Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular disease
| Autor: | Andreas Holtermann, Ole Steen Mortensen, Hermann Burr, Karen Søgaard, Finn Gyntelberg, Poul Suadicani |
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| Jazyk: | angličtina |
| Rok vydání: | 2010 |
| Předmět: |
all-cause mortality
leisure-time ischaemic heart disease ischemic heart disease fitness occupational health cardiovascular disease mortality health work physical activity physical fitness occupational physical activity men man leisure-time physical activity cardiovascular health Public aspects of medicine RA1-1270 |
| Zdroj: | Scandinavian Journal of Work, Environment & Health, Vol 36, Iss 5, Pp 366-372 (2010) |
| Druh dokumentu: | article |
| ISSN: | 0355-3140 1795-990X |
| DOI: | 10.5271/sjweh.2914 |
| Popis: | OBJECTIVE: Our aim was to study the relative impact of physical fitness, physical demands at work, and physical activity during leisure time on ischaemic heart disease (IHD) and all-cause mortality among employed men with pre-existing cardiovascular disease (CVD). METHOD: We carried out a 30-year follow-up of the Copenhagen Male Study of 274 gainfully employed men, aged 40–59 years who had a history of CVD (ie, myocardial infarction, angina pectoris, and intermittent claudication). We estimated physical fitness [maximal oxygen consumption (VO_2Max)] using the Åstrand cycling test and determined physical work demands and leisure-time physical activity using a self-reported questionnaire. Results Among 274 men with a history of CVD, 93 men died from IHD. Using male employees with a history of CVD and a low level of fitness as the reference group, our Cox analyses – adjusted for age, blood pressure, smoking, alcohol consumption, body mass index, diabetes, hypertension, physical work demands, leisure-time physical activity, and social class – showed a substantially reduced risk for IHD mortality among employees who were intermediately fit [VO_2Max range 25–36; hazard ratio (HR) 0.54, 95% confidence interval (95% CI) CI 0.32–0.93] and highly fit (VO_2Max range 37–50; HR 0.28, 95% CI 0.12–0.66). We found a positive, but statistically non-significant association between physical demands at work and all-cause mortality. CONCLUSION: Among gainfully employed men with pre-existing CVD, a high physical fitness was associated with a substantially reduced risk for IHD and all-cause mortality. |
| Databáze: | Directory of Open Access Journals |
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