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Physical inactivity and idiopathic pulmonary embolism in women: prospective study

To determine the association between physical inactivity (that is, a sedentary lifestyle) and incident idiopathic pulmonary embolism.

Journal Title: BMJ 4 July 2011, Vol.343
Main Author: Kabrhel, Christopher
Other Authors: Varraso, Raphaëlle , Goldhaber, Samuel Z , Rimm, Eric , Camargo, Carlos A
Format: Electronic Article Electronic Article
Language: English
Subjects:
Publisher: British Medical Journal Publishing Group
ID: ISSN: 0959-8138 ; E-ISSN: 1468-5833 ; DOI: 10.1136/bmj.d3867 ; PMID: 21727169
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recordid: bmj_journals10.1136/bmj.d3867
title: Physical inactivity and idiopathic pulmonary embolism in women: prospective study
format: Article
creator:
  • Kabrhel, Christopher
  • Varraso, Raphaëlle
  • Goldhaber, Samuel Z
  • Rimm, Eric
  • Camargo, Carlos A
subjects:
  • Pulmonary Embolism
  • Physical Activity
  • Idiopathic
  • Women
  • Nurses
  • Hazards
  • Article
ispartof: BMJ, 4 July 2011, Vol.343
description: To determine the association between physical inactivity (that is, a sedentary lifestyle) and incident idiopathic pulmonary embolism.
language: eng
source:
identifier: ISSN: 0959-8138 ; E-ISSN: 1468-5833 ; DOI: 10.1136/bmj.d3867 ; PMID: 21727169
fulltext: fulltext
issn:
  • 09598138
  • 14685833
  • 0959-8138
  • 1468-5833
url: Link


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titlePhysical inactivity and idiopathic pulmonary embolism in women: prospective study
authorKabrhel, Christopher ; Varraso, Raphaëlle ; Goldhaber, Samuel Z ; Rimm, Eric ; Camargo, Carlos A
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atitlePhysical inactivity and idiopathic pulmonary embolism in women: prospective study
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0To determine the association between physical inactivity (that is, a sedentary lifestyle) and incident idiopathic pulmonary embolism.
1Prospective cohort study.
2Nurses’ Health Study.
369 950 female nurses who completed biennial questionnaires from 1990 to 2008.
4The primary outcome was idiopathic pulmonary embolism confirmed in medical records. Multivariable Cox proportional hazards models controlled for age, body mass index (BMI), energy intake, smoking, pack years, race, spouse’s educational attainment, parity, menopause, non-aspirin non-steroidal anti-inflammatory drugs, warfarin, multivitamin supplements, hypertension, coronary heart disease, rheumatological disease, and dietary patterns. The primary exposure was physical inactivity, measured in hours of sitting each day. The secondary exposure was physical activity, measured in metabolic equivalents a day.
5Over the 18 year study period, there were 268 cases of incident idiopathic pulmonary embolism. There was an association between time of sitting and risk of idiopathic pulmonary embolism (41/104 720 16/14 565 cases in most inactive least inactive in combined data; P<0.001 for trend). The risk of pulmonary embolism was more than twofold in women who spent the most time sitting compared with those who spent the least time sitting (multivariable hazard ratio 2.34, 95% confidence interval 1.30 to 4.20). There was no association between physical activity and pulmonary embolism (P=0.53 for trend).
6Physical inactivity is associated with incident pulmonary embolism in women. Interventions that decrease time sitting could lower the risk of pulmonary embolism.
pubBritish Medical Journal Publishing Group
doi10.1136/bmj.d3867
urlhttp://bmj.com/content/343/bmj.d3867.full.pdf
pmid21727169
pages81
issue7814
date2011-07-04