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Association of level of leisure-time physical activity with risks of all-cause mortality and cardiovascular disease in an elderly Chinese population: a prospective cohort study

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Journal of Geriatric Cardiology 2020年第10期17卷 628-637页

作者： Hao ZHAO Xue-Ning ZHANG Zhan SHI Ling YIN Wen-Li ZHANG Kun HE Xue-Qi HU Xiao-Yan ZHAO Song-He SHI Department of Epidemiology and Biostatistics College of Public HealthZhengzhou UniversityHenanChina Department of Pharmacy Zhengzhou First People’s HospitalZhengzhouHenanChina Department of Neurology Chinese PLA General HospitalBeijingChina

Background Implementing the current guidelines for leisure-time physical activity(LTPA)provides significant health benefits,especially for middle-aged adults,but it is unclear whether LTPA also translates into cardiovascular health benefits among elderly ***,we aimed to assess the association of LTPA with the risks of cardiovascular disease(CVD),including coronary heart disease(CHD)and stroke,and all-cause mortality in an elderly *** In this prospective cohort study,32,942 participants aged 60 years or older who participated in a health check-up programme in China between 2010 and 2018 were *** evaluated the morbidity and mortality risks through the Cox regression model,competing risk model and restricted cubic spline *** During a median of 6.84 years of follow-up,there were 6,857 elderly people with incident CVD;a total of 6,324 deaths occurred due to all causes and 2,060 deaths occurred due to *** with the inactive group,reductions in CVD morbidity and mortality were observed,with hazard ratios(HRs)of 0.89(95%CI:0.83–0.96)and 0.81(95%CI:0.71–0.92)in the insufficiently active group,0.86(95%CI:0.80–0.92)and 0.79(95%CI:0.69–0.90)in the sufficiently active group,and 0.79(95%CI:0.70–0.89)and 0.58(95%CI:0.45–0.76)in the highly active group,respectively;but no significant reductions were observed in the very highly active group,with HRs of 0.87(95%CI:0.71–1.06)and 0.99(95%CI:0.70–1.40),*** with the inactive group,reductions in all-cause mortality were also observed,with a HR of 0.90(95%CI:0.84–0.97)in the insufficiently active group,0.82(95%CI:0.77–0.89)in the sufficiently active group,0.77(95%CI:0.67–0.87)in the highly active group,and 0.80(95%CI:0.64–0.98)in the very highly active group.A restricted cubic spline diagram showed that there was an L-shaped association between LTPA and the risk of all-cause mortality but a U-shaped or reverse J-shaped relationship between LTPA and the risk of CVD morb

关键词： Cardiovascular disease Chronic coronary disease leisure-time physical activity Stroke

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Examining the relationship between sport and health among USA women:An analysis of the Behavioral Risk Factor Surveillance System

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Journal of Sport and Health Science 2016年第4期5卷 403-409页

作者： Jennifer R.Pharr Nancy L.Loug Department of Environmental and Occupational Health University of Nevada Las Vegas College of Education University of Nevada Las Vegas

Background：Research has been conducted linking sports participation and health in childhood and adolescence;however,little is known about the contribution of sport to women＇s *** purpose of this study was to examine the relationship between sport and women＇s health in the USA by analyzing data from the Behavioral Risk Factor Surveillance System（BRFSS）.Methods：This study was a secondary data analysis of the 2013 national BRFSS *** the BRFSS core component from previous years,in2013,participants were questioned extensively about their physical activity ***-six different activities were identifie by the *** researchers categorized the 76 activities as sport,conditioning exercise,recreation,or household tasks based on previously identifie *** regression was utilized to calculate odds ratios and adjusted odds ratios for chronic diseases based on physical activity ***：Women who participated in sport had better health outcomes with significant y lower odds for all chronic diseases except asthma and better general health than women who participated in conditioning exercise,household tasks,or recreation,and many of the significan differences remained after controlling for demographic ***：Sport participation was associated with more positive health outcomes among women in the USA compared with the other *** a means to improve health of women,the USA could focus on efforts to increase sport participation among women.

关键词： Chronic diseases Conditioning exercise leisure-time physical activity Recreation Sport participation Women's health

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