Evidence map›Paper›PMID 40594338›Full record

ArticleScientific reports2025

Sex differences in the association of physical activity patterns with all-cause and cardiovascular mortality: a prospective cohort study from NHANES 2007-2018.

Ailing He, Yunkai Wang, Chaopin Du, Yu Wang, Jiajie Wu, Dapeng Kuang, Yajun Zhao, Zhihui Li, Hanbin Cui, Guannan Bai and 2 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
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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

12 authors.

Ailing He *The School of Internet of Things Engineering, Wuxi Institute of Technology, Wuxi, China.
Yunkai Wang *Department of Cardiology, Quzhou Affiliated Hospital of Wenzhou Medical University, Quzhou People's Hospital, Quzhou, China.
Chaopin DuDepartment of Neurology, Nantong Third Hospital Affiliated to Nantong University, Nantong, Jiangsu, China.
Yu WangDepartment of Neurology, Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai, China.
Jiajie WuSchool of Medicine, University of Nottingham, Nottingham, UK.
Dapeng KuangDepartment of Emergency and Critical Care, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200080, China.
Yajun ZhaoDepartment of Health Management Centre, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Zhihui LiTsinghua Vanke School of Public Health, Tsinghua University, Beijing, China.
Hanbin CuiDepartment of Cardiovascular Medicine, First Affiliated Hospital, Ningbo University, Ningbo, China.
Guannan BaiChildren's Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang Province, China. guannanbai@zju.edu.cn.
Wenbin JiangWenzhou Hospital of Integrated Traditional Chinese and Western Medicine, Wenzhou, Zhejiang P.R, China. jiangwb919@wmu.edu.cn.
Lin ZhangThe School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia. lin.zhang2@monash.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Physical activity is widely promoted to reduce mortality risks from all-cause and cardiovascular diseases, yet current guidelines rarely address sex-specific differences or distinguish between occupational (OPA) and non-occupational PA (Non-OPA). This study leverages NHANES 2007-2018 data to evaluate sex differences in mortality benefits from OPA and Non-OPA, with a specific focus on implications for women's health. Participants were categorized into three activity levels: below (< 150 min/week), at (150-300 min/week), and above (> 300 min/week) the recommended guidelines. Multivariable Cox models yielded sex-specific hazard ratios (HRs), with nonlinear dose-response relationships explored through subgroup analyses by age and BMI. Our results reveal that females derive greater survival benefits than males at equivalent PA levels, particularly from Non-OPA, which supporting the "physical activity paradox". For instance, Non-OPA showed stronger protective effects, with females achieving significant risk reductions at lower activity volumes than males. Notably, older adults (≥ 65 years) and individuals with obesity experienced enhanced benefits from Non-OPA. These findings underscore the need for sex-specific PA guidelines and highlight the importance of promoting Non-OPA to maximize health benefits across diverse populations, with specific implications for women's health.

Indexed as

Cardiovascular DiseasesExerciseAdultAgedFemaleHumansMaleMiddle AgedNutrition SurveysProportional Hazards ModelsProspective StudiesSex FactorsCardiovascularMortality riskPhysical activity patternsSex differences

Identifiers

PMID40594338
PMCPMC12216700

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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.