Abstract 038: Improvements in Meeting the 2008 Physical Activity Guidelines for Americans by Cardiovascular Disease Status — United States, 2012 and 2017

Circulation ◽  
2019 ◽  
Vol 139 (Suppl_1) ◽  
Author(s):  
John D Omura ◽  
Eric T Hyde ◽  
Fleetwood Loustalot ◽  
Janet E Fulton ◽  
Susan A Carlson
2019 ◽  
Vol 60 (5) ◽  
pp. e367-e377 ◽  
Author(s):  
Baowen Xue ◽  
Jenny Head ◽  
Anne McMunn

Abstract Background and Objectives People are now spending longer in retirement than ever before and retirement has been found to influence health. This study systematically reviewed the impact of retirement on cardiovascular disease (CVD) and its risk factors (metabolic risk factors, blood biomarkers, physical activity, smoking, drinking, and diet). Research Design and Methods Longitudinal studies published in Medline, Embase, Social Science Citation Index, PsycINFO, and Social Policy and Practice were searched. No language restrictions were applied if there was an English abstract. Eighty-two longitudinal studies were included after critical appraisals. Results Studies in the United States often found no significant effect of retirement on CVD, while studies in European countries, except France, showed a detrimental effect of retirement on CVD. Results from the United States and several European countries consistently show that retirement increase adiposity measures among those retired from physically demanding jobs. For diabetes and hypertension, five out of nine studies suggest no effect of retirement. Retirement has been repeatedly linked to increasing leisure-time physical activity but may reduce work- and transport-related physical activity in turn. Most studies showed that retirement either decreased smoking or had no effect on smoking. The evidence did not show a clear conclusion on drinking. Only a few studies have assessed the impact on diet and blood biomarkers. Discussion and Implications Effect of retirement varies according to the health outcomes studied and country of the study population. Policy concerning extending the retirement age needs to focus on ensuring they are suited to the individual.


2013 ◽  
Vol 31 (1) ◽  
pp. 209-234 ◽  
Author(s):  
Karen T. D'Alonzo ◽  
Marie K. Saimbert

Hispanics/Latinos represent the largest, fastest growing, and youngest minority group in the United States. Although data suggest that most Hispanics/Latinos in the United States tend to be in better health than non-Hispanic Whites (the so-called "Hispanic Paradox"), these relative advantages in health status decrease markedly with the number of years of residence in the United States. Hispanic women or Latinas, in general, report less than recommended levels of physical activity (PA), putting them at greater risk for the development of cardiovascular disease (CVD) and other chronic illnesses associated with sedentary lifestyles.


Author(s):  
Ahmad Salman ◽  
Maha Sellami ◽  
Abdulla Saeed AL-Mohannadi ◽  
Sungsoo Chun

The association between physical activity (PA) and mental well-being in individuals with a cardiovascular disease (CVD) is poorly studied. The objective of this study was to assess the association between mental well-being and adherence to the recommended guidelines for PA in a Scottish adult population with CVD. The study used data from 3128 adults who had CVD conditions (1547 men and 1581 women; mean age 63.29 years) who participated in the Scottish Health Survey between 2014 and 2017. The Warwick–Edinburgh Mental Well-Being Scale (WEMWBS) was used as a surrogate measure of mental health. PA was classified as “met” or “unmet” on the basis of the recommended PA guidelines (150 min of moderate activity or 75 min of vigorous activity per week). The relationship between PA guidelines being met and the WEMWBS score was explored using hierarchical linear regression accounting for a set of health and sociodemographic characteristics. Of the participants, ~41.8% met the recommended PA levels. Among those with CVD, the mean (SD) WEMWBS scores of individuals who did not have a long-standing illness (51.14 ± 7.65 vs 47.07 ± 9.54; p < 0.05), diabetes (48.44 ± 9.05 vs 46.04 ± 10.25; p < 0.05), or high blood pressure (48.63 ± 9.08 vs 47.52 ± 9.47; p < 0.05) were significantly higher than those of individuals with such conditions. Meeting PA recommendations was significantly associated with a higher mean WEMWBS score (50.64 ± 7.97 vs 46.06 ± 9.75; p < 0.05). Multiple regression analysis of health-related behaviors improved the prediction of mental well-being over and above meeting the recommended PA levels. Mental well-being was strongly correlated with PA adherence in CVD patients. It seems that for patients with CVD, PA should be tailored to meet patients’ health conditions in order to promote mental well-being and improve overall health.


Author(s):  
Christianne F. Coelho-Ravagnani ◽  
Jeeser A. Almeida ◽  
Xuemei Sui ◽  
Fabricio C.P. Ravagnani ◽  
Russell R. Pate ◽  
...  

