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Leisure-time physical activity, cardiovascular risk factors and mortality during a 34-year follow-up in men

The inverse relationship between physical activity and mortality may be confounded by socioeconomic factors, cardiovascular risk factors and inverse causality. We investigated long-term association between self-reported regular physical activity and mortality in a socioeconomically homogeneous, init... Full description

Journal Title: European journal of epidemiology 2010-01-01, Vol.25 (9), p.619-625
Main Author: SAVELA, Salla
Other Authors: KOISTINEN, Pentti , TILVIS, Reijo S , STRANDBERG, Arto Y , PITKÄLÄ, Kaisu H , SALOMAA, Veikko V , MIETTINEN, Tatu A , STRANDBERG, Timo E
Format: Electronic Article Electronic Article
Language: English
Subjects:
Men
Publisher: Dordrecht: Springer
ID: ISSN: 0393-2990
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recordid: cdi_hal_primary_oai_HAL_hal_00602984v1
title: Leisure-time physical activity, cardiovascular risk factors and mortality during a 34-year follow-up in men
format: Article
creator:
  • SAVELA, Salla
  • KOISTINEN, Pentti
  • TILVIS, Reijo S
  • STRANDBERG, Arto Y
  • PITKÄLÄ, Kaisu H
  • SALOMAA, Veikko V
  • MIETTINEN, Tatu A
  • STRANDBERG, Timo E
subjects:
  • Adult
  • Age Factors
  • Biological and medical sciences
  • Blood Glucose
  • Blood Pressure
  • Body Mass Index
  • Cardiology
  • Cardiovascular disease
  • Cardiovascular diseases
  • Cardiovascular Diseases - mortality
  • Cardiovascular Diseases - prevention & control
  • Cardiovascular risk
  • Causes of death
  • Death
  • Dextrose
  • Epidemiology
  • Exercise
  • Follow-Up Studies
  • General aspects
  • Glucose
  • Health
  • Health Status
  • Human health
  • Human health and pathology
  • Humans
  • Infectious Diseases
  • Leisure Activities
  • Leisure time
  • Life Sciences
  • Lipids - blood
  • Male
  • Medical sciences
  • Medicine
  • Medicine & Public Health
  • Men
  • Men's Health
  • Middle Aged
  • Miscellaneous
  • Mortality
  • Oncology
  • pathology
  • Physical activity
  • Predisposing factors
  • Public Health
  • Public health. Hygiene
  • Public health. Hygiene-occupational medicine
  • Questionnaires
  • Risk Factors
  • Smoking
  • Social aspects
  • Social class
  • Social classes
ispartof: European journal of epidemiology, 2010-01-01, Vol.25 (9), p.619-625
description: The inverse relationship between physical activity and mortality may be confounded by socioeconomic factors, cardiovascular risk factors and inverse causality. We investigated long-term association between self-reported regular physical activity and mortality in a socioeconomically homogeneous, initially healthy middle-aged (mean age 47) male cohort (the Helsinki Businessmen Study). In 1974, the men were assessed with questionnaires, clinical and laboratory examinations. Cardiovascular disease (CVD) risk factors (including body mass index [BMI], age, cholesterol, glucose, systolic blood pressure and smoking) and details of physical activity of 782 men were available. Leisure time physical activity was collapsed into 3 categories: low (n = 148), moderate (n = 398) and high activity (n = 236). Physical activity was also briefly assessed in questionnaire surveys in 1985-1986 and in 2000. Total mortality up to 2007 was retrieved from the Central Population Register. Altogether 295 men (37.7%) died during the 34-year follow-up, and leisure-time physical activity was significantly related to mortality in a step-wise manner: 45.9% (n = 68), 37.7% (n = 150), and 32.6% (n = 77) died in the low, moderate, and high activity groups, respectively (P < 0.001). With high activity group as referent and adjusted for midlife CVD risk, perceived health and fitness at baseline, hazard ratio for total mortality was 1.21 (95% confidence interval: 0.90, 1.62), and 1.61 (95% confidence interval: 1.13, 2.30) in the moderate and low activity groups, respectively. Conclusion: During the 34-year follow-up, leisure-time physical activity in initially healthy middleaged men had a graded association with reduced mortality that was independent of CVD risk, glucose and BMI.
