Long-term health benefits of physical activity--a systematic review of longitudinal studies

Miriam Reiner, Christina Niermann, Darko Jekauc, Alexander Woll, Miriam Reiner, Christina Niermann, Darko Jekauc, Alexander Woll

Abstract

Background: The treatment of noncommunicable diseases (NCD), like coronary heart disease or type 2 diabetes mellitus, causes rising costs for the health system. Physical activity is supposed to reduce the risk for these diseases. Results of cross-sectional studies showed that physical activity is associated with better health, and that physical activity could prevent the development of these diseases. The purpose of this review is to summarize existing evidence for the long-term (>5 years) relationship between physical activity and weight gain, obesity, coronary heart disease, type 2 diabetes mellitus, Alzheimer's disease and dementia.

Methods: Fifteen longitudinal studies with at least 5-year follow up times and a total of 288,724 subjects (>500 participants in each study), aged between 18 and 85 years, were identified using digital databases. Only studies published in English, about healthy adults at baseline, intentional physical activity and the listed NCDs were included.

Results: The results of these studies show that physical activity appears to have a positive long-term influence on all selected diseases.

Conclusions: This review revealed a paucity of long-term studies on the relationship between physical activity and the incidence of NCD.

Figures

Figure 1
Figure 1
Selection criteria and number of excluded and included papers/studies.

