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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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“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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“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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“…that training frequency might be more important than bout-duration when it comes to the observed changes in cardiometabolic health— where every minute of exercise matters and shorter bouts might be easier to perform and could therefore lead to an increased adherence in cardiac patients [26, 27].”
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Joint effect of light and moderate-to-vigorous physical activity on longevity
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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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