Association of the Amount and Pattern of Physical Activity With Arterial Stiffness: The Maastricht Study

Vandercappellen, Evelien J.; Henry, Ronald M.A.; Stehouwer, Coen D.A.; Koster, Annemarie

doi:10.1093/geroni/igaa057.2863

Cited by 2 publications

(13 citation statements)

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“…In most studies, participants were requested to wear the accelerometer for 7 d ( n = 40) (14,15,18,20,24–37,39–41,44–55,58–63,66) while they were awake ( n = 25) (15,18,20,24,25,28,29,31–34,36,37,41,44–46,49,55,59,60,66,67). Most researchers defined a week of measurement as “valid” if the accelerometer was worn for at least 4 d ( n = 25) (14,20,24–26,28,30,31,35–37,39,41,42,46,48,53,54,57,58,60,62,63,65,66) and for at least 10 h each day ( n = 41) (14,19,20,23–26,28–41,43–46,48–51,53,56,58–60,62–67). Most researchers also defined periods with 60 min of no signal or continuous zeros as “nonwear time,” but “interruptions” of up to 2 min in these periods of nonwear time were usually tolerated ( n = 13) (14,24,26,30,35,36,39,49,50,58,62,63,65).…”

Section: Resultsmentioning

confidence: 99%

“…Participant and publication characteristics. Participant and publication characteristics of the 52 included studies are described in Supplemental (15,(18)(19)(20). Studies were from 10 countries (Belgium (n = 1) [61], Brazil (n = 3) [27,29,57], Canada (n = 2) [14,62], Finland (n = 3) [17,43,55], Hong Kong (n = 1) [40], Japan (n = 4) [20,28,41,59], the Netherlands (n = 3) [19,38,56], Sweden (n = 2) [24,25], United Kingdom (n = 9) [32][33][34]42,44,45,47,51,52], and United States of America (n = 24) [15,16,18,23,26,30,31,[35][36][37]39,46,[48][49][50]53,…”

Section: Resultsmentioning

confidence: 99%

“…Sixteen studies analyzed data from the National Health and Nutrition Examination Survey study (15,16,18,30,31,(35)(36)(37)39,(48)(49)(50)53,63,65,66). Most had a cross-sectional analysis design (n = 37) (14,16,17,19,20,23,25,(29)(30)(31)(34)(35)(36)(37)39,(41)(42)(43)(44)(45)(46)(47)(48)51,52,(54)(55)(56)(57)(60)(61)(62)(63)(64)(65)(66)…”

Section: Resultsmentioning

confidence: 99%

“…actigraphcorp.com/), and placement site was the hip (n = 21) (15,18,(23)(24)(25)29,(31)(32)(33)(34)(35)(36)(37)44,45,48,51,60,62,66,67). Of the 52 publications, 14 reported collecting data with a uniaxial accelerometer (16,18,25,31,(34)(35)(36)(37)(48)(49)(50)58,59,66), 1 reported collecting data with a dual axis accelerometer (61), 17 reported collecting data with a triaxial accelerometer (14,19,20,23,(27)(28)(29)38,40,42,47,52,(55)(56)(57)…”

Section: Resultsmentioning

confidence: 99%

“…However, this systematic review, which identified 25 studies published until March 2018, included 18 observational studies of device-measured physical activity, but only 3 were prospective. In relation to frequency, several observational studies have shown conflicting findings on whether physical activity at different times of the day, or on different numbers of days each week, modifies the association between overall volume of physical activity and health outcomes (14)(15)(16)(17)(18)(19). To date, no single systematic review has summarized the evidence on the concurrent associations of all components (bout duration, intensity, frequency, and total duration) of physical activity on health outcomes (20).…”

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confidence: 99%

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Patterns of Accelerometer-Measured Physical Activity and Health Outcomes in Adults: A Systematic Review

