ArticleJournal of sport and health science2025
Adherence to the 24-Hour Movement Guidelines is related to a lower risk of all-cause mortality: A prospective cohort study of 14,288 participants from the SUN Project.
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 2 papers.
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Who cites it
2 citing papers in PubMed.
- Prospective association between baseline ultra-processed food consumption and future adherence to the 24-h movement guidelines in children: findings from the SENDO project.European journal of pediatrics · 2026Article
- A healthier day, a healthier mind: linking 24-h movement behavior guideline adherence to mental health in university students.Frontiers in psychology · 2026Article
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Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeThe purpose of this study was to examine the associations between adherence to the 24-Hour Movement Guidelines and all-cause and cause-specific mortality in a large Spanish prospective cohort.
methodsWe analyzed data from 14,288 participants of the Seguimiento Universidad de Navarra (SUN) Project, followed for a mean of 12.8 years (mean baseline age = 38.3 years; 60.1% women). Data were collected at baseline and through biennial follow-up questionnaires (up to 10 waves, depending on year of entry). The participants self-reported 24-h movement behaviors at baseline and were categorized based on the number of guidelines met (0-3). Behaviors were assessed at baseline only; changes in adherence during follow-up were not accounted for. Cox proportional hazards models were used to estimate hazard ratios (HRs) for all-cause and cause-specific mortality, adjusting for sociodemographic, lifestyle, and clinical covariates.
resultsMeeting a greater number of 24-Hour Movement Guidelines at baseline was associated with a progressively lower risk of all-cause mortality. Compared with those meeting none, the multivariable-adjusted HRs were 0.52 (95% confidence interval (95%CI): 0.33-0.82) for meeting 1 guideline, 0.47 (95%CI: 0.30-0.73) for meeting 2 guidelines, and 0.44 (95%CI: 0.28-0.71) for meeting all 3 guidelines. Only adherence to the physical activity guidelines was independently associated with a significantly lower mortality risk (HR = 0.70; 95%CI: 0.55-0.89). A reduced risk was also observed for cancer and other-cause mortality among those meeting 2 or more guidelines.
conclusionAdherence to the 24-Hour Movement Guidelines at baseline, particularly physical activity, was associated with a lower risk of mortality. Promoting an integrated approach to movement behaviors may be an effective strategy for improving population health and longevity.
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