Evidence map›Paper›PMID 41436927›Full record

ArticleBMC cardiovascular disorders2025

Physical activity and myocardial infarction risk: insights from the global burden of disease study 1990-2021 and Mendelian randomization analysis.

Yujie Guo, Xianghu Zhao, Wenyuan Xu, Changli Cheng, Lan Lei, Meiqi Zhou, Yikang He

Abstract read
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Article in BMC cardiovascular disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Yujie Guo *Graduate School, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Xianghu Zhao *Department of Rehabilitation Medicine, Zhongda Hospital, Southeast University, Nanjing, Jiangsu, China.
Wenyuan Xu *Graduate School, Anhui University of Chinese Medicine, Hefei, Anhui, China.
Changli ChengDepartment of Rehabilitation Medicine, the Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Lan LeiDepartment of Rehabilitation Medicine, Nanjing Pukou District Hospital of Traditional Chinese Medicine, Nanjing, China.
Meiqi ZhouGraduate School, Anhui University of Chinese Medicine, Hefei, Anhui, China. meiqizhou1963@126.com.
Yikang HeDepartment of Rehabilitation Medicine, Children's Hospital of Nanjing Medical University, Nanjing, China. hantanger162@126.com.

Funding

Jiangsu Provincial Key Research and Development Program No. BE2023023-1Research Project on the Development of the Disability Cause in Jiangsu Province No. 2025SC01005
6 · The paper itself

Abstract

introductionIschemic heart disease (IHD), particularly myocardial infarction (MI), ranks as a leading cause of death globally. While studies have associated physical activity (PA) with a decreased risk of MI, the extent of the global IHD burden attributable to LPA and the impact of PA on MI remain uncertain.

methodsThis study accessed data from the Global Burden of Disease (GBD) 2021 and employed Mendelian randomization (MR) to evaluate these relationships. We analyzed the global age-standardized death rate (ASDR) for IHD attributable to LPA from 1990 to 2021. Additionally, we utilized the MR analysis to assess the relationship between PA and MI, using relevant data from GWAS databases. Within this framework, PA is defined based on the types of PA in the last 4 weeks, including other exercises such as swimming, cycling, keep fit, and bowling.

resultsFrom 1990 to 2021, the global ASDR for IHD attributable to LPA exhibited an upward trend (estimated annual percentage change [EAPC] = 0.70, 95% CI: 0.61 to 0.79). The MR analysis revealed an inverse association between PA and MI (IVW method: OR = 0.17, 95% CI: 0.04 to 0.68, P = 0.01). However, significant heterogeneity was observed among the instrumental variables (Cochran’s Q = 18.25, P = 0.01), indicating potential instability in the effect estimates.

conclusionsThis study highlights that LPA contributes significantly to the global burden of IHD, with an increasing trend in related mortality from 1990 to 2021. From a genetic perspective, MR analysis indicates that PA reduce the risk of MI, though further research using larger sample sizes and more robust genetic tools is required to definitively establish this relationship. Globally, promoting PA is essential for reducing the burden of disease and enhancing cardiovascular health.

Indexed as

ExerciseHealthy LifestyleMyocardial InfarctionRisk Reduction BehaviorGenetic Predisposition to DiseaseGlobal Burden of DiseaseHumansMendelian Randomization AnalysisPrognosisProtective FactorsRisk AssessmentRisk FactorsTime FactorsGlobal burden of diseaseLow physical activityMendelian randomizationMyocardial infarction

Identifiers

PMID41436927
PMCPMC12781736

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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.