Relation Between Leisure Time, Commuting, and Occupational Physical Activity With Blood Pressure in 125 402 Adults: The Lifelines Cohort
Autor: | Eva Corpeleijn, Oyuntugs Byambasukh, Harold Snieder |
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Přispěvatelé: | Life Course Epidemiology (LCE), Lifestyle Medicine (LM), Reproductive Origins of Adult Health and Disease (ROAHD) |
Jazyk: | angličtina |
Rok vydání: | 2020 |
Předmět: |
Adult
Male Supine position Time Factors Epidemiology Population Diastole Blood Pressure Transportation 030204 cardiovascular system & hematology Lower risk Body Mass Index Cohort Studies 03 medical and health sciences 0302 clinical medicine Leisure Activities Surveys and Questionnaires Linear regression Medicine Humans commuting activity 030212 general & internal medicine Obesity Occupations education Exercise Original Research Diet and Nutrition Netherlands education.field_of_study business.industry occupational activity Middle Aged Lifestyle Blood pressure domain‐specific physical activity Cohort Hypertension leisure‐time activity Female Cardiology and Cardiovascular Medicine business Body mass index human activities Demography |
Zdroj: | Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease Journal of the American Heart Association, 9(4):e014313. Wiley |
ISSN: | 2047-9980 |
Popis: | Background Whether all domains of daily‐life moderate‐to‐vigorous physical activity ( MVPA ) are associated with lower blood pressure ( BP ) and how this association depends on age and body mass index remains unclear. Methods and Results In the population‐based Lifelines cohort (N=125 402), MVPA was assessed by the Short Questionnaire to Assess Health‐Enhancing Physical Activity, a validated questionnaire in different domains such as commuting, leisure‐time, and occupational PA . BP was assessed using the last 3 of 10 measurements after 10 minutes’ rest in the supine position. Hypertension was defined as systolic BP ≥140 mm Hg and/or diastolic BP ≥90 mm Hg and/or use of antihypertensives. In regression analysis, higher commuting and leisure‐time but not occupational MVPA related to lower BP and lower hypertension risk. Commuting‐and‐leisure‐time MVPA was associated with BP in a dose‐dependent manner. β Coefficients (95% CI ) from linear regression analyses were −1.64 (−2.03 to −1.24), −2.29 (−2.68 to −1.90), and finally −2.90 (−3.29 to −2.50) mm Hg systolic BP for the low, middle, and highest tertile of MVPA compared with “No MVPA ” as the reference group after adjusting for age, sex, education, smoking and alcohol use. Further adjustment for body mass index attenuated the associations by 30% to 50%, but more MVPA remained significantly associated with lower BP and lower risk of hypertension. This association was age dependent. β Coefficients (95% CI ) for the highest tertiles of commuting‐and‐leisure‐time MVPA were −1.67 (−2.20 to −1.15), −3.39 (−3.94 to −2.82) and −4.64 (−6.15 to −3.14) mm Hg systolic BP in adults 60 years, respectively. Conclusions Higher commuting and leisure‐time but not occupational MVPA were significantly associated with lower BP and lower hypertension risk at all ages, but these associations were stronger in older adults. |
Databáze: | OpenAIRE |
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