Background: The effects of compliance with the US Physical Activity (PA) Guidelines and changes in compliance over time on cardiovascular disease (CVD) mortality are unknown. Methods: Male participants in the Aerobics Center Longitudinal Study (n = 15,411; 18–100 y) reported leisure-time PA between 1970 and 2002. The frequency of and time spent in PA were converted into metabolic equivalent minutes per week. The participants were classified into remained inactive, became active, became inactive, or remained active groups according to their achievement of the PA guidelines along the follow-up, equivalent here to at least 500 metabolic equivalent minutes of PA per week. Cox regression adjusted for different models was used for the analyses, using age, body mass index, smoking and drinking status, hypertension, diabetes, hypercholesterolemia, and parental history of CVD. Results: Over a mean follow-up of 6.2 years, 439 CVD deaths occurred. Consistently meeting the PA guidelines, compared with not meeting, was associated with a 54% (95% confidence interval, 0.32–0.67) decreased risk of CVD mortality. After controlling for all potential confounders, the risk reduction was 47% (95% confidence interval, 0.36–0.77). Conclusions: Maintaining adherence to the PA guidelines produces substantial reductions in the risk of CVD deaths in men. Furthermore, discontinuing compliance with the guidelines may offset the beneficial effects on longevity.


2020 ◽  
pp. 1-22
Author(s):  
Whitney N. Neal ◽  
Emma Richardson ◽  
Robert W. Motl

The uptake and benefits of the Canadian Physical Activity Guidelines for Adults with Multiple Sclerosis (PAGs) have been validated, but there is limited understanding regarding the knowledge, needs, and preferences of people with multiple sclerosis (MS) for implementing the PAGs outside of clinical research. The authors conducted online, semistructured interviews with 40 persons with MS from across the United States seeking information on awareness of and potential approaches for increasing the uptake of the PAGs. They identified first impressions and potential approaches for increasing the uptake of the PAGs through inductive, semantic thematic analysis. Participants perceived the PAGs as a good introduction for structured exercise but desired more information on how to meet the PAGs. Participants further believed that modifying the PAGs for inclusivity and applying a multifaceted approach for dissemination and implementation may increase uptake of exercise behavior. Physical activity research in MS should include both analyzing the effects of exercise and the unique challenges faced by persons with MS in putting the PAGs into practice.


2015 ◽  
Vol 25 (9) ◽  
pp. 656-660.e2 ◽  
Author(s):  
Stella S. Yi ◽  
Calpurnyia Roberts ◽  
Amy S. Lightstone ◽  
Margaret Shih ◽  
Chau Trinh-Shevrin

Circulation ◽  
2018 ◽  
Vol 137 (suppl_1) ◽  
Author(s):  
John D Omura ◽  
Emily N Ussery ◽  
Fleetwood Loustalot ◽  
Janet E Fulton ◽  
Susan A Carlson

Introduction: Increasing physical activity among adults at risk for or with cardiovascular disease (CVD) can help prevent and manage disease. Walking may present an opportunity for promoting physical activity among this high risk group. We hypothesized that in US adults the prevalence of self-reported walking would decrease with increasing CVD risk. Methods: Nationally representative data from the 2015 National Health Interview Survey Cancer Control Supplement (N=28,780) were analyzed. Analyses were repeated after excluding those needing assistance with walking (n=2,192). Walking was defined as engaging in at least one 10-minute bout of transportation or leisure walking in the past seven days. Prevalence estimates of walking (any, transportation, and leisure) are reported overall and by presence of risk factors (overweight or obesity and ≥1 of diabetes, high cholesterol, or hypertension) or CVD (myocardial infarction or stroke). Orthogonal polynomial contrasts were used to identify significant trends. Results: Overall, 64.9% (standard error, SE=0.5) of adults reported any walking (TABLE). This prevalence was highest among those with no CVD or risk factors (67.1%, SE=0.5), decreased with increasing number of risk factors (1 risk factor: 64.0%, SE=1.0; 2 risk factors: 60.3%, SE=1.3; 3 risk factors: 54.8%, SE=2.0), and the lowest was among those with CVD (51.9%, SE=1.7). Similar trends were observed for leisure and transportation walking. To ensure differences in prevalence of walking by risk factor or disease status was not due to functional limitations, repeated analyses that excluded those needing assistance with walking observed similar patterns. Conclusions: Prevalence of any and leisure walking decreased as the presence of CVD risk factors increased and was lowest among those with disease. Promoting walking, especially among adults at higher risk, may present an important opportunity for encouraging an active lifestyle for CVD prevention and management.


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