Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study
Aims Endurance sport practice is associated with a high prevalence of atrial fibrillation (AF), which increases the risk of stroke in the general population. However, stroke risk in endurance athletes with AF is sparsely investigated. Most studies have been limited by design and are largely restrict...
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| Format: | Article |
| Language: | English |
| Published: |
BMJ Publishing Group
2022-12-01
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| Series: | Open Heart |
| Online Access: | https://openheart.bmj.com/content/9/2/e002154.full |
| _version_ | 1797791983855468544 |
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| author | Bente Morseth Tom Wilsgaard Maja-Lisa Løchen Anette Hylen Ranhoff Arnljot Tveit Marius Myrstad Jon Magne Letnes Bjarne Martens Nes Dag S Thelle Turid Apelland Kim Arne Heitmann Kristoffer Robin Johansen Eivind Sørensen Bjarne M Nes Silvana Bucher Sandbakk Jan Pål Loennechen Kristine Folkenborg Kristin Espolin Johnson Vegard Malmo Andreas Berg Sellevold Rune Byrkjeland Steve Enger Hilde Larhammer Sophia Onarheim Vigdis Bache-Semb |
| author_facet | Bente Morseth Tom Wilsgaard Maja-Lisa Løchen Anette Hylen Ranhoff Arnljot Tveit Marius Myrstad Jon Magne Letnes Bjarne Martens Nes Dag S Thelle Turid Apelland Kim Arne Heitmann Kristoffer Robin Johansen Eivind Sørensen Bjarne M Nes Silvana Bucher Sandbakk Jan Pål Loennechen Kristine Folkenborg Kristin Espolin Johnson Vegard Malmo Andreas Berg Sellevold Rune Byrkjeland Steve Enger Hilde Larhammer Sophia Onarheim Vigdis Bache-Semb |
| collection | DOAJ |
| description | Aims Endurance sport practice is associated with a high prevalence of atrial fibrillation (AF), which increases the risk of stroke in the general population. However, stroke risk in endurance athletes with AF is sparsely investigated. Most studies have been limited by design and are largely restricted to younger and middle-aged populations. Thus, we aimed to investigate AF and stroke risk in older athletes exposed to prolonged endurance training.Method During a 10-year period, 505 male athletes aged ≥65 years frequently participating in a long-distance ski race were compared with 1867 men of the same age from the general population. The main exposure was endurance sport practice with self-reported AF and stroke as outcomes. Stroke risk was further examined by joint modelling of AF and endurance practice. Statistical analysis was conducted with a modified Poisson model.Results Athletes (median age: 68, range: 65–90) participated in a long-distance ski race over a median of 14 years (range: 1–53). Prevalence (28.5% vs 17.8%) and adjusted risk of AF (risk ratio (RR): 1.88, 95% CI: 1.49 to 2.37) were higher in athletes compared with non-athletes, whereas the prevalence (5.4% vs 9.7%) and risk of stroke were lower (RR: 0.60, 95% CI: 0.37 to 0.95). Compared with athletes without AF, risk of stroke was twofold in athletes (RR: 2.38, 95% CI: 1.08 to 5.24) and nearly fourfold in non-athletes (RR: 3.87, 95% CI: 1.98 to 7.57) with AF.Conclusion Although older male endurance athletes experienced an increased risk of AF, the long-term risk of stroke was substantially reduced compared with non-athletes. |
| first_indexed | 2024-03-13T02:26:36Z |
| format | Article |
| id | doaj.art-e79d8bf408f64eac931794986f4c3f15 |
| institution | Directory Open Access Journal |
| issn | 2053-3624 |
| language | English |
| last_indexed | 2024-03-13T02:26:36Z |
| publishDate | 2022-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | Open Heart |
