Cardiorespiratory fitness, all-cause mortality, and risk of cardiovascular disease in Trinidadian men - the St James survey

被引:22
作者
Miller, GJ
Cooper, JA
Beckles, GLA
机构
[1] MRC, Cardiovasc Grp, Dept Environm & Prevent Med, Wolfson Inst Prevent Med, London EC1M 6BQ, England
[2] London Queen Marys Sch Med & Dent, London, England
[3] UCL Royal Free & UCL Med Sch, Ctr Cardiovasc Genet, London, England
[4] Ctr Dis Control & Prevent, Div Diabet Translat, Natl Ctr Chron Dis Prevent & Hlth Promot, Atlanta, GA 30341 USA
基金
英国医学研究理事会;
关键词
cardiorespiratory fitness; cardiovascular disease; myocardial infarction; mortality; cohort study; men; developing community;
D O I
10.1093/ije/dyi193
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
Background This study examined whether cardiorespiratory fitness is a risk factor for cardiovascular disease, myocardial infarction, and all-cause mortality in a low- to middle-income Trinidadian community of African, South Asian Indian, and European origin. Those of Indian descent have a distinctively high rate of myocardial infarction. Methods The St James Study is a prospective total community survey located in Port-of-Spain, Trinidad, West Indies. A random sample of 626 men aged 35-69 years, without angina of effort, previous myocardial infarction, partial or complete atrio-ventricular conduction defect, complete heart block, or exercise-induced asthma, was used for the assessment of cardiorespiratory fitness by cycle ergometry. Surveillance for morbidity and mortality was maintained for an average of 7.3 years. Results When the subjects were grouped into those with an age- and fat-free mass-adjusted peak oxygen uptake above and below the mean of 60.4 mmol/min (1.34 l/min), the hazard ratios (below/above) (95% confidence interval) for all-cause mortality, cardiovascular disease incidence, and incidence of myocardial infarction, after allowance for conventional cardiovascular risk factors, were 2.08 (1.23-3.52), 2.13 (1.22-3.69), and 2.36 (0.84-6.67), respectively. For those unable to achieve a level of work requiring an oxygen uptake of 67 mmol/min (1.5 l/min) during progressive exercise, the respective hazard ratios were 3.49 (1.57-7.76), 2.29 (1.21-4.33), and 5.45 (1.22-24.34). Indian ethnicity remained a predictor of myocardial infarction after allowance for cardiorespiratory performance. Conclusion Low cardiorespiratory fitness is a risk factor for cardiovascular disease morbidity and mortality in the low- to middle-income developing community of Trinidad.
引用
收藏
页码:1387 / 1394
页数:8
相关论文
共 31 条
[1]  
*ALL DUNB NAT FITN, 1994, MAIN FIND REP, P11
[2]  
*AM HEART ASS, 1999, HEART STROK STAT UPD
[3]  
[Anonymous], 1960, BMJ-BRIT MED J, V2, P1665
[4]  
[Anonymous], 1997, INT CLASSIFICATION D
[5]  
Astrand PO, 1986, TXB WORK PHYSL PHYSL, P354
[6]  
BECKLES GLA, 1986, LANCET, V1, P1298
[7]   Possible angina detected by the WHO angina questionnaire in apparently healthy men with a normal exercise ECG: coronary heart disease or not? A 26 year follow up study [J].
Bodegard, J ;
Erikssen, G ;
Bjornholt, JV ;
Thelle, D ;
Erikssen, J .
HEART, 2004, 90 (06) :627-632
[8]  
Cotes J. E., 1993, LUNG FUNCTION ASSESS, P429
[9]   BODY FAT ASSESSED FROM TOTAL-BODY DENSITY AND ITS ESTIMATION FROM SKINFOLD THICKNESS - MEASUREMENTS ON 481 MEN AND WOMEN AGED FROM 16 TO 72 YEARS [J].
DURNIN, JVGA ;
WOMERSLEY, J .
BRITISH JOURNAL OF NUTRITION, 1974, 32 (01) :77-97
[10]   Influences of cardiorespiratory fitness levels and other predictors on cardiovascular disease mortality in men [J].
Farrell, SW ;
Kampert, JB ;
Kohl, HW ;
Barlow, CE ;
Macera, CA ;
Paffenbarger, RS ;
Gibbons, LW ;
Blair, SN .
MEDICINE AND SCIENCE IN SPORTS AND EXERCISE, 1998, 30 (06) :899-905