Physical activity is associated with lower arterial stiffness in older adults: results of the SAPALDIA 3 Cohort Study

Autor: Simon Endes, Christian Schindler, Arno Schmidt-Trucksäss, Julia Dratva, Seraina Caviezel, Robert Bettschart, Christine S. Autenrieth, Miriam Wanner, Brian W. Martin, Nicole Probst-Hensch, Daiana Stolz, Nino Künzli, Alexander Turk, Emmanuel Schaffner, Marco Pons
Přispěvatelé: University of Zurich, Endes, Simon
Rok vydání: 2015
Předmět:
Adult
Male
Aging
medicine.medical_specialty
Time Factors
Epidemiology
Cross-sectional study
610 Medicine & health
Physical exercise
Motor Activity
Pulse Wave Analysis
030204 cardiovascular system & hematology
Logistic regression
03 medical and health sciences
Vascular Stiffness
0302 clinical medicine
Risk Factors
Surveys and Questionnaires
Internal medicine
Odds Ratio
medicine
Humans
Ankle Brachial Index
Longitudinal Studies
Vascular Diseases
030212 general & internal medicine
Geriatric Assessment
Life Style
Pulse wave velocity
Aged
Aged
80 and over

business.industry
10060 Epidemiology
Biostatistics and Prevention Institute (EBPI)

Odds ratio
Middle Aged
medicine.disease
Confidence interval
3. Good health
Cross-Sectional Studies
Arterial stiffness
Physical therapy
Cardiology
Female
business
Risk Reduction Behavior
Switzerland
2713 Epidemiology
Cohort study
Zdroj: European Journal of Epidemiology
European journal of epidemiology
ISSN: 1573-7284
0393-2990
DOI: 10.1007/s10654-015-0076-8
Popis: Associations of physical activity (PA) intensity with arterial stiffness in older adults at the population level are insufficiently studied. We examined cross-sectional associations of self-reported PA intensities with arterial stiffness in elderly Caucasians of the Swiss Cohort Study on Air Pollution and Lung and Heart Diseases in Adults. Mixed central and peripheral arterial stiffness was measured oscillometrically by the cardio-ankle vascular index (CAVI) and brachial-ankle pulse wave velocity (baPWV). The self-reported International Physical Activity Questionnaire long version was administered to classify each subject's PA level. We used univariable and multivariable mixed linear and logistic regression models for analyses in 1908 persons aged 50 years and older. After adjustment for several confounders moderate, vigorous and total PA were inversely associated with CAVI (p = 0.02-0.03). BaPWV showed negative and marginally significant associations with vigorous and moderate PA (each p = 0.06), but not with total PA (p = 0.28). Increased arterial stiffness (CAVI ≥ 9, upper tertile) was inversely and significantly associated with vigorous PA [odds ratio (OR) 0.65, 95% confidence interval (CI) 0.48-0.88], and marginally significantly with total PA (OR 0.76, 95% CI 0.57-1.02) and moderate PA (OR 0.75, 95% CI 0.56-1.01). The odds ratio for baPWV ≥ 14.4 was 0.67 (95% CI 0.48-0.93) across the vigorous PA levels, and was non-significant across the total (OR 0.91, 95% CI 0.66-1.23) and moderate PA levels (OR 0.94, 95% CI 0.69-1.28). In this general Caucasian population of older adults higher levels especially of vigorous PA were associated with lower arterial stiffness. These data support the importance of PA for improving cardiovascular health in elderly people.
Databáze: OpenAIRE