| spelling | doaj.art-e79d8bf408f64eac931794986f4c3f152023-06-30T02:00:06ZengBMJ Publishing GroupOpen Heart2053-36242022-12-019210.1136/openhrt-2022-002154Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study Bente Morseth0Tom Wilsgaard1Maja-Lisa Løchen2Anette Hylen Ranhoff3Arnljot Tveit4Marius Myrstad5Jon Magne LetnesBjarne Martens NesDag S Thelle6Turid Apelland7Kim Arne Heitmann8Kristoffer Robin Johansen9Eivind Sørensen10Bjarne M Nes11Silvana Bucher Sandbakk12Jan Pål LoennechenKristine FolkenborgKristin Espolin JohnsonVegard MalmoAndreas Berg SellevoldRune ByrkjelandSteve EngerHilde LarhammerSophia OnarheimVigdis Bache-SembSchool of Sport Sciences, UiT The Arctic University of Norway, Tromso, NorwayDepartment of Community Medicine, UiT The Arctic University of Norway, Tromso, NorwayDepartment of Community Medicine, UiT The Arctic University of Norway, Tromso, NorwayDepartment of Clinical Science, University of Bergen, Bergen, NorwayDepartment of Medical Research, Bærum Hospital Vestre Viken Trust, Gjettum, NorwayDepartment of Medical Research, Bærum Hospital, Vestre Viken Hospital Trust, N-1346 Gjettum, NorwayDepartment of Biostatistics, Institute of Basic Medical Sciences, University of Oslo, Oslo, NorwayDepartment of Medical Research, Bærum Hospital, Vestre Viken Hospital Trust, N-1346 Gjettum, NorwaySchool of Sport Sciences, UiT The Arctic University of Norway, Tromso, NorwaySchool of Sport Sciences, UiT The Arctic University of Norway, Tromso, NorwayDepartment of Internal Medicine, Diakonhjemmet Hospital, Oslo, NorwayDepartment of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, NorwayDepartment for Teacher Education, Norwegian University of Science and Technology, Trondheim, NorwayAims Endurance sport practice is associated with a high prevalence of atrial fibrillation (AF), which increases the risk of stroke in the general population. However, stroke risk in endurance athletes with AF is sparsely investigated. Most studies have been limited by design and are largely restricted to younger and middle-aged populations. Thus, we aimed to investigate AF and stroke risk in older athletes exposed to prolonged endurance training.Method During a 10-year period, 505 male athletes aged ≥65 years frequently participating in a long-distance ski race were compared with 1867 men of the same age from the general population. The main exposure was endurance sport practice with self-reported AF and stroke as outcomes. Stroke risk was further examined by joint modelling of AF and endurance practice. Statistical analysis was conducted with a modified Poisson model.Results Athletes (median age: 68, range: 65–90) participated in a long-distance ski race over a median of 14 years (range: 1–53). Prevalence (28.5% vs 17.8%) and adjusted risk of AF (risk ratio (RR): 1.88, 95% CI: 1.49 to 2.37) were higher in athletes compared with non-athletes, whereas the prevalence (5.4% vs 9.7%) and risk of stroke were lower (RR: 0.60, 95% CI: 0.37 to 0.95). Compared with athletes without AF, risk of stroke was twofold in athletes (RR: 2.38, 95% CI: 1.08 to 5.24) and nearly fourfold in non-athletes (RR: 3.87, 95% CI: 1.98 to 7.57) with AF.Conclusion Although older male endurance athletes experienced an increased risk of AF, the long-term risk of stroke was substantially reduced compared with non-athletes.https://openheart.bmj.com/content/9/2/e002154.full |
| spellingShingle | Bente Morseth Tom Wilsgaard Maja-Lisa Løchen Anette Hylen Ranhoff Arnljot Tveit Marius Myrstad Jon Magne Letnes Bjarne Martens Nes Dag S Thelle Turid Apelland Kim Arne Heitmann Kristoffer Robin Johansen Eivind Sørensen Bjarne M Nes Silvana Bucher Sandbakk Jan Pål Loennechen Kristine Folkenborg Kristin Espolin Johnson Vegard Malmo Andreas Berg Sellevold Rune Byrkjeland Steve Enger Hilde Larhammer Sophia Onarheim Vigdis Bache-Semb Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study Open Heart |
| title | Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
| title_full | Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
| title_fullStr | Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
| title_full_unstemmed | Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
| title_short | Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
| title_sort | risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice a 10 year follow up the birkebeiner ageing study and the tromso study |
| url | https://openheart.bmj.com/content/9/2/e002154.full |
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