Mixed
Higher leisure time physical activity is associated with a reduced risk of major adverse cardiovascular events (MACE) and all-cause mortality, whereas higher occupational physical activity is associated with increased risks of both outcomes.
Prioritize physical activity in your leisure time for heart health and longevity. Do not rely on your job's physical demands to protect your cardiovascular system, as high occupational activity may actually increase your risk of heart events and death. Aim for dynamic, conditioning-level exercise during free time, ensuring you have adequate recovery.
Higher leisure time physical activity associates with reduced MACE and all-cause mortality risk, while higher occupational physical activity associates with increased risks, independent of each other.
Why this rating
Large prospective cohort study (N=104,046), long follow-up (median 10 years), rigorous multivariable adjustments, and sensitivity analyses.
Source
The physical activity paradox in cardiovascular disease and all-cause mortality: the contemporary Copenhagen General Population Study with 104 046 adults
Andreas Holtermann et al. · European Heart Journal · 2021
DOI 10.1093/eurheartj/ehab087
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