Accelerometer derived physical activity and subclinical coronary and carotid atherosclerosis : cross-sectional analyses in 22 703 middle-aged men and women in the SCAPIS study

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Accelerometer derived physical activity and subclinical coronary and carotid atherosclerosis : cross-sectional analyses in 22 703 middle-aged men and women in the SCAPIS study

Ekblom Bak, Elin, 1981- (author): Gymnastik- och idrottshögskolan,Swedish School of Sport and Health Sciences,Department of Physical Activity and Health, Swedish School of Sport and Health Sciences Gih, Stockholm, Sweden,Institutionen för fysisk aktivitet och hälsa,Swedish Sch Sport & Hlth Sci GIH, Sweden

Börjesson, Mats, 1965- (author): Gothenburg University,Göteborgs universitet,University of Gothenburg,Center for Health and Performance, University of Gothenburg, Goteborg, Sweden. ; Institute of Medicine, University of Gothenburg, Goteborg, Sweden.,Centrum för hälsa och prestationsutveckling,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Univ Gothenburg, Sweden; Univ Gothenburg, Sweden

Ekblom, Örjan, 1971- (author): Gymnastik- och idrottshögskolan,Swedish School of Sport and Health Sciences,Department of Physical Activity and Health, Swedish School of Sport and Health Sciences Gih, Stockholm, Sweden,Institutionen för fysisk aktivitet och hälsa,Swedish Sch Sport & Hlth Sci GIH, Sweden

Angerås, Oskar, 1976 (author): Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för molekylär och klinisk medicin,Institute of Medicine, Department of Molecular and Clinical Medicine,Sahlgrens Univ Hosp, Sweden; Univ Gothenburg, Sweden

Bergman, Frida, Medicine doktor, 1984- (author): Umeå universitet,Umeå University,Institutionen för folkhälsa och klinisk medicin,Department of Public Health and Clinical Medicine, Umeå Universitet, Umeå, Sweden.,Umea Univ, Sweden

Berntsson, Caroline (author): Department of Radiology, Sahlgrenska University Hospital, Goteborg, Sweden. ; Department of Radiology, Institute of Clinical Sciences, University of Gothenburg, Göteborg, Sweden,Sahlgrens Univ Hosp, Sweden; Univ Gothenburg, Sweden

Carlhäll, Carl-Johan (author): Linköping University,Department of Health, Medicine and Caring Sciences and Department of Clinical Physiology, Linköping University, Linköping, Sweden. ; Center for Medical Image Science and Visualization, Linköping University, Linköping, Sweden.

Engström, Gunnar (author): Lund University,Lunds universitet,Kardiovaskulär forskning - epidemiologi,Forskargrupper vid Lunds universitet,Cardiovascular Research - Epidemiology,Lund University Research Groups,Department of Clinical Sciences, Lund University, Malmö, Sweden,Lund Univ, Sweden

Engvall, Jan (author): Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Fysiologiska kliniken US

Fagman, Erika (author): Department of Radiology, Sahlgrenska University Hospital, Goteborg, Sweden. ; Department of Radiology, Institute of Clinical Sciences, University of Gothenburg, Göteborg, Sweden,Sahlgrens Univ Hosp, Sweden; Univ Gothenburg, Sweden

Flinck, Agneta (author): Department of Radiology, Sahlgrenska University Hospital, Goteborg, Sweden. ; Department of Radiology, Institute of Clinical Sciences, University of Gothenburg, Göteborg, Sweden,Sahlgrens Univ Hosp, Sweden; Univ Gothenburg, Sweden

Johansson, Peter, 1975- (author): Uppsala universitet,Uppsala University,Occupational and Environmental Medicine, Department of Medical Sciences, Uppsala University, Uppsala, Sweden.,Arbets- och miljömedicin,Uppsala Univ, Sweden

Jujic, Amra (author): Lund University,Lunds universitet,Kardiovaskulär forskning - hypertoni,Forskargrupper vid Lunds universitet,Cardiovascular Research - Hypertension,Lund University Research Groups,Department of Clinical Sciences, Lund University, Malmö, Sweden. ; Department of Cardiology, Skåne University Hospital Malmö, Malmö, Sweden.,Lund Univ, Sweden; Skane Univ Hosp Malmo, Sweden

Kero, Tanja (author): Uppsala universitet,Radiologi,Medical Image Centre, Uppsala University Hospital, Uppsala, Sweden,Univ Uppsala Hosp, Sweden; Uppsala Univ, Sweden

Lind, Lars (author): Uppsala universitet,Uppsala University,Department of Medical Sciences, Clinical Epidemiology, Uppsala University, Uppsala, Sweden.,Klinisk epidemiologi,Uppsala Univ, Sweden

Mannila, Maria (author): Department of Cardiology and Clinical Genetics, Karolinska University Hospital, Stockholm, Sweden.,Karolinska Univ Hosp, Sweden

Ostenfeld, Ellen (author): Lund University,Lunds universitet,Klinisk fysiologi, Lund,Sektion V,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Hjärt-MR-gruppen i Lund,Forskargrupper vid Lunds universitet,Clinical Physiology (Lund),Section V,Department of Clinical Sciences, Lund,Faculty of Medicine,Lund Cardiac MR Group,Lund University Research Groups,Department of Clinical Sciences, Lund University, Lund, Sweden. ; Department of Clinical Physiology, Skåne University Hospital, Lund, Sweden.,Lund Univ, Sweden; Skane Univ Hosp, Sweden

