Association of leisure-time physical activity and sedentary behavior with carotid atherosclerosis morphology: The ARIC carotid-MRI study

Objective: We evaluated the prospective association of midlife leisure-time physical activity (LTPA) and sedentary behavior (SB), and their temporal patterns, with MRI-measured carotid atherosclerotic morphology. Methods: Participants enrolled in the Carotid MRI substudy (2004–2006) of the Atheroscl...

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Main Authors: Aarti Kumar, Ye Qiao, Bruce Wasserman, Kelley Pettee Gabriel, Pablo Martinez-Amezcua, Erin E. Dooley, Keith M. Diaz, Kelly R. Evenson, A. Richey Sharrett, Yiyi Zhang, Priya Palta
Format: Article
Language:English
Published: Elsevier 2023-06-01
Series:American Journal of Preventive Cardiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2666667723000466
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author Aarti Kumar
Ye Qiao
Bruce Wasserman
Kelley Pettee Gabriel
Pablo Martinez-Amezcua
Erin E. Dooley
Keith M. Diaz
Kelly R. Evenson
A. Richey Sharrett
Yiyi Zhang
Priya Palta
author_facet Aarti Kumar
Ye Qiao
Bruce Wasserman
Kelley Pettee Gabriel
Pablo Martinez-Amezcua
Erin E. Dooley
Keith M. Diaz
Kelly R. Evenson
A. Richey Sharrett
Yiyi Zhang
Priya Palta
author_sort Aarti Kumar
collection DOAJ
description Objective: We evaluated the prospective association of midlife leisure-time physical activity (LTPA) and sedentary behavior (SB), and their temporal patterns, with MRI-measured carotid atherosclerotic morphology. Methods: Participants enrolled in the Carotid MRI substudy (2004–2006) of the Atherosclerosis Risk in Communities (ARIC) Study and with self-reported assessments of LTPA and SB at visits 1 (1987–1989) and 3 (1993–1995) were included in this study. LTPA was ascertained using the ARIC/Baecke physical activity questionnaire and categorized according to the American Heart Association's metric of poor, intermediate, or ideal physical activity. SB, measured as TV viewing frequency, was categorized as high, medium, and low. We used multivariable adjusted linear and logistic regression models to examine the associations between midlife (visit 3 only) and persistent (visit 1 to 3) LTPA and TV viewing with carotid artery plaque burden and components. Results: Among the 1,582 (mean age: 59 years, 43% male, 18% Black) participants, 45.7%, 21.7%, and 32.6% reported ideal, intermediate, or poor LTPA, respectively. High TV viewing was reported in 33.8% of participants, with 46.4% and 19.8% reporting medium or low TV viewing, respectively. Compared to poor LTPA, ideal LTPA in midlife was not associated with total wall volume (ß=0.01, 95% CI: -0.01, 0.03), maximum carotid wall thickness (ß=0.06, 95% CI: -0.08, 0.21), normalized wall index (ß=-0.01, 95% CI: -0.03, 0.01), or maximum stenosis (ß=-0.11, 95% CI: -1.98, 1.76). Low or middle, compared to high, TV viewing was also not associated with carotid artery measures of plaque burden. Compared to poor LTPA or high TV viewing, ideal LTPA (odds ratio (OR): 0.82, 95% CI: 0.55, 1.23) and low TV viewing (OR=0.90, 95% CI: 0.56, 1.44) was not associated with odds of lipid core presence, respectively. Conclusion: Overall, this study does not provide strong evidence for an association between LTPA and SB with carotid plaque measures.
