Evidence mapPaperPMID 41316141Full record

ArticleBMC public health2025

Association of physical activity patterns including "weekend warrior" with mortality in adults with chronic lower respiratory diseases: a population-based cohort study.

Rong Zhou, Jiahui Peng, Xiaoyan Gong, Shurui Liu, Zhiyuan Zhang, Yunzhe Li, Kang Zou, Chunhua Liu

Abstract read
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Rong ZhouDepartment of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Gannan Medical University, Ganzhou City, Jiangxi Province, 341000, The People's Republic of China.
Jiahui PengThe First Clinical Medical College, Gannan Medical University, Ganzhou City, Jiangxi Province, 341000, The People's Republic of China.
Xiaoyan GongDepartment of Obstetrics and Gynecology, the First Affiliated Hospital of Gannan Medical University, Ganzhou City, Jiangxi Province, 341000, The People's Republic of China.
Shurui LiuThe First Clinical Medical College, Gannan Medical University, Ganzhou City, Jiangxi Province, 341000, The People's Republic of China.
Zhiyuan ZhangThe First Clinical Medical College, Gannan Medical University, Ganzhou City, Jiangxi Province, 341000, The People's Republic of China.
Yunzhe LiThe Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou City, Zhejiang Province, 310000, The People's Republic of China.
Kang ZouDepartment of Critical Care Medicine, the First Affiliated Hospital of Gannan Medical University, Ganzhou City, Jiangxi Province, 341000, The People's Republic of China. zoukang@gmu.edu.cn.
Chunhua LiuDepartment of Pulmonary and Critical Care Medicine, the First Affiliated Hospital of Gannan Medical University, Ganzhou City, Jiangxi Province, 341000, The People's Republic of China. a02297@gmu.edu.cn.

Funding

Gannan Medical University Undergraduate Innovation Program, China X202510413152
6 · The paper itself

Abstract

backgroundChronic lower respiratory diseases (CLRD), including asthma, COPD, and asthma-COPD overlap (ACO), are significant public health challenges. Physical activity (PA) is a key non-pharmacological intervention, but adherence to regular exercise is often poor. The "weekend warrior" (WW) pattern, involving concentrated exercise over weekends, may be a practical alternative. This study investigates the associations of different PA patterns with mortality in adults with CLRD using data from the National Health and Nutrition Examination Survey (NHANES).

methodsWe analyzed data from 17,152 participants aged ≥ 20 years from NHANES (2007-2018). PA patterns were categorized as inactive (IA), insufficiently active (Insuff-A), weekend warrior (WW), and regularly active (RA). Disease status was determined via self-reported physician diagnoses. Mortality outcomes were linked to the National Death Index. Cox proportional hazards regression models were used to assess associations between PA patterns and mortality, adjusting for demographic, lifestyle, and clinical covariates.

resultsIn the non-disease population, the regularly active (RA) pattern was associated with significantly lower all-cause (HR = 0.63, 95% CI 0.50-0.79) and non-cardiovascular mortality (HR = 0.66, 95% CI 0.49-0.89) compared with the inactive (IA) group. Among COPD patients, the insufficiently active (Insuff-A) pattern showed a significant reduction in all-cause (HR = 0.35, 95% CI 0.17-0.74) and non-cardiovascular mortality (HR = 0.34, 95% CI 0.15-0.79) compared with IA. The "weekend warrior" (WW) pattern demonstrated a non-significant mortality trend compared with IA, likely due to the small sample size.

conclusionRegular physical activity significantly reduces mortality risk in both healthy individuals and those with COPD. Even activity below recommended levels confers some benefits.

Indexed as

AsthmaExercisePulmonary Disease, Chronic ObstructiveAdultAgedChronic DiseaseCohort StudiesFemaleHumansMaleMiddle AgedNutrition SurveysUnited StatesChronic lower respiratory diseasesCohort studyMortalityPhysical activity patternsPublic healthWeekend warrior

Identifiers

PMID41316141
PMCPMC12771942

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.