Evidence map›Paper›PMID 40803369›Full record

ArticleJournal of sport and health science2025

Intensity modifies the association between continuous bouts of physical activity and risk of mortality: A prospective UK Biobank cohort analysis.

Alex V Rowlands, Fabian Schwendinger, Cameron Razieh, Joe Henson, Jonathan Goldney, Andrew P Kingsnorth, Melanie Davies, Kamlesh Khunti, Francesco Zaccardi, Tom Yates

Abstract read
In one paragraph

Article in Journal of sport and health science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Intensity-specific physical activity and mortality in 147,414 adults: a pooled accelerometer analysis.The international journal of behavioral nutrition and physical activity · 2026
    Article
  3. Article
  4. Article
  5. Article
  6. Review
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

10 authors.

Alex V RowlandsDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK; National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC), University Hospitals of Leicester National Health Service (NHS) Trust, Leicester LE5 4PW, UK; Alliance for Research in Exercise, Nutrition and Activity (ARENA), UniSA Allied Health and Human Performance, University of South Australia, Adelaide, SA 5001, Australia. Electronic address: alex.rowlands@leicester.ac.uk.
Fabian SchwendingerDivision of Sports and Exercise Medicine, Department of Sport, Exercise and Health, University of Basel, Basel 4001, Switzerland.
Cameron RaziehDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK; Leicester Real World Evidence Unit, Diabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK; Office for National Statistics, Newport NP10 8XG, UK.
Joe HensonDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK; National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC), University Hospitals of Leicester National Health Service (NHS) Trust, Leicester LE5 4PW, UK.
Jonathan GoldneyDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK.
Andrew P KingsnorthSchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK.
Melanie DaviesDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK; National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC), University Hospitals of Leicester National Health Service (NHS) Trust, Leicester LE5 4PW, UK.
Kamlesh KhuntiDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK; National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC), University Hospitals of Leicester National Health Service (NHS) Trust, Leicester LE5 4PW, UK; Leicester Real World Evidence Unit, Diabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK; NIHR Applied Research Collaboration-East Midlands (ARC-EM), Leicester General Hospital, Leicester LE5 4PW, UK.
Francesco ZaccardiDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK; Leicester Real World Evidence Unit, Diabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK.
Tom YatesDiabetes Research Centre, Leicester General Hospital, University of Leicester, Leicester LE5 4PW, UK; National Institute for Health Research (NIHR) Leicester Biomedical Research Centre (BRC), University Hospitals of Leicester National Health Service (NHS) Trust, Leicester LE5 4PW, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRecent evidence suggests continuous bouts of physical activity (PA) are associated with longevity. We hypothesized the risk of mortality would be lower when the most active minutes of the day were in a continuous bout.

methodsPA was assessed using accelerometery in UK Biobank participants. The intensity of the most active continuous (MX

resultsIn total, 94,541 participants (56.5% female) were included. Over a median (interquartile range) follow-up of 6.9 (6.3, 7.4) years, 2649 (2.8%) deaths occurred. Intensity moderated the association between how the most active minutes of the day were accumulated and mortality risk, expressed relative to sporadically accumulated moderate PA. If the most active minutes were of moderate intensity, the risk of mortality was halved for continuous compared to sporadic accumulation, irrespective of duration; if the most active minutes were of vigorous intensity, a continuous bout was associated with the lowest risk for durations under 5 min (e.g., 3 min: hazard ratio (HR) = 0.27, 95% confidence interval (95%CI): 0.21-0.34), while sporadic accumulation was associated with the lowest risk for durations beyond 5 min (HR = 0.11, 95%CI: 0.08-0.15 for the most active 20 min).

conclusionOptimal PA patterns for reducing mortality differ by intensity and duration. For moderate-intensity PA, a lower mortality risk may be optimized by prioritizing continuous PA for up to 20 min. However, for vigorous-intensity PA, multiple short bouts (<5 min) may be optimal. This suggests tailored PA recommendations may enhance longevity benefits.

Indexed as

AccelerometerMXMX(CONT)Sporadic physical activity

Identifiers

PMID40803369
PMCPMC12861271

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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.