Stair climbing and incident atrial fibrillation: a prospective cohort study
Background: A protective role for physical activity against the development of atrial fibrillation (AF) has been suggested. Stair climbing is a readily available form of physical activity that many people practice. Herein, we investigated the association between stair climbing and the risk of AF in...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Komiyama Printing Co. Ltd
2022-03-01
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| Series: | Environmental Health and Preventive Medicine |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/ehpm/27/0/27_21-00021/_html/-char/en |
| _version_ | 1828238997777809408 |
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| author | Ahmed Arafa Yoshihiro Kokubo Keiko Shimamoto Rena Kashima Emi Watanabe Yukie Sakai Jiaqi Li Masayuki Teramoto Haytham A. Sheerah Kengo Kusano |
| author_facet | Ahmed Arafa Yoshihiro Kokubo Keiko Shimamoto Rena Kashima Emi Watanabe Yukie Sakai Jiaqi Li Masayuki Teramoto Haytham A. Sheerah Kengo Kusano |
| author_sort | Ahmed Arafa |
| collection | DOAJ |
| description | Background: A protective role for physical activity against the development of atrial fibrillation (AF) has been suggested. Stair climbing is a readily available form of physical activity that many people practice. Herein, we investigated the association between stair climbing and the risk of AF in a Japanese population. Methods: In this prospective cohort study, we used data of 6,575 people registered in the Suita Study, aged 30–84 years, and had no history of AF. The frequency of stair climbing was assessed by a baseline questionnaire, while AF was diagnosed during the follow-up using a 12-lead ECG, health records, check-ups, and death certificates. We used the Cox regression to calculate the hazard ratios and 95% confidence intervals of AF incidence for climbing stairs in 20–39%, 40–59%, and ≥60% compared with <20% of the time. Results: Within 91,389 person-years of follow-up, 295 participants developed AF. The incidence of AF was distributed across the stair climbing groups <20%, 20–39%, 40–59%, and ≥60% as follows: 3.57, 3.27, 3.46, and 2.63/1,000 person-years, respectively. Stair climbing ≥60% of the time was associated with a reduced risk of AF after adjustment for age and sex 0.69 (0.49, 0.96). Further adjustment for lifestyle and medical history did not affect the results 0.69 (0.49, 0.98). Conclusion: Frequent stair climbing could protect from AF. From a preventive point of view, stair climbing could be a simple way to reduce AF risk at the population level. |
| first_indexed | 2024-04-12T21:15:18Z |
| format | Article |
| id | doaj.art-9f741000c4a84d1fa537182faaf219e8 |
| institution | Directory Open Access Journal |
| issn | 1342-078X 1347-4715 |
| language | English |
| last_indexed | 2024-04-12T21:15:18Z |
| publishDate | 2022-03-01 |
| publisher | Komiyama Printing Co. Ltd |
| record_format | Article |
| series | Environmental Health and Preventive Medicine |
| spelling | doaj.art-9f741000c4a84d1fa537182faaf219e82022-12-22T03:16:29ZengKomiyama Printing Co. LtdEnvironmental Health and Preventive Medicine1342-078X1347-47152022-03-0127101010.1265/ehpm.21-00021ehpmStair climbing and incident atrial fibrillation: a prospective cohort studyAhmed Arafa0Yoshihiro Kokubo1Keiko Shimamoto2Rena Kashima3Emi Watanabe4Yukie Sakai5Jiaqi Li6Masayuki Teramoto7Haytham A. Sheerah8Kengo Kusano9Department of Preventive Cardiology, National Cerebral and Cardiovascular CenterDepartment of Preventive Cardiology, National Cerebral and Cardiovascular CenterDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular CenterDepartment of Preventive Cardiology, National Cerebral and Cardiovascular CenterDepartment of Preventive Cardiology, National Cerebral and Cardiovascular CenterDepartment of Preventive Cardiology, National Cerebral and Cardiovascular CenterDepartment of Preventive Cardiology, National Cerebral and Cardiovascular CenterDepartment of Preventive Cardiology, National Cerebral and Cardiovascular CenterDepartment of Preventive Cardiology, National Cerebral and Cardiovascular CenterDepartment of Cardiovascular Medicine, National Cerebral and Cardiovascular CenterBackground: A protective role for physical activity against the development of atrial fibrillation (AF) has been suggested. Stair climbing is a readily available form of physical activity that many people practice. Herein, we investigated the association between stair climbing and the risk of AF in a Japanese population. Methods: In this prospective cohort study, we used data of 6,575 people registered in the Suita Study, aged 30–84 years, and had no history of AF. The frequency of stair climbing was assessed by a baseline questionnaire, while AF was diagnosed during the follow-up using a 12-lead ECG, health records, check-ups, and death certificates. We used the Cox regression to calculate the hazard ratios and 95% confidence intervals of AF incidence for climbing stairs in 20–39%, 40–59%, and ≥60% compared with <20% of the time. Results: Within 91,389 person-years of follow-up, 295 participants developed AF. The incidence of AF was distributed across the stair climbing groups <20%, 20–39%, 40–59%, and ≥60% as follows: 3.57, 3.27, 3.46, and 2.63/1,000 person-years, respectively. Stair climbing ≥60% of the time was associated with a reduced risk of AF after adjustment for age and sex 0.69 (0.49, 0.96). Further adjustment for lifestyle and medical history did not affect the results 0.69 (0.49, 0.98). Conclusion: Frequent stair climbing could protect from AF. From a preventive point of view, stair climbing could be a simple way to reduce AF risk at the population level.https://www.jstage.jst.go.jp/article/ehpm/27/0/27_21-00021/_html/-char/enstair climbingatrial fibrillationprospective studiesjapan |
| spellingShingle | Ahmed Arafa Yoshihiro Kokubo Keiko Shimamoto Rena Kashima Emi Watanabe Yukie Sakai Jiaqi Li Masayuki Teramoto Haytham A. Sheerah Kengo Kusano Stair climbing and incident atrial fibrillation: a prospective cohort study Environmental Health and Preventive Medicine stair climbing atrial fibrillation prospective studies japan |
| title | Stair climbing and incident atrial fibrillation: a prospective cohort study |
| title_full | Stair climbing and incident atrial fibrillation: a prospective cohort study |
| title_fullStr | Stair climbing and incident atrial fibrillation: a prospective cohort study |
| title_full_unstemmed | Stair climbing and incident atrial fibrillation: a prospective cohort study |
| title_short | Stair climbing and incident atrial fibrillation: a prospective cohort study |
| title_sort | stair climbing and incident atrial fibrillation a prospective cohort study |
| topic | stair climbing atrial fibrillation prospective studies japan |
| url | https://www.jstage.jst.go.jp/article/ehpm/27/0/27_21-00021/_html/-char/en |
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