bouts ≥5 min in duration, or MVPA in bouts ≥10 min in duration. Additional evidence was identified from cross-sectional and prospective studies to support that bouts of physical activity <10 min in duration are associated with a variety of health outcomes. Randomized studies only examined bouts of physical activity ≥10 min in duration. Conclusions: The current evidence, from cross-sectional and prospective cohort studies, supports that physical activity of any bout duration is associated with improved health outcomes, which includes all-cause mortality. This may suggest the need for a contemporary paradigm shift in public health recommendations for physical activity, which supports total MVPA as an important lifestyle behavior regardless of the bout duration.
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“MVPA bouts of any duration now count towards these recommendations”
From World Health Organization 2020 guidelines on physical activity and sedentary behaviour (2020) · cites this paper as [16]
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“This change reflects the accumulated evidence from cohort studies, which shows physical activity of any bout duration is associated with improved health outcomes, including all-cause mortality.16 23”
From World Health Organization 2020 guidelines on physical activity and sedentary behaviour (2020) · cites this paper as [16]
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“PA accumulated in bouts of even <10 min is associated with favourable outcomes, including reduced mortality.110,111”
From 2023 ESC guidelines for the management of cardiovascular disease in patients with diabetes. (2023) · cites this paper as [111]
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World Health Organization 2020 guidelines on physical activity and sedentary behaviour
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Epidemiology and Cardiovascular Benefits of Physical Activity and Exercise
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BackgroundAre Japanese Women Less Physically Active Than Men? Findings From the DOSANCO Health Study
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“Chronic elevations of physiological health markers, for example, cardiometabolic, stress-related, and inflammatory processes are associated with many chronic diseases, such as cardiovascular disease (CVD) early in life, and regular PA has protective effects [6,7,54,73].”
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“In this context, health promotion, which supports the adoption of healthy lifestyles and the fight against harmful ones, assumes a fundamental role that should not be carried out in only the health sector but in all areas of civil society and politics as a whole [30].”
BackgroundTemporal patterns of physical activity in successful weight loss maintainers
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“Sin embargo, hay evidencias de varios beneficios al realizar AF en sesiones de menos de 10 minutos, como mejor control de presión arterial, menor colesterol, mejor control de glicemia, menor incidencia de síndrome metabólico y de riesgo de ECV y de mortalidad por cualquier causa(8).”
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“, briefly pausing at a stop light during a brisk walk or run [14, 26].”
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“However, participation in moderate to vigorous physical activity decreases with aging and, correspondingly, sedentary time increases because of changes in health status, employment changes, and retirement (Jones et al., 2018).”
BackgroundMetabolic and Cardiovascular Responses to a Simulated Commute on an E-Bike
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“Importantly, recent findings suggest exercise bouts of moderate to vigorous intensity accumulated in short durations (less than 10 minutes) throughout the day may still be beneficial.(42) Our results are similar to those of Koopman et al where approximately 45% of physical therapy activity was of moderate to vigorous…”
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Machine learning modeling for predicting adherence to physical activity guideline
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“A large body of research also supports the idea that physical activity of 10 min or more per session can improve health (5, 24, 25).”
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“9 days/week in older participants) that may lead to significant health 429 benefits for older adult participants [62].”
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“Evidence to date does not suggest that short bouts are less effective than long bouts of PA in managing pain intensity (Parsons et al., 2017; Jakicic et al., 2019; Giurgiu et al., 2020), though it is notable that short activity bouts are typically defined as <10 min in duration (note that moving for 5–10 min was not a…”
BackgroundKambič, T., Šarabon, N., Hadžić, V., & Lainščak, M. (2021) · Biosensors · doi:10.3390/bios11090318 · Cited by 14
“Recently, a systematic review published by the 2018 American PA Advisory Committee showed that even daily MVPA bouts < 10 min were associated with a similar reduction in mortality [43].”
BackgroundLagzdiņa, R., Rumaka, M., Gersone, G., & Tretjakovs, P. (2023) · International Journal of Molecular Sciences · doi:10.3390/ijms241914725 · Cited by 13
“…in bouts of less than 10 min, referred to as “exercise snacks”, has an even greater impact on various health outcomes, such as blood triglycerides, glucose regulation, and resting arterial blood pressure, than continuous PA (moderate-intensity) activity lasting longer than 10 min [27,28].”
Arigo, D., Lassiter, J. M., Baga, K., Jackson, D. A., Lobo, A. F., & Guetterman, T. C. (2023) · Digital Health · doi:10.1177/20552076231210654 · Cited by 12
“77 Considerable evidence now shows that health bene fi ts can be achieved with shorter bouts of MVPA 78 and that activity at any intensity has meaningful bene fi ts for cardiovascular health.”
