PMID- 37965127
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20240212
IS  - 2211-3355 (Print)
IS  - 2211-3355 (Electronic)
IS  - 2211-3355 (Linking)
VI  - 36
DP  - 2023 Dec
TI  - Do differences in sport participation contribute to socioeconomic health 
      inequalities? Evidence from the Lifelines cohort study on all-cause mortality, 
      diabetes and obesity.
PG  - 102479
LID - 10.1016/j.pmedr.2023.102479 [doi]
LID - 102479
AB  - Little is known about the role of sport participation in socioeconomic health 
      inequalities. We studied the association between different aspects of sport 
      participation with all-cause mortality, type 2 diabetes mellitus (T2DM) and 
      obesity, including inequalities between socioeconomic subpopulations. Using the 
      Dutch Lifelines cohort study (n = 84,230), we assessed the associations of sport 
      participation, as well as the amount, intensity, type and number of sports, with 
      all-cause mortality, T2DM and obesity in individuals. We studied the effect of 
      sport participation on health outcomes within and between educational categories. 
      Outcomes were compared with moderate to vigorous physical activity (MVPA). Sport 
      participation was significantly associated with lower mortality (HR = 0.81), T2DM 
      (HR = 0.70), and obesity (HR = 0.77). No significant additional effects of the 
      amount or intensity of sport participation were found, while participating in 
      teams sport was associated with significantly lower mortality (HR = 0.53) 
      compared with other types of sport. These effects were similar among educational 
      categories. Sport participation explained between 11% (T2DM and obesity) and 22% 
      (mortality) of health inequalities between educational categories. This was more 
      than twice the effect size of MVPA. The sensitivity analysis with net income as 
      the socioeconomic indicator showed similar results. Our results suggest that to 
      reduce socioeconomic differences in health, public health policies should focus 
      on increasing sport participation in groups with a low socioeconomic status, 
      rather than increasing the amount or intensity of sport participation, or MVPA in 
      general.
CI  - (c) 2023 The Author(s).
FAU - de Boer, Willem I J
AU  - de Boer WIJ
AD  - University of Groningen, Faculty of Economics and Business, Nettelbosje 2, 9747 
      AE Groningen, the Netherlands.
AD  - School of Sport and Exercise, HAN University of Applied Sciences, Heyendaalseweg 
      141, 6525 AJ Nijmegen, the Netherlands.
FAU - Mierau, Jochen O
AU  - Mierau JO
AD  - University of Groningen, Faculty of Economics and Business, Nettelbosje 2, 9747 
      AE Groningen, the Netherlands.
AD  - Aletta Jacobs School of Public Health, Postbus 716, 9700 AS Groningen, the 
      Netherlands.
FAU - Koning, Ruud H
AU  - Koning RH
AD  - University of Groningen, Faculty of Economics and Business, Nettelbosje 2, 9747 
      AE Groningen, the Netherlands.
LA  - eng
PT  - Journal Article
DEP - 20231031
PL  - United States
TA  - Prev Med Rep
JT  - Preventive medicine reports
JID - 101643766
PMC - PMC10641690
COIS- The authors declare that they have no known competing financial interests or 
      personal relationships that could have appeared to influence the work reported in 
      this paper.
EDAT- 2023/11/15 06:42
MHDA- 2023/11/15 06:43
PMCR- 2023/10/31
CRDT- 2023/11/15 04:17
PHST- 2023/08/21 00:00 [received]
PHST- 2023/10/12 00:00 [revised]
PHST- 2023/10/13 00:00 [accepted]
PHST- 2023/11/15 06:43 [medline]
PHST- 2023/11/15 06:42 [pubmed]
PHST- 2023/11/15 04:17 [entrez]
PHST- 2023/10/31 00:00 [pmc-release]
AID - S2211-3355(23)00370-4 [pii]
AID - 102479 [pii]
AID - 10.1016/j.pmedr.2023.102479 [doi]
PST - epublish
SO  - Prev Med Rep. 2023 Oct 31;36:102479. doi: 10.1016/j.pmedr.2023.102479. 
      eCollection 2023 Dec.