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spelling doaj.art-ec1c2be5d05f4785bdaeeced475ac1762023-06-21T07:00:52ZengElsevierAmerican Journal of Preventive Cardiology2666-66772023-06-0114100505Association of leisure-time physical activity and sedentary behavior with carotid atherosclerosis morphology: The ARIC carotid-MRI studyAarti Kumar0Ye Qiao1Bruce Wasserman2Kelley Pettee Gabriel3Pablo Martinez-Amezcua4Erin E. Dooley5Keith M. Diaz6Kelly R. Evenson7A. Richey Sharrett8Yiyi Zhang9Priya Palta10Columbia University Vagelos College of Physicians and Surgeons, United StatesDepartment of Radiology and Radiological Science, Johns Hopkins University, Baltimore, MD, United StatesDepartment of Diagnostic Radiology and Nuclear Medicine, University of Maryland School of Medicine, Baltimore, MD, United StatesDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL, United StatesDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesDepartment of Epidemiology, The University of Alabama at Birmingham, Birmingham, AL, United StatesCenter for Cardiovascular and Behavioral Health, Columbia University Irving Medical Center, New York, NY, United StatesDepartment of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC, United StatesDepartment of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, United StatesDivision of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, NY, United StatesDivision of General Medicine, Department of Medicine, Columbia University Irving Medical Center, New York, NY, United States; Department of Epidemiology, Mailman School of Public Health, Columbia University Irving Medical Center, New York, NY, United States; Corresponding author: Priya Palta, Division of General Medicine | Department of Medicinem, Columbia University Irving Medical Center, 622 West 168th Street, PH9, Room 212, New York, NY, 10032.Objective: We evaluated the prospective association of midlife leisure-time physical activity (LTPA) and sedentary behavior (SB), and their temporal patterns, with MRI-measured carotid atherosclerotic morphology. Methods: Participants enrolled in the Carotid MRI substudy (2004–2006) of the Atherosclerosis Risk in Communities (ARIC) Study and with self-reported assessments of LTPA and SB at visits 1 (1987–1989) and 3 (1993–1995) were included in this study. LTPA was ascertained using the ARIC/Baecke physical activity questionnaire and categorized according to the American Heart Association's metric of poor, intermediate, or ideal physical activity. SB, measured as TV viewing frequency, was categorized as high, medium, and low. We used multivariable adjusted linear and logistic regression models to examine the associations between midlife (visit 3 only) and persistent (visit 1 to 3) LTPA and TV viewing with carotid artery plaque burden and components. Results: Among the 1,582 (mean age: 59 years, 43% male, 18% Black) participants, 45.7%, 21.7%, and 32.6% reported ideal, intermediate, or poor LTPA, respectively. High TV viewing was reported in 33.8% of participants, with 46.4% and 19.8% reporting medium or low TV viewing, respectively. Compared to poor LTPA, ideal LTPA in midlife was not associated with total wall volume (ß=0.01, 95% CI: -0.01, 0.03), maximum carotid wall thickness (ß=0.06, 95% CI: -0.08, 0.21), normalized wall index (ß=-0.01, 95% CI: -0.03, 0.01), or maximum stenosis (ß=-0.11, 95% CI: -1.98, 1.76). Low or middle, compared to high, TV viewing was also not associated with carotid artery measures of plaque burden. Compared to poor LTPA or high TV viewing, ideal LTPA (odds ratio (OR): 0.82, 95% CI: 0.55, 1.23) and low TV viewing (OR=0.90, 95% CI: 0.56, 1.44) was not associated with odds of lipid core presence, respectively. Conclusion: Overall, this study does not provide strong evidence for an association between LTPA and SB with carotid plaque measures.http://www.sciencedirect.com/science/article/pii/S2666667723000466Physical activitySedentary behaviorCarotid atherosclerosisCarotid MRI
spellingShingle Aarti Kumar
Ye Qiao
Bruce Wasserman
Kelley Pettee Gabriel
Pablo Martinez-Amezcua
Erin E. Dooley
Keith M. Diaz
Kelly R. Evenson
A. Richey Sharrett
Yiyi Zhang
Priya Palta
Association of leisure-time physical activity and sedentary behavior with carotid atherosclerosis morphology: The ARIC carotid-MRI study
American Journal of Preventive Cardiology
Physical activity
Sedentary behavior
Carotid atherosclerosis
Carotid MRI
title Association of leisure-time physical activity and sedentary behavior with carotid atherosclerosis morphology: The ARIC carotid-MRI study
title_full Association of leisure-time physical activity and sedentary behavior with carotid atherosclerosis morphology: The ARIC carotid-MRI study
title_fullStr Association of leisure-time physical activity and sedentary behavior with carotid atherosclerosis morphology: The ARIC carotid-MRI study
title_full_unstemmed Association of leisure-time physical activity and sedentary behavior with carotid atherosclerosis morphology: The ARIC carotid-MRI study
title_short Association of leisure-time physical activity and sedentary behavior with carotid atherosclerosis morphology: The ARIC carotid-MRI study
title_sort association of leisure time physical activity and sedentary behavior with carotid atherosclerosis morphology the aric carotid mri study
topic Physical activity
Sedentary behavior
Carotid atherosclerosis
Carotid MRI
url http://www.sciencedirect.com/science/article/pii/S2666667723000466
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