{"id":24444,"date":"2023-08-27T04:27:00","date_gmt":"2023-08-26T20:27:00","guid":{"rendered":"http:\/\/csccm.org.cn\/?p=24444"},"modified":"2023-08-27T05:15:57","modified_gmt":"2023-08-26T21:15:57","slug":"jama%e5%8f%91%e8%a1%a8%e8%ae%ba%e6%96%87%ef%bc%9a%e5%9f%ba%e4%ba%8e%e5%8a%a0%e9%80%9f%e8%ae%a1%e7%9a%84%e5%91%a8%e6%9c%ab%e6%88%98%e5%a3%ab%e5%9e%8b%e4%bd%93%e8%82%b2%e6%b4%bb","status":"publish","type":"post","link":"https:\/\/csccm.org.cn\/?p=24444","title":{"rendered":"[JAMA\u53d1\u8868\u8bba\u6587]\uff1a\u57fa\u4e8e\u52a0\u901f\u8ba1\u7684\u201c\u5468\u672b\u6218\u58eb\u201d\u578b\u4f53\u80b2\u6d3b\u52a8\u4e0e\u5fc3\u8840\u7ba1\u75be\u75c5"},"content":{"rendered":"\n

Original Investigation <\/p>\n\n\n\n

July 18, 2023<\/p>\n\n\n\n

Accelerometer-Derived \u201cWeekend Warrior\u201d Physical Activity and Incident Cardiovascular Disease<\/h1>\n\n\n\n

Shaan\u00a0Khurshid,\u00a0Mostafa A.\u00a0Al-Alusi,\u00a0Timothy W.\u00a0Churchill,\u00a0et al<\/h3>\n\n\n\n

JAMA.\u00a0<\/em>2023;330(3):247-252. doi:10.1001\/jama.2023.10875<\/h3>\n\n\n\n

Key Points<\/p>\n\n\n\n

Question<\/strong>  Does engagement in moderate to vigorous physical activity, with most activity concentrated within 1 to 2 days of the week (ie, a \u201cweekend warrior\u201d pattern), confer similar cardiovascular benefits to more evenly distributed physical activity?<\/p>\n\n\n\n

Findings<\/strong>  In an analysis of 89\u202f573 individuals providing a week of accelerometer-based physical activity data, a weekend warrior pattern of physical activity was associated with similarly lower risks of incident atrial fibrillation, myocardial infarction, heart failure, and stroke compared with more evenly distributed physical activity.<\/p>\n\n\n\n

Meaning<\/strong>  Increased activity, even when concentrated within 1 to 2 days each week, may be effective for improving cardiovascular risk profiles.<\/a><\/p>\n\n\n\n

Abstract<\/p>\n\n\n\n

Importance<\/strong>  Guidelines recommend 150 minutes or more of moderate to vigorous physical activity (MVPA) per week for overall health benefit, but the relative effects of concentrated vs more evenly distributed activity are unclear.<\/p>\n\n\n\n

Objective<\/strong>  To examine associations between an accelerometer-derived \u201cweekend warrior\u201d pattern (ie, most MVPA achieved over 1-2 days) vs MVPA spread more evenly with risk of incident cardiovascular events.<\/p>\n\n\n\n

Design, Setting, and Participants<\/strong>  Retrospective analysis of UK Biobank cohort study participants providing a full week of accelerometer-based physical activity data between June 8, 2013, and December 30, 2015.<\/p>\n\n\n\n

Exposures<\/strong>  Three MVPA patterns were compared: active weekend warrior (active WW, \u2265150 minutes with \u226550% of total MVPA achieved in 1-2 days), active regular (\u2265150 minutes and not meeting active WW status), and inactive (<150 minutes). The same patterns were assessed using the sample median threshold of 230.4 minutes or more of MVPA per week.<\/p>\n\n\n\n

Main Outcomes and Measures<\/strong>  Associations between activity pattern and incident atrial fibrillation, myocardial infarction, heart failure, and stroke were assessed using Cox proportional hazards regression, adjusted for age, sex, racial and ethnic background, tobacco use, alcohol intake, Townsend Deprivation Index, employment status, self-reported health, and diet quality.<\/p>\n\n\n\n

Results<\/strong>\u00a0\u00a0A total of 89\u202f573 individuals (mean [SD] age, 62 [7.8] years; 56% women) who underwent accelerometry were included. When stratified at the threshold of 150 minutes or more of MVPA per week, a total of 37\u202f872 were in the active WW group (42.2%), 21\u202f473 were in the active regular group (24.0%), and 30\u202f228 were in the inactive group (33.7%). In multivariable-adjusted models, both activity patterns were associated with similarly lower risks of incident atrial fibrillation (active WW: hazard ratio [HR], 0.78 [95% CI, 0.74-0.83]; active regular: 0.81 [95% CI, 0.74-0.88; inactive: HR, 1.00 [95% CI, 0.94-1.07]), myocardial infarction (active WW: 0.73 [95% CI, 0.67-0.80]; active regular: 0.65 [95% CI, 0.57-0.74]; and inactive: 1.00 [95% CI, 0.91-1.10]), heart failure (active WW: 0.62 [95% CI, 0.56-0.68]; active regular: 0.64 [95% CI, 0.56-0.73]; and inactive: 1.00 [95% CI, 0.92-1.09]), and stroke (active WW: 0.79 [95% CI, 0.71-0.88]; active regular: 0.83 [95% CI, 0.72-0.97]; and inactive: 1.00 [95% CI, 0.90-1.11]). Findings were consistent at the median threshold of 230.4 minutes or more of MVPA per week, although associations with stroke were no longer significant (active WW: 0.89 [95% CI, 0.79-1.02]; active regular: 0.87 [95% CI, 0.74-1.02]; and inactive: 1.00 [95% CI, 0.90-1.11]).<\/p>\n\n\n\n

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Conclusions and Relevance<\/strong>  Physical activity concentrated within 1 to 2 days was associated with similarly lower risk of cardiovascular outcomes to more evenly distributed activity.<\/p>\n","protected":false},"excerpt":{"rendered":"

Original Investigation  July 18, 2023 Ac […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[32,23],"tags":[],"_links":{"self":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/24444"}],"collection":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=24444"}],"version-history":[{"count":1,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/24444\/revisions"}],"predecessor-version":[{"id":24445,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=\/wp\/v2\/posts\/24444\/revisions\/24445"}],"wp:attachment":[{"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=24444"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=24444"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csccm.org.cn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=24444"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}