Document Detail


Does vigorous physical activity provide additional benefits beyond those of moderate?
MedLine Citation:
PMID:  23542895     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Although guidelines suggest that vigorous physical activity (PA) confers "extra" benefits compared with those from moderate-intensity activity alone, the magnitude of this additional benefit is unclear. The aim was to compare the reduction in risk of hypertension (HT) and depressive symptoms (DS) for 12 yr in middle-age women who reported (a) only moderate-intensity PA (MOPA) and (b) a combination of moderate and vigorous PA (MVPA), after controlling for overall volume of activity.
METHODS: The study involved 11,285 participants in the Australian Longitudinal Study on Women's Health, who completed surveys in 1998 (age = 46-52 yr), 2001, 2004, 2007, and 2010. Generalized estimating equation models (with 3-yr time lag) were used to examine the relationship between PA in seven categories from 0 to >2000 MET·min·wk-1 and occurrence of HT and DS for women who reported MOPA or MVPA.
RESULTS: For HT, risk was slightly lower for MVPA than for MOPA across the entire range of PA levels, but this difference was only significant at the highest PA level (>2000; odds ratio [OR] = 0.80 MOPA and 0.56 MVPA). For DS, OR values were similar in both groups up to 500 MET·min·wk-1, then slightly lower for MVPA than for MOPA at higher PA levels. Again, this difference was only significant at the highest PA level (>2000; OR = 0.57 MOPA and 0.42 MVPA). OR values were slightly attenuated in adjusted models.
CONCLUSIONS: Doing both vigorous and moderate activity does not have significant additional benefits in terms of HT and DS, above those from moderate-intensity activity alone, except at very high levels of PA.
Authors:
Toby G Pavey; Geeske Peeters; Adrian E Bauman; Wendy J Brown
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Publication Detail:
Type:  Comparative Study; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  45     ISSN:  1530-0315     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2013 Oct 
Date Detail:
Created Date:  2013-09-18     Completed Date:  2014-05-21     Revised Date:  2014-05-22    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1948-55     Citation Subset:  IM; S    
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MeSH Terms
Descriptor/Qualifier:
Adult
Australia / epidemiology
Depression / epidemiology*
Female
Humans
Hypertension / epidemiology*
Longitudinal Studies
Metabolic Equivalent
Middle Aged
Motor Activity / physiology*
Recreation / physiology*,  psychology*
Comments/Corrections
Comment In:
Med Sci Sports Exerc. 2014 May;46(5):1054   [PMID:  24739271 ]
Med Sci Sports Exerc. 2014 May;46(5):1053   [PMID:  24739270 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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