BackgroundInfluentialO “NOVO NORMAL” NA ATIVIDADE FÍSICA E SAÚDE: PANDEMIAS E UBERIZAÇÃO?
de Carvalho, F. F. B., Freitas, D. D., & Akerman, M. (2021) · Movimento (Porto Alegre) · doi:10.22456/1982-8918.105524 · Cited by 13
Du, L., Zhang, X., Wang, W., He, Q., Li, T., Chen, S., & Pan, Y. (2022) · Geriatric Nursing · doi:10.1016/j.gerinurse.2022.05.001 · Cited by 12
Liangruenrom, N., Dumuid, D., & Pedišić, Ž. (2023) · PLoS ONE · doi:10.1371/journal.pone.0280957 · Cited by 21
Zhang, X., Yang, Z., Du, L., Xiong, C., Wang, Z., Pan, Y., He, Q., Chen, S., & Cui, L. (2023) · Sleep Medicine · doi:10.1016/j.sleep.2023.02.015 · Cited by 12
de Paula, D., Crochemore‐Silva, I., Griep, R. H., Duncan, B. B., & Schmidt, M. I. (2023) · Journal of Physical Activity and Health · doi:10.1123/jpah.2023-0106 · Cited by 14
Liu, M., Zhang, Y., Zhang, Y., He, P., Zhou, C., Ye, Z., Yang, S., Gan, X., Hou, F. F., & Qin, X. (2024) · British Journal of Sports Medicine · doi:10.1136/bjsports-2023-107564 · Cited by 12
van den Burg, E. L., Schoonakker, M. P., Korpershoek, B., Sommeling, L. E., Sturm, C. A., Lamb, H. J., Pijl, H., Numans, M. E., Adriaanse, M. A., & van Peet, P. G. (2024) · BMC Family Practice · doi:10.1186/s12875-024-02405-5 · Cited by 15
“The positive effect of following an FMD on total hours per week spent on physical activity can be beneficial for patients with T2D, since any increase in physical activity is associated with improved health outcomes [56, 57].”
BackgroundMa, T., Sirard, J. R., Yang, L., Li, Y., Tsang, S. M. H., & Fu, S. N. (2024) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-024-01631-5 · Cited by 12
“This recommendation is primarily supported by epidemiological studies, which suggested that MVPA was associated with various health benefits irrespective of the bout length [4].”
ResultSellami, M., Almuraikhy, S., Naja, K., Anwardeen, N. R., Al-Amri, H. S., Prince, M. S., Aden, A. A., Doemling, A., & Elrayess, M. A. (2025) · Scientific Reports · doi:10.1038/s41598-025-86306-2 · Cited by 12
Strategies to Manage Obesity: Lifestyle
Saavedra, R., Ramirez, B., & Jay, B. (2025) · Methodist DeBakey Cardiovascular Journal · doi:10.14797/mdcvj.1510 · Cited by 26
Physical Activity and Cancer Incidence and Mortality: Current Evidence and Biological Mechanisms
Kruk, J., Aboul-Enein, B. H., Gołębiewska, M. E., Duchnik, E., Czerniak, U., & Marchlewicz, M. (2025) · Cancers · doi:10.3390/cancers17091410 · Cited by 13
Collings, P. J., Backes, A., Aguayo, G., Malisoux, L., on behalf of the ORISCAV-LUX study group, Alkerwi, A., Noppe, S., Delagardelle, C., Beissel, J., Chioti, A., et al. (2022) · International Journal of Behavioral Nutrition and Physical Activity · doi:10.1186/s12966-022-01380-3 · Cited by 13
“The guideline volume of MVPA emerged mainly from evidence that was founded upon questionnaire-based studies about leisure-time PA [64], whereas removal of the 10 min bout requirement was based on evidence from device-measured data [65].”
MethodSarinukul, C., Janyacharoen, T., Donpunha, W., Nakmaroeng, S., Ruksapukdee, W., & Sawanyawisuth, K. (2023) · Canadian Geriatrics Journal · doi:10.5770/cgj.26.632 · Cited by 12
“The ACSM recommends these patients engage in moderate- to highintensity aerobic exercise most or all days of the week (> 40–60% of VO2 reserve) for 30–60 minutes continuously with any bout duration.(5) Exercise is also a part of weight reduction which may result in better blood pressure control.”
