Evidence map›Paper›PMID 28784651›Full record

ArticleJournal of the American Heart Association2017

Physical Activity, Sedentary Behavior, and Long-Term Changes in Aortic Stiffness: The Whitehall II Study.

Sara Ahmadi-Abhari, Severine Sabia, Martin J Shipley, Mika Kivimäki, Archana Singh-Manoux, Adam Tabak, Carmel McEniery, Ian B Wilkinson, Eric J Brunner

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
6.2field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 110 citations in OpenAlex.

  1. Pooled it
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  3. Intradialytic Exercise: Effects on Arterial Stiffness and Gait Speed in Patients Undergoing Hemodialysis.Medical science monitor : international medical journal of experimental and clinical research · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 3 countries.

Sara Ahmadi-AbhariResearch Department of Epidemiology and Public Health, University College London, London, United Kingdom s.ahmadi-abhari@ucl.ac.uk.
Severine SabiaResearch Department of Epidemiology and Public Health, University College London, London, United Kingdom.
Martin J ShipleyResearch Department of Epidemiology and Public Health, University College London, London, United Kingdom.
Mika KivimäkiResearch Department of Epidemiology and Public Health, University College London, London, United Kingdom.
Archana Singh-ManouxResearch Department of Epidemiology and Public Health, University College London, London, United Kingdom.
Adam TabakResearch Department of Epidemiology and Public Health, University College London, London, United Kingdom.
Carmel McEnieryClinical Pharmacology Unit, University of Cambridge, United Kingdom.
Ian B WilkinsonClinical Pharmacology Unit, University of Cambridge, United Kingdom.
Eric J BrunnerResearch Department of Epidemiology and Public Health, University College London, London, United Kingdom.
University College London · GBUniversity of Cambridge · GBHôpital Paul-Brousse · FRInserm · FR

Funding

Education, socioeconomic status and Aging: transitions from multimorbidity to functional limitations and mortalityR01AG056477 · NIA · UNIVERSITY COLLEGE LONDON · PI KIVIMAKI, MIKA J, SINGH-MANOUX, ARCHANA · 2018 to 2022
$2.8M
British Heart Foundation FS/12/8/29377British Heart Foundation PG/11/63/29011British Heart Foundation RG/13/2/30098British Heart Foundation RG/16/11/32334NIA NIH HHS R01 AG056477
6 · The paper itself

Abstract

backgroundPhysical activity is associated with reduced cardiovascular disease risk, mainly through effects on atherosclerosis. Aortic stiffness may be an alternative mechanism. We examined whether patterns of physical activity and sedentary behavior are associated with rate of aortic stiffening. METHODS AND

resultsCarotid-femoral pulse wave velocity (PWV) was measured twice using applanation tonometry at mean ages 65 (in 2008/2009) and 70 (in 2012/2013) years in the Whitehall-II study (N=5196). Physical activity was self-reported at PWV baseline (2008/2009) and twice before (in 1997/1999 and 2002/2003). Sedentary time was defined as sitting time watching television or at work/commute. Linear mixed models adjusted for metabolic and lifestyle risk factors were used to analyze PWV change. Mean (SD) PWV (m/s) was 8.4 (2.4) at baseline and 9.2 (2.7) at follow-up, representing a 5-year increase of 0.76 m/s (95% CI 0.69, 0.83). A smaller 5-year increase in PWV was observed for each additional hour/week spent in sports activity (-0.02 m/s [95% CI -0.03, -0.001]) or cycling (-0.02 m/s [-0.03, -0.008]). Walking, housework, gardening, or do-it-yourself activities were not significantly associated with aortic stiffening. Each additional hour/week spent sitting was associated with faster PWV progression in models adjusted for physical activity (0.007 m/s [95% CI 0.001, 0.013]). Increasing physical activity over time was associated with a smaller subsequent increase in PWV (-0.16 m/s [-0.32, -0.002]) compared with not changing activity levels.

conclusionsHigher levels of moderate-to-vigorous physical activity and avoidance of sedentary behavior were each associated with a slower age-related progression of aortic stiffness independent of conventional vascular risk factors.

Indexed as

ExerciseHealthy AgingSedentary BehaviorVascular StiffnessAdultAgedAge FactorsCardiovascular DiseasesFemaleFollow-Up StudiesHealth SurveysHumansLinear ModelsLondonLongitudinal StudiesMaleaortic stiffnessphysical exercisepulse wave velocity

Identifiers

PMID28784651
PMCPMC5586440
OpenAlexW2744544903

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.