Dual Cohort Insights Into Accelerometer‐Derived Weekend Warrior Physical Activity and Its Impact on Mortality

Background Although guidelines on physical activity recommend at least 150 minutes of moderate‐to‐vigorous exercise weekly for optimal health outcomes, the distinction between concentrated and evenly distributed activity patterns remains unclear. We explored the relationships between accelerometer‐m...

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Main Authors: Rui Ren, Wenxu Wang, Qitong Liu, Xingyue Ye, Linze Xi, Ru Zhang, Liying Wang, Yao Zhang, Yanan Ma, Difei Wang
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
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Online Access:https://www.ahajournals.org/doi/10.1161/JAHA.124.039852
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author Rui Ren
Wenxu Wang
Qitong Liu
Xingyue Ye
Linze Xi
Ru Zhang
Liying Wang
Yao Zhang
Yanan Ma
Difei Wang
author_facet Rui Ren
Wenxu Wang
Qitong Liu
Xingyue Ye
Linze Xi
Ru Zhang
Liying Wang
Yao Zhang
Yanan Ma
Difei Wang
author_sort Rui Ren
collection DOAJ
description Background Although guidelines on physical activity recommend at least 150 minutes of moderate‐to‐vigorous exercise weekly for optimal health outcomes, the distinction between concentrated and evenly distributed activity patterns remains unclear. We explored the relationships between accelerometer‐measured weekend warrior and evenly spread moderate‐to‐vigorous physical activity (MVPA) and the risks of all‐cause, cardiovascular disease, and cancer mortality. Methods Accelerometer‐based physical activity data from the UK Biobank (Cohort 1 [June 8, 2013–December 30, 2015]: 89 488 individuals) and the US National Health and Nutrition Examination Survey (Cohort 2 [2003–2006]: 6198 individuals) were included in this study. Accelerometer‐derived MVPA was categorized as inactive, weekend warrior, or regularly active. Activity patterns were further evaluated using population‐specific MVPA thresholds at the 25th, 50th, and 75th percentiles. All‐cause, cardiovascular disease, and cancer mortalities were ascertained from death certificates. Results Over median follow‐up periods of 6.9 and 6.0 years, we recorded 3759 and 1404 deaths in Cohorts 1 and 2, respectively. Compared with inactivity, both activity patterns, at ≥150 minutes of MVPA per week, were correlated with similarly lower risks of all‐cause, cardiovascular disease, and cancer mortality at any threshold in both cohorts. These findings were consistent at the 25th percentile threshold and higher for MVPA per week. Conclusions Physical activity concentrated within 1 to 2 days is associated with reduced risks of all‐cause, cardiovascular, and cancer mortality, with benefits comparable with those of activity spread more evenly throughout the week.
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spelling doaj-art-eb8e062d3ca84608b9be1a183f5d1df42025-07-02T11:44:27ZengWileyJournal of the American Heart Association: Cardiovascular and Cerebrovascular Disease2047-99802025-06-01141110.1161/JAHA.124.039852Dual Cohort Insights Into Accelerometer‐Derived Weekend Warrior Physical Activity and Its Impact on MortalityRui Ren0Wenxu Wang1Qitong Liu2Xingyue Ye3Linze Xi4Ru Zhang5Liying Wang6Yao Zhang7Yanan Ma8Difei Wang9Department of Gerontology and Geriatrics Shengjing Hospital of China Medical University Liaoning ChinaKey Laboratory of Environmental Stress and Chronic Disease Control & Prevention, Ministry of Education, China Medical University, Department of Biostatistics and Epidemiology, School of Public Health China Medical University Liaoning ChinaKey Laboratory of Environmental Stress and Chronic Disease Control & Prevention, Ministry of Education, China Medical University, Department of Biostatistics and Epidemiology, School of Public Health China Medical University Liaoning ChinaKey Laboratory of Environmental Stress and Chronic Disease Control & Prevention, Ministry of Education, China Medical University, Department of Biostatistics and Epidemiology, School of Public Health China Medical University Liaoning ChinaKey Laboratory of Environmental Stress and Chronic Disease Control & Prevention, Ministry of Education, China Medical University, Department of Biostatistics and Epidemiology, School of Public Health China Medical University Liaoning ChinaKey Laboratory of Environmental Stress and Chronic