How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies

摘要

To assess the relationship between time spent in light physical activity and cardiometabolic health and mortality in adults.Systematic review and meta-analysis.Searches in Medline, Embase, PsycInfo, CINAHL and three rounds of hand searches.Experimental (including acute mechanistic studies and physical activity intervention programme) and observational studies (excluding case and case–control studies) conducted in adults (aged ≥18?years) published in English before February 2018 and reporting on the relationship between light physical activity ( 150?min/week for at least 12 weeks. Six out of eight prospective observational studies that were entered in the meta-analysis reported that more time spent in daily light activity reduced risk of all-cause mortality (pooled HR 0.71;?95% CI 0.62 to 0.83).Light-intensity physical activity could play a role in improving adult cardiometabolic health and reducing mortality risk. Frequent short bouts of light activity improve glycaemic control. Nevertheless, the modest volume of the prospective epidemiological evidence base and the moderate consistency between observational and laboratory evidence inhibits definitive conclusions.