The DOI matches its Crossref record; 37 of the 38 references it cites were found in a registry or an index.
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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In the citing paper
“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]
In the citing paper
“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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Cites
Alberti, K. G. M. M., Eckel, R. H., Grundy, S. M., Zimmet, P. Z., Cleeman, J. I., Donato, K. A., Fruchart, J.-C., James, W. P. T., Loria, C. M., & Smith, S. C. (2009) · Circulation · doi:10.1161/circulationaha.109.192644 · Cited by 14,860
Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., Gordon, D. J., Krauss, R. M., Savage, P. J., Smith, S. C., et al. (2005) · Circulation · doi:10.1161/circulationaha.105.169404 · Cited by 11,961
(2007) · Circulation · doi:10.1161/circulationaha.107.185649 · Cited by 6,545
Self-citationHASKELL, W. L., LEE, I.-M., PATE, R. R., POWELL, K. E., BLAIR, S. N., FRANKLIN, B. A., MACERA, C. A., HEATH, G. W., THOMPSON, P. D., & BAUMAN, A. (2007) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e3180616b27 · Cited by 4,616
Self-citationChurch, T. S., Thomas, D. M., Tudor-Locke, C., Katzmarzyk, P. T., Earnest, C. P., Rodarte, R. Q., Martin, C. K., Blair, S. N., & Bouchard, C. (2011) · PLoS ONE · doi:10.1371/journal.pone.0019657 · Cited by 1,294
Jakicic, J. M., Winters, C., Lang, W., & Wing, R. R. (1999) · JAMA · doi:10.1001/jama.282.16.1554 · Cited by 536
Self-citationJakicic, J. M., Wing, R. R., Butler, B. A., & Robertson, R. (1995) · PubMed · Cited by 364
Self-citationSustained and shorter bouts of physical activity are related to cardiovascular health
GLAZER, N. L., LYASS, A., ESLIGER, D. W., BLEASE, S. J., FREEDSON, P. S., MASSARO, J. M., MURABITO, J. M., & VASAN, R. S. (2013) · Medicine & Science in Sports & Exercise · doi:10.1249/mss.0b013e31826beae5 · Cited by 207
Donnelly, J., JACOBSEN, D. J., Heelan, K., Seip, R. L., & Smith, S. R. (2000) · International Journal of Obesity · doi:10.1038/sj.ijo.0801198 · Cited by 203
Research works printed but not linked: 1
- 1985, Splitting the distances of endurance training: on cardiovascular endurance and blood lipids, Jap J Phys Educ, 30, 37
Cited by
Sorted by citations
Items 301–309 of 309
Fan, X., Yang, Y., Zhao, Y., & Liao, J. (2026) · Journal of Activity Sedentary and Sleep Behaviors · doi:10.1186/s44167-026-00105-2
“This is consistent with a prior review indicating that brief episodes of MVPA can confer health benefits for older adults, even if they fall short of the recommended 150 min per week [52].”
Potter, A. W., Looney, D. P., Tharion, W. J., Murphy, C. E., & Friedl, K. E. (2026) · Annals of Epidemiology · doi:10.1016/j.annepidem.2026.110150
Allain, J. E., Waghorn, J., MacDonald, E. E., & O'Brien, M. W. (2026) · Journal for the Measurement of Physical Behaviour · doi:10.1123/jmpb.2026-0019
Physical activity from bus travel: objective estimates linking accelerometer and travel card data
Stanesby, O., Cleland, V. J., Timperio, A. F., Greaves, S. P., & Evans, J. T. (2026) · Journal of Transport & Health · doi:10.1016/j.jth.2026.102416
Li, Y., Pan, W., Du, X., & Song, H. (2026) · Journal of Exercise Science & Fitness · doi:10.1016/j.jesf.2026.200511
“The ≥ 10-min threshold reflects the traditional definition of a sustained activity bout in physical activity guidelines, 4 while this categorization follows prior accelerometer-based studies of activity fragmentation and mortality that used the same classification, 17 enabling characterization of…”
Sharman, M. J., McLaughlin, M. J., McCue, P. A., Washington, T. L., & Cleland, V. J. (2026) · Health Promotion Journal of Australia · doi:10.1002/hpja.70242
“[65].”
Klamm, M. M., Gabriel, K. P., Sung, J. H., Yan, Y., Duck, A. A., Schrack, J. A., Spira, A. P., Stosor, V., Detels, R., Patel, S. R., et al. (2026) · AIDS and Behavior · doi:10.1007/s10461-026-05293-1
“The daily patterns of PA provide a method for examining the way PA is accumulated, rather than simply reporting total minutes of MVPA [12].”
Bito, A., Pühringer, M., Langthaler, P., Aigner, E., Iglseder, B., Trinka, E., Paulweber, B., & Ring‐Dimitriou, S. (2026) · npj Exercise Medicine and Health · doi:10.1038/s44437-026-00007-0
“However, evidence has emerged suggesting that sporadic bouts of physical activity also confer health bene fi ts 13,17,24 and that physical activity accumulated in bouts of less than 10 min is associated with a reduced all-cause mortality 28 .”
Wang, X., Wu, J., Heng, L., Li, H., & Zou, Z. (2026) · Frontiers in Psychology · doi:10.3389/fpsyg.2026.1928216
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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