Does Strength-Promoting Exercise Confer Unique Health Benefits? A Pooled Analysis of Data on 11 Population Cohorts With All-Cause, Cancer, and Cardiovascular Mortality Endpoints

Article


Stamatakis, Emmanuel, Lee, I.-Min, Bennie, Jason, Freeston, Jonathan, Hamer, Mark, O’Donovan, Gary, Ding, Ding, Bauman, Adrian and Mavros, Yorgi. 2018. "Does Strength-Promoting Exercise Confer Unique Health Benefits? A Pooled Analysis of Data on 11 Population Cohorts With All-Cause, Cancer, and Cardiovascular Mortality Endpoints." American Journal of Epidemiology. 187 (5), pp. 1102-1112. https://doi.org/10.1093/aje/kwx345
Article Title

Does Strength-Promoting Exercise Confer Unique Health Benefits? A Pooled Analysis of Data on 11 Population Cohorts With All-Cause, Cancer, and Cardiovascular Mortality Endpoints

ERA Journal ID13392
Article CategoryArticle
AuthorsStamatakis, Emmanuel (Author), Lee, I.-Min (Author), Bennie, Jason (Author), Freeston, Jonathan (Author), Hamer, Mark (Author), O’Donovan, Gary (Author), Ding, Ding (Author), Bauman, Adrian (Author) and Mavros, Yorgi (Author)
Journal TitleAmerican Journal of Epidemiology
Journal Citation187 (5), pp. 1102-1112
Number of Pages11
Year2018
Place of PublicationUnited States
ISSN0002-9262
1476-6256
Digital Object Identifier (DOI)https://doi.org/10.1093/aje/kwx345
Web Address (URL)https://academic.oup.com/aje/article/187/5/1102/4582884
Abstract

Public health guidance includes recommendations to engage in strength-promoting exercise (SPE), but there is little evidence on its links with mortality. Using data from the Health Survey for England and the Scottish Health Survey from 1994–2008, we examined the associations between SPE (gym-based and own-body-weight strength activities) and all-cause, cancer, and cardiovascular disease mortality. Multivariable-adjusted Cox regression was used to examine the associations between SPE (any, low-/high-volume, and adherence to the SPE guideline (≥2 sessions/week)) and mortality. The core sample comprised 80,306 adults aged ≥30 years, corresponding to 5,763 any-cause deaths (736,463 person-years). Following exclusions for prevalent disease/events occurring in the first 24 months, participation in any SPE was favorably associated with all-cause (hazard ratio (HR) = 0.77, 95% confidence interval (CI): 0.69, 0.87) and cancer (HR = 0.69, 95% CI: 0.56, 0.86) mortality. Adhering only to the SPE guideline was associated with all-cause (HR = 0.79, 95% CI: 0.66, 0.94) and cancer (HR = 0.66, 95% CI: 0.48, 0.92) mortality; adhering only to the aerobic activity guideline (equivalent to 150 minutes/week of moderate-intensity activity) was associated with all-cause (HR = 0.84, 95% CI: 0.78, 0.90) and cardiovascular disease (HR = 0.78, 95% CI: 0.68, 0.90) mortality. Adherence to both guidelines was associated with all-cause (HR = 0.71, 95% CI: 0.57, 0.87) and cancer (HR = 0.70, 95% CI: 0.50, 0.98) mortality. Our results support promoting adherence to the strength exercise guidelines over and above the generic physical activity targets.

