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Published on: September 30, 2020

Physical activity and mortality in older men with diagnosed coronary heart disease

S G Wannamethee1, A G Shaper, M Walker

  • 1Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London, UK. goya@rfhsm.ac.uk

Circulation
|September 20, 2000
PubMed

Insights

Engaging in light to moderate physical activity significantly lowers all-cause mortality risk for men with coronary heart disease (CHD). Regular walking and gardening offer substantial benefits for cardiovascular health.

Area of Science:

  • Cardiology
  • Public Health
  • Exercise Science

Background:

  • Established coronary heart disease (CHD) poses significant mortality risks.
  • Understanding the impact of physical activity on mortality in CHD patients is crucial for public health.
  • Previous research has explored physical activity and mortality, but specific benefits in established CHD require further investigation.

Purpose of the Study:

  • To investigate the relationship between physical activity levels, types of activity, and changes in activity with all-cause mortality in men with established coronary heart disease (CHD).
  • To identify specific physical activities associated with reduced mortality risk in this population.

Main Methods:

  • A cohort of 7735 men aged 40-59 were initially screened, with 5934 providing follow-up physical activity data 12-14 years later.
  • The study included 772 men with established CHD, followed for 5 years, during which 131 deaths occurred.
  • Statistical analyses, including relative risk calculations, were used to assess the association between physical activity and mortality.

Main Results:

  • Men with established CHD engaging in light or moderate physical activity showed significantly lower all-cause mortality risk compared to inactive individuals.
  • Specific activities like recreational activity (>4 hours/weekend), moderate/heavy gardening, and regular walking (>40 min/day) were linked to reduced mortality.
  • Non-sporting activities appeared more beneficial than sporting activities for this cohort.

Conclusions:

  • Light to moderate physical activity is associated with a significantly lower risk of all-cause mortality in men with established coronary heart disease (CHD).
  • Regular walking and engaging in moderate or heavy gardening are sufficient to confer these mortality benefits.
  • Initiating physical activity, even light activity, in previously sedentary men with CHD was associated with lower mortality.
Abstract

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