Mitral valve prolapse and physical performance in Asian military males: The CHIEF Heart study

Liu, Wei-Nung; Feng, An-Chieh; Hsu, Chu-Yu; Liu, Pang-Yen; Tsai, Kun-Zhe; Zeng, Huan-Chang; Lavie, Carl J.; Lin, Gen-Min

doi:10.1080/02640414.2023.2260626

Cited by 3 publications

(4 citation statements)

References 36 publications

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“…22 All participants underwent the exercise tests for assessments of CRF by maximal oxygen uptake (VO 2 max, mL/kg/min) in a 3000‐m run and MEC by 2‐min push‐up numbers at the Hualien Military Physical Training and Testing Center at baseline. 23 , 24 …”

Section: Methodsmentioning

confidence: 99%

“…CRF of each subject was evaluated in a 3000‐m run field test, which was uniformly performed outdoor at 4:00 pm if the weather situation was acceptable according to the military testing regulation. 18 , 23 Time for a 3000‐m run was transformed to estimated VO 2 max, which has been verified by the cardiopulmonary exercising test, according to our previous work. 24 , 25 The entire procedure for both of the 2‐min push‐up and 3000‐m run field tests was video recorded throughout.…”

Section: Methodsmentioning

confidence: 99%

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The combined effect of cardiorespiratory and muscular fitness on the incidence of metabolic syndrome before midlife

Tsai,

Chu,

Huang

et al. 2024

J cachexia sarcopenia muscle

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BackgroundCardiorespiratory fitness (CRF) could reduce the risk of metabolic syndrome (MetS) while the association between muscular endurance capacity (MEC) and incident MetS has rarely been investigated in young adults.MethodsA total of 2890 military men and women, aged 18–39 years, free of baseline MetS in Taiwan, were followed for incident MetS from baseline (2014) until the end of 2020. All subjects received annual health examinations for assessment of MetS. Physical fitness was assessed by CRF (estimated maximal oxygen uptake, VO2 max [mL/kg/min], in a 3000‐m run) and MEC (numbers of 2‐min push‐ups). MetS was defined according to the International Diabetes Federation (IDF) criteria. Multiple Cox regression analysis was conducted with adjustments for baseline age, sex, substance use status and physical activity to determine the associations of CRF and MEC with incidences of new‐onset MetS and related features, for example, central obesity, hypertension, dyslipidaemia and prediabetes or diabetes. To examine the combined effects of CRF and MEC status on incidence of MetS, high and low levels of CRF and MEC were separately defined by over and under the sex‐specific median in each exercise test.ResultsDuring a median follow‐up of 5.8 years, there were 673 (23.3%) new‐onset MetS. Higher CRF was associated with a lower incidence of MetS (hazard ratio [HR] and 95% confidence interval: 0.905 [0.877–0.933]), and its components separately, except hypertension. No association was observed between MEC and incident MetS, and its components separately, except hypertension. When evaluating the combined effects of MEC and CRF status on the incidence of MetS, it was observed that compared with the low CRF/low MEC, the high CRF/high MEC (HR: 0.553 [0.439–0.697]) and the high CRF/low MEC (HR: 0.730 [0.580–0.918]) had a lower incidence of new‐onset MetS (P value for the intergroup difference = 0.04). There was no significant result for the low CRF/high MEC.ConclusionsThis study highlights that although the protective effects of MEC to reduce the incidence of MetS and most of its related features were mainly driven by CRF in young adults, there was an addictive effect of greater MEC on CRF to prevent the development of new‐onset MetS before midlife.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

The combined effect of cardiorespiratory and muscular fitness on the incidence of metabolic syndrome before midlife

Tsai,

Chu,

Huang

et al. 2024

J cachexia sarcopenia muscle

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“…This study utilized data from the cardiorespiratory fitness and health in eastern armed forces (CHIEF) study, a prospective longitudinal cohort study aimed to clarify the association between physical fitness and cardiometabolic health in military personnel in Taiwan (9,(24)(25)(26)(27)(28). This study consists of 4,080 participants of 18-50 years old, recruited from various military bases in Hualien and Taitung Counties in Taiwan, and underwent annual health examinations between 2014 and 2020.…”

Section: Study Populationmentioning

confidence: 99%

“…Following a 12-h overnight fast, peripheral venous blood samples were collected from the antecubital fossa. Biochemical parameters, i.e., total cholesterol, low-density lipoprotein cholesterol (LDL-C), high-density lipoprotein cholesterol (HDL-C), triglycerides, fasting glucose (FPG), and uric acid, were assayed using an Olympus AU640 autoanalyzer (Olympus, Kobe, Japan) (9,(25)(26)(27)(28).…”

Section: Clinical and Demographic Measuresmentioning

confidence: 99%

Substance use and incidence of metabolic syndrome before midlife among military adults: the CHIEF cohort study

Liu,

Hsu,

Lin

et al. 2024

Front. Public Health

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BackgroundsHabitual substance use, i. e., alcohol, tobacco and betel nut, has been found with an increased risk of metabolic syndrome (MetS) in the general population, whereas the association remains unclear in physically fit military personnel. This study aimed to investigate the combination of these substances use and their associations with new-onset MetS in the military.MethodsA total of 2,890 military men and women, aged 18–39 years, without MetS were obtained from the cardiorespiratory fitness and health in eastern armed forces study (CHIEF) in Taiwan and followed for incident MetS from baseline (2014) through the end of 2020. Incident MetS event was defined by the International Diabetes Federation guideline and confirmed in the annual health examinations. A self-report was used to assess the alcohol, tobacco and betel nut use status (active vs. former/never). Multivariable Cox regression model was performed to determine the association with adjustments for sex, age, body mass index and physical activity at baseline.ResultsAt baseline, there were 279 active betel nut chewers (9.7%), 991 active smokers (34.3%) and 1,159 active alcohol consumers (40.1%). During a mean follow-up of 6.0 years, 673 incident MetS (23.3%) were observed. As compared to no substance users, only one substance, and two and three substances users had a greater risk of incident MetS [hazard ratios (HRs) and 95% confidence intervals: 1.27 (1.06–1.54), 1.38 (1.12–1.69) and 1.78 (1.37–2.32), respectively]. In subgroup analyses, the risk of incident MetS in two and three substances users was significantly greater in those free of baseline low high-density lipoprotein [HRs: 1.54 (1.21–1.95) and 2.57 (1.92–3.46), respectively], as compared to their counterparts (both p for interactions <0.05).ConclusionA dose-response association of more substances use for new-onset MetS was noted in military personnel. This finding suggests that the combined alcohol, tobacco and betel nut use may play a role in the development of MetS. Further study is required to establish causation and to investigate the potential benefits of substance use cessation in reducing the risk of MetS.

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Substances use and risk of hypertension before midlife in military young adults: CHIEF cohort study, 2014–2020

Lin,

Tsai,

Chang

et al. 2024

Progress in Cardiovascular Diseases

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Mitral valve prolapse and physical performance in Asian military males: The CHIEF Heart study

Cited by 3 publications

References 36 publications

The combined effect of cardiorespiratory and muscular fitness on the incidence of metabolic syndrome before midlife

The combined effect of cardiorespiratory and muscular fitness on the incidence of metabolic syndrome before midlife

Substance use and incidence of metabolic syndrome before midlife among military adults: the CHIEF cohort study

Substances use and risk of hypertension before midlife in military young adults: CHIEF cohort study, 2014–2020

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