Various Leisure‐Time Physical Activities Associated With Widely Divergent Life Expectancies: The Copenhagen City Heart Study

Objective: To evaluate the differential improvements in life expectancy associated with participation in various sports. Patients and Methods: The Copenhagen City Heart Study (CCHS) is a prospective population study that included detailed questionnaires regarding participation in different types of sports and leisure‐time physical activity. The 8577 participants were followed for up to 25 years for all‐cause mortality from their examination between October 10, 1991, and September 16, 1994, until March 22, 2017. Relative risks were calculated using Cox proportional hazards models with full adjustment for confounding variables. Results: Multivariable‐adjusted life expectancy gains compared with the sedentary group for different sports were as follows: tennis, 9.7 years; badminton, 6.2 years; soccer, 4.7 years; cycling, 3.7 years; swimming, 3.4 years; jogging, 3.2 years; calisthenics, 3.1 years; and health club activities, 1.5 years. Conclusion: Various sports are associated with markedly different improvements in life expectancy. Because this is an observational study, it remains uncertain whether this relationship is causal. Interestingly, the leisure‐time sports that inherently involve more social interaction were associated with the best longevity—a finding that warrants further investigation.

[1]  Z. Ying,et al.  Checking the Cox model with cumulative sums of martingale-based residuals , 1993 .

[2]  I-Min Lee,et al.  Epidemiology of Physical Activity and Exercise Training in the United States. , 2017, Progress in cardiovascular diseases.

[3]  Juha Pekkanen,et al.  REDUCTION OF PREMATURE MORTALITY BY HIGH PHYSICAL ACTIVITY: A 20-YEAR FOLLOW-UP OF MIDDLE-AGED FINNISH MEN , 1987, The Lancet.

[4]  R S Paffenbarger,et al.  Changes in physical fitness and all-cause mortality. A prospective study of healthy and unhealthy men. , 1995, JAMA.

[5]  P. Krustrup,et al.  Effects of a 12‐week intervention period with football and running for habitually active men with mild hypertension , 2010, Scandinavian journal of medicine & science in sports.

[6]  P. Schnohr.  The Copenhagen City Heart Study : Østerbroundersøgelsen : tables with data from the third examination 1991-1994 , 2001 .

[7]  Hui Ting Chan,et al.  Minimum amount of physical activity for reduced mortality and extended life expectancy: a prospective cohort study , 2011, The Lancet.

[8]  P. Schnohr,et al.  Stress and life dissatisfaction are inversely associated with jogging and other types of physical activity in leisure time—The Copenhagen City Heart Study , 2005, Scandinavian journal of medicine & science in sports.

[9]  Harshal R. Patil,et al.  Potential adverse cardiovascular effects from excessive endurance exercise. , 2012, Mayo Clinic proceedings.

[10]  P. Angerer,et al.  Physical activity and risk of cardiovascular disease: what does the new epidemiological evidence show? , 2013, Current opinion in cardiology.

[11]  C. Lavie,et al.  Personalized exercise dose prescription , 2018, European heart journal.

[12]  A S Leon,et al.  Leisure-time physical activity levels and risk of coronary heart disease and death. The Multiple Risk Factor Intervention Trial. , 1987, JAMA.

[13]  S. Laditka,et al.  Associations of Educational Attainment With Disability and Life Expectancy by Race and Gender in the United States , 2016, Journal of aging and health.

[14]  A. Hartz,et al.  A comparison of observational studies and randomized, controlled trials , 2000, American journal of ophthalmology.

[15]  P. Schnohr,et al.  Intensity versus duration of walking, impact on mortality: the Copenhagen City Heart Study , 2007, European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology.

[16]  S. Blair,et al.  Running and Mortality: Is More Actually Worse? , 2016, Mayo Clinic proceedings.

[17]  Ross Arena,et al.  Effects of Running on Chronic Diseases and Cardiovascular and All-Cause Mortality. , 2015, Mayo Clinic proceedings.

[18]  Christophe Tzourio,et al.  Slow walking speed and cardiovascular death in well functioning older adults: prospective cohort study , 2009, BMJ : British Medical Journal.

[19]  R. Paffenbarger,et al.  Physical activity, all-cause mortality, and longevity of college alumni. , 1986, The New England journal of medicine.

[20]  Yikyung Park,et al.  Physical activity recommendations and decreased risk of mortality. , 2007, Archives of internal medicine.

[21]  S. Blair,et al.  Leisure-time running reduces all-cause and cardiovascular mortality risk. , 2014, Journal of the American College of Cardiology.

[22]  D. Bok.  The Politics of Happiness: What Government Can Learn from the New Research on Well-Being , 2010 .

