Physical activity, sedentary behaviors and all-cause mortality in patients with heart failure: Findings from the NHANES 2007-2014.
<h4>Background</h4>Limited data are available examining the effects of both moderate- and vigorous-intensity physical activity (MVPA) and sedentary behavior (SB) on longevity among patients with heart failure (HF). This study examined the associations of MVPA and SB with all-cause mortal...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2022-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0271238 |
| _version_ | 1818041232731930624 |
|---|---|
| author | Youngdeok Kim Justin M Canada Jonathan Kenyon Hayley Billingsley Ross Arena Carl J Lavie Salvatore Carbone |
| author_facet | Youngdeok Kim Justin M Canada Jonathan Kenyon Hayley Billingsley Ross Arena Carl J Lavie Salvatore Carbone |
| author_sort | Youngdeok Kim |
| collection | DOAJ |
| description | <h4>Background</h4>Limited data are available examining the effects of both moderate- and vigorous-intensity physical activity (MVPA) and sedentary behavior (SB) on longevity among patients with heart failure (HF). This study examined the associations of MVPA and SB with all-cause mortality in HF patients using a nationally representative survey data.<h4>Methods</h4>National Health and Nutrition Examination Survey data (2007-2014) were used. 711 adults with self-reported congestive HF, linked to 2015 mortality data were analyzed. Self-reported MVPA and SB minutes were used to create the three MVPA [No-MVPA, insufficient (I-MVPA; <150 min/wk), and sufficient (S-MVPA; ≥150 min/wk)] and two SB (<8 and ≥8 hrs/d) groups. Cox proportional hazard models were constructed to test the associations of MVPA and SB with all-cause mortality.<h4>Results</h4>119 deaths occurred over an average of 4.9 years of follow-up. Lower MVPA and higher SB were independently associated with poor survival (P < .001). Joint and stratified analyses showed that the protective effect of MVPA was most pronounced among patients with SB<8 hrs/d. There was no difference in the mortality risk by SB levels within I-MVPA and S-MVPA groups; however, in the No-MVPA group, those with SB≥8 hrs/d had a greater risk of mortality compared to those with <8 hrs/d (Hazard ratio = 1.60).<h4>Conclusion</h4>In this HF cohort, MVPA and SB were independently and jointly associated with all-cause mortality. The beneficial effect of MVPA is attenuated by excessive SB; however, engaging in some amount of MVPA may provide a protective effect and attenuates the detrimental effects associated with excessive SB. |
| first_indexed | 2024-12-10T08:27:09Z |
| format | Article |
| id | doaj.art-73c690642b4449468b2982c5bf8027a2 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-10T08:27:09Z |
| publishDate | 2022-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-73c690642b4449468b2982c5bf8027a22022-12-22T01:56:13ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01177e027123810.1371/journal.pone.0271238Physical activity, sedentary behaviors and all-cause mortality in patients with heart failure: Findings from the NHANES 2007-2014.Youngdeok KimJustin M CanadaJonathan KenyonHayley BillingsleyRoss ArenaCarl J LavieSalvatore Carbone<h4>Background</h4>Limited data are available examining the effects of both moderate- and vigorous-intensity physical activity (MVPA) and sedentary behavior (SB) on longevity among patients with heart failure (HF). This study examined the associations of MVPA and SB with all-cause mortality in HF patients using a nationally representative survey data.<h4>Methods</h4>National Health and Nutrition Examination Survey data (2007-2014) were used. 711 adults with self-reported congestive HF, linked to 2015 mortality data were analyzed. Self-reported MVPA and SB minutes were used to create the three MVPA [No-MVPA, insufficient (I-MVPA; <150 min/wk), and sufficient (S-MVPA; ≥150 min/wk)] and two SB (<8 and ≥8 hrs/d) groups. Cox proportional hazard models were constructed to test the associations of MVPA and SB with all-cause mortality.<h4>Results</h4>119 deaths occurred over an average of 4.9 years of follow-up. Lower MVPA and higher SB were independently associated with poor survival (P < .001). Joint and stratified analyses showed that the protective effect of MVPA was most pronounced among patients with SB<8 hrs/d. There was no difference in the mortality risk by SB levels within I-MVPA and S-MVPA groups; however, in the No-MVPA group, those with SB≥8 hrs/d had a greater risk of mortality compared to those with <8 hrs/d (Hazard ratio = 1.60).<h4>Conclusion</h4>In this HF cohort, MVPA and SB were independently and jointly associated with all-cause mortality. The beneficial effect of MVPA is attenuated by excessive SB; however, engaging in some amount of MVPA may provide a protective effect and attenuates the detrimental effects associated with excessive SB.https://doi.org/10.1371/journal.pone.0271238 |
| spellingShingle | Youngdeok Kim Justin M Canada Jonathan Kenyon Hayley Billingsley Ross Arena Carl J Lavie Salvatore Carbone Physical activity, sedentary behaviors and all-cause mortality in patients with heart failure: Findings from the NHANES 2007-2014. PLoS ONE |
| title | Physical activity, sedentary behaviors and all-cause mortality in patients with heart failure: Findings from the NHANES 2007-2014. |
| title_full | Physical activity, sedentary behaviors and all-cause mortality in patients with heart failure: Findings from the NHANES 2007-2014. |
| title_fullStr | Physical activity, sedentary behaviors and all-cause mortality in patients with heart failure: Findings from the NHANES 2007-2014. |
| title_full_unstemmed | Physical activity, sedentary behaviors and all-cause mortality in patients with heart failure: Findings from the NHANES 2007-2014. |
| title_short | Physical activity, sedentary behaviors and all-cause mortality in patients with heart failure: Findings from the NHANES 2007-2014. |
| title_sort | physical activity sedentary behaviors and all cause mortality in patients with heart failure findings from the nhanes 2007 2014 |
| url | https://doi.org/10.1371/journal.pone.0271238 |
| work_keys_str_mv | AT youngdeokkim physicalactivitysedentarybehaviorsandallcausemortalityinpatientswithheartfailurefindingsfromthenhanes20072014 AT justinmcanada physicalactivitysedentarybehaviorsandallcausemortalityinpatientswithheartfailurefindingsfromthenhanes20072014 AT jonathankenyon physicalactivitysedentarybehaviorsandallcausemortalityinpatientswithheartfailurefindingsfromthenhanes20072014 AT hayleybillingsley physicalactivitysedentarybehaviorsandallcausemortalityinpatientswithheartfailurefindingsfromthenhanes20072014 AT rossarena physicalactivitysedentarybehaviorsandallcausemortalityinpatientswithheartfailurefindingsfromthenhanes20072014 AT carljlavie physicalactivitysedentarybehaviorsandallcausemortalityinpatientswithheartfailurefindingsfromthenhanes20072014 AT salvatorecarbone physicalactivitysedentarybehaviorsandallcausemortalityinpatientswithheartfailurefindingsfromthenhanes20072014 |