Noël C Barengo1,2, Riitta Antikainen3,4,5, Katja Borodulin6, Kennet Harald6, Pekka Jousilahti6. 1. Department of Medical and Population Health Sciences Research, Herbert Wertheim College of Medicine, Florida International University, Miami, Florida. 2. Clinicum, Department of Public Health, University of Helsinki, Helsinki, Finland. 3. Center for Life Course Health Research/Geriatrics, Faculty of Medicine, University of Oulu, Oulu, Finland. 4. Medical Research Center Oulu, Oulu University Hospital, Oulu, Finland. 5. Oulu City Hospital, Oulu, Finland. 6. Department of Health, National Institute for Health and Welfare, Helsinki, Finland.
Abstract
OBJECTIVES: To determine whether leisure-time physical activity (LTPA) is independently associated with all-cause and cardiovascular mortality and with incidence of cardiovascular disease (CVD) and stroke in older adults. DESIGN: Population-based cohort study (median follow-up 11.8 years). SETTING: Community, five Finnish provinces. PARTICIPANTS: Men and women aged 65 to 74 who participated in a baseline risk factor survey between 1997 and 2007 in Finland (N = 2,456). MEASUREMENTS: The study protocol included a self-administered questionnaire, health examination at the study site, and blood sample for laboratory analysis. LTPA was classified into three levels: low, moderate, high. Mortality data were obtained from the National Causes of Death Register and data on incident CVD (coronary heart disease, stroke) events from the National Hospital Discharge Register. RESULTS: Multifactorial-adjusted (age, area, study year, sex, smoking, body mass index, systolic blood pressure, serum cholesterol, education, marital status) risks of total mortality (moderate: hazard ratio (HR) = 0.61, 95% confidence interval (CI) = 0.50-0.74; high: HR = 0.47, 95% CI = 0.34-0.63, P for trend <.001), CVD mortality (moderate: HR = 0.46, 95% CI = 0.33-0.64; high: HR = 0.34, 95% CI = 0.20-0.59, P for trend <.001), and an incident CVD event (moderate HR = 0.69, 95% CI = 0.54-0.88; high: HR = 0.55, 95% CI = 0.38-0.79, P for trend <.001) were lower for those with moderate or high LTPA levels than for those with low LTPA levels. Further adjustment for self-reported inability to perform LTPA did not change the associations remarkably. CONCLUSIONS: Baseline LTPA reduces the risk of total and CVD mortality and incident CVD events in older adults independently of the major known CVD risk factors. The protective effect of LTPA is dose dependent.
OBJECTIVES: To determine whether leisure-time physical activity (LTPA) is independently associated with all-cause and cardiovascular mortality and with incidence of cardiovascular disease (CVD) and stroke in older adults. DESIGN: Population-based cohort study (median follow-up 11.8 years). SETTING: Community, five Finnish provinces. PARTICIPANTS: Men and women aged 65 to 74 who participated in a baseline risk factor survey between 1997 and 2007 in Finland (N = 2,456). MEASUREMENTS: The study protocol included a self-administered questionnaire, health examination at the study site, and blood sample for laboratory analysis. LTPA was classified into three levels: low, moderate, high. Mortality data were obtained from the National Causes of Death Register and data on incident CVD (coronary heart disease, stroke) events from the National Hospital Discharge Register. RESULTS: Multifactorial-adjusted (age, area, study year, sex, smoking, body mass index, systolic blood pressure, serum cholesterol, education, marital status) risks of total mortality (moderate: hazard ratio (HR) = 0.61, 95% confidence interval (CI) = 0.50-0.74; high: HR = 0.47, 95% CI = 0.34-0.63, P for trend <.001), CVD mortality (moderate: HR = 0.46, 95% CI = 0.33-0.64; high: HR = 0.34, 95% CI = 0.20-0.59, P for trend <.001), and an incident CVD event (moderate HR = 0.69, 95% CI = 0.54-0.88; high: HR = 0.55, 95% CI = 0.38-0.79, P for trend <.001) were lower for those with moderate or high LTPA levels than for those with low LTPA levels. Further adjustment for self-reported inability to perform LTPA did not change the associations remarkably. CONCLUSIONS: Baseline LTPA reduces the risk of total and CVD mortality and incident CVD events in older adults independently of the major known CVD risk factors. The protective effect of LTPA is dose dependent.
Authors: Monica M Williams; Blakelee R Kemp; Kenneth F Ferraro; Sarah A Mustillo Journal: J Gerontol B Psychol Sci Soc Sci Date: 2019-01-01 Impact factor: 4.077
Authors: Rosyvaldo Ferreira-Silva; Thiago T Goya; Eline R F Barbosa; Bruno G Durante; Carlos E L Araujo; Geraldo Lorenzi-Filho; Linda M Ueno-Pardi Journal: J Clin Sleep Med Date: 2018-09-15 Impact factor: 4.062
Authors: Luc Djousse; Petra Schubert; Yuk-Lam Ho; Stacey B Whitbourne; Kelly Cho; J Michael Gaziano Journal: J Nov Physiother Phys Rehabil Date: 2021-10-01
Authors: Eileen Rillamas-Sun; Michael J LaMonte; Kelly R Evenson; Cynthia A Thomson; Shirley A Beresford; Mathilda C Coday; Todd M Manini; Wenjun Li; Andrea Z LaCroix Journal: J Gerontol A Biol Sci Med Sci Date: 2018-10-08 Impact factor: 6.053
Authors: Sara Higueras-Fresnillo; Verónica Cabanas-Sánchez; Esther García-Esquinas; Fernando Rodríguez-Artalejo; David Martinez-Gomez Journal: Qual Life Res Date: 2018-09-11 Impact factor: 4.147