Keywordscancer; cardiometabolic disease; cardiovascular disease; mortality; physical activity; resistance training; strength-promoting exercise; strength training
ANZSRC Field of Research 2020420603. Health promotion
420799. Sports science and exercise not elsewhere classified
420201. Behavioural epidemiology
Byline AffiliationsUniversity of Sydney
Harvard University, United States
Victoria University
Loughborough University, United Kingdom
Institution of OriginUniversity of Southern Queensland
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Biddle, Stuart J. H., Bennie, Jason A., De Cocker, Katrien, Dunstan, David, Gardiner, Paul A., Healy, Genevieve, Lynch, Brigid, Owen, Neville, Brakenridge, Charlotte, Brown, Wendy, Buman, Matthew, Clark, Bronwyn, Dohrn, Ing-Mari, Duncan, Mitch, Gilson, Nicholas, Kolbe-Alexander, Tracy, Pavey, Toby, Reid, Natasha, Vandelanotte, Corneel, ..., Vincent, Grace E.. 2019. "Controversies in the Science of Sedentary Behaviour and Health: Insights, Perspectives and Future Directions from the 2018 Queensland Sedentary Behaviour Think Tank." International Journal of Environmental Research and Public Health. 16 (23), pp. 1-20. https://doi.org/10.3390/ijerph16234762
Equity of a government subsidised exercise referral scheme: a population study
Craike, Melinda, Wiesner, Glen, Enticott, Joanne, Bennie, Jason A. and Biddle, Stuart J. H.. 2018. "Equity of a government subsidised exercise referral scheme: a population study." Social Science and Medicine. 216, pp. 20-25. https://doi.org/10.1016/j.socscimed.2018.09.023
Weekend warrior physical activity pattern and common mental disorder: a population wide study of 108,011 British adults
Hamer, Mark, Biddle, Stuart J. H. and Stamatakis, Emmanuel. 2017. "Weekend warrior physical activity pattern and common mental disorder: a population wide study of 108,011 British adults." International Journal of Behavioral Nutrition and Physical Activity. 14, pp. 1-6. https://doi.org/10.1186/s12966-017-0549-0
How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies
Chastin, Sebastien F. M., De Craemer, Marieke, De Cocker, Katrien, Powell, Lauren, Van Cauwenberg, Jelle, Dall, Philippa, Hamer, Mark and Stamatakis, Emmanuel. 2019. "How does light-intensity physical activity associate with adult cardiometabolic health and mortality? Systematic review with meta-analysis of experimental and observational studies." British Journal of Sports Medicine. 53 (6), pp. 370-376. https://doi.org/10.1136/bjsports-2017-097563
The epidemiology of aerobic physical activity and muscle-strengthening activity guideline adherence among 383,928 U.S. adults
Bennie, Jason A., De Cocker, Katien, Teychenne, Megan J., Brown, Wendy J. and Biddle, Stuart J. H.. 2019. "The epidemiology of aerobic physical activity and muscle-strengthening activity guideline adherence among 383,928 U.S. adults." International Journal of Behavioral Nutrition and Physical Activity. 16, pp. 1-11. https://doi.org/10.1186/s12966-019-0797-2
'In Initiative Overload': Australian Perspectives on Promoting Physical Activity in the Workplace from Diverse Industries
Chau, Josephine Y., Engelen, Lina, Kolbe-Alexander, Tracy, Young, Sarah, Olsen, Heidi, Gilson, Nicholas, Burton, Nicola W., Bauman, Adrian E. and Brown, Wendy J.. 2019. "'In Initiative Overload': Australian Perspectives on Promoting Physical Activity in the Workplace from Diverse Industries." International Journal of Environmental Research and Public Health. 16 (3), pp. 1-11. https://doi.org/10.3390/ijerph16030516
Associations between aerobic and muscle-strengthening exercise with depressive symptom severity among 17,839 U.S. adults
Bennie, Jason A., Teychenne, Megan J., De Cocker, Katrien and Biddle, Stuart J. H.. 2019. "Associations between aerobic and muscle-strengthening exercise with depressive symptom severity among 17,839 U.S. adults." Preventive Medicine. 121, pp. 121-127. https://doi.org/10.1016/j.ypmed.2019.02.022
A descriptive epidemiology of screen-based devices by children and adolescents: a scoping review of 130 surveillance studies since 2000
Thomas, George, Bennie, Jason A., De Cocker, Katrien, Castro, Oscar and Biddle, Stuart J. H.. 2020. "A descriptive epidemiology of screen-based devices by children and adolescents: a scoping review of 130 surveillance studies since 2000." Child Indicators Research. 13 (3), pp. 935-950. https://doi.org/10.1007/s12187-019-09663-1
A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies
