ArticleBMC public health2019
Exercise or sports in midlife and healthy life expectancy: an ecological study in all prefectures in Japan.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Perceptions of "Healthy Life Expectancy" of Individuals With Diseases: An Online Survey in Japan.Health science reports · 2025Article
- Sports Pre-Participation Evaluation in Healthy Adults-A Survey-Based Assessment of Guideline Acceptability and Feasibility Among Sports Physicians and Participants.Clinical and public health guidelines · 2025Article
- Demand analysis of public sports service for older adults using Kano model.Frontiers in public health · 2025Article
- Association between daily step counts and healthy life years: a national cross-sectional study in Japan.BMJ health & care informatics · 2024Article
- Ideal cardiovascular health metrics and life expectancy free of cardiovascular diseases: a prospective cohort study.The EPMA journal · 2023Article
- Development of a Prediction Model for Healthy Life Years Without Activity Limitation: National Cross-sectional Study.JMIR public health and surveillance · 2023Article
- Relationships among Physical Activity, Physical Function, and Food Intake in Older Japanese Adults Living in Urban Areas: A Cross-Sectional Study.Geriatrics (Basel, Switzerland) · 2023Article
- Impact of access to childhood health services on healthy life expectancy of the older population.Frontiers in public health · 2023Article
- Sports activity participation and subjective health status of patients after total hip arthroplasty via the anterolateral-supine approach: a case series study.BMC musculoskeletal disorders · 2022Article
- Age differences in the association of physical leisure activities with incident disability among community-dwelling older adults.Environmental health and preventive medicine · 2022Article
- Epidemiology of sudden death in organized school sports in Japan.Injury epidemiology · 2021Article
- Declined Functional Status Prolonged Hospital Stay for Community-Acquired Pneumonia in Seniors.Clinical interventions in aging · 2020Observational
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Authors and funding
6 authors.
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Abstract
backgroundWith the increase of overall life expectancy in Japan, effective and beneficial lifestyle approaches and practices are crucial for individuals to have a long, productive and healthy life. Although previous studies suggest that exercise or sports, especially when performed with others, from midlife level have a positive impact on enhancing healthy life expectancy, there is paucity of information regarding these contexts and possible associations. The present study intends to clarify the relationship between engagement in exercise or sports among middle-aged persons and healthy life expectancy through an ecological study in all prefectures in Japan.
methodsWe tabulated (1) the ratios of middle-aged individuals engaged in exercise or sports and (2) the different methods by which they are engaged in exercise or sports for each prefecture by using data from the 2005-2010 Longitudinal Survey of Middle-aged and Elderly Persons by the Ministry of Health, Labour and Welfare of Japan. Weighted multiple linear regression analyses were performed by sex, using healthy life expectancy in 2010 of each prefecture calculated by Hashimoto (2013) as a criterion variable; indices of (1) and (2) of each year as explanatory variables; and age, living conditions, employment, and chronic diseases as adjusted variables.
resultsFor middle-aged males, the ratio of those engaged in exercise or sports in each year from 2005 to 2010 was positively correlated with healthy life expectancy; this relationship was found in the ratio of middle-aged engaging in exercise or sports "with families or friends". For females, such a relationship could only be found in the ratio of middle-aged females engaged in exercise or sports in 2008 and 2010, and those engaging in exercise or sports "with families or friends" in 2008.
conclusionPrefectures with a higher ratio of middle-aged individuals engaging in exercise or sports, especially when done with families or friends, have longer healthy life expectancies. This was particularly evident for males. Thus, exercise or sports with families or friends in midlife seems to be more effective in promoting healthy life expectancy for males than females in Japan.
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