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Association between physical activity and cardiometabolic multimorbidity among community-dwelling older adults
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Ji-yi MA, Jia-lin WANG, Ying XIA, Qi AN, Ting LI, Fu-yu LI, Ying HUANG, Zi-qi AN
Modern Preventive Medicine | 2026, 53(5) : 914 - 920
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Modern Preventive Medicine | 2026, 53(5): 914-920
• Health and Social Behavior •
Association between physical activity and cardiometabolic multimorbidity among community-dwelling older adults
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Ji-yi MA, Jia-lin WANG, Ying XIA, Qi AN, Ting LI, Fu-yu LI, Ying HUANG, Zi-qi AN
Affiliations
  • Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, China
Published: 2026-03-10 doi: 10.20043/j.cnki.MPM.202509027
Outline
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Objective

To explore the relationship between physical activity and cardiometabolic multimorbidity (CMM) among older adults in the community.

Methods

Using data from the 2020 China Health and Retirement Longitudinal Study(CHARLS), 9 076 older participants were included. Propensity score matching was employed to control for confounding factors in analyzing the association between physical activity and the number of cardiometabolic diseases. Multivariable logistic regression and restricted cubic spline models were used to evaluate the relationship between physical activity level (PAL) and CMM risk.

Results

Propensity score matching showed that sufficient physical activity was associated with an average reduction of 0.20 in the number of cardiometabolic diseases (ATT: -0.187~-0.225). Logistic regression indicated that a PAL ≥1 800 MET-min/week was significantly associated with lower CMM risk (1 800<PAL≤3 000: OR=0.814, 95% CI: 0.682-0.972; PAL≥3 000: OR=0.647, 95% CI: 0.572-0.732). The restricted cubic spline model revealed a nonlinear dose-response relationship between PAL and CMM risk (P for nonlinear <0.05). The risk of CMM decreased notably at a PAL around 3 800 MET min/week, and the association plateaued when PAL exceeded 8 000 MET min/week.

Conclusion

Physical activity is associated with a reduction in the number of cardiometabolic diseases. Maintaining an adequately high level of physical activity may have a positive effect on preventing CMM in older adults.

Cardiometabolic multimorbidity  /  Physical activity  /  Propensity score matching  /  Restricted cubic spline  /  CHARLS
马吉意, 王佳琳, 夏颖, 安琪, 李婷, 李馥余, 黄英, 安梓淇. 社区老年人体力活动与心血管代谢性共病的相关性分析. 现代预防医学, 2026 , 53 (5) : 914 -920 . DOI: 10.20043/j.cnki.MPM.202509027
Ji-yi MA, Jia-lin WANG, Ying XIA, Qi AN, Ting LI, Fu-yu LI, Ying HUANG, Zi-qi AN. Association between physical activity and cardiometabolic multimorbidity among community-dwelling older adults[J]. Modern Preventive Medicine, 2026 , 53 (5) : 914 -920 . DOI: 10.20043/j.cnki.MPM.202509027
Year 2026 volume 53 Issue 5
34
18
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Article Info
doi: 10.20043/j.cnki.MPM.202509027
  • Receive Date:2025-09-02
  • Online Date:2026-11-02
  • Published:2026-03-10
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  • Received:2025-09-02
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    Chengdu University of Traditional Chinese Medicine, Chengdu, Sichuan 610075, China
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表12种不同金属材料的力学参数
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Family
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Number of
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鹅膏菌科Amanitaceae 2 11 5.26 鹅膏菌属 Amanita 10 4.78
小菇科 Mycenaceae 2 12 5.74 丝盖伞属 Inocybe 5 2.39
多孔菌科 Polyporaceae 8 14 6.70 蜡蘑属 Laccaria 5 2.39
红菇科 Russulaceae 3 23 11.00 小皮伞属 Marasmius 6 2.87
小菇属 Mycena 11 5.26
光柄菇属 Pluteus 5 2.39
红菇属 Russula 17 8.13
栓菌属 Trametes 5 2.39
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