[23]  J. O’Keefe,et al.  Impact of persistence and non-persistence in leisure time physical activity on coronary heart disease and all-cause mortality: The Copenhagen City Heart Study , 2017, European journal of preventive cardiology.

[24]  Jonas Larsen,et al.  The making of a pro-cycling city: Social practices and bicycle mobilities , 2017 .

[25]  P. Schnohr,et al.  Intensity versus duration of cycling, impact on all-cause and coronary heart disease mortality: the Copenhagen City Heart Study , 2012, European journal of preventive cardiology.

[26]  I-Min Lee,et al.  Leisure time physical activity and mortality: a detailed pooled analysis of the dose-response relationship. , 2015, JAMA internal medicine.

[27]  P A Raffle,et al.  Coronary heart-disease and physical activity of work. , 1953, Lancet.

[28]  Valerie Beral,et al.  Frequent Physical Activity May Not Reduce Vascular Disease Risk as Much as Moderate Activity: Large Prospective Study of Women in the United Kingdom , 2015, Circulation.

[29]  CORONARY HEART DISEASE AND PHYSICAL ACTIVITY OF WORK , 1954 .

[30]  A. Bauman,et al.  The associations between participation in certain sports and lower mortality are not explained by affluence and other socioeconomic factors , 2017, British Journal of Sports Medicine.

[31]  M. Hamer,et al.  Walking and primary prevention: a meta-analysis of prospective cohort studies , 2007, British Journal of Sports Medicine.

[32]  N. Mutrie,et al.  The relationships between golf and health: a scoping review , 2016, British Journal of Sports Medicine.

[33]  Jolanda Jetten,et al.  The social cure : identity, health and well-being , 2012 .

[34]  S Goya Wannamethee,et al.  Changes in physical activity, mortality, and incidence of coronary heart disease in older men , 1998, The Lancet.

[35]  C. Caspersen,et al.  Physical activity and the incidence of coronary heart disease. , 1987, Annual review of public health.

[36]  A. Ahlbom,et al.  Golf: a game of life and death – reduced mortality in Swedish golf players , 2009, Scandinavian journal of medicine & science in sports.

[37]  R W Makuch,et al.  Adjusted survival curve estimation using covariates. , 1982, Journal of chronic diseases.

[38]  J. O’Keefe,et al.  Dose of jogging and long-term mortality: the Copenhagen City Heart Study. , 2015, Journal of the American College of Cardiology.

[39]  T. Karlsen,et al.  High Intensity Interval Training for Maximizing Health Outcomes. , 2017, Progress in cardiovascular diseases.

[40]  J. Morris,et al.  Exercise in leisure time: coronary attack and death rates. , 1990, British heart journal.

[41]  U. Scholz,et al.  Received social support and exercising: An intervention study to test the enabling hypothesis. , 2015, British journal of health psychology.

[42]  J. Helliwell,et al.  Comparing the Happiness Effects of Real and On-Line Friends , 2013, PloS one.

[43]  P. Schnohr,et al.  Longevity in male and female joggers: the Copenhagen City Heart Study. , 2013, American journal of epidemiology.

[44]  P. Schnohr,et al.  Mortality in joggers: population based study of 4658 men , 2000, BMJ : British Medical Journal.

[45]  N. Nagelkerke,et al.  Baseline and previous physical activity in relation to mortality in elderly men: the Zutphen Elderly Study. , 1999, American journal of epidemiology.

[46]  A. Bauman,et al.  Associations of specific types of sports and exercise with all-cause and cardiovascular-disease mortality: a cohort study of 80 306 British adults , 2016, British Journal of Sports Medicine.

[47]  P. Schnohr.  Physical activity in leisure time: impact on mortality. Risks and benefits. , 2009, Danish medical bulletin.

[48]  W. Kannel.  Habitual level of physical activity and risk of coronary heart disease: the Framingham study. , 1967, Canadian Medical Association journal.

[49]  H. Blackburn,et al.  Cardiovascular survey methods. , 1969, Monograph series. World Health Organization.

[50]  Ross Arena,et al.  Exercise and the cardiovascular system: clinical science and cardiovascular outcomes. , 2015, Circulation research.

[51]  J. Blumenthal,et al.  Impact of Cardiac Rehabilitation and Exercise Training on Psychological Risk Factors and Subsequent Prognosis in Patients With Cardiovascular Disease. , 2016, The Canadian journal of cardiology.

[52]  A G BECKETT,et al.  Thrombocytopenic purpura associated with oxytetracycline therapy. , 1955, Lancet.

[53]  P. Thompson,et al.  Running as a Key Lifestyle Medicine for Longevity. , 2017, Progress in cardiovascular diseases.