Associations between muscle-strengthening exercise and prevalent chronic health conditions in 16,301 adults: Do session duration and weekly volume matter?

Shakespear-Druery, Jane ORCID: and De Cocker, Katrien and Biddle, Stuart J.H. ORCID: and Bennie, Jason ORCID: (2022) Associations between muscle-strengthening exercise and prevalent chronic health conditions in 16,301 adults: Do session duration and weekly volume matter? Journal of Science and Medicine in Sport, 25 (5). pp. 407-418. ISSN 1440-2440

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Objectives: Muscle-strengthening exercise (MSE) has multiple health benefits and is part of the global physical activity guidelines. However, with epidemiological research largely focussing on participation frequency (times/week), little is known about the health associations of other parameters. Hence, this study aimed to determine if MSE duration and volume are associated with prevalent chronic health conditions. Design: Cross-sectional. Methods: Cross-sectional data (n = 16,301 adults ≥16 years) were pooled from the Health Survey for England (2012, 2016). Respondents self-reported MSE mode (own-bodyweight, gym-based), duration and volume, and the prevalence of five chronic conditions (diabetes, anxiety/depression, heart, respiratory, or musculoskeletal condition). Poisson regressions with robust error variance were used to calculate the prevalence ratios (PR) of each chronic condition (outcome variable) across MSE parameters [exposure variables: duration (0 [reference]; 10–20; 21–59; ≥60 min/session); and volume (0 [reference]; low <mean; high ≥mean minutes/week)] for each mode and the modes combined. Results: Most adults (81.5%) did no MSE. Undertaking any MSE regardless of mode, duration or volume was associated with a reduced likelihood of diabetes (APRs 0.25–0.39), heart (APRs 0.32–0.60), respiratory (APRs 0.49–0.67), and musculoskeletal conditions (APRs 0.43–0.63), and anxiety/depression (APRs 0.46–0.68). Associations remained after adjustment for potential socio-demographic and behavioural confounders. Conclusions: While participation in own-bodyweight or gym-based-strength MSE is low, irrespective of mode, duration or volume, MSE was associated with a lower prevalence of chronic health conditions. Studies with longitudinal study designs are needed to confirm these cross-sectional findings.

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Item Type: Article (Commonwealth Reporting Category C)
Refereed: Yes
Item Status: Live Archive
Additional Information: Files associated with this item cannot be displayed due to copyright restrictions.
Faculty/School / Institute/Centre: Current - Institute for Resilient Regions - Centre for Health Research (1 Apr 2020 -)
Faculty/School / Institute/Centre: Current – Faculty of Health, Engineering and Sciences - School of Health and Medical Sciences (1 Jan 2022 -)
Date Deposited: 19 Jul 2022 02:28
Last Modified: 14 Oct 2022 02:28
Uncontrolled Keywords: Chronic health conditions; Exercise; Muscle-strengthening exercise; Physical activity; Prevalence; Public health
Fields of Research (2020): 42 HEALTH SCIENCES > 4207 Sports science and exercise > 420799 Sports science and exercise not elsewhere classified
42 HEALTH SCIENCES > 4206 Public health > 420699 Public health not elsewhere classified
Socio-Economic Objectives (2020): 20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health
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