References

    1. Dishman RK, Washburn RA, Heath GW. Physical Activity Epidemiology. Champaign, IL: Human Kinetics; 2004.
    1. Schuit J. Physical activity, body composition and healthy ageing. Sci & Sports. 2006;21:209–213. doi: 10.1016/j.scispo.2006.06.004.
    1. Raebel MA, Malone DC, Conner DA, Xu S, Porter JA, Lanty FA. Health services use and health care costs of obese and nonobese individuals. Arch Intern Med. 2004;164:2135–3140. doi: 10.1001/archinte.164.19.2135.
    1. Chan R, Woo J. Prevention of overweight and obesity: how effective is the current public health approach. Int J Environ Res Public Health. 2010;7:765–783. doi: 10.3390/ijerph7030765.
    1. Booth FW, Chakravarthy MV. Cost and Consequences of Sedentary Living: New Battleground for an Old Enemy. Washington DC: President’s Council on Physical Fitness and Sports; 2002.
    1. Chai W, Nigg CR, Pagano IS, Motl RW, Horwath C, Dishman RK. Associations of quality of life with physical activity, fruit and vegetable consumption, and physical inactivity in a free living, multiethnic population in Hawaii: a longitudinal study. The international journal of behavioral nutrition and physical activity. 2010;7:83. doi: 10.1186/1479-5868-7-83.
    1. World Health Organization. Global status report on noncommunicable diseases 2010. World Health Organisation. Geneva, Switzerland: WHO Press; 2011.
    1. World Health Organization. Global Health Risks - Mortality and burden of disease attributable to selected major risks. World Health Organization; 2009. .
    1. Astrup A, Dyerberg J, Selleck M, Stender S. Nutrition transition and its relationship to the development of obesity and related chronic diseases. Obes Rev. 2008;9:48–52. doi: 10.1111/j.1467-789X.2007.00438.x.
    1. Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373:2223–2233. doi: 10.1016/S0140-6736(09)60746-7.
    1. Ambrose JA, Barua RS. The pathophysiology of cigarette smoking and cardiovascular disease: an update. J Am Coll Cardiol. 2004;43:1731–1737. doi: 10.1016/j.jacc.2003.12.047.
    1. Bijnen FCH, Caspersen CJ, Mosterd WL. Physical inactivity as a risk factor for coronary heart disease: a WHO and international society and federation of cardiology position statement. Bull World Health Organ. 1994;72:1–4.
    1. de Berrington Gonzaley A, Hartge P, Cerhan JR. Body mass index and mortality among 1.43 million white adults. N Engl J Med. 2010;363:2211. doi: 10.1056/NEJMoa1000367.
    1. Vogel T, Brechat P-H, Leprâtre P-M, Kaltenbach G, Berthel M, Lonsdorfer J. Health benefits of physical activity in older patients: a review. The Int J od Clin Pract. 2009;63:303–320. doi: 10.1111/j.1742-1241.2008.01957.x.
    1. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ. 2006;174:801–809.
    1. Di Pietro L, Dziura J, Blair SN. Estimated change in physical activity level (PAL) and prediction of 5-year weight change in men: the aerobics center longitudinal study. Int J Obes Relat Metab Disord. 2004;28:1541–1547. doi: 10.1038/sj.ijo.0802821.
    1. Gordon-Larsen P, Hou N, Sidney S, Sternfeld B, Lewis CE, Jacobs DR, Popkin BM. Fifteen-year longitudinal trends in walking patterns and their impact on weight change. Am J Clin Nutr. 2009;89:16–26.
    1. Hankinson AL, Daviglus ML, Bouchard C, Carnethon M, Lewis CE, Schreiner PJ, Liu K, Sidney S. Maintaining a high physical activity level over 20 years and weight gain. J Am Med Assoc. 2010;304:2603–2610. doi: 10.1001/jama.2010.1843.
    1. Petersen L, Schnohr P, Sorensen TI. Longitudinal study of the long-term relation between physical activity and obesity in adults. Int J Obes Relat Metab Disord. 2004;28:105–112. doi: 10.1038/sj.ijo.0802548.
    1. Lee I-M, Paffenbarger RS. Physical activity and stroke incidence - the Harvard alumni health study. Stroke. 1998;29:2049–2054. doi: 10.1161/01.STR.29.10.2049.
    1. Sesso H, Paffenbarger RS, Lee I-M. Physical activity and coronary heart disease in men - the Harvard alumni health study. Circulation. 2000;102:975–980. doi: 10.1161/01.CIR.102.9.975.
    1. Donahue R, Abbott R, Reed D, Katshuiko Y. Physical activity and coronary heart diseases in middle-aged and elderly men: the Honolulu heart program. J Public Health. 1988;78:683–685. doi: 10.2105/AJPH.78.6.683.
    1. Rodriguez BL, Curb JD, Burchfield CM, Abbott RD, Petrovich H, Masaki K, Chiu D. Physical activity and 23 year incidence of coronary heart disease morbidity and mortality among middle-aged men - the Honolulu heart program. Circulation. 1994;89:2540–2544. doi: 10.1161/01.CIR.89.6.2540.
    1. Kaplan GA, Strawbridge WJ, Cohen RD, Hungerford LR. Natural history of leisure-time physical activity and its correlates: associations with mortality from all-causes and cardiovascular disease over 28 years. Am J Epidemiol. 1996;144:793–797. doi: 10.1093/oxfordjournals.aje.a009003.
    1. Gillum RF, Mussolino ME, Ingram DD. Physical activity and stroke incidence in women and men - the NHANES I epidemic follow up study. Am J Epidemiol. 1996;143:860–869. doi: 10.1093/oxfordjournals.aje.a008829.
