scholarly journals Longitudinal association between leisure-time physical activity and vascular elasticity indices

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Gábor Szaló ◽  
Margareta Hellgren ◽  
Matthew Allison ◽  
Lennart Råstam ◽  
Ulf Lindblad ◽  
...  

Abstract Aim We investigated the association between levels of leisure-time physical activity and vascular stiffness in a longitudinal observational study from a representative Swedish population. Method A total of 2816 randomly selected individuals were examined at visit 1 (2002–2005, Men = 1400). After a mean follow-up of 9.7 ± 1.4 years, a representative sample of 1327 of the original participants were re-examined at visit 2. After excluding subjects with hypertension at baseline, 761 participants were included in the longitudinal analyses. Leisure-time physical (LTPA) activity was self-reported and dichotomized as high or low (level 3, 4 and level 1, 2, respectively). Large Arterial Elasticity Index (LAEI) and Small Arterial Elasticity Index (SAEI) were measured using the HDI/Pulse Wave™ CR2000. Multivariable general linear models were used to investigate the differences in changes SAEI and LAEI based on LTPA levels. Results At visit 1, and after adjustment for possible confounders, participants in the high LTPA group had better small artery elasticity (SAEI) (SAEI in low-level LTPA: 7.89 ± 0.11, SAEI in high-level LTPA: 8.32 ± 0.15, ΔSAEI: 0.42, CI: 0.07–0.78; p = 0.020). SAEI decreased between the two assessments (Visit 1: SAEI 8.01 ± 3.37 ml/mmHg; Δ SAEI: 1.4, CI 1.2–1.6, p < 0.001). Participants with a higher LTPA at visit 1 had significantly better SAEI at visit 2 (ΔSAEI: 0.44, CI 0.03–0.85, p = 0.037). No significant associations were observed between LAEI and LTPA after adjustments. Conclusions High LTPA predicted higher small arterial compliance at visit 2 suggesting that positive effects of LTPA on arterial elasticity persists over time.

2018 ◽  
Vol 52 (20) ◽  
pp. 1320-1326 ◽  
Author(s):  
Pieter Coenen ◽  
Maaike A Huysmans ◽  
Andreas Holtermann ◽  
Niklas Krause ◽  
Willem van Mechelen ◽  
...  

ObjectiveRecent evidence suggests the existence of a physical activity paradox, with beneficial health outcomes associated with leisure time physical activity, but detrimental health outcomes for those engaging in high level occupational physical activity. This is the first quantitative systematic review of evidence regarding the association between occupational physical activity and all-cause mortality.DesignSystematic review with meta-analysis.Data sourceA literature search was performed in electronic databases PubMed, Embase, CINAHL, PsycINFO and Cochrane.Eligibility criteria for selecting studiesWe screened for peer reviewed articles from prospective studies assessing the association of occupational physical activity with all-cause mortality. A meta-analysis assessed the association of high (compared with low) level occupational physical activity with all-cause mortality, estimating pooled hazard ratios (HR) (with 95% CI).Results2490 unique articles were screened and 33 (from 26 studies) were included. Data from 17 studies (with 193 696 participants) were used in a meta-analysis, showing that men with high level occupational physical activity had an 18% increased risk of early mortality compared with those engaging in low level occupational physical activity (HR 1.18, 95% CI 1.05 to 1.34). No such association was observed among women, for whom instead a tendency for an inverse association was found (HR 0.90, 95% CI 0.80 to 1.01).ConclusionsThe results of this review indicate detrimental health consequences associated with high level occupational physical activity in men, even when adjusting for relevant factors (such as leisure time physical activity). These findings suggest that research and physical activity guidelines may differentiate between occupational and leisure time physical activity.


2017 ◽  
Vol 2017 ◽  
pp. 1-8 ◽  
Author(s):  
Jia Wang ◽  
Yili Wu ◽  
Feng Ning ◽  
Chaoying Zhang ◽  
Dongfeng Zhang

Aims. The purpose of the study was to assess the effects of leisure-time physical activity on undetected prediabetes.Methods. Data from the National Health and Nutrition Examination Survey 2007–2012 were used in our analyses. Logistic regression was conducted to estimate the odds ratios (ORs) with 95% confidence intervals (CIs) of prediabetes associated with leisure-time physical activity.Results. A total of 8204 subjects were eligible for our analyses. For all subjects, high level of total leisure-time physical activity (OR = 0.78, 95% CI: 0.66, 0.94) and low level of vigorous leisure-time physical activity (OR = 0.72, 95% CI: 0.58, 0.90) were inversely associated with the risk of prediabetes in multivariate-adjusted model. For subjects under 45 years of age, high level of total leisure-time physical activity (OR = 0.78, 95% CI: 0.61, 0.99) and low (OR = 0.61, 95% CI: 0.45, 0.83) and high (OR = 0.72, 95% CI: 0.53, 1.00) level of vigorous leisure-time physical activity were associated with a decreased risk of prediabetes. In the 45 to 65 age group, only high level of total leisure-time physical activity (OR = 0.73, 95% CI: 0.57, 0.95) had protective effect on prediabetes.Conclusions. Leisure-time physical activity may be associated with a decreased risk of prediabetes.


