Domains of Physical Activity in Relation to Stiffness Index in the General Population
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Domains of Physical Activity in Relation to Stiffness Index in the General Population. / Arnold, Natalie; Deiseroth, Arne; Hahad, Omar; Diestelmeier, Simon; Schulz, Andreas; Daubenbüchel, Andrea; Gori, Tommaso; Binder, Harald; Pfeiffer, Norbert; Prochaska, Jürgen; Beutel, Manfred; Lackner, Karl J; Münzel, Thomas; Wild, Philipp S.
in: J AM HEART ASSOC, Jahrgang 10, Nr. 16, e020930, 17.08.2021.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Domains of Physical Activity in Relation to Stiffness Index in the General Population
AU - Arnold, Natalie
AU - Deiseroth, Arne
AU - Hahad, Omar
AU - Diestelmeier, Simon
AU - Schulz, Andreas
AU - Daubenbüchel, Andrea
AU - Gori, Tommaso
AU - Binder, Harald
AU - Pfeiffer, Norbert
AU - Prochaska, Jürgen
AU - Beutel, Manfred
AU - Lackner, Karl J
AU - Münzel, Thomas
AU - Wild, Philipp S
PY - 2021/8/17
Y1 - 2021/8/17
N2 - Background Regular exercise training represents an important modifier of arterial stiffness (AS). Therefore, sex-specific relations between domains of physical activity (PA; commuting, domestic, and leisure-time PA, including active sport and occupational PA) with AS were investigated. Methods and Results Stiffness index by digital photoplethysmography was investigated in 12 650 subjects from the GHS (Gutenberg Health Study). Self-reported PA was evaluated by the "Short Questionnaire to Assess Health-Enhancing Physical Activity" and reported as activity score peer week, being a combined measure of duration, frequency, and intensity of PA. Multivariable linear regression analysis demonstrated strong beneficial effects of repetitive activities, such as active commuting or leisure-time PA-related walking on AS in men, but not in women. Lower AS associated with endurance training was also found among men and premenopausal women. In contrast, intense occupational PA was related to stiffer vessels in men (P<0.0001) and women (P=0.0021) in a fully adjusted model. Combination of both, performing endurance training and having stiffness index values below median, resulted in the best survival. In contrast, subjects with elevated stiffness index at baseline without any endurance activities demonstrated the worst survival. Conclusions In this population representative sample, a differential impact of domains of self-reported PA on AS was demonstrated. Our data strengthen the importance of regular endurance PA to induce a reduction of AS, which, in turn, may improve cardiovascular prognosis. We also report deleterious effects of intense occupational PA on stiffness index, a finding that needs further confirmation by larger prospective trials.
AB - Background Regular exercise training represents an important modifier of arterial stiffness (AS). Therefore, sex-specific relations between domains of physical activity (PA; commuting, domestic, and leisure-time PA, including active sport and occupational PA) with AS were investigated. Methods and Results Stiffness index by digital photoplethysmography was investigated in 12 650 subjects from the GHS (Gutenberg Health Study). Self-reported PA was evaluated by the "Short Questionnaire to Assess Health-Enhancing Physical Activity" and reported as activity score peer week, being a combined measure of duration, frequency, and intensity of PA. Multivariable linear regression analysis demonstrated strong beneficial effects of repetitive activities, such as active commuting or leisure-time PA-related walking on AS in men, but not in women. Lower AS associated with endurance training was also found among men and premenopausal women. In contrast, intense occupational PA was related to stiffer vessels in men (P<0.0001) and women (P=0.0021) in a fully adjusted model. Combination of both, performing endurance training and having stiffness index values below median, resulted in the best survival. In contrast, subjects with elevated stiffness index at baseline without any endurance activities demonstrated the worst survival. Conclusions In this population representative sample, a differential impact of domains of self-reported PA on AS was demonstrated. Our data strengthen the importance of regular endurance PA to induce a reduction of AS, which, in turn, may improve cardiovascular prognosis. We also report deleterious effects of intense occupational PA on stiffness index, a finding that needs further confirmation by larger prospective trials.
KW - Adult
KW - Cardiovascular Diseases/mortality
KW - Cross-Sectional Studies
KW - Exercise
KW - Female
KW - Germany
KW - Healthy Lifestyle
KW - Humans
KW - Male
KW - Middle Aged
KW - Physical Endurance
KW - Prospective Studies
KW - Protective Factors
KW - Risk Assessment
KW - Risk Factors
KW - Risk Reduction Behavior
KW - Sex Factors
KW - Vascular Stiffness
U2 - 10.1161/JAHA.121.020930
DO - 10.1161/JAHA.121.020930
M3 - SCORING: Journal article
C2 - 34348471
VL - 10
JO - J AM HEART ASSOC
JF - J AM HEART ASSOC
SN - 2047-9980
IS - 16
M1 - e020930
ER -