Physical activity and the progression of coronary artery calcification

Heart ◽  
2021 ◽  
pp. heartjnl-2021-319346
Author(s):  
Ki-Chul Sung ◽  
Yun Soo Hong ◽  
Jong-Young Lee ◽  
Seung-Jae Lee ◽  
Yoosoo Chang ◽  
...  

BackgroundThe association of physical activity with the development and progression of coronary artery calcium (CAC) scores has not been studied. This study aimed to evaluate the prospective association between physical activity and CAC scores in apparently healthy adults.MethodsProspective cohort study of men and women free of overt cardiovascular disease who underwent comprehensive health screening examinations between 1 March 2011 and 31 December 2017. Baseline physical activity was measured using the International Physical Activity Questionnaire Short Form (IPAQ-SF) and categorised into three groups (inactive, moderately active and health-enhancing physically active (HEPA)). The primary outcome was the difference in the 5-year change in CAC scores by physical activity category at baseline.ResultsWe analysed 25 485 participants with at least two CAC score measurements. The proportions of participants who were inactive, moderately active and HEPA were 46.8%, 38.0% and 15.2%, respectively. The estimated adjusted average baseline CAC scores (95% confidence intervals) in participants who were inactive, moderately active and HEPA were 9.45 (8.76, 10.14), 10.20 (9.40, 11.00) and 12.04 (10.81, 13.26). Compared with participants who were inactive, the estimated adjusted 5-year average increases in CAC in moderately active and HEPA participants were 3.20 (0.72, 5.69) and 8.16 (4.80, 11.53). Higher physical activity was association with faster progression of CAC scores both in participants with CAC=0 at baseline and in those with prevalent CAC.ConclusionWe found a positive, graded association between physical activity and the prevalence and the progression of CAC, regardless of baseline CAC scores.

Author(s):  
Satoshi Kurita ◽  
Takehiko Doi ◽  
Kota Tsutsumimoto ◽  
Sho Nakakubo ◽  
Hideaki Ishii ◽  
...  

Background: This study aimed to examine whether physical activity measured using the International Physical Activity Questionnaire Short Form (IPAQ-SF) can predict incident disability in Japanese older adults. Methods: Community-dwelling older adults participated in a prospective cohort survey. The time spent in moderate- to vigorous-intensity physical activity was assessed at the survey baseline using the IPAQ-SF. The participants were categorized into those who spent ≥150 minutes per week (physically active) or <150 minutes per week (physically inactive) in moderate- to vigorous-intensity physical activity. Incident disability was monitored through Long-Term Care Insurance certification during a follow-up lasting 5 years. Results: Among the 4387 analyzable participants (mean age = 75.8 y, 53.5% female), the IPAQ-SF grouped 1577 (35.9%) and 2810 (64.1%) participants as those who were physically active and inactive, respectively. A log-rank test showed a significantly higher incidence of disability among the inactive group of participants (P < .001). The Cox proportional hazards model showed that physically inactive participants had a higher risk of incident disability than the physically active ones did, even after adjusting for covariates (hazard ratio, 1.24; 95% CI, 1.07–1.45, P < .001). Conclusions: Older adults identified as physically inactive using the IPAQ-SF had a greater risk of developing disabilities than those identified as physically active. The IPAQ-SF seems to be appropriate to estimate the incidence risk of disability.


2014 ◽  
Vol 36 (2) ◽  
pp. 217-223 ◽  
Author(s):  
Richard Cooke ◽  
Helena Trebaczyk ◽  
Peter Harris ◽  
Alison J. Wright

The present study tests whether a self-affirmation intervention (i.e., requiring an individual to focus on a valued aspect of their self-concept, such as honesty) can increase physical activity and change theory of planned behavior (TPB) variables linked to physical activity. Eighty young people completed a longitudinal intervention study. Baseline physical activity was assessed using the Godin Leisure-Time Physical Activity Questionnaire (LTPAQ). Next, participants were randomly allocated to either a self-affirmation or a nonaffirmation condition. Participants then read information about physical activity and health, and completed measures of TPB variables. One week later, participants again completed LTPAQ and TPB items. At follow up, self-affirmed participants reported significantly more physical activity, more positive attitudes toward physical activity, and higher intentions to be physically active compared with nonaffirmed participants. Neither attitudes nor intentions mediated the effects of self-affirmation on physical activity. Self-affirmation can increase levels of physical activity and TPB variables. Self-affirmation interventions have the potential to become relatively simple methods for increasing physical activity levels.


