Evidence map›Paper›PMID 34876405›Full record

SynthesisBritish journal of sports medicine2022

Device-measured physical activity, adiposity and mortality: a harmonised meta-analysis of eight prospective cohort studies.

Jakob Tarp, Morten W Fagerland, Knut Eirik Dalene, Jostein Steene Johannessen, Bjørge H Hansen, Barbara J Jefferis, Peter H Whincup, Keith M Diaz, Steven Hooker, Virginia J Howard and 14 more

Abstract readMeta-Analysis
In one paragraph

Synthesis in British journal of sports medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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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

24 authors.

Jakob TarpDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway jtarp@clin.au.dk.ORCID http://orcid.org/0000-0002-9186-7077
Morten W FagerlandDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.
Knut Eirik DaleneDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.
Jostein Steene JohannessenDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.
Bjørge H HansenDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.
Barbara J JefferisPrimary Care and Population Health, University College London, London, UK.ORCID http://orcid.org/0000-0002-0850-3177
Peter H WhincupPopulation Health Research Institute, St George's University of London, London, UK.
Keith M DiazDepartment of Medicine, Center for Behavioral Cardiovascular Health, Columbia University Medical Center, New York, New York, USA.ORCID http://orcid.org/0000-0003-0190-0548
Steven HookerCollege of Health and Human Services, San Diego State University, San Diego, California, USA.
Virginia J HowardDepartment of Epidemiology, School of Public Health, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Ariel ChernofskyDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
Martin G LarsonDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
Nicole L SpartanoDepartment of Endocrinology, Diabetes, Nutrition and Weight Management, Boston University School of Medicine, Boston, Massachusetts, USA.
Ramachandran S VasanDepartments of Medicine and Epidemiology, Boston University School of Medicine and Boston University School of Public Health, Boston, Massachusetts, USA.
Ing-Mari DohrnDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.ORCID http://orcid.org/0000-0003-2593-550X
Maria HagströmerDepartment of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, Sweden.
Charlotte EdwardsonDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.
Thomas YatesDiabetes Research Centre, College of Life Sciences, University of Leicester, Leicester, UK.ORCID http://orcid.org/0000-0002-5724-5178
Eric J ShiromaLaboratory of Epidemiology and Population Sciences, National Institute on Aging, Bethesda, Maryland, USA.
Paddy C DempseyMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.ORCID http://orcid.org/0000-0002-1714-6087
Katrien WijndaeleMRC Epidemiology Unit, University of Cambridge, Cambridge, UK.
Sigmund A AnderssenDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.
I-Min LeeDepartment of Epidemiology, Harvard T H Chan School of Public Health, Boston, Massachusetts, USA.ORCID http://orcid.org/0000-0002-1083-6907
Ulf EkelundDepartment of Sports Medicine, Norwegian School of Sports Sciences, Oslo, Norway.

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
FRAMINGHAM HEART STUDY - YEAR 5 EXAM75N92019D00031 · NHLBI · BOSTON UNIVERSITY MEDICAL CAMPUS · 2019 to 2024
$29.8M
Women's Health Study: Continued Follow-upR01CA047988 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 1991 to 2014
$28.2M
Proteomic Profiling of Precise Exercise Pathophenotypes Across the HFpEF SpectrumR01HL131029 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI Gregory Dyer Lewis, Matthew G. Nayor · 2016 to 2026
$7.7M
Women's Health Study: Continued Follow-UpR01HL080467 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E. · 2005 to 2010
$4.5M
Women's Health Study: Infrastructure support for continued cohort follow-upU01CA182913 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 2019 to 2023
$4.0M
The Women's Health Study: Infrastructure Support for Continued Cohort Follow-upUM1CA182913 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E., LEE, I-MIN · 2014 to 2018
$4.0M
Cardiometabolic Outcomes in Multi-ethnic Physical Activity & Sedentary Behavior Study (COMPASS)R01HL136266 · NHLBI · ALBERT EINSTEIN COLLEGE OF MEDICINE, INC · PI KAPLAN, ROBERT C, MOSSAVAR-RAHMANI, YASMIN · 2017 to 2020
$3.1M
Impact of Physical Activity on Stroke and Cognitive Function in Older AdultsR01NS061846 · NINDS · UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA · PI HOOKER, STEVEN PAUL · 2008 to 2012
$2.9M
TRIAL OF VITAMIN E, BETA-CAROTENE &ASPRIN IN WOMENR01HL043851 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E · 1991 to 2000
$1.6M
Objectively Measured Physical Activity and Mortality in WomenR01CA154647 · NCI · BRIGHAM AND WOMEN'S HOSPITAL · PI LEE, I-MIN · 2011 to 2014
$1.2M
The Women's Health Study: Addition of New Data to Maximize its Research ImpactRC1HL099355 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI BURING, JULIE E. · 2009 to 2010
$992k
Medical Research Council MC_UU_00006/4Medical Research Council MC_UU_12015/3Medical Research Council MR/N003284/1NCI NIH HHS R01 CA047988NCI NIH HHS R01 CA154647NCI NIH HHS U01 CA182913NCI NIH HHS UM1 CA182913NHLBI NIH HHS 75N92019D00031NHLBI NIH HHS HHSN268201500001CNHLBI NIH HHS HHSN268201500001INHLBI NIH HHS N01 HC025195NHLBI NIH HHS R01 HL043851NHLBI NIH HHS R01 HL080467NHLBI NIH HHS R01 HL131029NHLBI NIH HHS R01 HL136266NHLBI NIH HHS RC1 HL099355NIA NIH HHS R01 AG047645NINDS NIH HHS R01 NS061846NINDS NIH HHS U01 NS041588
6 · The paper itself

Abstract

backgroundThe joint associations of total and intensity-specific physical activity with obesity in relation to all-cause mortality risk are unclear.

methodsWe included 34 492 adults (72% women, median age 62.1 years, 2034 deaths during follow-up) in a harmonised meta-analysis of eight population-based prospective cohort studies with mean follow-up ranging from 6.0 to 14.5 years. Standard body mass index categories were cross-classified with sample tertiles of device-measured total, light-to-vigorous and moderate-to-vigorous physical activity and sedentary time. In five cohorts with waist circumference available, high and low waist circumference was combined with tertiles of moderate-to-vigorous physical activity.

resultsThere was an inverse dose-response relationship between higher levels of total and intensity-specific physical activity and mortality risk in those who were normal weight and overweight. In individuals with obesity, the inverse dose-response relationship was only observed for total physical activity. Similarly, lower levels of sedentary time were associated with lower mortality risk in normal weight and overweight individuals but there was no association between sedentary time and risk of mortality in those who were obese. Compared with the obese-low total physical activity reference, the HRs were 0.59 (95% CI 0.44 to 0.79) for normal weight-high total activity and 0.67 (95% CI 0.48 to 0.94) for obese-high total activity. In contrast, normal weight-low total physical activity was associated with a higher risk of mortality compared with the obese-low total physical activity reference (1.28; 95% CI 0.99 to 1.67).

conclusionsHigher levels of physical activity were associated with lower risk of mortality irrespective of weight status. Compared with obesity-low physical activity, there was no survival benefit of being normal weight if physical activity levels were low.

Indexed as

AdiposityOverweightAdultBody Mass IndexCohort StudiesExerciseFemaleHumansMaleMiddle AgedObesityProspective StudiesRisk FactorsWaist Circumferencebody mass indexexerciseobservational study

Identifiers

PMID34876405
PMCPMC9209690

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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.