language: eng
source:
identifier: ISSN: 0393-2990
fulltext: no_fulltext
issn:
  • 0393-2990
  • 1573-7284
url: Link


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titleLeisure-time physical activity, cardiovascular risk factors and mortality during a 34-year follow-up in men
creatorSAVELA, Salla ; KOISTINEN, Pentti ; TILVIS, Reijo S ; STRANDBERG, Arto Y ; PITKÄLÄ, Kaisu H ; SALOMAA, Veikko V ; MIETTINEN, Tatu A ; STRANDBERG, Timo E
creatorcontribSAVELA, Salla ; KOISTINEN, Pentti ; TILVIS, Reijo S ; STRANDBERG, Arto Y ; PITKÄLÄ, Kaisu H ; SALOMAA, Veikko V ; MIETTINEN, Tatu A ; STRANDBERG, Timo E
descriptionThe inverse relationship between physical activity and mortality may be confounded by socioeconomic factors, cardiovascular risk factors and inverse causality. We investigated long-term association between self-reported regular physical activity and mortality in a socioeconomically homogeneous, initially healthy middle-aged (mean age 47) male cohort (the Helsinki Businessmen Study). In 1974, the men were assessed with questionnaires, clinical and laboratory examinations. Cardiovascular disease (CVD) risk factors (including body mass index [BMI], age, cholesterol, glucose, systolic blood pressure and smoking) and details of physical activity of 782 men were available. Leisure time physical activity was collapsed into 3 categories: low (n = 148), moderate (n = 398) and high activity (n = 236). Physical activity was also briefly assessed in questionnaire surveys in 1985-1986 and in 2000. Total mortality up to 2007 was retrieved from the Central Population Register. Altogether 295 men (37.7%) died during the 34-year follow-up, and leisure-time physical activity was significantly related to mortality in a step-wise manner: 45.9% (n = 68), 37.7% (n = 150), and 32.6% (n = 77) died in the low, moderate, and high activity groups, respectively (P < 0.001). With high activity group as referent and adjusted for midlife CVD risk, perceived health and fitness at baseline, hazard ratio for total mortality was 1.21 (95% confidence interval: 0.90, 1.62), and 1.61 (95% confidence interval: 1.13, 2.30) in the moderate and low activity groups, respectively. Conclusion: During the 34-year follow-up, leisure-time physical activity in initially healthy middleaged men had a graded association with reduced mortality that was independent of CVD risk, glucose and BMI.