Klepac-Pogrmilovic, Bojana, O'Sullivan, Grant, Milton, Karen, Biddle, Stuart J. H., Bauman, Adrian, Bull, Fiona, Kahlmeier, Sonja, Pratt, Michael and Pedisic, Zeljko. 2018. "A global systematic scoping review of studies analysing indicators, development, and content of national-level physical activity and sedentary behaviour policies." International Journal of Behavioral Nutrition and Physical Activity. 15 (1), pp. 1-17. https://doi.org/10.1186/s12966-018-0742-9
Correlates of sedentary behaviour in university students: a systematic review
Castro, Oscar, Bennie, Jason, Vergeer, Ineke, Bosselut, Gregoire and Biddle, Stuart J. H.. 2018. "Correlates of sedentary behaviour in university students: a systematic review." Preventive Medicine. 116, pp. 194-202. https://doi.org/10.1016/j.ypmed.2018.09.016
Feasibility for the use of a standardized fitness testing protocol among Australian fitness industry professionals
Bennie, Jason A., Wiesner, Glen H., Vergeer, Ineke, Kolbe-Alexander, Tracy, De Cocker, Katrien, Alexander, Chris and Biddle, Stuart J. H.. 2018. "Feasibility for the use of a standardized fitness testing protocol among Australian fitness industry professionals." Research Quarterly for Exercise and Sport. 89 (3), pp. 380-385. https://doi.org/10.1080/02701367.2018.1486965
Australian fitness professionals' level of interest in engaging with high health-risk population subgroups: findings from a national survey
Bennie, J. A., Thomas, G., Wiesner, G. H., van Uffelen, J. G. Z., Khan, A., Kolbe-Alexander, T., Vergeer, I. and Biddle, S. J. H.. 2018. "Australian fitness professionals' level of interest in engaging with high health-risk population subgroups: findings from a national survey." Public Health. 160, pp. 108-115. https://doi.org/10.1016/j.puhe.2018.03.035
From evidence-based research to practice-based evidence: disseminating a web-based computer-tailored workplace sitting intervention through a Health Promotion Organisation
De Cocker, Katrien, Cardon, Greet, Bennie, Jason A., Kolbe-Alexander, Tracy, De Meester, Femke and Vandelanotte, Corneel. 2018. "From evidence-based research to practice-based evidence: disseminating a web-based computer-tailored workplace sitting intervention through a Health Promotion Organisation." International Journal of Environmental Research and Public Health. 15 (5). https://doi.org/10.3390/ijerph15051049
Participant characteristics of users of holistic movement practices in Australia
Vergeer, Ineke, Bennie, Jason A., Charity, Melanie J., van Uffelen, Jannique G. Z., Harvey, Jack T., Biddle, Stuart J. H. and Eime, Rochelle M.. 2018. "Participant characteristics of users of holistic movement practices in Australia." Complementary Therapies in Clinical Practice. 31, pp. 181-187. https://doi.org/10.1016/j.ctcp.2018.02.011
Screen time, other sedentary behaviours, and obesity risk in adults: a review of reviews
Biddle, Stuart J. H., Bengoechea Garcia, Enrique, Pedisic, Zeljko, Bennie, Jason, Vergeer, Ineke and Wiesner, Glen. 2017. "Screen time, other sedentary behaviours, and obesity risk in adults: a review of reviews." Current Obesity Reports. 6 (2), pp. 134-147. https://doi.org/10.1007/s13679-017-0256-9
Associations between multiple indicators of socio-economic status and muscle-strengthening activity participation in a nationally representative population sample of Australian adults
Freeston, Jonathan, Gale, Joanne, Mavros, Yorgi, Bennie, Jason A., Pedisic, Zeljko, Bauman, Adrian E. and Stamatakis, Emmanuel. 2017. "Associations between multiple indicators of socio-economic status and muscle-strengthening activity participation in a nationally representative population sample of Australian adults." Preventive Medicine. 102, pp. 44-48. https://doi.org/10.1016/j.ypmed.2017.06.020
Participation trends in holistic movement practices: a 10-year comparison of yoga/pilates and t’ai chi/qigong use among a national sample of 195,926 Australians
Vergeer, Ineke, Bennie, Jason A., Charity, Melanie J., Harvey, Jack T., van Uffelen, Jannique G. Z., Biddle, Stuart J. H. and Eime, Rochelle M.. 2017. "Participation trends in holistic movement practices: a 10-year comparison of yoga/pilates and t’ai chi/qigong use among a national sample of 195,926 Australians." BMC Complementary Medicine and Therapies. 17 (1). https://doi.org/10.1186/s12906-017-1800-6
Assessment and monitoring practices of Australian fitness professionals
