Association of nighttime physical activity with all-cause and cardiovascular mortality: Results from the NHANES
BackgroundNighttime physical activity (PA) has significant effects on human health. Whether excessive nighttime PA is associated with adverse long-term prognosis remains unknown.MethodsThree thousand six hundred ninety adults from the US National Health and Nutrition Examination Survey (NHANES) 2003...
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| Format: | Article |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.918996/full |
| _version_ | 1818537065246097408 |
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| author | Jiayi Yi Lili Wang Jiajun Guo Ping Sun Ping Sun Ping Shuai Ping Shuai Xiaoxiang Ma Xiaojiao Zuo Yuping Liu Yuping Liu Zhengwei Wan Zhengwei Wan |
| author_facet | Jiayi Yi Lili Wang Jiajun Guo Ping Sun Ping Sun Ping Shuai Ping Shuai Xiaoxiang Ma Xiaojiao Zuo Yuping Liu Yuping Liu Zhengwei Wan Zhengwei Wan |
| author_sort | Jiayi Yi |
| collection | DOAJ |
| description | BackgroundNighttime physical activity (PA) has significant effects on human health. Whether excessive nighttime PA is associated with adverse long-term prognosis remains unknown.MethodsThree thousand six hundred ninety adults from the US National Health and Nutrition Examination Survey (NHANES) 2003–2006 with accelerometer monitor recording PA data were included. Nighttime PA was quantified by the nighttime to all-day PA intensity ratio (NAPAIR). Participants with the NAPAIR above the population median (0.17) were defined as the nighttime active population (NAP), otherwise as the daytime active population. All-cause and cardiovascular disease mortality status was acquired from the US National Death Index from their interview and physical examination date through December 31, 2015.ResultsAmong 3690 adults (weighted mean age 48.1 years), 1781 (weighted proportion 48.8%) were females. One thousand eight hundred six (48.9%) were determined as the NAP. During the follow-up period of up to 13.1 years (median, 10.7 years), 639 deaths occurred (heart diseases, 114). Multivariable Cox proportional hazards model showed that the NAP was associated with higher risks of all-cause (hazard ratio [HR], 1.46; 95% confidence interval [CI], 1.22–1.75) and cardiovascular disease (HR, 1.58; 95% CI, 1.03–2.41) mortality compared with the daytime active population, and each 0.1 increase in the NAPAIR was associated with 15% increased all-cause mortality risks.ConclusionIn this nationally representative prospective cohort study of a sample of United States adults, excessive nighttime PA was associated with a higher risk of death from all causes and cardiovascular disease. |
| first_indexed | 2024-12-11T18:45:57Z |
| format | Article |
| id | doaj.art-86d9f9415fe94ec0b6a1e9cefb390816 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-12-11T18:45:57Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-86d9f9415fe94ec0b6a1e9cefb3908162022-12-22T00:54:27ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-08-01910.3389/fcvm.2022.918996918996Association of nighttime physical activity with all-cause and cardiovascular mortality: Results from the NHANESJiayi Yi0Lili Wang1Jiajun Guo2Ping Sun3Ping Sun4Ping Shuai5Ping Shuai6Xiaoxiang Ma7Xiaojiao Zuo8Yuping Liu9Yuping Liu10Zhengwei Wan11Zhengwei Wan12Department of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Cardiology, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, ChinaDepartment of Cardiology, West China Hospital, Sichuan University, Chengdu, ChinaDepartment of Health Management & Institute of Health Management, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaChinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, ChinaDepartment of Health Management & Institute of Health Management, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaChinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, ChinaDepartment of Health Management & Institute of Health Management, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Health Management & Institute of Health Management, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaDepartment of Health Management & Institute of Health Management, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaChinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, ChinaDepartment of Health Management & Institute of Health Management, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, ChinaChinese Academy of Sciences Sichuan Translational Medicine Research Hospital, Chengdu, ChinaBackgroundNighttime physical activity (PA) has significant effects on human health. Whether excessive nighttime PA is associated with adverse long-term prognosis remains unknown.MethodsThree thousand six hundred ninety adults from the US National Health and Nutrition Examination Survey (NHANES) 2003–2006 with accelerometer monitor recording PA data were included. Nighttime PA was quantified by the nighttime to all-day PA intensity ratio (NAPAIR). Participants with the NAPAIR above the population median (0.17) were defined as the nighttime active population (NAP), otherwise as the daytime active population. All-cause and cardiovascular disease mortality status was acquired from the US National Death Index from their interview and physical examination date through December 31, 2015.ResultsAmong 3690 adults (weighted mean age 48.1 years), 1781 (weighted proportion 48.8%) were females. One thousand eight hundred six (48.9%) were determined as the NAP. During the follow-up period of up to 13.1 years (median, 10.7 years), 639 deaths occurred (heart diseases, 114). Multivariable Cox proportional hazards model showed that the NAP was associated with higher risks of all-cause (hazard ratio [HR], 1.46; 95% confidence interval [CI], 1.22–1.75) and cardiovascular disease (HR, 1.58; 95% CI, 1.03–2.41) mortality compared with the daytime active population, and each 0.1 increase in the NAPAIR was associated with 15% increased all-cause mortality risks.ConclusionIn this nationally representative prospective cohort study of a sample of United States adults, excessive nighttime PA was associated with a higher risk of death from all causes and cardiovascular disease.https://www.frontiersin.org/articles/10.3389/fcvm.2022.918996/fullnighttimeNational Health and Nutrition Examination Survey (NHANES)all-cause mortalitycardiovascular mortalityphysical activities |
| spellingShingle | Jiayi Yi Lili Wang Jiajun Guo Ping Sun Ping Sun Ping Shuai Ping Shuai Xiaoxiang Ma Xiaojiao Zuo Yuping Liu Yuping Liu Zhengwei Wan Zhengwei Wan Association of nighttime physical activity with all-cause and cardiovascular mortality: Results from the NHANES Frontiers in Cardiovascular Medicine nighttime National Health and Nutrition Examination Survey (NHANES) all-cause mortality cardiovascular mortality physical activities |
| title | Association of nighttime physical activity with all-cause and cardiovascular mortality: Results from the NHANES |
| title_full | Association of nighttime physical activity with all-cause and cardiovascular mortality: Results from the NHANES |
| title_fullStr | Association of nighttime physical activity with all-cause and cardiovascular mortality: Results from the NHANES |
| title_full_unstemmed | Association of nighttime physical activity with all-cause and cardiovascular mortality: Results from the NHANES |
| title_short | Association of nighttime physical activity with all-cause and cardiovascular mortality: Results from the NHANES |
| title_sort | association of nighttime physical activity with all cause and cardiovascular mortality results from the nhanes |
| topic | nighttime National Health and Nutrition Examination Survey (NHANES) all-cause mortality cardiovascular mortality physical activities |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.918996/full |
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