Walking and sports participation and mortality from coronary heart disease and stroke

被引:122
作者
Noda, H
Iso, H [1 ]
Toyoshima, H
Date, C
Yamamoto, A
Kikuchi, S
Koizumi, A
Kondo, T
Watanabe, Y
Wada, Y
Inaba, Y
Tamakoshi, A
机构
[1] Univ Tsukuba, Dept Publ Hlth Med, Doctoral Program Social & Environm Med, Grad Sch Comprehens Human Sci, Ibaraki, Japan
[2] Osaka Univ, Grad Sch Med, Dept Social & Environm Med, Osaka, Japan
[3] Nagoya Univ, Grad Sch Med, Dept Publ Hlth Hlth Informat Dynam, Fields Sci,Program Hlth & Community Med, Nagoya, Aichi, Japan
[4] Nara Womens Univ, Dept Food Sci & Nutr, Fac Human Life & Environm, Nara 630, Japan
[5] Kyoto Univ, Grad Sch Med, Dept Hlth & Environm Sci, Kyoto, Japan
[6] Aichi Med Univ, Dept Publ Hlth, Aichi, Japan
[7] Kyoto Prefectural Univ Med, Dept Social Med & Cultural Sci, Res Inst Neurol Dis & Geriatr, Kyoto, Japan
[8] Juntendo Univ, Sch Med, Dept Epidemiol & Environm Hlth, Tokyo 113, Japan
[9] Nagoya Univ, Grad Sch Med, Dept Prevent Med Biostat & Med Decis Making, Field Social Sci,Program Hlth & Community Med, Nagoya, Aichi, Japan
关键词
D O I
10.1016/j.jacc.2005.07.038
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVES We aimed to examine the impact of exercise on mortality from cardiovascular disease (CVD) in Asian populations. BACKGROUND Few data have been available in Asian countries, where job-related physical activity is higher than that in Western countries. METHODS Between 1988 and 1990, 31,023 men and 42,242 women in Japan, ages 40 to 79 years with no history of stroke, coronary heart disease (CHD), or cancer, completed a self-administered questionnaire. Systematic mortality surveillance was performed through 1999, and 1,946 cardiovascular deaths were identified. We chose the second lowest categories of walking and sports participation as the reference to reduce a potential effect of ill health. RESULTS Men and women who reported having physical activity in the highest category (i.e., walking >= 1 h/day or doing sports >= 5 h/week) had a 20% to 60% lower age-adjusted risk of mortality from CVD, compared with those in the second lowest physical activity category (i.e., walking 0.5 h/day, or sports participation for 1 to 2 h/week). Adjustment for known risk factors, exclusion of individuals who died within two years of baseline inquiry, or gender-specific analysis did not substantially alter these associations. The multivariate-adjusted hazard ratios (95% confidence interval) for the highest versus the second lowest categories of walking or sports participation were 0.71 (0.54 to 0.94) and 0.80 (0.48 to 1.31), respectively, for ischemic stroke (IS); 0.84 (0.64 to 1.09) and 0.51 (0.32 to 0.82), respectively, for CHD; and 0.84 (0.75 to 0.95) and 0.73 (0.60 to 0.90), respectively, for CVD. CONCLUSIONS Physical activity through walking and sports participation might reduce the risk of mortality from IS and CHD.
引用
收藏
页码:1761 / 1767
页数:7
相关论文
共 30 条
  • [1] PHYSICAL-ACTIVITY IN OLDER MIDDLE-AGED MEN AND REDUCED RISK OF STROKE - THE HONOLULU-HEART-PROGRAM
    ABBOTT, RD
    RODRIGUEZ, BL
    BURCHFIEL, CM
    CURB, JD
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 1994, 139 (09) : 881 - 893
  • [2] DOES PHYSICAL-ACTIVITY LOWER BLOOD-PRESSURE - A CRITICAL-REVIEW OF THE CLINICAL-TRIALS
    ARROLL, B
    BEAGLEHOLE, R
    [J]. JOURNAL OF CLINICAL EPIDEMIOLOGY, 1992, 45 (05) : 439 - 447
  • [3] A METAANALYSIS OF PHYSICAL-ACTIVITY IN THE PREVENTION OF CORONARY HEART-DISEASE
    BERLIN, JA
    COLDITZ, GA
    [J]. AMERICAN JOURNAL OF EPIDEMIOLOGY, 1990, 132 (04) : 612 - 628
  • [4] Exercise training enhances endothelial function in young men
    Clarkson, P
    Montgomery, HE
    Mullen, MJ
    Donald, AE
    Powe, AJ
    Bull, T
    Jubb, M
    World, M
    Deanfield, JE
    [J]. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1999, 33 (05) : 1379 - 1385
  • [5] A prospective study at coronary heart disease in relation to fasting insulin, glucose, and diabetes - The atherosclerosis risk in communities (ARIC) study
    Folsom, AR
    Szklo, M
    Stevens, J
    Liao, FZ
    Smith, R
    Eckfeldt, JH
    [J]. DIABETES CARE, 1997, 20 (06) : 935 - 942
  • [6] Prospective associations of fasting insulin, body fat distribution, and diabetes with risk of ischemic stroke
    Folsom, AR
    Rasmussen, ML
    Chambless, LE
    Howard, G
    Cooper, LS
    Schmidt, MI
    Heiss, G
    [J]. DIABETES CARE, 1999, 22 (07) : 1077 - 1083
  • [7] Effects of walking on coronary heart disease in elderly men - The Honolulu Heart Program
    Hakim, AA
    Curb, JD
    Petrovitch, H
    Rodriguez, BL
    Yano, K
    Ross, GW
    White, LR
    Abbott, RD
    [J]. CIRCULATION, 1999, 100 (01) : 9 - 13
  • [8] Effect of the volume and intensity of exercise training on insulin sensitivity
    Houmard, JA
    Tanner, CJ
    Slentz, CA
    Duscha, BD
    McCartney, JS
    Kraus, WE
    [J]. JOURNAL OF APPLIED PHYSIOLOGY, 2004, 96 (01) : 101 - 106
  • [9] Physical activity and risk of stroke in women
    Hu, FB
    Stampfer, MJ
    Colditz, GA
    Ascherio, A
    Rexrode, KM
    Willett, WC
    Manson, JE
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2000, 283 (22): : 2961 - +
  • [10] Type 2 diabetes and risk of non-embolic ischaemic stroke in Japanese men and women
    Iso, H
    Imano, H
    Kitamura, A
    Sato, S
    Naito, Y
    Tanigawa, T
    Ohira, T
    Yamagishi, K
    Iida, M
    Shimamoto, T
    [J]. DIABETOLOGIA, 2004, 47 (12) : 2137 - 2144