Impact of a history of cardiovascular disease and physical activity habits on the incidence of functional disability
Abstract We examined the impact of a history of coronary artery disease (CAD) or cerebrovascular disease (CVD) and physical activity habits on functional disability among community-dwelling Japanese adults. This population-based retrospective cohort study included 10,661 people aged 39–98 years in J...
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2023-11-01
|
| Series: | Scientific Reports |
| Online Access: | https://doi.org/10.1038/s41598-023-47913-z |
| _version_ | 1827603588573036544 |
|---|---|
| author | Remi Kodera Kazuya Fujihara Tetsuya Koyama Haruka Shiozaki Yurie Mutsuma Noriko Yagyuda Mariko Hatta Kahori Tsuruoka Yasunada Takeda Atsushi Araki Hirohito Sone |
| author_facet | Remi Kodera Kazuya Fujihara Tetsuya Koyama Haruka Shiozaki Yurie Mutsuma Noriko Yagyuda Mariko Hatta Kahori Tsuruoka Yasunada Takeda Atsushi Araki Hirohito Sone |
| author_sort | Remi Kodera |
| collection | DOAJ |
| description | Abstract We examined the impact of a history of coronary artery disease (CAD) or cerebrovascular disease (CVD) and physical activity habits on functional disability among community-dwelling Japanese adults. This population-based retrospective cohort study included 10,661 people aged 39–98 years in Japan (5054, men). Median follow-up was 3.7 years. During the study period, 209 functional disabilities occurred in the overall study population. In multivariable analysis, a history of CVD (hazard ratio [HR] 1.57 [95% CI: 1.00–2.45]) and no physical activity habit (HR 1.74 [1.27–2.39]) presented increased risks for functional disability. HRs for functional disability among patients with a CVD history with and without a physical activity habit were 1.68 (0.75–3.74) and 2.65 (1.49–4.71), respectively, compared with individuals without a history of CVD with a physical activity habit. Similar results were observed for CAD. We found no significant difference in the incidence of functional disability between the group with a history of CAD or CVD and physical activity habits and the group with no history of CAD or CVD and without physical activity habits. Physical activity habits had a favorable influence on avoiding functional disability regardless of a history of CAD or CVD. Future prospective studies are needed to clarify these associations. |
| first_indexed | 2024-03-09T05:42:48Z |
| format | Article |
| id | doaj.art-09492a7d470a4e2983736c7ce584e7f5 |
| institution | Directory Open Access Journal |
| issn | 2045-2322 |
| language | English |
| last_indexed | 2024-03-09T05:42:48Z |
| publishDate | 2023-11-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | Scientific Reports |
| spelling | doaj.art-09492a7d470a4e2983736c7ce584e7f52023-12-03T12:23:03ZengNature PortfolioScientific Reports2045-23222023-11-011311810.1038/s41598-023-47913-zImpact of a history of cardiovascular disease and physical activity habits on the incidence of functional disabilityRemi Kodera0Kazuya Fujihara1Tetsuya Koyama2Haruka Shiozaki3Yurie Mutsuma4Noriko Yagyuda5Mariko Hatta6Kahori Tsuruoka7Yasunada Takeda8Atsushi Araki9Hirohito Sone10Department of Internal Medicine, Niigata University Faculty of MedicineDepartment of Internal Medicine, Niigata University Faculty of MedicineDepartment of Internal Medicine, Niigata University Faculty of MedicineDepartment of Internal Medicine, Niigata University Faculty of MedicineDepartment of Internal Medicine, Niigata University Faculty of MedicineDepartment of Internal Medicine, Niigata University Faculty of MedicineDepartment of Internal Medicine, Niigata University Faculty of MedicineDepartment of Internal Medicine, Niigata University Faculty of MedicineDepartment of Internal Medicine, Niigata University Faculty of MedicineDepartment of Diabetes, Metabolism, and Endocrinology, Tokyo Metropolitan Institute for Geriatrics and GerontologyDepartment of Internal Medicine, Niigata University Faculty of MedicineAbstract We examined the impact of a history of coronary artery disease (CAD) or cerebrovascular disease (CVD) and physical activity habits on functional disability among community-dwelling Japanese adults. This population-based retrospective cohort study included 10,661 people aged 39–98 years in Japan (5054, men). Median follow-up was 3.7 years. During the study period, 209 functional disabilities occurred in the overall study population. In multivariable analysis, a history of CVD (hazard ratio [HR] 1.57 [95% CI: 1.00–2.45]) and no physical activity habit (HR 1.74 [1.27–2.39]) presented increased risks for functional disability. HRs for functional disability among patients with a CVD history with and without a physical activity habit were 1.68 (0.75–3.74) and 2.65 (1.49–4.71), respectively, compared with individuals without a history of CVD with a physical activity habit. Similar results were observed for CAD. We found no significant difference in the incidence of functional disability between the group with a history of CAD or CVD and physical activity habits and the group with no history of CAD or CVD and without physical activity habits. Physical activity habits had a favorable influence on avoiding functional disability regardless of a history of CAD or CVD. Future prospective studies are needed to clarify these associations.https://doi.org/10.1038/s41598-023-47913-z |
| spellingShingle | Remi Kodera Kazuya Fujihara Tetsuya Koyama Haruka Shiozaki Yurie Mutsuma Noriko Yagyuda Mariko Hatta Kahori Tsuruoka Yasunada Takeda Atsushi Araki Hirohito Sone Impact of a history of cardiovascular disease and physical activity habits on the incidence of functional disability Scientific Reports |
| title | Impact of a history of cardiovascular disease and physical activity habits on the incidence of functional disability |
| title_full | Impact of a history of cardiovascular disease and physical activity habits on the incidence of functional disability |
| title_fullStr | Impact of a history of cardiovascular disease and physical activity habits on the incidence of functional disability |
| title_full_unstemmed | Impact of a history of cardiovascular disease and physical activity habits on the incidence of functional disability |
| title_short | Impact of a history of cardiovascular disease and physical activity habits on the incidence of functional disability |
| title_sort | impact of a history of cardiovascular disease and physical activity habits on the incidence of functional disability |
| url | https://doi.org/10.1038/s41598-023-47913-z |
| work_keys_str_mv | AT remikodera impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT kazuyafujihara impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT tetsuyakoyama impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT harukashiozaki impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT yuriemutsuma impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT norikoyagyuda impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT marikohatta impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT kahoritsuruoka impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT yasunadatakeda impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT atsushiaraki impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability AT hirohitosone impactofahistoryofcardiovasculardiseaseandphysicalactivityhabitsontheincidenceoffunctionaldisability |