2021 ◽  
Vol 16 (48) ◽  

El principal objetivo fue determinar si existen diferencias en los niveles de actividad física (NAF) y la intención de ser físicamente activo entre países en función del género, curso y estatus socioeconómico. Participaron 3052 adolescentes (14.58 ± 1.39 años), 1516 chicos y 1536 chicas. Del total, 734 chilenos y 2318 españoles. Las variables medidas fueron los NAF con el “International Physical Activity Questionnaire- Short Form” (IPAQ-SF), la intención de ser físicamente activo con el “Intention to be Physically Active” y el estatus socioeconómico familiar con el “Family Affluence Scale II” (FASII). Se encontraron diferencias significativas en los NAF y en la intención de ser físicamente activo entre países en función del género (p < .001), curso (p < .001) y estatus socioeconómico (p < .01), siendo más altas en España. Además, la relación de cada una de estas variables con los NAF y la intencionalidad varía según el país. Como la relación de las variables sociodemográficas con los NAF y la intención de ser físicamente activo varía en función del país sería necesario llevar a cabo más estudios transculturales que permitan realizar intervenciones de promoción de actividad física y salud adaptadas a las necesidades de cada lugar. === The main goal was to analyze the physical activity levels and the intention to be physically active differences between both countries regarding the gender, course and socioeconomic status. The sample was 3,052 adolescents (14.58 ± 1.39 years), 1,516 males and 1,536 females. From the whole participants, 734 were Chilean and 2,318 Spanish. Physical activity levels were measured using the “International Physical Activity Questionnaire- Short Form” (IPAQ-SF), the intention to be physically active using the “Intention to be Physically Active” scale and the socioeconomic status using the “Family Affluence Scale II” (FASII). There are significant differences in physical activity levels and the intention to be physically active between both countries according to the gender (p < .001), course (p < .001) and socioeconomic status (p < .01). Data were higher in Spain than Chile. Moreover, the relation between these sociodemographic variables with physical activity levels and the intention to be physically active were different regarding the country. As the relation between these sociodemographic variables with physical activity levels and the intention to be physically active is different according to the country, cross-cultural researches are required to develop physical activity and health interventions adapted to people`s needs.


Biosensors ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. 318
Author(s):  
Tim Kambic ◽  
Nejc Šarabon ◽  
Vedran Hadžić ◽  
Mitja Lainscak

Physical activity (PA) and sedentary behavior (SB) levels in healthy adults are predominately based on self-reporting measures, which generally overestimate PA but underestimate SB. Patients with coronary artery disease (CAD) eligible for cardiac rehabilitation (CR) follow an individualized program; thus, objective assessment of physical performance and regular daily activity is required. This study aimed to compare self-reported and objectively measured PA and SB in patients with CAD prior to out-patient CR. We included 91 patients with CAD and assessed their PA with an accelerometer for 8 days prior to CR, along with the short form of the international physical activity questionnaire. We found that most patients were sedentary (61%, ~8 h/day), and on average performed 63 min/day of moderate-to-vigorous-intensity physical activity (MVPA). Males performed less daily light-intensity physical activity (−5%, p = 0.011) and performed more MVPA (+2%, p = 0.002) compared to females. Maximal aerobic capacity was significantly associated with MVPA (Spearman rho = 0.483, p < 0.001) and MVPA >10 min bouts (Spearman rho = 0.391, p < 0.001). Self-reported measures overestimated MVPA (total MVPA, +108 min/day, p < 0.001; MVPA >10 min bouts, +152 min, p < 0.001) and underestimated SB (−174 min/day, p < 0.001) compared to objective measures. There was no significant correlation between methods in MVPA (Spearman rho = 0.147, p = 0.165)), MVPA >10 min bouts (Spearman rho = −0.059, p = 576), and SB (Spearman rho = 0.139, p = 0.187). Quantitative analysis demonstrated the huge proportional bias for MVPA, MVPA >10 min bouts, and SB. Our findings demonstrate that self-reported physical activity provides inaccurate estimates of MVPA and SB in patients with CAD entering the ambulatory CR. This strongly supports the more objective assessments of daily PA, preferably using an accelerometer.


