Weekend warrior and the risk of specific disease: a meta-epidemiology study

Abstract Background The "Weekend Warrior (WW)" physical activity (PA) pattern, involving intensive exercise on 1–2 days per week, has become increasingly popular. The WW PA pattern demonstrates protective effects against a broad spectrum of chronic diseases; however, regarding a comprehens...

Full description

Saved in:
Bibliographic Details
Main Authors: Keqi Fu, Jiale Wang, Hejing Pan, Lin Huang, Xuanlin Li
Format: Article
Language:English
Published: BMC 2025-04-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-025-22667-7
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849699216633364480
author Keqi Fu
Jiale Wang
Hejing Pan
Lin Huang
Xuanlin Li
author_facet Keqi Fu
Jiale Wang
Hejing Pan
Lin Huang
Xuanlin Li
author_sort Keqi Fu
collection DOAJ
description Abstract Background The "Weekend Warrior (WW)" physical activity (PA) pattern, involving intensive exercise on 1–2 days per week, has become increasingly popular. The WW PA pattern demonstrates protective effects against a broad spectrum of chronic diseases; however, regarding a comprehensive investigation into the disease-specific protective mechanisms and long-term health outcomes of the subject, it remains unclear. WW exhibits protective effects against various diseases; however, there is a conspicuous scarcity of literature investigating its protective mechanisms across different disease conditions. The objective of this meta-epidemiology study was to exam WW’s protective effects by synthesizing data from published observational studies. Methods A systematic search was conducted across databases including PubMed, Embase, Cochrane Library and Web of Science through February 19, 2025. The search focused on observational studies reporting the association between the WW PA pattern and various health outcomes, including cardiovascular diseases, mortality, metabolic syndrome, and mental health, compared to inactive individuals. Odds ratios (ORs) were pooled using random-effects models. Subgroup analyses were performed to investigate the association with ORs of factors, such as sex, study type, and PA assessment. Results Twenty-seven studies encompassing 1,204,486 participants were included. The pooled analysis indicated that the WW exercise pattern significantly reduced the risk of CVD mortality (OR = 0.742, 95% CI: 0.568–0.968), I2 = 71.3%, P = 0.028). Additionally, WW showed lower risks of mental disorders and metabolic syndrome. Conclusion The WW PA pattern is associated with significant health benefits, including reduced risks of mortality, cardiovascular diseases, and metabolic syndrome. This pattern may be a viable alternative for individuals unable to engage in daily physical activity. Future research should further explore the long-term effects and refine exercise recommendations for various population subgroups. PROSPERO registration number CRD42024587216.
format Article
id doaj-art-a7f3ce0e6abf4d2f9f0c38f69cadb2e0
institution DOAJ
issn 1471-2458
language English
publishDate 2025-04-01
publisher BMC
record_format Article
series BMC Public Health
spelling doaj-art-a7f3ce0e6abf4d2f9f0c38f69cadb2e02025-08-20T03:18:41ZengBMCBMC Public Health1471-24582025-04-0125112010.1186/s12889-025-22667-7Weekend warrior and the risk of specific disease: a meta-epidemiology studyKeqi Fu0Jiale Wang1Hejing Pan2Lin Huang3Xuanlin Li4Department of Public Physical, Zhejiang Chinese Medical UniversityThe First Clinical Medical College of Zhejiang, Chinese Medical UniversityCollege of Basic Medical Sciences, Zhejiang Chinese Medical UniversityCollege of Basic Medical Sciences, Zhejiang Chinese Medical UniversityCollege of Basic Medical Sciences, Zhejiang Chinese Medical UniversityAbstract Background The "Weekend Warrior (WW)" physical activity (PA) pattern, involving intensive exercise on 1–2 days per week, has become increasingly popular. The WW PA pattern demonstrates protective effects against a broad spectrum of chronic diseases; however, regarding a comprehensive investigation into the disease-specific protective mechanisms and long-term health outcomes of the subject, it remains unclear. WW exhibits protective effects against various diseases; however, there is a conspicuous scarcity of literature investigating its protective mechanisms across different disease conditions. The objective of this meta-epidemiology study was to exam WW’s protective effects by synthesizing data from published observational studies. Methods A systematic search was conducted across databases including PubMed, Embase, Cochrane Library and Web of Science through February 19, 2025. The search focused on observational studies reporting the association between the WW PA pattern and various health outcomes, including cardiovascular diseases, mortality, metabolic syndrome, and mental health, compared to inactive individuals. Odds ratios (ORs) were pooled using random-effects models. Subgroup analyses were performed to investigate the association with ORs of factors, such as sex, study type, and PA assessment. Results Twenty-seven studies encompassing 1,204,486 participants were included. The pooled analysis indicated that the WW exercise pattern significantly reduced the risk of CVD mortality (OR = 0.742, 95% CI: 0.568–0.968), I2 = 71.3%, P = 0.028). Additionally, WW showed lower risks of mental disorders and metabolic syndrome. Conclusion The WW PA pattern is associated with significant health benefits, including reduced risks of mortality, cardiovascular diseases, and metabolic syndrome. This pattern may be a viable alternative for individuals unable to engage in daily physical activity. Future research should further explore the long-term effects and refine exercise recommendations for various population subgroups. PROSPERO registration number CRD42024587216.https://doi.org/10.1186/s12889-025-22667-7Weekend warriorMeta-analysisObservational studyMortalityNeurological disorderCardiovascular outcome
spellingShingle Keqi Fu
Jiale Wang
Hejing Pan
Lin Huang
Xuanlin Li
Weekend warrior and the risk of specific disease: a meta-epidemiology study
BMC Public Health
Weekend warrior
Meta-analysis
Observational study
Mortality
Neurological disorder
Cardiovascular outcome
title Weekend warrior and the risk of specific disease: a meta-epidemiology study
title_full Weekend warrior and the risk of specific disease: a meta-epidemiology study
title_fullStr Weekend warrior and the risk of specific disease: a meta-epidemiology study
title_full_unstemmed Weekend warrior and the risk of specific disease: a meta-epidemiology study
title_short Weekend warrior and the risk of specific disease: a meta-epidemiology study
title_sort weekend warrior and the risk of specific disease a meta epidemiology study
topic Weekend warrior
Meta-analysis
Observational study
Mortality
Neurological disorder
Cardiovascular outcome
url https://doi.org/10.1186/s12889-025-22667-7
work_keys_str_mv AT keqifu weekendwarriorandtheriskofspecificdiseaseametaepidemiologystudy
AT jialewang weekendwarriorandtheriskofspecificdiseaseametaepidemiologystudy
AT hejingpan weekendwarriorandtheriskofspecificdiseaseametaepidemiologystudy
AT linhuang weekendwarriorandtheriskofspecificdiseaseametaepidemiologystudy
AT xuanlinli weekendwarriorandtheriskofspecificdiseaseametaepidemiologystudy