Association Between Occupational, Sport, and Leisure Related Physical Activity and Baroreflex Sensitivity The Paris Prospective Study III

Autor: Lucile Offredo, Frédérique Thomas, Catherine Guibout, Bruno Pannier, Xavier Jouven, Stéphane Laurent, Thomas T. van Sloten, Jean-Philippe Empana, Pierre Boutouyrie, Mattieu Plichart, Edouard Chaussade, James E. Sharman, Rachel E. Climie, Marie-Cécile Perier
Přispěvatelé: RS: Carim - V01 Vascular complications of diabetes and metabolic syndrome, RS: CARIM - R3.01 - Vascular complications of diabetes and the metabolic syndrome, MUMC+: MA Med Staf Artsass Interne Geneeskunde (9)
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
CARDIOVASCULAR MORTALITY
Health Status
BLOOD-PRESSURE
030204 cardiovascular system & hematology
0302 clinical medicine
cardiovascular disease
Bayesian multivariate linear regression
Surveys and Questionnaires
Medicine
030212 general & internal medicine
Prospective Studies
Prospective cohort study
ALL-CAUSE MORTALITY
education.field_of_study
HEART-RATE-VARIABILITY
exercise
blood pressure
Middle Aged
Noncommunicable disease
Female
ARTERIAL STIFFNESS
Sports
Adult
medicine.medical_specialty
Paris
hypertension
Population
Physical activity
Baroreflex
Risk Assessment
Sensitivity and Specificity
03 medical and health sciences
Leisure Activities
Internal medicine
Heart rate
Internal Medicine
Humans
Occupations
education
Life Style
Aged
OLDER
WORK
business.industry
association
DISEASE RISK
Blood pressure
Cross-Sectional Studies
MYOCARDIAL-INFARCTION
Multivariate Analysis
Linear Models
Self Report
business
Zdroj: Hypertension, 74(6), 1476-1483. LIPPINCOTT WILLIAMS & WILKINS
ISSN: 0194-911X
Popis: Physical activity (PA) is a preventative behavior for noncommunicable disease. However, little consideration is given as to whether different domains of PA have differing associations with health outcomes. We sought to determine the association between occupational, sport, leisure, and total PA with baroreflex sensitivity (BRS), distinguishing between neural (nBRS) and mechanical (mBRS) BRS. In a cross-sectional analysis of 8649 adults aged 50 to 75 years, resting nBRS (estimated by low-frequency gain, from carotid distension rate and heart rate) and mBRS (carotid stiffness) were measured by high-precision carotid echo-tracking. PA was self-reported using the validated Baecke questionnaire. The associations between PA and nBRS and mBRS were quantified using multivariate linear regression analysis, separately in the working and nonworking population. In working adults (n=5039), occupational PA was associated with worse nBRS (unstandardized β=−0.02; [95% CI, −0.04 to −0.003]; P =0.022) whereas sport PA was associated with better nBRS (β=0.04; [95% CI, 0.02–0.07]; P =0.003) and mBRS (β=−0.05; [95% CI, −0.09 to −0.00001]; P =0.049). Neither leisure PA nor total PA was associated with nBRS or mBRS. In nonworking adults (n=3610), sport PA and total PA were associated with better mBRS (β=−0.08; [95% CI, −0.15 to 0.02]; P =0.012 and β=−0.05; [95% CI, −0.10 to 0.009]; P =0.018) but not nBRS. These findings suggest differential associations between domains of PA and BRS and may provide insights into the mechanisms underlying the association between occupational PA and cardiovascular disease.
Databáze: OpenAIRE