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. 2024 Apr 24;21(1):44.
doi: 10.1186/s12966-024-01592-9.

Community-level group sports participation and all-cause, cardiovascular disease, and cancer mortality: a 7-year longitudinal study

Taishi Tsuji  1   2 , Eisaku Okada  3 , Masashige Saito  4   5 , Satoru Kanamori  6   7 , Yasuhiro Miyaguni  4   8 , Masamichi Hanazato  9 , Katsunori Kondo  9   8 , Toshiyuki Ojima  10
Affiliations

Community-level group sports participation and all-cause, cardiovascular disease, and cancer mortality: a 7-year longitudinal study

Taishi Tsuji et al. Int J Behav Nutr Phys Act. .

Abstract

Background: Community-level group sports participation is a structural aspect of social capital that can potentially impact individual health in a contextual manner. This study aimed to investigate contextual relationship between the community-level prevalence of group sports participation and the risk of all-cause, cardiovascular disease (CVD), and cancer mortality in older adults.

Methods: In this 7-year longitudinal cohort study, data from the Japan Gerontological Evaluation Study, a nationwide survey encompassing 43,088 functionally independent older adults residing in 311 communities, were used. Cause of death data were derived from the Japanese governmental agency, The Ministry of Health, Labour and Welfare, for secondary use. "Participation" was defined as engaging in group sports for one or more days per month. To analyze the data, a two-level survival analysis was employed, and hazard ratios (HRs) and 95% confidence intervals (CIs) were calculated.

Results: Among the participants, 5,711 (13.3%) deaths were identified, with 1,311 related to CVD and 2,349 to cancer. The average group sports participation rate was 28.3% (range, 10.0-52.7%). After adjusting for individual-level group sports participation and potential confounders, a higher community-level group sports participation rate was found to be significantly associated with a lower risk of both all-cause mortality (HR: 0.89, 95% CI: 0.83-0.95) and cancer mortality (HR: 0.89, 95% CI: 0.81-0.98) for every 10% point increase in the participation rate. For CVD mortality, the association became less significant in the model adjusted for all covariates (HR: 0.94, 95% CI: 0.82-1.09).

Conclusions: Our findings support the existence of a preventive relationship between community-level group sports participation and the occurrence of all-cause and cancer mortality among older individuals. Promoting group sports within communities holds promise as an effective population-based strategy for extending life expectancy, regardless of individual participation in these groups.

Keywords: Contextual effect; Japan; Older adults; Social capital; Social participation.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Participants’ flow in the cohort study
See this image and copyright information in PMC

References

    1. Kanamori S, Kai Y, Kondo K, Hirai H, Ichida Y, Suzuki K, et al. Participation in sports organizations and the prevention of functional disability in older Japanese: the AGES cohort study. PLoS ONE. 2012;7:e51061. doi: 10.1371/journal.pone.0051061. - DOI - PMC - PubMed
    1. Kanamori S, Takamiya T, Inoue S, Kai Y, Tsuji T, Kondo K. Frequency and pattern of exercise and depression after two years in older Japanese adults: the JAGES longitudinal study. Sci Rep. 2018;8:11224. doi: 10.1038/s41598-018-29053-x. - DOI - PMC - PubMed
    1. Hayashi T, Kondo K, Kanamori S, Tsuji T, Saito M, Ochi A, et al. Differences in falls between older adult participants in group exercise and those who exercise alone: a cross-sectional study using Japan gerontological evaluation study (JAGES) data. Int J Environ Res Public Health. 2018;15:1413. doi: 10.3390/ijerph15071413. - DOI - PMC - PubMed
    1. Kanamori S, Takamiya T, Inoue S. Group exercise for adults and elderly: determinants of participation in group exercise and its associations with health outcome. J Phys Fit Sports Med. 2015;4:315–20. doi: 10.7600/jpfsm.4.315. - DOI
    1. Tsuji T, Miyaguni Y, Kanamori S, Hanazato M, Kondo K. Community-level sports group participation and older individuals’ depressive symptoms. Med Sci Sports Exerc. 2018;50:1199–205. doi: 10.1249/MSS.0000000000001541. - DOI - PMC - PubMed

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