Lipids in Health and Disease

Activity linked to lower death risk in US adults

In US adults with abnormal cholesterol–inflammation profiles, activity was linked to lower all-cause mortality: hazard ratios (relative risk measures) of 0.56 and 0.62 versus inactivity.

Paper by Chunxin Wu, Linsen Chen, Lei Luo, 3 more authorsXiaoyan Wu · Guilin Medical University
Figure 1 from Lipids in Health and Disease
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Figure 1. Wu et al.
Cohort study of 18,416 US adults, median 7.9 years, against physically inactive adultsPopulations

Limit: Acute illness and anti-inflammatory medication use were unmeasured potential confounders

Edited by Boris Djordjevic · AgingResearch.News

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An observational study analyzed 18,416 US adults and 2,575 Chinese adults from two population-based cohorts. Researchers examined low-density lipoprotein (LDL) cholesterol and blood-cell-based measures of inflammation in relation to deaths from any cause and cardiovascular disease.

Low LDL cholesterol or high inflammation was associated with higher mortality. In the US cohort, joint cholesterol–inflammation associations appeared in the general population and people with plaque-related cardiovascular disease. Among participants with abnormal cholesterol–inflammation profiles, activity was associated with lower all-cause mortality. Hazard ratios were 0.56 in the general population and 0.62 in those with cardiovascular disease, compared with inactivity. Activity was also linked to lower all-cause mortality among Chinese participants with noncommunicable diseases—conditions that do not spread between people.

Why it matters

Cardiovascular disease is an age-related health concern. The study addresses whether physical activity may modify mortality risks associated with cholesterol and inflammation.

Caveats

These observational associations cannot establish that physical activity reduced mortality. The cohorts also used different blood-based measures of inflammation.

From the paper

Participants

A total of 18,416 US adults with a total of 150047.8 person-years follow-up from the National Health and Nutrition Examination Survey (NHANES) including general population, patients with atherosclerotic cardiovascular disease (ASCVD), and individuals at extreme risk …

Methods

Limitation

The main limitations of this study should also be acknowledged: First, despite adjustment for numerous potential confounders and sensitivity analyses, the presence of unmeasured confounders, influence of no data on acute illness and/or acute/chronic anti-inflammatory medication …

Study strengths and limitations

Quoted word for word from the full text on link.springer.com.

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