Relationship Between Muscle-Strengthening Activity and Cause-Specific Mortality in a Large US Cohort

被引:12
|
作者
Patel, Alpa, V [1 ]
Hodge, James M. [1 ]
Rees-Punia, Erika [1 ]
Teras, Lauren R. [1 ]
Campbell, Peter T. [1 ]
Gapstur, Susan M. [1 ]
机构
[1] Amer Canc Soc, Behav & Epidemiol Res Grp, Atlanta, GA 30303 USA
来源
关键词
RECREATIONAL PHYSICAL-ACTIVITY; CANCER RISK; PREVENTION;
D O I
10.5888/pcd17.190408
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Introduction Muscle-strengthening activity (MSA) has beneficial effects on hypertension, glucose homeostasis, and other health conditions; however, its association with mortality is not as well understood. Methods We analyzed data from the Cancer Prevention Study-II Nutrition Cohort (data collection 1982-2014), a prospective US cohort that consisted of 72,462 men and women who were free of major chronic diseases; 18,034 of the cohort died during 13 years of follow-up (2001-2014). We used Cox proportional hazards modeling, controlling for various potential confounding factors, to calculate hazard ratios (HRs) and 95% confidence intervals (CIs) for MSA (none, 0 to <1 h/wk, 1 to <2 h/wk, and >= 2 h/wk) in relation to mortality risk, independent of and in combination with aerobic physical activity. Results The association between MSA and mortality appeared to be nonlinear (quadratic trend P value, .001). After multivariable adjustment and comparison with no MSA, engaging in less than 2 hours per week of MSA was associated with lowered all-cause mortality (2 h/wk: HR = 0.90, 95% CI, 0.84-0.97), but engaging in 2 or more hours per week was not associated with reduced risk (HR = 1.01; 95% CI, 0.92-1.09). Associations were similar but not significant for cancer mortality. Engaging in 0 to <1 hr/wk of MSA was associated with a 19% lower risk (HR = 0.81; 95% CI, 0.71-0.92) of cardiovascular disease mortality, but more time spent in MSA was not associated with reduced risk (quadratic trend P value =.005). Associations did not vary by amount of moderate-to-vigorous aerobic physical activity. Conclusion Engaging in >= 2 hours per week of MSA was associated with lower all-cause mortality, independent of aerobic activity. Reasons for the lack of association with higher amounts of MSA are unclear. Our findings support recommending muscle-strengthening activities for overall health.
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页数:9
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