2020 ◽  
Vol 46 (2) ◽  
pp. 99-103
Author(s):  
Mohammed Emran ◽  
Md Israt Hasan ◽  
Syed Mozaffar Ahmed ◽  
Fatema Newaz ◽  
Md Atiquzzaman ◽  
...  

Background: The exercise is a widely promoted way to improve and maintain health, and osteoarthritis (OA) is a major health problem also. The study was conducted to examine the impact of different types of leisure-time physical activity on the OA of the knee. Objective: The study was aimed to evaluate the association of recreational (habitual) physical activities with the osteoarthritis of the knee in the female. Methods: The case-control study was carried out on 174 female selected purposively with the age range of 40 – 70 years and above, from September 2016 to August 2017.Among them 87 were the cases with OA of the knee, and the same number of healthy females of the same age group were included as the control. Physical activity was assessed by self-reported regular exercise patterns. A structured interviewer-administered questionnaire was used to collect data. Results: Age, educational status, occupational status and BMI were not statistically significant (p>0.05) between the two groups. High level of physical activities (walking, running or jogging 20 or more miles per week) were associated with osteoarthritis of the knee, while low level of physical activities (<10miles/per week) and moderate level of physical activities (10-20 miles/per week) had no significant association with the osteoarthritis of the knee. Conclusion: Based on the findings, the study suggests not to continue a high level of physical activities rather than to continue with moderate and low level of physical activity in accordance to subject’s physical propensity, and endorse this note for the general health promotion. Bangladesh Med Res Counc Bull 2020; 46(2): 99-103


Author(s):  
Zayed M. Altowerqi ◽  
Zainal Abidin Bin Zainuddin

This study aims to determine the prevalence of metabolic syndrome (MS), overweight and obesity, uric acid (UA), and leisure time physical activity (LTPA) among former athletes and non-athletes in the Kingdom of Saudi Arabia (KSA). Moreover, to determine the effects of previous high intensity training on MS risk factors, overweight and obesity, and UA. Seventy-five (75) former athletes and twenty-six (26) non-athletes, aged between 26 and 60 years old, participated in this study. Height, weight, waist circumference (WC), blood pressure (BP), and blood samples were collected by the researcher. LTPA was reported by participants. The study results showed that 38.61% of former athletes have MS and 17.82% of non-athletes have MS. The study also showed that 31.68% of former athletes were overweight and 26.73% were obese. However, the prevalence of overweight and obesity among non-athletes was 9.90%. 23.76% of former athletes had high level of UA, whereas 14.85% of non-athletes had high level of UA. According to the study findings 28% former athletes participated in high physical activity (PA), 38.67% in moderate PA, and 33.33% in low PA, while 19.23% of non-athletes participated in high PA, 38.46% in moderate PA, and 42.31% in low PA. Former athletes had lower mean of body mass index, WC, fasting blood glucose (FBG), diastolic blood pressure (DBP), and UA than non-athletes. In addition, higher mean of low high-density lipoprotein (HDL).  However, former athletes had higher mean of systolic blood pressure (SBP) and triglycerides (TG) than non-athletes.


BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e038673
Author(s):  
Jaana I Halonen ◽  
Anna Pulakka ◽  
Jaana Pentti ◽  
Minna Kallio ◽  
Sofia Koskela ◽  
...  

ObjectiveNeighbourhood characteristics may affect the level of physical activity (PA) of the residents. Few studies have examined the combined effects of distinctive neighbourhood characteristics on PA using objective data or differentiated between activity during working or non-working days. We examined the associations of socioeconomic disadvantage and greenness with accelerometer-measured leisure-time PA during working and non-working days.DesignCross-sectional study.SettingFinnish Retirement and Aging (FIREA) study.Participants708 workers (604 women, mean age 62.4 ranging from 58 to 64 years,) participating in the FIREA study who provided PA measurement data for at least 1 working and non-working day.Primary and secondary outcomesPA was measured with wrist-worn accelerometer on average of 4 working and 2 non-working days. Outcomes were total PA, light PA (LPA) and moderate-to-vigorous PA (MVPA). These measurements were linked to data on neighbourhood socioeconomic disadvantage and greenness within the home neighbourhood (750×750 m). Generalised linear models were adjusted for possible confounders.ResultsOn non-working days, higher neighbourhood disadvantage associated with lower levels of total PA (p value=0.07) and higher level of neighbourhood greenness associated with higher level of total PA (p value=0.04). Neighbourhood disadvantage and greenness had an interaction (p value=0.02); in areas of low disadvantage higher greenness did not associate with the level of total PA. However, in areas of high disadvantage, 2 SD higher greenness associated with 46 min/day (95% CI 8.4 to 85) higher total PA. Slightly stronger interaction was observed for LPA (p=0.03) than for the MVPA (p=0.09). During working days, there were no associations between neighbourhood characteristics and leisure-time total PA.ConclusionsOf the disadvantaged neighbourhoods, those characterised by high levels of greenness seem to associate with higher levels of leisure-time PA during non-working days. These findings suggest that efforts to add greenness to socioeconomically disadvantaged neighbourhoods might reduce inequalities in PA.


