Evidence map›Paper›PMID 42410795›Full record

ArticleMedicine2026

Trends in multimorbidity among US adults and the correlation between physical activity and mortality: Prospective cohort study from 1999 to 2018.

Dongdong Yu, Yuxuan Shi, Huaying Fu, Tong Liu, Yongkang Wang, Xiaoyu Cheng, Ting Cheng, Sihai Wang

Abstract read
In one paragraph

Article in Medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

8 authors.

Dongdong YuThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, China.ORCID 0000-0003-2759-7647
Yuxuan ShiThe First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui Province, China.
Huaying FuShenzhen Baoan Women's and Children's Hospital (BWCH), Shenzhen, Guangdong Province, China.
Tong LiuSchool of Traditional Chinese Medicine, Anhui University of Chinese Medicine, Hefei, Anhui Province, China.
Yongkang WangSchool of Medical Informatics Engineering, Anhui University of Chinese Medicine, Hefei, Anhui Province, China.
Xiaoyu ChengThe First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui Province, China.
Ting ChengThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong Province, China.
Sihai WangThe First Affiliated Hospital of Anhui University of Chinese Medicine, Hefei, Anhui Province, China.

Funding

Anhui traditional Chinese Medicine academic School inheritance Studio Construction Project [2021] No. 30National Administration of Traditiona Chinese Medidine High-level Key Discipline Construction Project of Traditional Chinese Medicine (TCM Geriatrics) [2023] No. 85Youth Fund Project of Anhui Provincial Health Commission AHWJ2023A30274
6 · The paper itself

Abstract

Evidence regarding the mortality risk associated with physical activity (PA) and multimorbidity is limited. This study investigates trends in the prevalence of multimorbidity in the population and the mortality risk associated with PA and multimorbidity. The association between PA and overall survival was analyzed in 39,940 subjects from the National Health and Nutrition Examination Survey cohorts. Among the 39,940 participants (weighted average age: 46.84; 50.86% female), the age-standardized prevalence of multimorbidity rose significantly, from 15.87% (95% confidence interval [CI] = 14.86%-16.87%) in 1999 to 2000 to 19.96% (95% CI = 17.61%-22.32%) in 2017 to 2018. The population's multimorbidity detection rate was 25.22%. The all-cause mortality risks for multimorbidity were: dual-multimorbidity (hazard ratio [HR] = 1.97, 95% CI = 1.76-2.20), triple-multimorbidity (HR = 2.69, 95% CI = 2.35-3.08), quadruple-multimorbidity (HR = 3.22, 95% CI = 2.59-3.99). "Diabetes mellitus + cardiovascular disease + respiratory diseases" had the highest mortality risk (HR = 4.37, 95% CI = 2.67-7.16). PA reduced all-cause and cause-specific mortality, with moderate-intensity PA lowering all-cause mortality by 22% compared to low-intensity PA, and high-intensity PA by 6% compared to moderate-intensity PA. Multimorbidity led to a 5.64 years life expectancy loss, while PA could recover up to 2.31 years. PA potentially recouped 2.96 and 2.19 years of life lost due to comorbidity in females and males, respectively. According to National Health and Nutrition Examination Survey data from 1999 to 2000 to 2017 to 2018, multimorbidity prevalence increased. PA reduces all-cause mortality by 32%. Greater PA intensity correlates with more significant mortality reduction. Multimorbidity cuts life expectancy by 5.64 years, recoverable by PA (2.31 years). Females regain 2.96 years; males, 2.19 years.

Indexed as

ExerciseMortalityMultimorbidityAdultAgedCardiovascular DiseasesFemaleHumansMaleMiddle AgedNutrition SurveysPrevalenceProspective StudiesRisk FactorsUnited Stateslife expectancymortalitymultimorbidityphysical activityprevalence

Identifiers

PMID42410795
PMCPMC13337048

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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.