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subjectAdult ; Age Factors ; Biological and medical sciences ; Blood Glucose ; Blood Pressure ; Body Mass Index ; Cardiology ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - mortality ; Cardiovascular Diseases - prevention & control ; Cardiovascular risk ; Causes of death ; Death ; Dextrose ; Epidemiology ; Exercise ; Follow-Up Studies ; General aspects ; Glucose ; Health ; Health Status ; Human health ; Human health and pathology ; Humans ; Infectious Diseases ; Leisure Activities ; Leisure time ; Life Sciences ; Lipids - blood ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Men ; Men's Health ; Middle Aged ; Miscellaneous ; Mortality ; Oncology ; pathology ; Physical activity ; Predisposing factors ; Public Health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Questionnaires ; Risk Factors ; Smoking ; Social aspects ; Social class ; Social classes
ispartofEuropean journal of epidemiology, 2010-01-01, Vol.25 (9), p.619-625
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0Leisure-time physical activity, cardiovascular risk factors and mortality during a 34-year follow-up in men
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descriptionThe inverse relationship between physical activity and mortality may be confounded by socioeconomic factors, cardiovascular risk factors and inverse causality. We investigated long-term association between self-reported regular physical activity and mortality in a socioeconomically homogeneous, initially healthy middle-aged (mean age 47) male cohort (the Helsinki Businessmen Study). In 1974, the men were assessed with questionnaires, clinical and laboratory examinations. Cardiovascular disease (CVD) risk factors (including body mass index [BMI], age, cholesterol, glucose, systolic blood pressure and smoking) and details of physical activity of 782 men were available. Leisure time physical activity was collapsed into 3 categories: low (n = 148), moderate (n = 398) and high activity (n = 236). Physical activity was also briefly assessed in questionnaire surveys in 1985-1986 and in 2000. Total mortality up to 2007 was retrieved from the Central Population Register. Altogether 295 men (37.7%) died during the 34-year follow-up, and leisure-time physical activity was significantly related to mortality in a step-wise manner: 45.9% (n = 68), 37.7% (n = 150), and 32.6% (n = 77) died in the low, moderate, and high activity groups, respectively (P < 0.001). With high activity group as referent and adjusted for midlife CVD risk, perceived health and fitness at baseline, hazard ratio for total mortality was 1.21 (95% confidence interval: 0.90, 1.62), and 1.61 (95% confidence interval: 1.13, 2.30) in the moderate and low activity groups, respectively. Conclusion: During the 34-year follow-up, leisure-time physical activity in initially healthy middleaged men had a graded association with reduced mortality that was independent of CVD risk, glucose and BMI.
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21Health Status
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26Leisure Activities
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28Life Sciences
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30Male
31Medical sciences
32Medicine
33Medicine & Public Health
34Men
35Men's Health
36Middle Aged
37Miscellaneous
38Mortality
39Oncology
40pathology
41Physical activity
42Predisposing factors
43Public Health
44Public health. Hygiene
45Public health. Hygiene-occupational medicine
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50Social class
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titleLeisure-time physical activity, cardiovascular risk factors and mortality during a 34-year follow-up in men
authorSAVELA, Salla ; KOISTINEN, Pentti ; TILVIS, Reijo S ; STRANDBERG, Arto Y ; PITKÄLÄ, Kaisu H ; SALOMAA, Veikko V ; MIETTINEN, Tatu A ; STRANDBERG, Timo E
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abstractThe inverse relationship between physical activity and mortality may be confounded by socioeconomic factors, cardiovascular risk factors and inverse causality. We investigated long-term association between self-reported regular physical activity and mortality in a socioeconomically homogeneous, initially healthy middle-aged (mean age 47) male cohort (the Helsinki Businessmen Study). In 1974, the men were assessed with questionnaires, clinical and laboratory examinations. Cardiovascular disease (CVD) risk factors (including body mass index [BMI], age, cholesterol, glucose, systolic blood pressure and smoking) and details of physical activity of 782 men were available. Leisure time physical activity was collapsed into 3 categories: low (n = 148), moderate (n = 398) and high activity (n = 236). Physical activity was also briefly assessed in questionnaire surveys in 1985-1986 and in 2000. Total mortality up to 2007 was retrieved from the Central Population Register. Altogether 295 men (37.7%) died during the 34-year follow-up, and leisure-time physical activity was significantly related to mortality in a step-wise manner: 45.9% (n = 68), 37.7% (n = 150), and 32.6% (n = 77) died in the low, moderate, and high activity groups, respectively (P < 0.001). With high activity group as referent and adjusted for midlife CVD risk, perceived health and fitness at baseline, hazard ratio for total mortality was 1.21 (95% confidence interval: 0.90, 1.62), and 1.61 (95% confidence interval: 1.13, 2.30) in the moderate and low activity groups, respectively. Conclusion: During the 34-year follow-up, leisure-time physical activity in initially healthy middleaged men had a graded association with reduced mortality that was independent of CVD risk, glucose and BMI.
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