Evidence map›Paper›PMID 35589378›Full record

ArticleHeart (British Cardiac Society)2022

Association between exercise habit changes and mortality following a cardiovascular event.

Dong-Seon Kang, Jung-Hoon Sung, Daehoon Kim, Moo-Nyun Jin, Eunsun Jang, Hee Tae Yu, Tae-Hoon Kim, Hui-Nam Pak, Moon-Hyoung Lee, Gregory Lip and 2 more

Open access · hybridAbstract read
In one paragraph

Article in Heart (British Cardiac Society), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
5.6field-weighted citation impact, top 5% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Do cardiovascular disease patients return to pre-lockdown sedentary levels? A prospective cohort study.Netherlands heart journal : monthly journal of the Netherlands Society of Cardiology and the Netherlands Heart Foundation · 2025
    Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 4 institutions in 2 countries.

Dong-Seon Kang *Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Jung-Hoon Sung *Division of Cardiology, CHA Bundang Medical Center, Seongnam, Korea.
Daehoon KimDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-9736-450X
Moo-Nyun JinDivision of Cardiology, Inje University College of Medicine, Busan, Korea.
Eunsun JangCardiology, Yonsei University College of Medicine, Seodaemun-gu, Korea.
Hee Tae YuDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Tae-Hoon KimDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Hui-Nam PakDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.ORCID 0000-0002-3256-3620
Moon-Hyoung LeeDivision of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Gregory LipLiverpool Centre for Cardiovascular Science, University of Liverpool, Liverpool, UK.ORCID 0000-0002-7566-1626
Pil-Sung YangDivision of Cardiology, CHA Bundang Medical Center, Seongnam, Korea.ORCID 0000-0002-6552-1742
Boyoung JoungDepartment of Internal Medicine, Yonsei University College of Medicine, Seodaemun-gu, Korea cby6908@yuhs.ac.ORCID 0000-0001-9036-7225
Yonsei University · KRCHA University Bundang Medical Center · KRInje University · KRUniversity of Liverpool · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the associations between exercise habit changes following an incident cardiovascular event and mortality in older adults.

methodsWe analysed the relationship between exercise habit change and all-cause, cardiovascular and non-cardiovascular deaths in adults aged ≥60 years between 2003 and 2012 who underwent two consecutive health examinations within 2 years before and after diagnosis of cardiovascular disease (CVD). They were categorised into four groups according to exercise habit changes: persistent non-exercisers, exercise dropouts, new exercisers and exercise maintainers. Differences in baseline characteristics were adjusted using inverse probability of treatment weighting.

resultsOf 6076 participants, the median age was 72 (IQR 69-76) years and men accounted for 50.6%. Compared with persistent non-exercisers (incidence rate (IR) 4.8 per 100 person-years), new exercisers (IR 3.5, HR 0.73, 95% CI 0.58 to 0.91) and exercise maintainers (IR 2.9, HR 0.53, 95% CI 0.38 to 0.73) were associated with reduced risk of all-cause death. The rate of non-cardiovascular death was significantly lower in new exercisers (IR 2.3, HR 0.73, 95% CI 0.56 to 0.95) and exercise maintainers (IR 2.3, HR 0.61, 95% CI 0.42 to 0.90) than in persistent non-exercisers (IR 3.2). Also, trends towards reduced cardiovascular death in new exercisers and exercise maintainers were observed (p value for trend <0.001).

conclusionsMore virtuous exercise trajectories in older adults with CVD are associated with lower mortality rates. Our results support public health recommendations for older adults with CVD to perform physical activity.

Indexed as

Cardiovascular DiseasesExerciseAgedHabitsHumansIncidenceMaleMortalityRisk Factorscardiac rehabilitationepidemiologyoutcome assessment, health care

Identifiers

PMID35589378
PMCPMC9726959
OpenAlexW4281264296

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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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.