Association of leisure time physical activity with the risk of coronary heart disease, hypertension and diabetes in middle-aged men and women

Haapanen, N.; Miilunpalo, Seppo; Vuori, Ilkka; Oja, Pekka; Pasanen, Matti

doi:10.1093/ije/26.4.739

Cited by 265 publications

(185 citation statements)

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“…Further results from the Nurses Health Study suggested that, independently of exercise levels, sedentary behaviours, especially TV watching, were associated with significantly elevated risk of type 2 diabetes and obesity, whereas even light to moderate activities were associated with a substantially lower risk [24]. Also, an inverse association between exercise and incidence of type 2 diabetes was observed among residents of the UK [21,25] and Finland [13,26]. The findings in the present study extend the literature showing that leisure time physical activity is associated with a reduction in risk of type 2 diabetes.…”

Section: Discussionmentioning

confidence: 98%

Leisure time physical activity and the risk of type 2 diabetes in men and women from the general population

et al. 2004

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Aims/hypothesis: The aim of this study was to examine sex-specific associations between leisure time physical activity and incident type 2 diabetes in a representative population sample in Germany. Methods: The study was based on 4,069 men and 4,034 women (aged 25 to 74 years) who participated in one of the three MONICA Augsburg surveys between 1984 and 1995. Subjects were free of diabetes at baseline. Incident cases of type 2 diabetes were assessed in 1998 using a follow-up questionnaire. Sex-specific hazard ratios (HRs) were estimated from Cox proportional hazard models. Results: A total of 145 cases of incident type 2 diabetes among men and 82 among women were registered during the mean follow-up period of 7.4 years. In both sexes, a high leisure time physical activity level was associated with a reduced risk of incident type 2 diabetes. After adjustment for confounding factors, the HR in highly active men (more than 2 h physical activity per week in summer and winter) was 0.83 (95% CI: 0.50-1.36). In contrast, highly active women had the lowest risk of type 2 diabetes even after multivariable adjustment (HR 0.24; 95% CI: 0.06-0.98). In subgroup analyses, after multivariable adjustment, the protective effect of moderate to high physical activity was significant in women with a BMI below 30 kg/m 2 (HR 0.24; 95% CI: 0.09-0.65) but not in women with a BMI of 30 kg/m 2 or higher (HR 0.97; 95% CI: 0.44-2.11). Conclusions/interpretation: Leisure time physical activity is effective in preventing type 2 diabetes, especially in nonobese women, in the general population.

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Section: Discussionmentioning

confidence: 98%

Leisure time physical activity and the risk of type 2 diabetes in men and women from the general population

et al. 2004

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“…AT Adipose tissue; CRF Cardiorespiratory fitness; LT Lean tissue; WC Waist circumference; WL Weight loss decreased by 6% (61). Results of other prospective studies in men and women further suggest that high levels of physical activity protect against the incidence of coronary artery disease, independent of BMI, as well as other factors such as age, smoking, diabetes and hypertension (62). Furthermore, prospective analyses from the Aerobics Center Longitudinal Study have consistently reported that CRF is a significant predictor of mortality from all causes (9,10,63,64), CVD (9,10) and type 2 diabetes (65) in men and women, independent of BMI or WC.…”

Section: Exercise-induced Reduction In Cardiometabolic Risk Factors Wmentioning

confidence: 91%

Is weight loss the optimal target for obesity-related cardiovascular disease risk reduction?

Ross

Janiszewski

2008

Canadian Journal of Cardiology

101

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“…For the women both a higher total amount of activity and weekly vigorous activity had an inverse association with the risk of diabetes (Haapanen, Miilunpalo, Vuori, Oja, & Pasanen, 1997).…”

Section: Phq-9 Score ≤4 (No Depression)mentioning

confidence: 90%

Determining the Score for Depression and Its Relationship with the Level of Physical Activity in a Patient at the Family Medicine

Gavrić¹

2012

OJD

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Introduction: Drop in levels of physical activity is associated with occurrence of diseases that can lead to disability and death. Objective: To determine the level of physical activity and the presence of depression, as well their relationship with body mass index in patients. Methods: In the family medicine clinic, within the pilot study, in the first half of 2010 year, through the Interview with 141 patients, the following questionnaires were completed: International Physical Activity Questionnaire (IPAQ) and Patient Health Questionnaire (PHQ-9). The data were processed according to the instructions for questionnaires for PHQ-9 and IPAQ. The patients underwent measurements of blood pressure, sugar and cholesterol levels in blood and body mass index (BMI). Results: Of the total 141 respondents, more than half (61.70%) were aged 25 -54 years, median 44th years (±14.3). Nearly 3/4 of respondents (73.76%) had the PHQ-9 score value of ≤4, and slightly more than 1/4 of the respondents had the PHQ-9 score value of ≥5. The largest number of respondents (51.80%) over the week had moderate physical activity, with statistically significant difference (χ 2 = 566.7, p <0.01) compared to those who had vigorous (16.30%) and low (32.00%) physical activity. Over 2/3 of respondents (67.60%) with the PHQ-9 score ≥ 5 had high BMI and were obese and engaged in moderate physical activity (48.00%). The median sitting in minutes in the last week was greater in those with PHQ-9 score ≥5 (545 minutes) compared to those with PHQ-9 score ≤ 4. Discussion: Moderate physical activity is important in preventing depression and stress. Conclusion: Obligation of the family doctor is to promote physical activity in all age groups as an important factor for improving health and preventing disease.

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Association of leisure time physical activity with the risk of coronary heart disease, hypertension and diabetes in middle-aged men and women

Abstract: The results suggest a preventive effect of leisure time physical activity on CHD, hypertension and diabetes. This effect may differ among middle-aged men and women and the relative importance of the total amount and the intensity may vary depending on the outcome measure.

Cited by 265 publications

References 0 publications

Leisure time physical activity and the risk of type 2 diabetes in men and women from the general population

Leisure time physical activity and the risk of type 2 diabetes in men and women from the general population

Is weight loss the optimal target for obesity-related cardiovascular disease risk reduction?

Determining the Score for Depression and Its Relationship with the Level of Physical Activity in a Patient at the Family Medicine

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