TY - JOUR
T1 - Associations of Exercise Types with All-Cause Mortality among U.S. Adults
AU - Sheehan, Connor M.
AU - Li, Longfeng
N1 - Funding Information:
This work was supported by funding from the Global Sports Institute at Arizona State University. We thank Daniel Powers and two anonymous reviewers for their helpful comments throughout the publication process. The contents of this manuscript are solely the responsibility of the authors and do not represent the views of the Global Sports Institute or Arizona State University.
Publisher Copyright:
© Lippincott Williams & Wilkins.
PY - 2020/12/1
Y1 - 2020/12/1
N2 - Purpose Exercising benefits physical and mental health as well as longevity. However, the extent to which different types of exercise are differentially associated with the risk of mortality is less clear. This study examined whether 15 different types of exercise were uniquely associated with all-cause mortality in a nationally representative sample of noninstitutionalized American adults between 18 and 84 yr old. Methods A total of 26,727 American adults in the National Health Interview Survey who reported their exercise type(s) in 1998 were prospectively followed for all-cause mortality through the end of 2015. We applied a series of discrete time logistic models to estimate odds ratios (OR) and 95% confidence intervals (CI) for all-cause mortality. Results During 17 yr of follow-up, 4955 deaths occurred. After adjusting for total volume of other exercises and confounders (demographic factors, socioeconomic status, and health behaviors and status), walking, aerobics, stretching, weight lifting, and stair climbing were related to lower risks of mortality (OR ranged from 0.78 to 0.93). When adjusting for engagement in all exercise types and confounders, stretching (OR = 0.90, 95% CI = 0.83-0.97) and playing volleyball (OR = 0.53, 95% CI = 0.31-0.93) were uniquely associated with lower risks of mortality. Conclusion These findings suggest that some types of exercise have unique benefits for longevity, but most are indistinguishable in relation to longevity. Future studies should further investigate the unique contribution of specific exercises and the joint contribution of multiple exercises and how to promote greater exercise participation.
AB - Purpose Exercising benefits physical and mental health as well as longevity. However, the extent to which different types of exercise are differentially associated with the risk of mortality is less clear. This study examined whether 15 different types of exercise were uniquely associated with all-cause mortality in a nationally representative sample of noninstitutionalized American adults between 18 and 84 yr old. Methods A total of 26,727 American adults in the National Health Interview Survey who reported their exercise type(s) in 1998 were prospectively followed for all-cause mortality through the end of 2015. We applied a series of discrete time logistic models to estimate odds ratios (OR) and 95% confidence intervals (CI) for all-cause mortality. Results During 17 yr of follow-up, 4955 deaths occurred. After adjusting for total volume of other exercises and confounders (demographic factors, socioeconomic status, and health behaviors and status), walking, aerobics, stretching, weight lifting, and stair climbing were related to lower risks of mortality (OR ranged from 0.78 to 0.93). When adjusting for engagement in all exercise types and confounders, stretching (OR = 0.90, 95% CI = 0.83-0.97) and playing volleyball (OR = 0.53, 95% CI = 0.31-0.93) were uniquely associated with lower risks of mortality. Conclusion These findings suggest that some types of exercise have unique benefits for longevity, but most are indistinguishable in relation to longevity. Future studies should further investigate the unique contribution of specific exercises and the joint contribution of multiple exercises and how to promote greater exercise participation.
KW - MORTALITY
KW - NATIONAL HEALTH INTERVIEW SURVEY
KW - PROSPECTIVE STUDY
KW - SPORTS
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U2 - 10.1249/MSS.0000000000002406
DO - 10.1249/MSS.0000000000002406
M3 - Article
C2 - 32520868
AN - SCOPUS:85096203202
SN - 0195-9131
VL - 52
SP - 2554
EP - 2562
JO - Medicine and science in sports and exercise
JF - Medicine and science in sports and exercise
IS - 12
ER -