Ten-year mortality among older male recreational endurance athletes in the Birkebeiner Aging Study in comparison with older men from the Tromsø Study
© 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd..
BACKGROUND: Physical activity (PA) is associated with reduced mortality. However, whether there is an added benefit of long-term endurance training is unclear. Thus, we aimed to examine 10-year mortality in older male endurance athletes compared with an older male general population.
METHOD: Male athletes (n = 503) participating in an annual long-distance ski race (median years of participation: 14, range: 1-53) from the Norwegian Birkebeiner Aging study (BiAS), and non-athletic men (n = 1867) attending the sixth Tromsø Study (Tromsø6) aged ≥65 years were included. Associations with endurance sport practice and joint exposures of endurance sport practice and self-reported leisure-time PA with all-cause mortality were examined. We analyzed the data with Cox proportional hazard models and regression standardization.
RESULTS: After 10 years (median: 10.4, range: 0.5-11.1) the mortality rate was lower in athletes (hazard ratio (HR) 0.34, 95% confidence interval (CI): 0.24-0.49) compared with non-athletes, corresponding to a 15% (95% CI: 12-19%) absolute risk reduction associated with endurance sport practice. In joint analyses categorized according to PA and endurance sport practice, we observed an inverse dose-response relationship with mortality (p < 0.001). Compared to inactive non-athletes, PA was associated with lower mortality in both active non-athletes and athletes. However, the observed benefit among participants reporting moderate-to-vigorous PA was larger in athletes (HR: 0.21, 95% CI: 0.14-0.32) than non-athletes (HR: 0.43, 95% CI: 0.31-0.59) (p < 0.01).
CONCLUSION: Endurance sport practice was associated with reduced 10-year mortality, beyond the effect of PA in older men. This study suggests that long-term endurance sport practice maintained into older adulthood promotes longevity.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2023 |
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| Erschienen: |
2023 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:33 |
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| Enthalten in: |
Scandinavian journal of medicine & science in sports - 33(2023), 8 vom: 05. Aug., Seite 1541-1551 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Johansen, Kristoffer R [VerfasserIn] |
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| Links: |
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| Themen: |
Athletes |
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| Anmerkungen: |
Date Completed 11.07.2023 Date Revised 18.07.2023 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1111/sms.14385 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 100 | 1 | |a Johansen, Kristoffer R |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Ten-year mortality among older male recreational endurance athletes in the Birkebeiner Aging Study in comparison with older men from the Tromsø Study |
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| 500 | |a Date Revised 18.07.2023 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2023 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd. | ||
| 520 | |a BACKGROUND: Physical activity (PA) is associated with reduced mortality. However, whether there is an added benefit of long-term endurance training is unclear. Thus, we aimed to examine 10-year mortality in older male endurance athletes compared with an older male general population | ||
| 520 | |a METHOD: Male athletes (n = 503) participating in an annual long-distance ski race (median years of participation: 14, range: 1-53) from the Norwegian Birkebeiner Aging study (BiAS), and non-athletic men (n = 1867) attending the sixth Tromsø Study (Tromsø6) aged ≥65 years were included. Associations with endurance sport practice and joint exposures of endurance sport practice and self-reported leisure-time PA with all-cause mortality were examined. We analyzed the data with Cox proportional hazard models and regression standardization | ||
| 520 | |a RESULTS: After 10 years (median: 10.4, range: 0.5-11.1) the mortality rate was lower in athletes (hazard ratio (HR) 0.34, 95% confidence interval (CI): 0.24-0.49) compared with non-athletes, corresponding to a 15% (95% CI: 12-19%) absolute risk reduction associated with endurance sport practice. In joint analyses categorized according to PA and endurance sport practice, we observed an inverse dose-response relationship with mortality (p < 0.001). Compared to inactive non-athletes, PA was associated with lower mortality in both active non-athletes and athletes. However, the observed benefit among participants reporting moderate-to-vigorous PA was larger in athletes (HR: 0.21, 95% CI: 0.14-0.32) than non-athletes (HR: 0.43, 95% CI: 0.31-0.59) (p < 0.01) | ||
| 520 | |a CONCLUSION: Endurance sport practice was associated with reduced 10-year mortality, beyond the effect of PA in older men. This study suggests that long-term endurance sport practice maintained into older adulthood promotes longevity | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a athletes | |
| 650 | 4 | |a endurance training | |
| 650 | 4 | |a epidemiology | |
| 650 | 4 | |a mortality | |
| 650 | 4 | |a physical activity | |
| 700 | 1 | |a Ranhoff, Anette Hylen |e verfasserin |4 aut | |
| 700 | 1 | |a Sørensen, Eivind |e verfasserin |4 aut | |
| 700 | 1 | |a Nes, Bjarne M |e verfasserin |4 aut | |
| 700 | 1 | |a Bucher-Sandbakk, Silvana |e verfasserin |4 aut | |
| 700 | 1 | |a Wilsgaard, Tom |e verfasserin |4 aut | |
| 700 | 1 | |a Løchen, Maja-Lisa |e verfasserin |4 aut | |
| 700 | 1 | |a Thelle, Dag S |e verfasserin |4 aut | |
| 700 | 1 | |a Morseth, Bente |e verfasserin |4 aut | |
| 700 | 1 | |a Myrstad, Marius |e verfasserin |4 aut | |
| 700 | 0 | |a NEXAF |e verfasserin |4 aut | |
| 700 | 1 | |a Loennechen, Jan Pål |e investigator |4 oth | |
| 700 | 1 | |a Tveit, Arnljot |e investigator |4 oth | |
| 700 | 1 | |a Apelland, Turid |e investigator |4 oth | |
| 700 | 1 | |a Folkenborg, Kristine |e investigator |4 oth | |
| 700 | 1 | |a Johnson, Kristin Espolin |e investigator |4 oth | |
| 700 | 1 | |a Letnes, Jon Magne |e investigator |4 oth | |
| 700 | 1 | |a Malmo, Vegard |e investigator |4 oth | |
| 700 | 1 | |a Sellevold, Andreas Berg |e investigator |4 oth | |
| 700 | 1 | |a Byrkjeland, Rune |e investigator |4 oth | |
| 700 | 1 | |a Enger, Steve |e investigator |4 oth | |
| 700 | 1 | |a Larhammer, Hilde |e investigator |4 oth | |
| 700 | 1 | |a Onarheim, Sophia |e investigator |4 oth | |
| 700 | 1 | |a Bache-Semb, Vigdis |e investigator |4 oth | |
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