2015 ◽  
Vol 12 (3) ◽  
pp. 307-318 ◽  
Author(s):  
Deborah Salvo ◽  
Rodrigo S. Reis ◽  
Adriano A.F. Hino ◽  
Pedro C. Hallal ◽  
Michael Pratt

Background:There is little understanding about which sets of environmental features could simultaneously predict intensity-specific leisure-time physical activity (LTPA) among Brazilians. The objectives were to identify the environmental correlates for intensity-specific LTPA, and to build the best-fit linear models to predict intensity-specific LTPA among adults of Curitiba, Brazil.Methods:Cross sectional study in Curitiba, Brazil (2009, n = 1461). The International Physical Activity Questionnaire and Abbreviated Neighborhood Environment Assessment Scale were used. Ninety-two perceived environment variables were categorized in 10 domains. LTPA was classified as walking for leisure (LWLK), moderate-intensity leisure-time PA (MLPA), vigorous-intensity leisure-time PA (VLPA), and moderate-to-vigorous intensity leisure-time PA (MVLPA). Best fitting linear predictive models were built.Results:Forty environmental variables were correlated to at least 1 LTPA outcome. The variability explained by the 4 best-fit models ranged from 17% (MLPA) to 46% (MVLPA). All models contained recreation areas and aesthetics variables; none included residential density predictors. At least 1 neighborhood satisfaction variable was present in each of the intensity-specific models, but not for overall MVLPA.Conclusions:This study demonstrates the simultaneous effect of sets of perceived environmental features on intensity-specific LTPA among Brazilian adults. The differences found compared with high-income countries suggest caution in generalizing results across settings.


2021 ◽  
Vol 3 ◽  
Author(s):  
Maximilian Koeppel ◽  
Carlotta Körbi ◽  
Renate M. Winkels ◽  
Kathryn H. Schmitz ◽  
Joachim Wiskemann

Background: A large body of evidence supports the positive effects of leisure time physical activity (LTPA) and exercise on cancer survivors. However, only a fraction of survivors manages to attain international PA recommendations. This can be attributed to several external and internal barriers toward PA those patients seem to encounter, with cancer related fatigue (CRF) being the most reported internal barrier. Nevertheless, self-efficacy and knowledge about the utilization of LTPA can serve as facilitators of PA, which also correspond to certain constituents of physical activity related health competence (PAHCO). Since PAHCO is not investigated in cancer survivors we investigated if PAHCO can mediate the negative relationship between CRF and LTPA.Methods: We surveyed 398 cancer survivors with different cancer types and therapy status. The patients completed the EORTC QLQ-FA12 (EORTC FA12) to assess CRF, the PAHCO questionnaire to assess PAHCO and the SQUASH to assess LTPA. We followed a two-step structural equation modeling approach. The first step established the measurement model, in the second step we fitted the mediation model. Since 163 patients chose not to answer the SQUASH, the mediation model was only fitted to the data of the remaining 235 participants.Results: The proposed measurement model of the PAHCO offered an excellent fit. We found small to moderate positive associations between the PAHCO dimensions and the LTPA, and negative moderate relationships between the PAHCO and the EORTC FA12 dimensions. We did not observe a relationship between the EORTC FA12 dimensions and the LTPA (p &gt; 0.05). The hypothesized mediation models did not display an appropriate fit.Conclusion: The PAHCO confirmed its factorial validity; furthermore, it appears to have a positive relationship to LTPA. Therefore, integrating psycho-educational aspects can be beneficial in order to increase the PAHCO in exercise interventions. Because of the cross-sectional character of this study, causal conclusions are not suitable, therefore the longitudinal relationships of LTPA, CRF, and PAHCO require further investigation.


2010 ◽  
Vol 7 (4) ◽  
pp. 451-459 ◽  
Author(s):  
Ester Cerin ◽  
Evie Leslie ◽  
Takemi Sugiyama ◽  
Neville Owen

Background:Perceived barriers are modifiable correlates of participation in physical activity. Associations of specific perceived barriers with participation in and level of walking for recreation, and other leisure-time physical activity (LTPA) were examined. Personal, social, and environmental factors associated with these perceived barriers were then examined.Methods:From 2003 to 2004, 2 surveys collected data on recreational walking and other LTPA, perceived barriers to participation, and personal, social, and environmental attributes, from 2194 Australian adults. Zero-inflated negative binomial regression models examined associations of perceived barriers with walking and other LTPA. Generalized linear models identified the correlates of these perceived barriers.Results:The perceived barriers of lack of motivation and time were associated with level of LTPA, while lack of motivation, poor health, and lack of facilities were associated with the odds of non-participation in LTPA. Personal, social, and environmental factors independently contributed to variations in perceived barriers.Conclusions:Level and likelihood of participation in LTPA are associated with different perceived barriers. Perceived barriers are a function of both nonmodifiable personal factors and potentially modifiable personal, social, and environmental factors. These findings suggest that the provision of relevant environmental opportunities and social support may effectively reduce perceived barriers to LTPA.


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