The Relationship of Walking Intensity to Total and Cause-Specific Mortality. Results from the National Walkers’ Health Study
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{"title"=>"The relationship of walking intensity to total and cause-specific mortality. Results from the national walkers' health study", "type"=>"journal", "authors"=>[{"first_name"=>"Paul T.", "last_name"=>"Williams", "scopus_author_id"=>"7404956195"}, {"first_name"=>"Paul D.", "last_name"=>"Thompson", "scopus_author_id"=>"35392374400"}], "year"=>2013, "source"=>"PLoS ONE", "identifiers"=>{"pmid"=>"24260542", "sgr"=>"84894218448", "doi"=>"10.1371/journal.pone.0081098", "scopus"=>"2-s2.0-84894218448", "pui"=>"372407389", "isbn"=>"1932-6203", "issn"=>"19326203"}, "id"=>"13a2eeca-a1ec-3aef-b593-98f770036291", "abstract"=>"PURPOSE: TEST WHETHER: 1) walking intensity predicts mortality when adjusted for walking energy expenditure, and 2) slow walking pace (≥24-minute mile) identifies subjects at substantially elevated risk for mortality.\\n\\nMETHODS: Hazard ratios from Cox proportional survival analyses of all-cause and cause-specific mortality vs. usual walking pace (min/mile) in 7,374 male and 31,607 female recreational walkers. Survival times were left censored for age at entry into the study. Other causes of death were treated as a competing risk for the analyses of cause-specific mortality. All analyses were adjusted for sex, education, baseline smoking, prior heart attack, aspirin use, diet, BMI, and walking energy expenditure. Deaths within one year of baseline were excluded.\\n\\nRESULTS: The National Death Index identified 1968 deaths during the average 9.4-year mortality surveillance. Each additional minute per mile in walking pace was associated with an increased risk of mortality due to all causes (1.8% increase, P=10(-5)), cardiovascular diseases (2.4% increase, P=0.001, 637 deaths), ischemic heart disease (2.8% increase, P=0.003, 336 deaths), heart failure (6.5% increase, P=0.001, 36 deaths), hypertensive heart disease (6.2% increase, P=0.01, 31 deaths), diabetes (6.3% increase, P=0.004, 32 deaths), and dementia (6.6% increase, P=0.0004, 44 deaths). Those reporting a pace slower than a 24-minute mile were at increased risk for mortality due to all-causes (44.3% increased risk, P=0.0001), cardiovascular diseases (43.9% increased risk, P=0.03), and dementia (5.0-fold increased risk, P=0.0002) even though they satisfied the current exercise recommendations by walking ≥7.5 metabolic equivalent (MET)-hours per week.\\n\\nCONCLUSIONS: THE RISK FOR MORTALITY: 1) decreases in association with walking intensity, and 2) increases substantially in association for walking pace ≥24 minute mile (equivalent to <400m during a six-minute walk test) even among subjects who exercise regularly.", "link"=>"http://www.mendeley.com/research/relationship-walking-intensity-total-causespecific-mortality-results-national-walkers-health-study", "reader_count"=>58, "reader_count_by_academic_status"=>{"Unspecified"=>4, "Professor > Associate Professor"=>4, "Librarian"=>3, "Researcher"=>6, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>14, "Student > Master"=>10, "Other"=>4, "Student > Bachelor"=>1, "Lecturer"=>2, "Professor"=>5}, "reader_count_by_user_role"=>{"Unspecified"=>4, "Professor > Associate Professor"=>4, "Librarian"=>3, "Researcher"=>6, "Student > Doctoral Student"=>5, "Student > Ph. D. Student"=>14, "Student > Master"=>10, "Other"=>4, "Student > Bachelor"=>1, "Lecturer"=>2, "Professor"=>5}, "reader_count_by_subject_area"=>{"Unspecified"=>9, "Agricultural and Biological Sciences"=>8, "Arts and Humanities"=>1, "Business, Management and Accounting"=>2, "Computer Science"=>1, "Decision Sciences"=>1, "Earth and Planetary Sciences"=>1, "Economics, Econometrics and Finance"=>1, "Biochemistry, Genetics and Molecular Biology"=>1, "Nursing and Health Professions"=>4, "Medicine and Dentistry"=>20, "Sports and Recreations"=>3, "Psychology"=>4, "Social Sciences"=>2}, "reader_count_by_subdiscipline"=>{"Medicine and Dentistry"=>{"Medicine and Dentistry"=>20}, "Social Sciences"=>{"Social Sciences"=>2}, "Decision Sciences"=>{"Decision Sciences"=>1}, "Sports and Recreations"=>{"Sports and Recreations"=>3}, "Psychology"=>{"Psychology"=>4}, "Unspecified"=>{"Unspecified"=>9}, "Arts and Humanities"=>{"Arts and Humanities"=>1}, "Earth and Planetary Sciences"=>{"Earth and Planetary Sciences"=>1}, "Economics, Econometrics and Finance"=>{"Economics, Econometrics and Finance"=>1}, "Agricultural and Biological Sciences"=>{"Agricultural and Biological Sciences"=>8}, "Computer Science"=>{"Computer Science"=>1}, "Business, Management and Accounting"=>{"Business, Management and Accounting"=>2}, "Nursing and Health Professions"=>{"Nursing and Health Professions"=>4}, "Biochemistry, Genetics and Molecular Biology"=>{"Biochemistry, Genetics and Molecular Biology"=>1}}, "reader_count_by_country"=>{"New Zealand"=>1, "United States"=>1, "United Kingdom"=>1, "France"=>1}, "group_count"=>4}

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Relative Metric

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