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.
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Article info
Publication history
Published online: February 29, 2016
Identification
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© 2016 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved.
