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Cohort study
Higher physical activity during middle age is associated with increased odds of survival without cognitive or physical impairments in older women
  1. Calvin Hirsch
  1. Division of General Medicine, University of California, Davis, California, USA
  1. Correspondence to Calvin Hirsch
    Division of General Medicine, University of California, Davis Medical Center, 4150 V Street, PSSB Suite 2400, Sacramento, CA 95817, USA; chhirsch{at}ucdavis.edu

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Sun and colleagues1 report on their analysis of data from the Nurses' Health Study, in which they evaluate the effects of a physically active lifestyle on a composite end point that is intended to model successful ageing. The authors define successful ageing as the absence of nine common age-associated medical conditions, cognitive impairment, disability and mental health limitations in women who reached their mid-70s. Prior studies have consistently shown a benefit of exercise in reducing the risk of the individual conditions that make up their successful-ageing construct. Strong evidence exists for an inverse relationship between level of physical activity and the development of hypertension, …

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