Leisure-time physical activity and the incidence of atrial fibrillation in senior adults: a prospective cohort study.
Objective Whether physical activity could reduce the risk of atrial fibrillation (AF) remains unclear. This study was to investigate the relationship of leisure-time physical activity (LTPA) with AF incidence among Chinese older adults. Methods A total of 3253 participants aged ≥60 years from the Gu...
| Publicado en: | Age & Ageing Vol. 53; no. 7; pp. 1 - 9 |
|---|---|
| Autores principales: | , , , , , , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Oxford University Press / USA
Jul2024
|
| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=178718755&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 178718755 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 00020729 AGA jtl: Age & Ageing issn: 00020729 maglogo: N pubinfo: dt: Jul2024 vid: 53 iid: 7 pid: 622 pub: Oxford University Press / USA artinfo: ui: 178718755 10.1093/ageing/afae142 ppf: 1 ppct: 8 formats: tig: atl: Leisure-time physical activity and the incidence of atrial fibrillation in senior adults: a prospective cohort study. aug: au: Mei, Yunting Huang, Li Gong, Cong Zhao, Wenjing Gui, Ming Qiu, Quan Wang, Zhiwei Chen, Yufeng Xie, Yuanling Cai, Xueqing Yuan, Yue-Shuang Zheng, Zhen-Feng Xue, Yumei Deng, Hai Liu, Xudong affil: School of Public Health, Guangdong Pharmaceutical University , Guangzhou 510310, China Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Southern Medical University , Guangzhou 510080, China School of Public Health and Emergency Management, Southern University of Science and Technology , Shenzhen 518055, China Department of Administrative Affairs, Guangdong Provincial Center for Disease Control and Prevention , Guangzhou 511430 China Department of 12320 Health Hotline, Guangzhou Center for Disease Control and Prevention , Guangzhou 510440, China Department of Community Health, Guangzhou Yuexiu District Center for Disease Control and Prevention , Guangzhou 510080, China Department of Community Health, Guangzhou Baiyun Street Community Health Service Center , Guangzhou 510080, China Department of Community Health, Guangzhou Dadong Street Community Health Service Center , Guangzhou 510080, China Department of Community Health, Guangzhou Xinzao Town Community Health Service Center , Guangzhou 511442, China Department of Community Health, Guangzhou Nancun Town Community Health Service Center , Guangzhou 511442, China su: China Leisure Atrial fibrillation risk factors Atrial fibrillation prevention Risk assessment Research funding Questionnaires Ambulatory electrocardiography Descriptive statistics Electrocardiography Longitudinal method Atrial fibrillation Confidence intervals Physical activity Disease incidence Proportional hazards models sug: subj: Leisure China All Other Miscellaneous Ambulatory Health Care Services Atrial fibrillation risk factors Atrial fibrillation prevention Risk assessment Research funding Questionnaires Ambulatory electrocardiography Descriptive statistics Electrocardiography Longitudinal method Atrial fibrillation Confidence intervals Physical activity Disease incidence Proportional hazards models keyword: atrial fibrillation cohort study leisure-time physical activity older people atrial fibrillation cohort study leisure-time physical activity older people ab: Objective Whether physical activity could reduce the risk of atrial fibrillation (AF) remains unclear. This study was to investigate the relationship of leisure-time physical activity (LTPA) with AF incidence among Chinese older adults. Methods A total of 3253 participants aged ≥60 years from the Guangzhou Heart Study were successfully followed between March 2018 and September 2019. LTPA was assessed using a modified Global Physical Activity Questionnaire. AF was ascertained by 12-lead electrocardiograms, 24-hour single-lead Holter and clinical examination. The Cox proportional hazards model was used to the estimate hazard ratio (HR) and 95% confidence interval (CI) after adjustment for confounders, and the population-attributable fraction (PAF) was estimated. Results A total of 76 (2.34%) new-onset cases of AF were identified during a median of 31.13 months of follow-up. After adjustment for confounders, subjects who had LTPA at least 10.0 metabolic equivalent (MET)-hours/week had a 55% lower risk of developing AF (HR: 0.45, 95%CI: 0.25–0.81), and at least 20 MET-hours/week reduced the risk by 45% (HR: 0.55, 95%CI: 0.34–0.92). At least 11% (PAF: 11%, 95%CI: 0%–20%) or 14% (PAF: 14%, 95%CI: 0%–26%) of AF cases could be avoided, respectively, if the subjects do LTPA at least 10 MET-hours/week or 20 MET-hours/week. A significant exposure-response trend was also observed between LTPA and AF risk (P = 0.002). For a specific LTPA, doing housework was associated with a 43% reduced risk, while engaging in ball games was associated with an increased risk. Conclusion This prospective cohort study indicated that a higher LTPA volume was associated with a lower AF risk in Chinese older adults. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
|---|