2021 ◽  
Vol 13 (14) ◽  
pp. 7580
Author(s):  
Sheila Sánchez Castillo ◽  
Lee Smith ◽  
Arturo Díaz Suárez ◽  
Guillermo Felipe López Sánchez

Asthma and chronic obstructive pulmonary disease (COPD) are important conditions which often coexist. Higher rates of comorbidities among people with asthma-COPD overlap (ACO) may complicate clinical management. The aim of this study was to determine the prevalence of 30 different comorbidities and to analyze associations between these comorbidities and physical activity (PA) in Spanish people with ACO. Cross-sectional data from the Spanish National Health Survey 2017 were analyzed. A total of 198 Spanish people with ACO aged 15–69 years (60.6% women) were included in this study. PA was measured with the International Physical Activity Questionnaire (IPAQ) short form. Diagnosis of chronic conditions were self-reported. Associations between PA and comorbidities were analyzed using multivariable logistic regression models. The most prevalent comorbidities were chronic allergy (58.1%), chronic lumbar pain (42.4%), chronic cervical pain (38.4%), hypertension (33.3%) and arthrosis (31.8%). A PA level lower than 600 MET·min/week was significantly associated with urinary incontinence (OR = 3.499, 95% CI = 1.369–8.944) and osteoporosis (OR = 3.056, 95% CI = 1.094–8.538) in the final adjusted model. Therefore, the potential influence of PA on reducing the risk of these conditions among people with ACO should be considered, not only because of the health benefits, but also because PA can contribute to a more sustainable world.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Yan Lü ◽  
Yahui Feng ◽  
Shuai Ma ◽  
Yu Jiang ◽  
Liangkun Ma

Abstract Background Sufficient physical activity (PA) during pregnancy is beneficial for a woman’s health; however, the PA levels of Chinese women at different pregnancy stages are not clear. The aim of our study was to investigate PA changes during pregnancy and the association of population characteristics with PA change among Chinese women. Methods Data were obtained from 2485 participants who were enrolled in the multicentre prospective Chinese Pregnant Women Cohort Study. PA level was assessed in early pregnancy (mean = 10, 5–13 weeks of gestation) and again in mid-to-late pregnancy (mean = 32, 24–30 weeks of gestation) using the International Physical Activity Questionnaire short form (IPAQ-SF). Sufficient PA (≥ 600 MET min/week) in early pregnancy and insufficient PA in mid-to-late pregnancy indicated decreasing PA. Insufficient PA in early pregnancy and sufficient PA in mid-to-late pregnancy indicated increasing PA. The associations between demographic, pregnancy and health characteristics and PA changes were examined by multivariable logistic regression. Results Total energy expenditure for PA increased significantly from early (median = 396 MET min/week) to mid-to-late pregnancy (median = 813 MET min/week) (P < 0.001), and 55.25% of the participants eventually had sufficient PA. Walking was the dominant form of PA. Women with sufficient PA levels in early pregnancy were more likely to have sufficient PA in mid-to-late pregnancy (OR 1.897, 95% CI 1.583–2.274). Women in West China and those in Central China were most and least likely, respectively, to have increasing PA (OR 1.387, 95% CI 1.078–1.783 vs. OR 0.721, 95% CI 0.562–0.925). Smoking was inversely associated with increasing PA (OR 0.480, 95% CI 0.242–0.955). Women with higher educational levels were less likely to have decreasing PA (OR 0.662, 95% CI 0.442–0.991). Conclusions PA increased as pregnancy progressed, and walking was the dominant form of PA among Chinese women. Further research is needed to better understand correlates of PA change.


2021 ◽  
Vol 21 (S1) ◽  
Author(s):  
Pongrác Ács ◽  
Réka Veress ◽  
Paulo Rocha ◽  
Tamás Dóczi ◽  
Bence László Raposa ◽  
...  

Abstract Background Physical inactivity is a global phenomenon in European welfare countries. Proper monitoring is essential to measure the physical activity level of the population. Methods In the Hungarian cohort of the European Physical Activity and Sport Monitoring System (EUPASMOS) project, our participants (N = 598) completed sociodemographic questions and the International Physical Activity Questionnaire – short form (IPAQ-SF) survey. The validity and reliability of the subjective measurement tool were examined, IPAQ-SF outcomes were contrasted against triaxial RM42 accelerometer wore for 7 consecutive days. Results The IPAQ-SF showed moderate internal consistency (Cronbach Alpha = 0.647). The concurrent validity of the IPAQ-SF to triaxial accelerometer indicated a significant weak-to-moderate correlation (R = 0.111–0.338, p = 0.042; p < 0.001). The test-retest reliability showed a significant correlation between two measurements (R = 0.788–0.981, p < 0.001). Conclusion The Hungarian version of the IPAQ-SF had excellent test-retest reliability, but low-to-fair concurrent validity for moderate and vigorous physical activity, walking and sitting time, as compared to the objective criterion measure among Hungarian adults.


