Dose–response association of physical activity with acute myocardial infarction: Do amount and intensity matter?

Elosúa, Roberto; Redondo, Ana; Segura, Antonio; Fiol, Miquel; Aldasoro, Elena; Vega, Gema; Forteza, Jordi; Martí, Helena; Arteagoitia, José M.; Marrugat, Jaume

doi:10.1016/j.ypmed.2013.07.022

Cited by 18 publications

(12 citation statements)

References 32 publications

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“…There is no strong evidence in the literature to suggest that smoking, alcohol intake or BMI modify the strength of the association between physical activity and vascular risk, consistent with present study [ 24 ]. There is some evidence from other studies that vigorous exercise may have an effect on ischaemic heart disease beyond its contribution to MET-hours per week and the findings of the present study support this [ 8 , 25 ].…”

Section: Discussionsupporting

confidence: 85%

“…Volume of physical activity has been inversely associated with both ischaemic heart disease [ 5 – 8 ] and stroke [ 9 – 11 ]. The lack of consistency in how physical activity is defined and measured in different studies means there is limited evidence on the dose–response relationship between volume of physical activity and risk of major vascular events.…”

Section: Introductionmentioning

confidence: 99%

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Physical activity and vascular disease in a prospective cohort study of older men: The Health In Men Study (HIMS)

et al. 2015

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BackgroundThe dose–response relationship between volume of physical activity and incidence of major vascular events at older age is unclear. We aimed to investigate this association in a cohort of older men.MethodsFor this prospective cohort study, 7564 men aged 65–83 years and without prior vascular disease were recruited in 1996–99 from the general population in Perth, Western Australia. Men were followed up using the Western Australian Data Linkage System to identify deaths and hospitalisations. During mean follow-up of 11 (SD 4) years, there were 1557 first major vascular events: 833 ischaemic heart disease events, 551 stroke events and 173 other vascular events. Cox regression was used to calculate hazard ratios (adjusted for age, education and smoking) for incidence of major vascular events by volume of baseline recreational physical activity (measured in metabolic equivalent [MET] hours per week).ResultsHazard ratios among men who performed 0, 1–14, 15–24, 25–39, ≥40 MET-hours per week of recreational physical activity were 1.00 (95 % CI 0.91–1.10; referent), 0.88 (0.79–1.00), 0.81 (0.72–0.91), 0.81 (0.72–0.91) and 0.80 (0.71–0.89), respectively (P trend =0.006). The association was slightly attenuated with further adjustment for BMI. There was evidence of stronger associations at older ages and greater intensity of activity, but no evidence of effect modification by smoking, alcohol intake or BMI. There was also no evidence that the association varied by type of vascular event.ConclusionsAmong men aged over 65 years, there was a curvilinear association between recreational physical activity and incidence of major vascular events, with an inverse association up to about 20 MET-hours per week (equivalent to 1 h of non-vigorous, or half an hour of vigorous, physical activity per day) and no evidence of further reductions in risk thereafter.Electronic supplementary materialThe online version of this article (doi:10.1186/s12877-015-0157-2) contains supplementary material, which is available to authorized users.

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Section: Discussionsupporting

confidence: 85%

Section: Introductionmentioning

confidence: 99%

Physical activity and vascular disease in a prospective cohort study of older men: The Health In Men Study (HIMS)

et al. 2015

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“…The lack of correlation between self-reported and objectively registered light intensity PA could be related to the lack of attention to household activities in the shorter questionnaire or to the possibility that some individuals consider this type of PA unimportant and underreport it. This limitation could be considered irrelevant, as current recommendations focus on moderate to vigorous PA [3–5]; however, some studies have shown an association between light intensity PA, such as walking, and mortality or coronary heart disease risk, especially in older individuals [28–31]. Therefore, and although these studies used questionnaires to assess light intensity PA, the association between the questionnaire light intensity PA estimation and health outcomes should be evaluated with caution.…”

