Evidence map›Paper›PMID 38810689›Full record

ArticleJournal of sport and health science2024

The association of diet quality and physical activity with cardiovascular disease and mortality in 85,545 older Australians: A longitudinal study.

Ding Ding, Joe Van Buskirk, Stephanie Partridge, Philip Clare, Edward Giovannucci, Adrian Bauman, Nicole Freene, Robyn Gallagher, Binh Nguyen

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of sport and health science, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Optimal lifestyle patterns for delaying ageing and reducing all-cause mortality: insights from the UK Biobank.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2024
    Article
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.

Ding DingSydney School of Public Health, Faculty of Medicine and Health, the University of Sydney, Camperdown, NSW 2006, Australia; Charles Perkins Centre, the University of Sydney, Camperdown, NSW 2006, Australia. Electronic address: melody.ding@sydney.edu.au.
Joe Van BuskirkSydney School of Public Health, Faculty of Medicine and Health, the University of Sydney, Camperdown, NSW 2006, Australia; Sydney Local Health District, Camperdown, NSW 2050, Australia.
Stephanie PartridgeSchool of Health Sciences, Faculty of Medicine and Health, the University of Sydney, Camperdown, NSW 2006, Australia.
Philip ClareSydney School of Public Health, Faculty of Medicine and Health, the University of Sydney, Camperdown, NSW 2006, Australia; Charles Perkins Centre, the University of Sydney, Camperdown, NSW 2006, Australia; National Drug and Alcohol Research Centre, UNSW Sydney, Sydney, NSW 2052, Australia.
Edward GiovannucciDepartments of Nutrition and Epidemiology, Harvard T.H. Chan School of Public Health, Boston, MA 02115, USA.
Adrian BaumanSydney School of Public Health, Faculty of Medicine and Health, the University of Sydney, Camperdown, NSW 2006, Australia; Charles Perkins Centre, the University of Sydney, Camperdown, NSW 2006, Australia.
Nicole FreeneFaculty of Health, University of Canberra, Canberra, ACT 2617, Australia.
Robyn GallagherCharles Perkins Centre, the University of Sydney, Camperdown, NSW 2006, Australia; Susan Wakil School of Nursing and Midwifery, the University of Sydney, Camperdown, NSW 2050, Australia.
Binh NguyenSydney School of Public Health, Faculty of Medicine and Health, the University of Sydney, Camperdown, NSW 2006, Australia; Charles Perkins Centre, the University of Sydney, Camperdown, NSW 2006, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA quality diet and an active lifestyle are both important cornerstones of cardiovascular disease (CVD) prevention. However, despite their interlinked effects on metabolic health, the 2 behaviors are rarely considered jointly, particularly within the context of CVD prevention. We examined the independent, interactive, and joint associations of diet and physical activity with CVD hospitalization, CVD mortality, and all-cause mortality.

methodsCVD-free Australian participants aged 45-74 years (n = 85,545) reported physical activity, diet, sociodemographic, and lifestyle characteristics at baseline (2006-2009) and follow-up (2012-2015), and data were linked to hospitalization and death registries (03/31/2019 for CVD hospitalization and all-cause mortality and 12/08/2017 for CVD mortality). Diet quality was categorized as low, medium, and high based on meeting dietary recommendations. Physical activity was operationalized as (a) total moderate-to-vigorous physical activity (MVPA) as per guidelines, and (b) the composition of MVPA as the ratio of vigorous-intensity physical activity (VPA) to total MVPA. We used a left-truncated cause-specific Cox proportional hazards model using time-varying covariates.

resultsDuring a median of 10.7 years of follow-up, 6576 participants were admitted to the hospital for CVD and 6581 died from all causes (876 from CVD during 9.3 years). A high-quality diet was associated with a 17% lower risk of all-cause mortality than a low-quality diet, and the highest MVPA category (compared with the lowest) was associated with a 44% and 48% lower risk of CVD and all-cause mortality, respectively. Multiplicative interactions between diet and physical activity were non-significant. For all outcomes, the lowest risk combinations involved a high-quality diet and the highest MVPA categories. Accounting for total MVPA, some VPA was associated with further risk reduction of CVD hospitalization and all-cause mortality.

conclusionFor CVD prevention and longevity, one should adhere to both a healthy diet and an active lifestyle and incorporate some VPA when possible.

Indexed as

Cardiovascular DiseasesExerciseHospitalizationAgedAustralasian PeopleAustraliaCause of DeathDietDiet, HealthyFemaleHumansLife StyleLongitudinal StudiesMaleMiddle AgedProportional Hazards ModelsCardiovascular diseaseCohort studiesDietMortalityPhysical activity

Identifiers

PMID38810689
PMCPMC11336305

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.