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Correspondence| Volume 202, P328-330, January 01, 2016

Physical activity and diet on quality of life and mortality: The importance of meeting one specific or both behaviors

  • Scott J. Dankel
    Affiliations
    Department of Health, Exercise Science, and Recreation Management. Kevser Ermin Applied Physiology Laboratory, The University of Mississippi, University, MS, United States
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  • Jeremy P. Loenneke
    Affiliations
    Department of Health, Exercise Science, and Recreation Management. Kevser Ermin Applied Physiology Laboratory, The University of Mississippi, University, MS, United States
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  • Paul D. Loprinzi
    Correspondence
    Corresponding author at: Center for Behavioral Research, Department of Health, Exercise Science, and Recreation Management, The University of Mississippi, 229 Turner Center, University, MS 38677, United States.
    Affiliations
    Department of Health, Exercise Science and Recreation Management, Center for Health Behavior Research, The University of Mississippi, University, MS, United States
    Search for articles by this author
Published:September 20, 2015DOI:https://doi.org/10.1016/j.ijcard.2015.09.019
      Research demonstrates that the concurrent adoption of healthy eating (e.g. 60th percentile of healthy eating index [
      • Loprinzi P.D.
      • Walker J.F.
      Combined association of physical activity and diet with C-reactive protein among smokers.
      ]) and moderate-to-vigorous physical activity (e.g. ≥150 MVPA min/week [

      2008 Physical Activity Guidelines for Americans — paguide.pdf, (n.d.). http://www.health.gov/paguidelines/pdf/paguide.pdf (accessed August 4, 2015).

      ]), compared to none or only one of these behaviors, is more favorably associated with reduced risk of premature mortality [
      • Loprinzi P.D.
      Combined Effects of Accelerometer-Assessed Physical Activity and Dietary Behavior on All-Cause Mortality in a National Prospective Cohort Study.
      ,
      • Abdelmawgoud A.
      • Brown C.J.
      • Sui X.
      • Fonarow G.C.
      • Kokkinos P.F.
      • Bittner V.
      • et al.
      Relationship of physical activity and healthy eating with mortality and incident heart failure among community-dwelling older adults with normal body mass index.
      ,
      • Ford E.S.
      • Zhao G.
      • Tsai J.
      • Li C.
      Low-risk lifestyle behaviors and all-cause mortality: findings from the National Health and Nutrition Examination Survey III Mortality Study.
      ,
      • van Dam R.M.
      • Li T.
      • Spiegelman D.
      • Franco O.H.
      • Hu F.B.
      Combined impact of lifestyle factors on mortality: prospective cohort study in US women.
      ,
      • Kvaavik E.
      • Batty G.
      • Ursin G.
      • Huxley R.
      • Gale C.R.
      Influence of individual and combined health behaviors on total and cause-specific mortality in men and women: the United Kingdom health and lifestyle survey.
      ] and perceived health-related quality of life (HRQOL) [
      • Kwon S.C.
      • Wyatt L.C.
      • Kranick J.A.
      • Islam N.S.
      • Devia C.
      • Horowitz C.
      • et al.
      Physical activity, fruit and vegetable intake, and health-related quality of life among older Chinese, Hispanics, and Blacks in New York City.
      ]. Less investigated, however, is the potential interaction effect of healthy eating and physical activity (PA) on HRQOL and mortality; to our knowledge, this research has utilized crude measures of PA (e.g., self-report) [
      • Abdelmawgoud A.
      • Brown C.J.
      • Sui X.
      • Fonarow G.C.
      • Kokkinos P.F.
      • Bittner V.
      • et al.
      Relationship of physical activity and healthy eating with mortality and incident heart failure among community-dwelling older adults with normal body mass index.
      ,
      • Ford E.S.
      • Zhao G.
      • Tsai J.
      • Li C.
      Low-risk lifestyle behaviors and all-cause mortality: findings from the National Health and Nutrition Examination Survey III Mortality Study.
      ,
      • van Dam R.M.
      • Li T.
      • Spiegelman D.
      • Franco O.H.
      • Hu F.B.
      Combined impact of lifestyle factors on mortality: prospective cohort study in US women.
      ,
      • Kvaavik E.
      • Batty G.
      • Ursin G.
      • Huxley R.
      • Gale C.R.
      Influence of individual and combined health behaviors on total and cause-specific mortality in men and women: the United Kingdom health and lifestyle survey.
      ]. To assess whether objectively meeting PA guidelines has protective effects among those with unhealthy eating habits, and similarly, whether healthy eating has protective effects among those who are less active (via objective assessment), we created 4 mutually exclusive groups as follows: Group 1: physically active and healthy diet (n = 730); Group 2: physically active and unhealthy diet (n = 1,218); Group 3: physically inactive and healthy diet (n = 1,370); and Group 4: physically inactive and unhealthy diet (n = 1,932).

      Keywords

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      References

        • Loprinzi P.D.
        • Walker J.F.
        Combined association of physical activity and diet with C-reactive protein among smokers.
        J. Diabetes Metab. Disord. 2015; 14: 51
      1. 2008 Physical Activity Guidelines for Americans — paguide.pdf, (n.d.). http://www.health.gov/paguidelines/pdf/paguide.pdf (accessed August 4, 2015).

        • Loprinzi P.D.
        Combined Effects of Accelerometer-Assessed Physical Activity and Dietary Behavior on All-Cause Mortality in a National Prospective Cohort Study.
        Int. J. Cardiol. 2015; 201: 258-259
        • Abdelmawgoud A.
        • Brown C.J.
        • Sui X.
        • Fonarow G.C.
        • Kokkinos P.F.
        • Bittner V.
        • et al.
        Relationship of physical activity and healthy eating with mortality and incident heart failure among community-dwelling older adults with normal body mass index.
        ESC Heart Fail. 2015; 2: 20-24
        • Ford E.S.
        • Zhao G.
        • Tsai J.
        • Li C.
        Low-risk lifestyle behaviors and all-cause mortality: findings from the National Health and Nutrition Examination Survey III Mortality Study.
        Am. J. Public Health. 2011; 101: 1922-1929
        • van Dam R.M.
        • Li T.
        • Spiegelman D.
        • Franco O.H.
        • Hu F.B.
        Combined impact of lifestyle factors on mortality: prospective cohort study in US women.
        BMJ. 2008; 337: a1440
        • Kvaavik E.
        • Batty G.
        • Ursin G.
        • Huxley R.
        • Gale C.R.
        Influence of individual and combined health behaviors on total and cause-specific mortality in men and women: the United Kingdom health and lifestyle survey.
        Arch. Intern. Med. 2010; 170: 711-718
        • Kwon S.C.
        • Wyatt L.C.
        • Kranick J.A.
        • Islam N.S.
        • Devia C.
        • Horowitz C.
        • et al.
        Physical activity, fruit and vegetable intake, and health-related quality of life among older Chinese, Hispanics, and Blacks in New York City.
        Am. J. Public Health. 2015; 105: S544-S552
        • Troiano R.P.
        • Berrigan D.
        • Dodd K.W.
        • Mâsse L.C.
        • Tilert T.
        • McDowell M.
        Physical activity in the United States measured by accelerometer.
        Med. Sci. Sports Exerc. 2008; 40: 181-188
        • Zhang L.
        • Ferguson T.F.
        • Simonsen N.
        • Chen L.
        • Tseng T.-S.
        Racial/ethnic disparities in health-related quality of life among participants with self-reported diabetes from NHANES 2001–2010.
        Diabetes Educ. 2014; 40: 496-506