2018 ◽  
Vol 34 (1) ◽  
pp. 7-13
Author(s):  
Tina Smith ◽  
Sue Reeves ◽  
Lewis G. Halsey ◽  
Jörg Huber ◽  
Jin Luo

The aim of the current study was to compare bone loading due to physical activity between lean, and overweight and obese individuals. Fifteen participants (lower BMI group: BMI < 25 kg/m2, n = 7; higher BMI group: 25 kg/m2 < BMI < 36.35 kg/m2, n = 8) wore a tri-axial accelerometer on 1 day to collect data for the calculation of bone loading. The International Physical Activity Questionnaire (short form) was used to measure time spent at different physical activity levels. Daily step counts were measured using a pedometer. Differences between groups were compared using independent t-tests. Accelerometer data revealed greater loading dose at the hip in lower BMI participants at a frequency band of 0.1–2 Hz (P = .039, Cohen’s d = 1.27) and 2–4 Hz (P = .044, d = 1.24). Lower BMI participants also had a significantly greater step count (P = .023, d = 1.55). This corroborated with loading intensity (d ≥ 0.93) and questionnaire (d = 0.79) effect sizes to indicate higher BMI participants tended to spend more time in very light activity, and less time in light and moderate activity. Overall, participants with a lower BMI exhibited greater bone loading due to physical activity; participants with a higher BMI may benefit from more light and moderate level activity to maintain bone health.


2013 ◽  
Vol 9 (2) ◽  
pp. 219-228
Author(s):  
Elvira Sari Dewi ◽  
◽  
Bella Cendie Asteria ◽  
Yulian Wiji Utami

The COVID-19 pandemic has caused changes in a variety of sectors, including education. Changes in online learning methods during the COVID-19 pandemic can increase the risk of sedentary behavior in students. Sedentary behavior is one of the factors related to constipation. This study aims to determine the relationship between sedentary behavior and the incidence of constipation during the COVID-19 pandemic in students at Universitas Brawijaya. This research is correlation research with a cross-sectional approach. Sampling used total sampling with a sample of 87 students according to the inclusion and exclusion criteria. Sedentary behavior was measured using the International Physical Activity Questionnaire – Short Form (IPAQ-SF) and the incidence of constipation was measured using the Constipation Scoring System (CSS). The correlation between sedentary behavior and the incidence of constipation was statistically analyzed using the Spearman Rank test with alpha=0.05. The results show that As many as 82.8% of students at Universitas Brawijaya have sedentary behavior and 17.2% are constipated. There was a correlation between sedentary behavior and the incidence of constipation (p=0.020; r=+0,249). In conclusion, there is a relationship between sedentary behavior and the incidence of constipation during the COVID-19 pandemic in students at Universitas Brawijaya.


2021 ◽  
Vol 16 (2) ◽  
pp. 1-20
Author(s):  
Laura Herrera-Agudelo ◽  
Haney Aguirre-Loaiza ◽  
María De Los Ángeles Ortega Díaz ◽  
Ayda Cristina Rivas Múñoz

Background: Cognitive processes are associated with Systematic Physical Activity (SPA). However, few studies have evaluated the relation between SPA and Metacognition (MC). Objectives: (1) to study the effect of the SPA levels on MC, and (2) to explore the covariance of gender. Method: Through a Non-Experimental design and with intentional sampling, 270 university students participated (Mage= 25.3, SD= 1.5, min= 18, max= 51), 209 men (77.4%), and 61 women (22.6%). The International Physical Activity Questionnaire-Short Form (IPAQ-SF) and The Metacognitive Awareness Inventory were completed. The MANOVA showed that SPA levels significantly affected MC. The MANCOVA did not show a gender effect. Results: The main effects indicated that moderate and vigorous SPA levels favor MC. Differences were observed between the low vs vigorous SPA levels (p= .035, 95% CI [-1.49, -0.03]) in the knowledge of cognition factor. Similarly, there are differences in the regulation of cognition between low vs moderate SPA levels (p= .013, 95% CI [-1.86, -0.16]), and low vs vigorous (p= .044, 95% CI [-1.72 , -0.15]). Conclusions: moderate and vigorous SPA levels favor CM, mainly the regulation of cognition. In contrast, the vigorous SPA level favors the knowledge of cognition.


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