Disease Control & Prevention, Ministry of Education, China Medical University, Department of Biostatistics and Epidemiology, School of Public Health China Medical University Liaoning ChinaKey Laboratory of Environmental Stress and Chronic Disease Control & Prevention, Ministry of Education, China Medical University, Department of Biostatistics and Epidemiology, School of Public Health China Medical University Liaoning ChinaKey Laboratory of Environmental Stress and Chronic Disease Control & Prevention, Ministry of Education, China Medical University, Department of Biostatistics and Epidemiology, School of Public Health China Medical University Liaoning ChinaKey Laboratory of Environmental Stress and Chronic Disease Control & Prevention, Ministry of Education, China Medical University, Department of Biostatistics and Epidemiology, School of Public Health China Medical University Liaoning ChinaDepartment of Gerontology and Geriatrics Shengjing Hospital of China Medical University Liaoning ChinaBackground Although guidelines on physical activity recommend at least 150 minutes of moderate‐to‐vigorous exercise weekly for optimal health outcomes, the distinction between concentrated and evenly distributed activity patterns remains unclear. We explored the relationships between accelerometer‐measured weekend warrior and evenly spread moderate‐to‐vigorous physical activity (MVPA) and the risks of all‐cause, cardiovascular disease, and cancer mortality. Methods Accelerometer‐based physical activity data from the UK Biobank (Cohort 1 [June 8, 2013–December 30, 2015]: 89 488 individuals) and the US National Health and Nutrition Examination Survey (Cohort 2 [2003–2006]: 6198 individuals) were included in this study. Accelerometer‐derived MVPA was categorized as inactive, weekend warrior, or regularly active. Activity patterns were further evaluated using population‐specific MVPA thresholds at the 25th, 50th, and 75th percentiles. All‐cause, cardiovascular disease, and cancer mortalities were ascertained from death certificates. Results Over median follow‐up periods of 6.9 and 6.0 years, we recorded 3759 and 1404 deaths in Cohorts 1 and 2, respectively. Compared with inactivity, both activity patterns, at ≥150 minutes of MVPA per week, were correlated with similarly lower risks of all‐cause, cardiovascular disease, and cancer mortality at any threshold in both cohorts. These findings were consistent at the 25th percentile threshold and higher for MVPA per week. Conclusions Physical activity concentrated within 1 to 2 days is associated with reduced risks of all‐cause, cardiovascular, and cancer mortality, with benefits comparable with those of activity spread more evenly throughout the week.https://www.ahajournals.org/doi/10.1161/JAHA.124.039852physical activityall‐cause mortalitycancer mortalitycardiovascular disease mortalitymoderate‐to‐vigorous physical activityweekend warrior physical activity
spellingShingle Rui Ren
Wenxu Wang
Qitong Liu
Xingyue Ye
Linze Xi
Ru Zhang
Liying Wang
Yao Zhang
Yanan Ma
Difei Wang
Dual Cohort Insights Into Accelerometer‐Derived Weekend Warrior Physical Activity and Its Impact on Mortality
Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease
physical activity
all‐cause mortality
cancer mortality
cardiovascular disease mortality
moderate‐to‐vigorous physical activity
weekend warrior physical activity
title Dual Cohort Insights Into Accelerometer‐Derived Weekend Warrior Physical Activity and Its Impact on Mortality
title_full Dual Cohort Insights Into Accelerometer‐Derived Weekend Warrior Physical Activity and Its Impact on Mortality
title_fullStr Dual Cohort Insights Into Accelerometer‐Derived Weekend Warrior Physical Activity and Its Impact on Mortality
title_full_unstemmed Dual Cohort Insights Into Accelerometer‐Derived Weekend Warrior Physical Activity and Its Impact on Mortality
title_short Dual Cohort Insights Into Accelerometer‐Derived Weekend Warrior Physical Activity and Its Impact on Mortality
title_sort dual cohort insights into accelerometer derived weekend warrior physical activity and its impact on mortality
topic physical activity
all‐cause mortality
cancer mortality
cardiovascular disease mortality
moderate‐to‐vigorous physical activity
weekend warrior physical activity
url https://www.ahajournals.org/doi/10.1161/JAHA.124.039852
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