Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular disease
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 fo...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Nordic Association of Occupational Safety and Health (NOROSH)
2010-09-01
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| Series: | Scandinavian Journal of Work, Environment & Health |
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| Online Access: |
https://www.sjweh.fi/show_abstract.php?abstract_id=2914
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| _version_ | 1818743422978097152 |
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| author | Andreas Holtermann Ole Steen Mortensen Hermann Burr Karen Søgaard Finn Gyntelberg Poul Suadicani |
| author_facet | Andreas Holtermann Ole Steen Mortensen Hermann Burr Karen Søgaard Finn Gyntelberg Poul Suadicani |
| author_sort | Andreas Holtermann |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-18T02:28:10Z |
| format | Article |
| id | doaj.art-4bb57ec7d92746a08e8657a3458153d1 |
| institution | Directory Open Access Journal |
| issn | 0355-3140 1795-990X |
| language | English |
| last_indexed | 2024-12-18T02:28:10Z |
| publishDate | 2010-09-01 |
| publisher | Nordic Association of Occupational Safety and Health (NOROSH) |
| record_format | Article |
| series | Scandinavian Journal of Work, Environment & Health |
| spelling | doaj.art-4bb57ec7d92746a08e8657a3458153d12022-12-21T21:23:58ZengNordic Association of Occupational Safety and Health (NOROSH)Scandinavian Journal of Work, Environment & Health0355-31401795-990X2010-09-0136536637210.5271/sjweh.29142914Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular diseaseAndreas Holtermann0Ole Steen MortensenHermann BurrKaren SøgaardFinn GyntelbergPoul SuadicaniNational Research Centre for the Working Environment, Lersø Parkallé 105, 2100 Copenhagen Ø, Denmark.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. https://www.sjweh.fi/show_abstract.php?abstract_id=2914 all-cause mortalityleisure-timeischaemic heart diseaseischemic heart diseasefitnessoccupational healthcardiovascular diseasemortalityhealthworkphysical activityphysical fitnessoccupational physical activitymenmanleisure-time physical activitycardiovascular health |
| spellingShingle | Andreas Holtermann Ole Steen Mortensen Hermann Burr Karen Søgaard Finn Gyntelberg Poul Suadicani Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular disease Scandinavian Journal of Work, Environment & Health 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 |
| title | Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular disease |
| title_full | Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular disease |
| title_fullStr | Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular disease |
| title_full_unstemmed | Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular disease |
| title_short | Fitness, work, and leisure-time physical activity and ischaemic heart disease and all-cause mortality among men with pre-existing cardiovascular disease |
| title_sort | fitness work and leisure time physical activity and ischaemic heart disease and all cause mortality among men with pre existing cardiovascular disease |
| topic | 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 |
| url |
https://www.sjweh.fi/show_abstract.php?abstract_id=2914
|
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