Bennie, Jason A., Wiesner, Glen H., van Uffelen, Jannique G. Z., Harvey, Jack T., Craike, Melinda J. and Biddle, Stuart J. H.. 2018. "Assessment and monitoring practices of Australian fitness professionals." Journal of Science and Medicine in Sport. 21 (4), pp. 433-438. https://doi.org/10.1016/j.jsams.2017.07.010
The descriptive epidemiology of total physical activity, muscle-strengthening exercises and sedentary behaviour among Australian adults - results from the National Nutrition and Physical Activity Survey
Bennie, Jason A., Pedisic, Zeljko, van Uffelen, Jannique G. Z., Gale, Joanne, Banting, Lauren K., Vergeer, Ineke, Stamatakis, Emmanuel, Bauman, Adrian E. and Biddle, Stuart J. H.. 2016. "The descriptive epidemiology of total physical activity, muscle-strengthening exercises and sedentary behaviour among Australian adults - results from the National Nutrition and Physical Activity Survey." BMC Public Health. 16 (73). https://doi.org/10.1186/s12889-016-2736-3
Pumping iron in Australia: prevalence, trends and sociodemographic correlates of muscle strengthening activity participation from a national sample of 195,926 adults
Bennie, Jason A., Pedisic, Zeljko, van Uffelen, Jannique G. Z., Charity, Melanie J., Harvey, Jack T., Banting, Lauren K., Vergeer, Ineke, Biddle, Stuart J. H. and Eime, Rochelle M.. 2016. "Pumping iron in Australia: prevalence, trends and sociodemographic correlates of muscle strengthening activity participation from a national sample of 195,926 adults." PLoS One. 11 (4), pp. 1-15. https://doi.org/10.1371/journal.pone.0153225
Too much sitting and cardio-metabolic risk: an update of epidemiological evidence
Bauman, Adrian E., Chau, Josephine Y., Ding, Ding and Bennie, Jason. 2013. "Too much sitting and cardio-metabolic risk: an update of epidemiological evidence." Current Cardiovascular Risk Reports. 7 (4), pp. 293-298. https://doi.org/10.1007/s12170-013-0316-y
Total and domain-specific sitting time among employees in desk-based work settings in Australia
Bennie, Jason A., Pedisic, Zeljko, Timperio, Anna, Crawford, David, Dunstan, David, Bauman, Adrian, van Uffelen, Jannique and Salmon, Jo. 2015. "Total and domain-specific sitting time among employees in desk-based work settings in Australia." Australian and New Zealand Journal of Public Health. 39 (3), pp. 237-242. https://doi.org/10.1111/1753-6405.12293
Levels and correlates of domain-specific physical activity in university students: cross-sectional findings from Croatia | [Razina i korelati tjelesne aktivnosti u razliĉitim domenama kod studenata: Rezultati transverzalnog istraẑivanja iz Hrvatske]
Pedisic, Zeljko, Rakovac, Marija, Bennie, Jason, Jurakic, Danijel and Bauman, Adrian E.. 2014. "Levels and correlates of domain-specific physical activity in university students: cross-sectional findings from Croatia | [Razina i korelati tjelesne aktivnosti u razliĉitim domenama kod studenata: Rezultati transverzalnog istraẑivanja iz Hrvatske]." Kinesiology. 46 (1), pp. 12-22.
The prevalence and correlates of sitting in European adults - a comparison of 32 Eurobarometer-participating countries
Bennie, Jason A., Chau, Josephine Y., van der Ploeg, Hidde P., Stamatakis, Emmanuel, Do, Anna and Bauman, Adrian. 2013. "The prevalence and correlates of sitting in European adults - a comparison of 32 Eurobarometer-participating countries." International Journal of Behavioral Nutrition and Physical Activity. 10 (107), pp. 1-13. https://doi.org/10.1186/1479-5868-10-107
Policy and practice impacts of applied research: a case study analysis of the New South Wales Health Promotion Demonstration Research Grants Scheme 2000–2006
Milat, Andrew J., Laws, Rachel, King, Lesley, Newson, Robyn, Rychetnik, Lucie, Rissel, Chris, Bauman, Adrian E., Redman, Sally and Bennie, Jason. 2013. "Policy and practice impacts of applied research: a case study analysis of the New South Wales Health Promotion Demonstration Research Grants Scheme 2000–2006." Health Research Policy and Systems. 11 (5), pp. 1-15. https://doi.org/10.1186/1478-4505-11-5
Workplace Sitting Breaks Questionnaire (SITBRQ): an assessment of concurrent validity and test-retest reliability
Pedisic, Zeljko, Bennie, Jason A., Timperio, Anna F., Crawford, David A., Dunstan, David W., Bauman, Adrian E. and Salmon, Jo. 2014. "Workplace Sitting Breaks Questionnaire (SITBRQ): an assessment of concurrent validity and test-retest reliability." BMC Public Health. 14 (1), pp. 1-9. https://doi.org/10.1186/1471-2458-14-1249
Unaccustomed eccentric contractions impair plasma K+ regulation in the absence of changes in muscle Na+,K+-ATPase content