Persson, Anders (author): Linköpings universitet,Karolinska Institute,Center for Medical Image Science and Visualization, Linköping University, Linkoping, Sweden.; Department of Radiology and Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden. ; Department of Clinical Sciences, Huddinge University Hospital, Karolinska Institute, Stockholm, Sweden.,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Röntgenkliniken i Linköping,Karolinska Inst, Sweden

Persson, Jonas (author): Karolinska Institutet,Department of Clinical Sciences, Danderyd University Hospital, Stockholm, Sweden.Department of Clinical Sciences, Lund University, Malmö, Sweden.,Danderyd Hosp, Sweden

Persson, Margaretha (author): Lund University,Lunds universitet,Internmedicin - epidemiologi,Forskargrupper vid Lunds universitet,Internal Medicine - Epidemiology,Lund University Research Groups,Skåne University Hospital,Department of Clinical Sciences, Lund University, Malmö, Sweden. ; Department of Internal Medicine, University Hospital, Malmö, Sweden.,Lund Univ, Sweden; Univ Hosp, Sweden

Redfors, Björn (author): Region Västra Götaland, Sahlgrenska University Hospital, Department of Cardiology, Gothenburg, Sweden.,Sahlgrens Univ Hosp, Sweden

Sandberg, Camilla (author): Umeå universitet,Umeå University,Institutionen för folkhälsa och klinisk medicin,Avdelningen för fysioterapi,Department of Public Health and Clinical Medicine, Umeå Universitet, Umeå, Sweden. ; Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå University, Umea, Sweden.,Umea Univ, Sweden; Umea Univ, Sweden

Wennberg, Patrik, 1972- (author): Umeå universitet,Umeå University,Allmänmedicin,Department of Public Health and Clinical Medicine, Sustainable Health, Umeå University, Umeå, Sweden.,Umea Univ, Sweden

Öhlin, Jerry (author): Umeå universitet,Umeå University,Allmänmedicin,Department of Public Health and Clinical Medicine, Sustainable Health, Umeå University, Umeå, Sweden.,Umea Univ, Sweden

Östgren, Carl Johan (author): Linköpings universitet,Linköping University,Center for Medical Image Science and Visualization, Linköping University, Linkoping, Sweden. ; Department of Health, Medicine and Caring Sciences, Linköping University, Linkoping, Sweden.,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Vårdcentralen Ekholmen

Jernberg, Tomas (author): Karolinska Institutet,Department of Clinical Sciences, Danderyd University Hospital, Stockholm, Sweden.,Danderyd Hosp, Sweden

Carlhäll, Carljohan (author): Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Centrum för medicinsk bildvetenskap och visualisering, CMIV,Region Östergötland, Fysiologiska kliniken US

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BMJ Publishing Group Ltd, 2023
2023
English.
In: BMJ Open. - : BMJ Publishing Group Ltd. - 2044-6055. ; 13:11

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Journal article (peer-reviewed)

Abstract Subject headings

OBJECTIVES: The aim included investigation of the associations between sedentary (SED), low-intensity physical activity (LIPA), moderate-to-vigorous intensity PA (MVPA) and the prevalence of subclinical atherosclerosis in both coronaries and carotids and the estimated difference in prevalence by theoretical reallocation of time in different PA behaviours.DESIGN: Cross-sectional.SETTING: Multisite study at university hospitals.PARTICIPANTS: A total of 22 670 participants without cardiovascular disease (51% women, 57.4 years, SD 4.3) from the population-based Swedish CArdioPulmonary bioImage study were included. SED, LIPA and MVPA were assessed by hip-worn accelerometer.PRIMARY AND SECONDARY OUTCOMES: Any and significant subclinical coronary atherosclerosis (CA), Coronary Artery Calcium Score (CACS) and carotid atherosclerosis (CarA) were derived from imaging data from coronary CT angiography and carotid ultrasound.RESULTS: High daily SED (>70% ≈10.5 hours/day) associated with a higher OR 1.44 (95% CI 1.09 to 1.91), for significant CA, and with lower OR 0.77 (95% CI 0.63 to 0.95), for significant CarA. High LIPA (>55% ≈8 hours/day) associated with lower OR for significant CA 0.70 (95% CI 0.51 to 0.96), and CACS, 0.71 (95% CI 0.51 to 0.97), but with higher OR for CarA 1.41 (95% CI 1.12 to 1.76). MVPA above reference level, >2% ≈20 min/day, associated with lower OR for significant CA (OR range 0.61-0.67), CACS (OR range 0.71-0.75) and CarA (OR range 0.72-0.79). Theoretical replacement of 30 min of SED into an equal amount of MVPA associated with lower OR for significant CA, especially in participants with high SED 0.84 (95% CI 0.76 to 0.96) or low MVPA 0.51 (0.36 to 0.73).CONCLUSIONS: MVPA was associated with a lower risk for significant atherosclerosis in both coronaries and carotids, while the association varied in strength and direction for SED and LIPA, respectively. If causal, clinical implications include avoiding high levels of daily SED and low levels of MVPA to reduce the risk of developing significant subclinical atherosclerosis.

Subject headings

MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)

Keyword

Male
Middle Aged
Humans
Female
Cross-Sectional Studies
Exercise
Coronary Artery Disease/diagnostic imaging
Carotid Artery Diseases/diagnostic imaging
Atherosclerosis
Accelerometry/methods
cardiovascular imaging
Medicin/Teknik
cardiovascular imaging
epidemiology
public health.

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art (subject category)
ref (subject category)

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Clinical Medicin ...; and Cardiac and Card ...

MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Public Health Gl ...

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