Advertisement

Dancing Participation and Cardiovascular Disease Mortality

A Pooled Analysis of 11 Population-Based British Cohorts
  • Dafna Merom
    Correspondence
    Address correspondence to: Dafna Merom, PhD, School of Science and Health, University of Western Sydney, Locked Bag 1797, Penrith New South Wales 2751, Australia
    Affiliations
    School of Science and Health, Western Sydney University, Sydney, Australia

    Prevention Research Collaboration, School of Public Health, University of Sydney, Sydney, Australia
    Search for articles by this author
  • Ding Ding
    Affiliations
    Prevention Research Collaboration, School of Public Health, University of Sydney, Sydney, Australia

    Charles Perkins Centre, University of Sydney, Sydney, Australia
    Search for articles by this author
  • Emmanuel Stamatakis
    Affiliations
    Charles Perkins Centre, University of Sydney, Sydney, Australia

    Exercise and Sport Sciences, Faculty of Health Sciences, University of Sydney, Sydney, Australia

    Physical Activity Research Group, Department of Epidemiology and Public Health, University College London, London, United Kingdom
    Search for articles by this author
Published:February 29, 2016DOI:https://doi.org/10.1016/j.amepre.2016.01.004

      Introduction

      Little is known about whether cardiovascular benefits vary by activity type. Dance is a multidimensional physical activity of psychosocial nature. The study aimed to examine the association between dancing and cardiovascular disease mortality.

      Methods

      A cohort study pooled 11 independent population surveys in the United Kingdom from 1995 to 2007, analyzed in 2014. Participants were 48,390 adults aged ≥40 years who were free of cardiovascular disease at baseline and consented to be linked to the National Death Registry. Respondents reported participation in light- or moderate-intensity dancing and walking in the past 4 weeks. Physical activity amount was calculated based on frequency, duration, and intensity of participation in various types of exercise. The main outcome was cardiovascular disease mortality based on ICD-9 codes 390−459 or ICD-10 codes I01−I99.

      Results

      During 444,045 person-years, 1,714 deaths caused by cardiovascular disease were documented. Moderate-intensity, but not light-intensity, dancing and walking were both inversely associated with cardiovascular disease mortality. In Cox regression models, the hazard ratios for cardiovascular disease mortality, adjusted for age, sex, SES, smoking, alcohol, BMI, chronic illness, psychosocial distress, and total physical activity amount, were 0.54 (95% CI=0.34, 0.87) for moderate-intensity dancing and 0.67 (95% CI=0.52, 0.87) for moderate-intensity walking.

