Compositional association of 24‐h movement behavior with incident major adverse cardiac events and all‐cause mortality

Maisa Niemelä; Antti Kiviniemi; Tiina M. Ikäheimo; Mikko Tulppo; Raija Korpelainen; Timo Jämsä; Vahid Farrahi

doi:10.1111/sms.14315

journal article Open Access Feb 02, 2023

Compositional association of 24‐h movement behavior with incident major adverse cardiac events and all‐cause mortality

Maisa Niemelä

Antti Kiviniemi

Tiina M. Ikäheimo Mikko Tulppo Raija Korpelainen

Timo Jämsä

Vahid Farrahi

Scandinavian Journal of Medicine & Science in Sports Vol. 33 No. 5 pp. 641-650 · Wiley

View at Publisher Save 10.1111/sms.14315

Abstract

Cardiovascular disease (CVD) causes a high disease burden. Physical activity (PA) reduces CVD morbidity and mortality. We aimed to determine the relationship between the composition of moderate‐to‐vigorous PA (MVPA), light PA (LPA), sedentary behavior (SB), and sleep during midlife to the incidence of major adverse cardiac events (MACE) and all‐cause mortality at a 7‐year follow‐up. The study population consisted of Northern Finland Birth Cohort 1966 members who participated in the 46‐year follow‐up in 2012 and were free of MACE (N = 4147). Time spent in MVPA, LPA, and SB was determined from accelerometer data. Sleep time was self‐reported. Hospital visits and deaths were obtained from national registers. Participants were followed until December 31, 2019, or first MACE occurrence (acute myocardial infarction, unstable angina pectoris, stroke, hospitalization due to heart failure, or death due to CVD), death from another cause, or censoring. Cox proportional hazards model was used to estimate hazard ratios of MACE incidence and all‐cause mortality. Isotemporal time reallocations were used to demonstrate the dose–response association between time spent in behaviors and outcome. The 24‐h time composition was significantly associated with incident MACE and all‐cause mortality. More time in MVPA relative to other behaviors was associated with a lower risk of events. Isotemporal time reallocations indicated that the greatest risk reduction occurred when MVPA replaced sleep. Higher MVPA associates with a reduced risk of incident MACE and all‐cause mortality after accounting for the 24‐h movement composition and confounders. Regular engagement in MVPA should be encouraged in midlife.

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Details

Published: Feb 02, 2023
Vol/Issue: 33(5)
Pages: 641-650
License: View

Authors

M

Maisa Niemelä

Research Unit of Health Sciences and Technology University of Oulu Oulu Finland; Medical Research Center University of Oulu and Oulu University Hospital Oulu Finland; Department of Sports and Exercise Medicine Oulu Deaconess Institute Foundation sr. Oulu Finland

A

Antti Kiviniemi

Medical Research Center University of Oulu and Oulu University Hospital Oulu Finland; Research Unit of Biomedicine and Internal Medicine University of Oulu Oulu Finland

T

Tiina M. Ikäheimo

Department of Community Medicine University of Tromso Tromso Norway; Research Unit of Population Health University of Oulu Oulu Finland

M

Mikko Tulppo

Research Unit of Biomedicine and Internal Medicine University of Oulu Oulu Finland

R

Raija Korpelainen

Medical Research Center University of Oulu and Oulu University Hospital Oulu Finland; Department of Sports and Exercise Medicine Oulu Deaconess Institute Foundation sr. Oulu Finland; Research Unit of Population Health University of Oulu Oulu Finland

T

Timo Jämsä

Research Unit of Health Sciences and Technology University of Oulu Oulu Finland; Medical Research Center University of Oulu and Oulu University Hospital Oulu Finland

V

Vahid Farrahi

Research Unit of Health Sciences and Technology University of Oulu Oulu Finland

Cite This Article

Maisa Niemelä, Antti Kiviniemi, Tiina M. Ikäheimo, et al. (2023). Compositional association of 24‐h movement behavior with incident major adverse cardiac events and all‐cause mortality. Scandinavian Journal of Medicine & Science in Sports, 33(5), 641-650. https://doi.org/10.1111/sms.14315

Compositional association of 24‐h movement behavior with incident major adverse cardiac events and all‐cause mortality

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