Section: Discussionmentioning

confidence: 99%

Validation of the Regicor Short Physical Activity Questionnaire for the Adult Population

et al. 2017

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ObjectiveTo develop and validate a short questionnaire to estimate physical activity (PA) practice and sedentary behavior for the adult population.MethodsThe short questionnaire was developed using data from a cross-sectional population-based survey (n = 6352) that included the Minnesota leisure-time PA questionnaire. Activities that explained a significant proportion of the variability of population PA practice were identified. Validation of the short questionnaire included a cross-sectional component to assess validity with respect to the data collected by accelerometers and a longitudinal component to assess reliability and sensitivity to detect changes (n = 114, aged 35 to 74 years).ResultsSix types of activities that accounted for 87% of population variability in PA estimated with the Minnesota questionnaire were selected. The short questionnaire estimates energy expenditure in total PA and by intensity (light, moderate, vigorous), and includes 2 questions about sedentary behavior and a question about occupational PA. The short questionnaire showed high reliability, with intraclass correlation coefficients ranging between 0.79 to 0.95. The Spearman correlation coefficients between estimated energy expenditure obtained with the questionnaire and the number of steps detected by the accelerometer were as follows: 0.36 for total PA, 0.40 for moderate intensity, and 0.26 for vigorous intensity. The questionnaire was sensitive to detect changes in moderate and vigorous PA (correlation coefficients ranging from 0.26 to 0.34).ConclusionThe REGICOR short questionnaire is reliable, valid, and sensitive to detect changes in moderate and vigorous PA. This questionnaire could be used in daily clinical practice and epidemiological studies.

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“…Although data about the relationship between arrhythmia and habitual physical activity are scarce, the scientific literature supports the link between higher physical activity level and lower mortality from cardiovascular causes [25][26][27][28][29] . Even in patients with cardiac insufficiency, the practice of walking significantly increases the heart ejection force 30 .…”

Section: Discussionmentioning

confidence: 99%

Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP

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Araújo²,

Rocha³

et al. 2016

J Physical Edu

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Aging is associated with a higher prevalence of chronic diseases, which can be minimized by a healthy and active lifestyle. The aim of this study was to analyze the occurrence of chronic diseases in Public Healthcare System patients, according to the level of physical activity. In total 542 patients, 29.7% (n = 161) male and 70.3% (n = 381) female, were evaluated in two Basic Health Units. The level of physical activity, presence of diseases and economic condition were verified through the use of questionnaires. Obesity was assessed using the Body Mass index (in kg/m²). Cardiac arrhythmia diseases (p = 0.033), arthritis/osteoarthritis (p = 0.010) and a herniated disc (p = 0.006) were associated with the level of physical activity. It is concluded that the level of physical activity is associated with the occurrence of chronic diseases in patients over the age of 50 years served by the Public Healthcare System of Presidente Prudente/SP city. Keywords: Public Healthcare System. Chronic diseases. Physical activity. RESUMOO envelhecimento está associado a maior prevalência de doenças crônicas não transmissíveis, fato que pode ser minimizado em decorrência de estilo de vida saudável e ativo. O objetivo deste estudo foi analisar a ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde, de acordo com o nível de atividade física. Participaram 542 pacientes, 29,7% (n=161) do sexo masculino e 70,3% (n=381) feminino, que foram avaliados em duas Unidades Básicas de Saúde. O nível de atividade física, presença de doenças e condição econômica foram verificados através de questionários. Obesidade foi verificada utilizando o índice da Massa Corporal (em Kg/m²). As doenças arritmia cardíaca (p=0,033), artrite/artrose (p=0,010) e hérnia de disco (p=0,006) foram associadas com o nível de atividade física. Conclui-se que o nível de atividade física está associado ao acometimento de doenças crônicas não transmissíveis em pacientes com idade acima de 50 anos atendidos pelo Sistema único de Saúde de Presidente Prudente/SP. Palavras-chave: Sistema Único de Saúde. Doenças crônicas. Atividade física.

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Dose–response association of physical activity with acute myocardial infarction: Do amount and intensity matter?

Cited by 18 publications

References 32 publications

Physical activity and vascular disease in a prospective cohort study of older men: The Health In Men Study (HIMS)

Physical activity and vascular disease in a prospective cohort study of older men: The Health In Men Study (HIMS)

Validation of the Regicor Short Physical Activity Questionnaire for the Adult Population

Nível de atividade física e ocorrência de doenças crônicas em pacientes atendidos pelo Sistema Único de Saúde de Presidente Prudente – SP

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