Physical activity and incidence of atrial fibrillation: A systematic review and meta-analysis

Kwok, Chun Shing; Anderson, Simon; Myint, Phyo Kyaw; Mamas, Mamas A.; Loke, Yoon K.

doi:10.1016/j.ijcard.2014.09.104

Cited by 63 publications

(54 citation statements)

References 26 publications

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“…124 In contrast, a meta-analysis suggested that more intensive physical activity was not associated with excess risk of AF (RR, 1.0; 95% CI, 0.82–1.22), but the heterogeneity statistic was significant. 176 …”

Section: Disorders Of Heart Rhythmmentioning

confidence: 99%

Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

Benjamin¹,

Blaha²,

Chiuve³

et al. 2017

Circulation

7,718

5,040

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Section: Disorders Of Heart Rhythmmentioning

confidence: 99%

Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

Benjamin¹,

Blaha²,

Chiuve³

et al. 2017

Circulation

7,718

5,040

View full text Add to dashboard Cite

“…Vigorous-intensity and high-endurance exercise has been reported to increase risk of atrial fibrillation particularly in athletes; however, 2 recent meta-analyses have failed to show an increased risk of atrial fibrillation for high intensity or high duration physical activity in the general population. 72,73 Moreover, regular engagement in low to moderate physical activity in the older adult appears to be associated with reduced risk of incident atrial fibrillation. 74,75 Physical activity is associated with reduced risk of incident stroke and reduced risk of mortality from stroke and is also protective of recurrent stroke in stroke survivors.…”

Section: Cardiovascular Diseasementioning

confidence: 99%

State of the Art Review

Macera

Cavanaugh

Bellettiere

2016

American Journal of Lifestyle Medicine

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Physical activity is an important component of a healthy lifestyle for all adults and especially for older adults. Using information from the updated 2008 Physical Activity Guidelines, 3 dimensions of physical activity are identified for older adults. These include increasing aerobic activity, increasing muscle-strengthening activity, and reducing sedentary or sitting behavior. Although the overall goal of the physical activity recommendations is to prevent chronic diseases and conditions from developing, many older adults are already affected. Therefore, suggested types of physical activity are described for specific diseases and conditions that are designed to mediate the condition or prevent additional disability. Finally, barriers to participation in physical activity specific to older adults are described, and possible solutions offered. Encouraging older adults to continue or even start a physical activity program can result in major health benefits for these individuals.

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“…To explore this effect, both physical activity and fitness should be examined, because they have different definitions and may be different physiological markers of cardiovascular diseases . Although several previous meta‐analyses have indicated the inconsistent effects of physical activity on AF among different populations and have demonstrated an inverse association of physical fitness with all‐cause mortality, coronary heart disease, and HF, little is known regarding the link between physical fitness and AF risk. Recently, epidemiological studies have explored the association between physical fitness and the risk of AF; however, they yielded conflicting findings.…”

Section: Introductionmentioning

confidence: 99%

Association of Physical Fitness With the Risk of Atrial Fibrillation: A Systematic Review and Meta‐Analysis

Zhu

Shen²,

Zhou

et al. 2016

Clinical Cardiology

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Several studies have investigated the role of physical fitness in atrial fibrillation (AF), but the results remain controversial. We aimed to estimate the association between physical fitness and risk of AF. We comprehensively retrieved data from the Cochrane Library, PubMed, and Embase databases until February 29, 2016, for studies evaluating the association of physical fitness with the risk of AF. Data were abstracted from included studies, and effect estimates were pooled using a random-effects model. Six studies with a total of 205 094 participants and 15 919 AF cases fulfilled the inclusion criteria. When physical fitness was assessed as a continuous variable, per incremental increase of physical fitness was associated with a 9% reduced risk of AF (risk ratio [RR]: 0.91, 95% confidence interval [CI]: 0.84-1.00, P = 0.05). When physical fitness was assessed as a categorical variable, the risk of AF was significantly reduced (RR: 0.51, 95% CI: 0.28-0.91, P = 0.02) in individuals with the highest level of physical fitness compared with those with the lowest level. The intermediate vs the lowest level of physical fitness was associated with a 28% reduced risk of AF (RR: 0.72, 95% CI: 0.56-0.93, P = 0.01). The sensitivity analysis indicated that these results were stable. Notably, there was evidence of statistical heterogeneity across studies; therefore, we should interpret the results cautiously. In conclusion, published literature supports that a higher level of physical fitness is associated with a lower risk of AF. Further studies should be performed to confirm these findings.

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Physical activity and incidence of atrial fibrillation: A systematic review and meta-analysis

Abstract: Background: Whether physical activity increases or decreases the risk of atrial fibrillation

Cited by 63 publications

References 26 publications

Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

Heart Disease and Stroke Statistics—2017 Update: A Report From the American Heart Association

State of the Art Review

Association of Physical Fitness With the Risk of Atrial Fibrillation: A Systematic Review and Meta‐Analysis

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