BackgroundTrott, M., Kentzer, N., Horne, J., Langdown, B., & Smith, L. (2024) · Journal of Education and Health Promotion · doi:10.4103/jehp.jehp_1618_23 · Cited by 21
“[5] On the other hand, physical inactivity, defined as not meeting national PA recommendations, [6] is a recognized global pandemic, [7] is negatively associated with several health outcomes, and has been estimated to directly contribute to 5.3 million deaths per year.”
BackgroundInfluentialWorkers’ Activity Profiles Associated With Predicted 10‐Year Cardiovascular Disease Risk
Biswas, A., Chen, C., Prince, S. A., Smith, P. M., & Mustard, C. (2022) · Journal of the American Heart Association · doi:10.1161/jaha.121.025148 · Cited by 13
Jackson, R. E., Lang, W., Rogers, R. J., Schelbert, E. B., Kovacs, S. J., Creasy, S. A., & Jakicic, J. M. (2023) · Obesity · doi:10.1002/oby.23890 · Cited by 11
“This evidence was included in the 2018 Physical Activity Guidelines Advisory Committee Report [7, 8] and resulted in the recommendation that all moderate-to-vigorous physical activity (MVPA), regardless of bout length, contributes to the public health recommendation to accumulate ≥ 150 min/wk of…”
BackgroundMethodSelf-citationStreet, J. H., Boos, Z. P., Fial, A., Lennon, S. L., Smith, C. S., Creasy, S. A., Hunter, S. K., Farquhar, W. B., & Capin, J. J. (2023) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2023-001605 · Cited by 11
Capin, J. J., Wolf, T. L., Street, J. H., Smith, C. S., Lennon, S. L., Farquhar, W. B., Hunter, S. K., & Piacentine, L. B. (2024) · BMJ Open Sport & Exercise Medicine · doi:10.1136/bmjsem-2024-001956 · Cited by 11
Physical Activity, Functional Status, and Quality of Life Among Older Adults in India
Arjunan, P., Annamalai, M., Subramaniam, A., & Arulappan, J. (2024) · SAGE Open Nursing · doi:10.1177/23779608241290384 · Cited by 11
Older gay men's engagement with physical activity: A scoping review
Kendrick, D., Hughes, M., Coutts, R., & Ardzejewska, K. (2021) · Health & Social Care in the Community · doi:10.1111/hsc.13480 · Cited by 11
Evidence-Based and Practice-Oriented Guidelines for Exercising During Pregnancy
Szumilewicz, A., Worska, A., Santos‐Rocha, R., & Oviedo‐Caro, M. Á. (2022) · Springer eBooks · doi:10.1007/978-3-031-06137-0_7 · Cited by 11
Brown, N. I., Henderson, J., Stern, M., & Carson, T. L. (2024) · American Journal of Lifestyle Medicine · doi:10.1177/15598276241253160 · Cited by 10
“A recent systematic review conducted by Jakicic et al. (2019) highlighted the health-related bene fi ts of accumulated short bouts of PA (<10 minutes) which included positive impacts on body weight or body composition, blood pressure, blood lipids, glucose/insulin, multimorbidity, and all-cause…”
Chen, T., Chen, S., Honda, T., Kishimoto, H., Nofuji, Y., & Narazaki, K. (2025) · British Journal of Sports Medicine · doi:10.1136/bjsports-2024-108258 · Cited by 11
Moreira, S., Ferreira, M. S. M., Criado, M. B., Machado, J. P., Mesquita, C., Lopes, S., & Santos, P. C. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18147604 · Cited by 11
“The previous stipulation that PA should be accumulated in at least 10 min [16] bouts has been removed [17,18].”
BackgroundLouro, A., Franco, P., & da Costa, E. M. (2021) · Sustainability · doi:10.3390/su131810104 · Cited by 10
Kuster, R. P., Rosen, P., Grooten, W. J. A., Dohrn, I., & Hagströmer, M. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182212214 · Cited by 10
Association between depression, anemia and physical activity using isotemporal substitution analysis
Nam, H.-K., Park, J., & Cho, S. (2023) · BMC Public Health · doi:10.1186/s12889-023-17117-1 · Cited by 9
“Research has been conducted to explore the potential health effects of engaging in physical activity below recommended levels [29], and according to recent studies, it has been revealed that engaging in physical activity, even for durations below the recommended 10 min, confers health benefits [30].”