      Conclusions

      Moderate-intensity dancing was associated with a reduced risk for cardiovascular disease mortality to a greater extent than walking. The association between dance and cardiovascular disease mortality may be explained by high-intensity bouts during dancing, lifelong adherence, or psychosocial benefits.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to American Journal of Preventive Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Berlin J.A.
        • Colditz G.A.
        A meta-analysis of physical activity in the prevention of coronary heart disease.
        Am J Epidemiol. 1990; 132: 612-628
        • Lee I.M.
        Physical activity and cardiac protection.
        Curr Sports Med Rep. 2010; 9: 214-219https://doi.org/10.1249/JSR.0b013e3181e7daf1
        • Arem H.
        • Moore C.S.
        • Patel A.
        • et al.
        Leisure time physical activity and mortality. A detailed pooled analysis of the dose-response relationship.
        JAMA Inter Med. 2015; 157: 959-967https://doi.org/10.1001/jamainternmed.2015.0533
        • Blair S.N.
        • Cheng Y.
        • Holder J.S.
        Is physical activity or physical fitness more important in defining health benefits?.
        Med Sci Sports Exerc. 2001; 33 (discussion S419-S420. http://dx.doi.org/10.1097/00005768-200106001-00007): S379-S399
        • Williams P.T.
        Physical fitness and activity as separate heart disease risk factors: a meta-analysis.
        Med Sci Sports Exerc. 2001; 33: 754-761https://doi.org/10.1097/00005768-200105000-00012
        • Shiroma E.J.
        • Lee I.M.
        Physical activity and cardiovascular health: lessons learned from epidemiological studies across age, gender, and race/ethnicity.
        Circulation. 2010; 122: 743-752https://doi.org/10.1161/CIRCULATIONAHA.109.914721
        • Sattelmair J.
        • Pertman J.
        • Ding E.L.
        • Kohl 3rd, H.W.
        • Haskell W.
        • Lee I.M.
        Dose response between physical activity and risk of coronary heart disease: a meta-analysis.
        Circulation. 2011; 124: 789-795https://doi.org/10.1161/CIRCULATIONAHA.110.010710
        • Oja P.
        • Titze S.
        • Kokko S.
        • et al.
        Health benefits of different sport disciplines for adults: systematic review of observational and intervention studies with meta-analysis.
        Br J Sports Med. 2015; 49: 434-440https://doi.org/10.1136/bjsports-2014-093885
        • Peeters GMEE
        • Verweij M.L.
        • Van Schoor N.M.
        • et al.
        Which types of activities are associated with risk of recurrent falling in older persons.
        J Gerontol A Biol Sci Med Sci. 2010; 65: 743-750https://doi.org/10.1093/gerona/glq013
        • Merom D.
        • Stanaway F.F.
        • Handelsman D.J.
        • et al.
        Swimming and other sporting activities and the rate of falls in older men: longitudinal findings from the Concord Health and Ageing in Men Project.
        Am J Epidemiol. 2014; 180: 830-837https://doi.org/10.1093/aje/kwu199
        • Tanasescu M.
        • Leitzmann M.F.
        • Rimm E.B.
        • Willett W.C.
        • Stampfer M.J.
        • Hu F.B.
        Exercise type and intensity in relation to coronary heart disease in men.
        JAMA. 2002; 288: 1994-2000https://doi.org/10.1001/jama.288.16.1994
        • Chomistek A.K.
        • Cook N.R.
        • Flint A.J.
        • Rimm E.B.
        Vigorous-intensity leisure-time physical activity and risk of major chronic disease in men.
        Med Sci Sports Exerc. 2012; 44: 1898-1905https://doi.org/10.1249/MSS.0b013e31825a68f3
        • Lee D.C.
        • Sui X.
        • Ortega F.B.
        • et al.
        Comparisons of leisure-time physical activity and cardiorespiratory fitness as predictors of all-cause mortality in men and women.
        Br J Sports Med. 2011; 45: 504-510https://doi.org/10.1136/bjsm.2009.066209
        • Verghese J.
        • Lipton R.B.
        • Katz M.J.
        • et al.
        Leisure activities and the risk of dementia in the elderly.
        N Engl J Med. 2003; 348: 2508-2516https://doi.org/10.1056/NEJMoa022252
        • Gray L.
        • Batty G.D.
        • Craig P.
        • et al.
        Cohort profile: the Scottish Health Surveys cohort: linkage of study participants to routinely collected records for mortality, hospital discharge, cancer and offspring birth characteristics in three nationwide studies.
        Int J Epidemiol. 2010; 39: 345-350https://doi.org/10.1093/ije/dyp155
        • Mindell J.
        • Biddulph J.P.
        • Hirani V.
        • et al.
        Cohort profile: the Health Survey for England.
        Int J Epidemiol. 2012; 41: 1585-1593https://doi.org/10.1093/ije/dyr199
        • Stamatakis E.
        • Ekelund U.
        • Wareham N.J.
        Temporal trends in physical activity in England: the Health Survey for England 1991 to 2004.
        Prev Med. 2007; 45: 416-423https://doi.org/10.1016/j.ypmed.2006.12.014
        • Stamatakis E.
        • Hamer M.
        • O’Donovan G.
        • Batty G.D.
        • Kivimaki M.
        A non-exercise testing method for estimating cardiorespiratory fitness: associations with all-cause and cardiovascular mortality in a pooled analysis of eight population-based cohorts.
        Eur Heart J. 2013; 34: 750-758https://doi.org/10.1093/eurheartj/ehs097
        • Stamatakis E.
        • Hamer M.
        • Dunstan D.W.
        Screen-based entertainment time, all-cause mortality, and cardiovascular eventspopulation-based study with ongoing mortality and hospital events follow-up.
        J Am Coll Cardiol. 2011; 57: 292-299https://doi.org/10.1016/j.jacc.2010.05.065
        • Stamatakis E.
        • Chaudhury M.
        Temporal trends in adults’ sports participation patterns in England between 1997 and 2006: the Health Survey for England.
        Br J Sports Med. 2008; 42: 901-2908https://doi.org/10.1136/bjsm.2008.048082
        • Ainsworth B.E.
        • Haskell W.L.
        • Whitt M.C.
        • et al.
        Compendium of physical activities: an update of activity codes and MET intensities.
        Med Sci Sports Exerc. 2000; 32: S498-S504https://doi.org/10.1097/00005768-200009001-00009
        • Hamer M.
        Psychosocial stress and cardiovascular disease risk: the role of physical activity.
        Psychosom Med. 2012; 74: 896-903https://doi.org/10.1097/PSY.0b013e31827457f4
        • Goldberg D.P.
        • Gater R.
        • Sartorius N.
        • et al.
        The validity of two versions of the GHQ in the WHO study of mental illness in general health care.
        Psychol Med. 1997; 27: 191-197https://doi.org/10.1017/S0033291796004242
        • Kokkinos P.
        • Myers J.
        Exercise and physical activity: clinical outcomes and applications.
        Circulation. 2010; 122: 1637-1648https://doi.org/10.1161/CIRCULATIONAHA.110.948349
        • Dishman R.K.
        Overview.
        in: Dishman R.K. Exercise Adherence: Its Impact on Public Health. Human Kinetics Books, Champaign1988: 1-7
        • Bremer Z.
        Dance as an exercise.
        Br J Gen Pract. 2007; 57: 165