Goodman, Craig A., Bennie, Jason A., Leikis, Murray J. and McKenna, Michael J.. 2014. "Unaccustomed eccentric contractions impair plasma K+ regulation in the absence of changes in muscle Na+,K+-ATPase content." PLoS One. 9 (6), pp. e101039-1. https://doi.org/10.1371/journal.pone.0101039
Sitting behaviour is not associated with incident diabetes over 13 years: The Whitehall II cohort study
Stamatakis, Emmanuel, Pulsford, Richard M., Brunner, Eric J., Britton, Annie R., Bauman, Adrian E., Biddle, Stuart J. H. and Hillsdon, Melvyn. 2017. "Sitting behaviour is not associated with incident diabetes over 13 years: The Whitehall II cohort study." British Journal of Sports Medicine. 51 (10), pp. 818-823. https://doi.org/10.1136/bjsports-2016-096723
Associations of moderate-to-vigorous-intensity physical activity and body mass index with glycated haemoglobin within the general population: a cross-sectional analysis of the 2008 Health Survey for England
Bakrania, Kishan, Yates, Thomas, Edwardson, Charlotte L., Bodicoat, Danielle H., Esliger, Dale W., Gill, Jason M. R., Kazi, Aadil, Velayudhan, Latha, Sinclair, Alan J., Sattar, Naveed, Biddle, Stuart J. H., Hamer, Mark, Davies, Melanie J. and Khunti, Kamlesh. 2017. "Associations of moderate-to-vigorous-intensity physical activity and body mass index with glycated haemoglobin within the general population: a cross-sectional analysis of the 2008 Health Survey for England." BMJ Open. 7 (4). https://doi.org/10.1136/bmjopen-2016-014456
Self-reported health-enhancing physical activity recommendation adherence among 64,380 finnish adults
Bennie, J. A., Pedisic, Z., Suni, J. H., Tokola, K., Husu, P., Biddle, S. J. H. and Vasankari, T.. 2017. "Self-reported health-enhancing physical activity recommendation adherence among 64,380 finnish adults." Scandinavian Journal of Medicine and Science in Sports. 27 (2), pp. 1842-1853. https://doi.org/10.1111/sms.12863
The economic burden of physical inactivity: a systematic review and critical appraisal
Ding, Ding, Kolbe-Alexander, Tracy, Nguyen, Binh, Katzmarzyk, Peter T., Pratt, Michael and Lawson, Kenny D.. 2017. "The economic burden of physical inactivity: a systematic review and critical appraisal." British Journal of Sports Medicine. 51 (19), pp. 1392-1409. https://doi.org/10.1136/bjsports-2016-097385
How to reduce sitting time? a review of behaviour change strategies used in sedentary behaviour reduction interventions among adults
Gardner, Benjamin, Smith, Lee, Lorencatto, Fabiana, Hamer, Mark and Biddle, Stuart J. H.. 2016. "How to reduce sitting time? a review of behaviour change strategies used in sedentary behaviour reduction interventions among adults." Health Psychology Review. 10 (1), pp. 89-112. https://doi.org/10.1080/17437199.2015.1082146
Variations in area-level disadvantage of Australian registered fitness trainers usual training locations
Bennie, Jason A., van Uffelen, Jannique G. Z., Banting, Lauren K., Biddle, Stuart J. H. and Thornton, Lukar E.. 2016. "Variations in area-level disadvantage of Australian registered fitness trainers usual training locations." BMC Public Health. 16, pp. 1-7. https://doi.org/10.1186/s12889-016-3250-3
Too much sitting and all-cause mortality: is there a causal link?
Biddle, Stuart J. H., Bennie, Jason A., Bauman, Adrian E., Chau, Josephine Y., Dunstan, David, Owen, Neville, Stamatakis, Emmanuel and van Uffelen, Jannique G. Z.. 2016. "Too much sitting and all-cause mortality: is there a causal link?" BMC Public Health. 16, pp. 1-10. https://doi.org/10.1186/s12889-016-3307-3
The economic burden of physical inactivity: a global analysis of major non-communicable diseases
Ding, Ding, Lawson, Kenny D., Kolbe-Alexander, Tracy L., Finkelstein, Eric A., Katzmarzyk, Peter T., van Mechelen, Willem and Pratt, Michael. 2016. "The economic burden of physical inactivity: a global analysis of major non-communicable diseases." The Lancet. 388 (10051), pp. 1311-1324. https://doi.org/10.1016/S0140-6736(16)30383-X
Associations between social ecological factors and self-reported short physical activity breaks during work hours among desk-based employees
Bennie, Jason A., Timperio, Anna F., Crawford, David A., Dunstan, David W. and Salmon, Jo L.. 2011. "Associations between social ecological factors and self-reported short physical activity breaks during work hours among desk-based employees." Preventive Medicine. 53 (1-2), pp. 44-47. https://doi.org/10.1016/j.ypmed.2011.05.015