Brady

Brown

Hillsdon

et al. 2022

Medicine &Amp; Science in Sports &Amp; Exercise

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PurposeThe aim of this study was to systematically review the literature on accelerometer-measured physical activity and health outcomes in adults.MethodsEight electronic databases were searched for relevant articles published up to March 2021. Only population-based studies of adults (age ≥18 yr) that directly compared two or more categories of physical activity (i.e., bout duration, intensity, and daily/weekly frequency) with a health outcome (e.g., mortality, cardiometabolic, healthy aging, depression, sleep, and brain structure) were included.ResultsOf the 15,923 publications retrieved, 52 articles were included. Twenty-eight studies directly compared the associations between physical activity accumulated in different bout durations, 31 studies directly compared the associations between physical activity accumulated in different intensities, and 9 studies directly compared the associations between the effects of varying daily and weekly frequencies of physical activity, with health outcomes. Most showed no differences in relationships with health outcomes when physical activity was accumulated in short (<10-min) or long (≥10-min) bouts. Overall, there were no differences in the relationships with most health outcomes when different intensities and daily/weekly frequencies were compared. However, in most studies, researchers did not adjust their analyses for total volume of physical activity. Moreover, variations in researcher-driven decisions about data collection and processing methods made it difficult to compare study findings.ConclusionsThese findings suggest that physical activity accumulated in many patterns of bout duration, intensity, or daily/weekly frequency is associated with a range of beneficial health outcomes in adults. Lack of adjustment for total volume of physical activity in most studies and inconsistent methods for defining components of physical activity prevent firm conclusions about which specific patterns of bout duration, intensity, and daily/weekly frequency are most important for health benefits.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

mentioning

confidence: 99%

See 3 more Smart Citations

Patterns of Accelerometer-Measured Physical Activity and Health Outcomes in Adults: A Systematic Review

Brady

Brown

Hillsdon

et al. 2022

Medicine &Amp; Science in Sports &Amp; Exercise

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Physical Activity Is Inversely Associated With Severe Intracranial Stenosis in Stroke-Free Participants of NOMAS

Yang

Liu

Willey

et al. 2023

Stroke

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Background: Although protective in secondary stroke prevention of intracranial arterial stenosis (ICAS), it is uncertain if the benefits of leisure time physical activity (LTPA) extend to asymptomatic ICAS or extracranial carotid stenosis (ECAS). Therefore, we sought to determine LTPA’s relationship with ECAS and ICAS in a stroke-free, race-ethnically diverse cohort. Methods: This cross-sectional study included participants from the magnetic resonance imaging substudy of the Northern Manhattan Study, of whom 1274 had LTPA assessments at enrollment. LTPA was represented continuously as metabolic equivalent score (MET-score) and ordinally as model-based cluster analysis (LTPA-cluster), both based on the same LTPA assessments. We evaluated ECAS sonographically using carotid intima-media thickening and number of carotid plaques. ICAS was assessed with time-of-flight magnetic resonance angiograph and defined as ≥50% or ≥70% stenosis. We applied regression analyses to evaluate the association between LTPA with ECAS and ICAS, adjusting for confounders. Results: Of 1274 included participants (mean age 71±9 years; 60% women; 65% Hispanic), the mean MET-score was 10±16 and 60% were in a LTPA-cluster with any activity. Among those with carotid ultrasound (n=1234), the mean carotid intima-media thickening was 0.97±0.09 mm, and 56% of participants had at least one carotid plaque identified. Among those with magnetic resonance angiograph (n=1211), 8% had ≥50% ICAS and 5% had ≥70% ICAS. For ICAS, MET-score was associated with ≥70% ICAS (adjusted odds ratio per unit increase in MET-score [95% CI, 0.97 [0.94–0.99]) but not with ECAS measures (carotid intima-media thickening, adjusted β-estimate per unit increase in MET-score [95% CI], 0.002 [−0.003 to 0.006] or number of plaques, adjusted β-estimate [95% CI], 0.0001 [−0.0001 to 0.0003]). Substituting MET-score with LTPA-clusters replicated the association between ≥70% ICAS and LTPA (adjusted odds ratio per each increased LTPA-cluster [95% CI], 0.83 [0.70–0.99]). Conclusions: In this diverse stroke-free population, we found LTPA most strongly associated with asymptomatic ≥70% ICAS. Given the high-risk nature of ≥70% ICAS, these findings may emphasize the role of LTPA in people at risk for ICAS.

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Association of the Amount and Pattern of Physical Activity With Arterial Stiffness: The Maastricht Study

Cited by 2 publications

References 0 publications

Patterns of Accelerometer-Measured Physical Activity and Health Outcomes in Adults: A Systematic Review

Patterns of Accelerometer-Measured Physical Activity and Health Outcomes in Adults: A Systematic Review

Physical Activity Is Inversely Associated With Severe Intracranial Stenosis in Stroke-Free Participants of NOMAS

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