BackgroundGonzález-Pérez, M., Sánchez‐Oliva, D., Grao‐Cruces, A., Cano-Cañada, E., Martín‐Acosta, F., Muñoz-González, R., Bandera-Campos, F. J., Hermosa, A. R., Vaquero‐Solís, M., Moledo, C. P., et al. (2024) · Frontiers in Public Health · doi:10.3389/fpubh.2023.1329245 · Cited by 16
“Anticipated results align with those observed in primary education, where the implementation of AB and PAL is positively associated with physical and psychological health (22, 23, 58–60), PA levels (16, 17, 21), time-on-task (16, 17, 21), and academic performance (21).”
ResultOlder LGBT+ Adults and Physical Activity: A Systematic Review of Qualitative and Quantitative Data
Pistella, J., Baiocco, R., Antoniucci, C., Alessandri, G., Alivernini, F., Borghi, A. M., Filosa, L., Fini, C., Palombi, T., Tavolucci, S., et al. (2024) · Sexuality Research and Social Policy · doi:10.1007/s13178-023-00925-w · Cited by 12
Metabolic Rewiring During Metastasis: The Interplay Between the Environment and the Host
Vandekeere, A., Kharraz, S. E., Altea‐Manzano, P., & Fendt, S. (2024) · Annual Review of Cancer Biology · doi:10.1146/annurev-cancerbio-062822-122840 · Cited by 9
Brown, C. E. B., Richardson, K. E., Pizzirani, B., Hughes, S. D., Atkins, L., Perowne, R., Pitt, J., Yücel, M., & Segrave, R. A. (2024) · BMC Public Health · doi:10.1186/s12889-024-19385-x · Cited by 12
“However, given shorter bouts of physical activity is also associated with health benefits [54], future iterations and evaluations of PEAK could incorporate passive sensing technology to capture all levels of physical activity.”
BackgroundKandel, P., Lim, S. S., Dever, M., Lamichhane, P., Skouteris, H., Currie, S., & Hill, B. (2023) · Nutrients · doi:10.3390/nu15234939 · Cited by 10
“These could take different forms to cater for the needs of women from different sociodemographic characteristics, such as digital intervention, mass media campaigns, and opportunistic intervention via health care services.”
BackgroundHonda, H., Igaki, M., Komatsu, M., & Tanaka, S. (2020) · Endocrinology Diabetes & Metabolism · doi:10.1002/edm2.168 · Cited by 9
Gujral, S., Cameron, J. L., Conaty, K., Ziady, S., Sahu, A., Jakicic, J. M., Rogers, R. J., Rosano, C., Vallejo, A. N., Erickson, K. I., et al. (2024) · Frontiers in Aging Neuroscience · doi:10.3389/fnagi.2024.1432909 · Cited by 8
Self-citation
Metadata
- Authors
- JAKICIC, J. M., KRAUS, W. E., POWELL, K. E., CAMPBELL, W. W., JANZ, K. F., TROIANO, R. P., SPROW, K., TORRES, A., & PIERCY, K. L.
- Affiliations
- University of Pittsburgh (US)
- Duke University (US)
- Centers for Disease Control and Prevention (US)
- Purdue University West Lafayette (US)
- University of Iowa (US)
- National Cancer Institute (US)
- ICF International (United States) (US)
- Office of Disease Prevention and Health Promotion (US)
- ORCID
- Venue
- Medicine & Science in Sports & Exercise
- Published
- 2019-06
- Volume
- 51
- Issue
- 6
- Pages
- 1213-1219
- ISSN
- 0195-9131 (ISSN-L)
- 1530-0315
- PMC
- PMC6527142
- OpenAlex
- W2945091350
- Cited by
- 306
- References
- 38
- Citations by year
- 2026: 22 · 2025: 46 · 2024: 82 · 2023: 45 · 2022: 45 · 2021: 47 · 2020: 15 · 2019: 4
- FWCI
- 3.27
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Medicine & Science in Sports & Exercise (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (Z99 CA999999)
- National Institute on Aging (P30AG024827)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
- Social Sciences › Life-span and Life-course Studies › Recreational Sport and Physical Activity
- Keywords
- physical activity bouts, bout duration, moderate-to-vigorous physical activity, all-cause mortality, health benefits of physical activity, public health recommendations, physical activity guidelines
- MeSH terms
- Healthy Lifestyle, Frailty, Multimorbidity, Blood Glucose, Blood Pressure, C-Reactive Protein, Cardiovascular Diseases, Health Status, Glycated Hemoglobin, Humans, Insulin, Lipids, Mortality, Obesity, Time Factors, Exercise, Body Mass Index, Practice Guidelines as Topic, Metabolic Syndrome, Biomedical Research, Adiposity
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