    1. Li TY, Rana JS, Manson JE, Willett WC, Stampfer MJ, Colditz GA, Rexrode KM, Hu FB. Obesity as compared with physical activity in predicting risk of coronary heart disease in women. Circulation. 2006;113:499–506. doi: 10.1161/CIRCULATIONAHA.105.574087.
    1. Hu FB, Sigal R, Rich-Edwards JW, Colditz GA, Solomon CG, Wilett WC, Speizer FE, MJ E. Walking compared with vigorous physical activity and risk of type 2 diabetes in women - a prospecttive study. J Am Med Assoc. 1999;282:1433–1439. doi: 10.1001/jama.282.15.1433.
    1. Berenzen T, Petersen L, Pedersen O, Black E, Astrup A, Sorensen TI. Long-term effects of leisure time physical activity on risk of insulin resistance and impaired glucose tolerance, allowing for body weight history, in Danish men. Diabet Med. 2007;26:63–72.
    1. Demakakos P, Hamer M, Stamatakis E, Steptoe A. Low-intensity physical activity is associated with reduced risk of incident type 2 diabetes in older adults: evidence from the English longitudinal study of ageing. Diabetologia. 2010;53:1877–1885. doi: 10.1007/s00125-010-1785-x.
    1. Katzmarzyk PT, Craig CL, Gauvin L. Adiposity, physical fitness and incident diabetes: the physical activity longitudinal study. Diabetologia. 2007;50:538–544. doi: 10.1007/s00125-006-0554-3.
    1. Mozzafarian D, Kamineni A, Carnethon M, Djousse L, Mukamal K, Siscovick D. Lifestyle risk factors and new-onset diabetes mellitus in older adults. Arch Intern Med. 2009;169:798–807. doi: 10.1001/archinternmed.2009.21.
    1. Abbott RD, White LR, Ross GW, Masaki K, Curb JD, Petrovich H. Walking and dementia in physically capable elderly men. J Am Med Assoc. 2004;292:1447–1453. doi: 10.1001/jama.292.12.1447.
    1. Larson EB, Wang L, Bowen JD, McCormick WC, Teri L, Crane P, Kukull W. Exercise is associated with reduced risk for incident dementia among persons 65 years of age and older. Ann Intern Med. 2006;144:73–81. doi: 10.7326/0003-4819-144-2-200601170-00004.
    1. Rovio S, Kåreholt I, Helkala E-L, Viitanen M, Winblad B, Tuomilehto J, Soininen H, Nissinen A, Kivipelto M. Leisure-time physical activity at midlife and the risk of dementia and Alzheimer’s disease. The Lancet Neurology. 2005;4:705–711. doi: 10.1016/S1474-4422(05)70198-8.
    1. Laurin D, Verreault R, Linday J, MacPerson K, Rockwood K. Physical Activity and Risk of cognitive impairment and dementia in Elderly Persons. Arch Neurol. 2001;58:498–504. doi: 10.1001/archneur.58.3.498.
    1. Chang M, Jonsson PV, Snaedal J, Bjornsson S, Saczynski JS, Aspelund T, Eriksdottir G, Jonsdottir MK, Lopez OJ, Harris TB. et al.The Effect of midlife physical activity on cognitive function among older adults: AGES - Reykjavik Study. J Gerontol. 2010;65:1369–1374.
    1. Podewils LJ, Guallar E, Kuller LH, Fried LP, Lopez OJ, Carlson M, Lyketsos CG. Physical activity, APOE genotype and dementia risk: findings from the cardiovascular health cognition study. Am J Epidemiol. 2005;161:639–651. doi: 10.1093/aje/kwi092.
    1. Sherman S, D’Agostino R, Cobb J. Does exercise reduce mortality rates in the elderly? experience from the Framingham heart study. Am Heart Study. 1997;128:962–972.
    1. Kannel W, Sorley P. Some health benefits of physical activity. Arch Intern Med. 1979;112:820–825.
    1. Kannel W, Belange A, D’Agostino R, Israel I. Physical activity and physical demand on the job and risk of cardiovascular diseases and death: the Framingham study. Am Heart Study. 1986;112:820–825. doi: 10.1016/0002-8703(86)90480-1.
    1. Must A, Jaques PF, Dallai GE, Bajema CJ, Dietz WH. Long-term morbidity and mortality of overweight adolescents — a follow-up of the Harvard growth study of 1922 to 1935. N Engl J Med. 1992;327:1350–1355. doi: 10.1056/NEJM199211053271904.
    1. Juonala M, Järvisalo MJ, Mäki-Torkko N, Kähönen M, Viikari JSA, Raitakari OT. Risk factors identified in childhood and decreased carotid artery elasticity in adulthood - the cardiovascular risk in young Finns study. Circulation. 2005;112:1486–1493. doi: 10.1161/CIRCULATIONAHA.104.502161.
    1. Sui X, Lamonte MJ, Ladika JN, Hardin JW, Chase N, Hooker SP, Blair SN. Cardiorespiratory fitness and adiposity as mortality predictors in older adults. J Am Med Assoc. 2007;298:2507–2516. doi: 10.1001/jama.298.21.2507.
    1. Adams SA, Matthews CE, Ebbeling CB, Moore CG, Cunningham JE, Fulton J, Herbert JR. The effect of social desirability and social approval on self-reports of physical activity. Am J Epidemiol. 2005;161:389–398. doi: 10.1093/aje/kwi054.
    1. Klein T, Becker S. Is there really a reduction in physical activity in the life-span? an analysis of age-and cohort-related differences in physical activity. Z Soziol. 2008;37:226–245.
    1. Klaperski S, Seelig H, Fuchs R. Physical activity as a stress buffer. Z Sportpsychol. 2012;19:80–90. doi: 10.1026/1612-5010/a000061.
    1. Drygas W, Kostka T, Jegier A, Kuński H. Long-term effects of different physical activity levels on coronary heart disease risk factors in middle-aged men. Int J Sports Med. 2000;21:235–241. doi: 10.1055/s-2000-309.

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