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Risk of recurrent i...
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Hållmarker, Ulf,1946-Uppsala universitet,Kardiologi,Medicinkliniken Mora Landstinget Dalarna
(författare)
Risk of recurrent ischaemic events after myocardial infarction in long-distance ski race participants
- Artikel/kapitelEngelska2016
Förlag, utgivningsår, omfång ...
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2015-03-31
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Oxford University Press (OUP),2016
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:du-20872
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https://urn.kb.se/resolve?urn=urn:nbn:se:du-20872URI
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https://doi.org/10.1177/2047487315578664DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-260137URI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
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Aims: To study whether a high level of physical activity prior to myocardial infarction (MI) also protects against recurrent MI (re-MI) or death.Methods and Results: A longitudinal study of a primary cohort consisting of 204,038 skiers with a proved substantially high level of physical activity in the world's largest long-distance ski race, Vasaloppet, and 499,543 non-skiers selected from the Swedish population. Individuals with severe diseases at baseline were excluded. In the nationwide clinical register, Swedeheart, we identified 7092 individuals with a first MI incident between 1989 and 2010. Of these, 1039 (0.5%) were skiers and 6053 (1.2%) were non-skiers. One hundred and sixty-three (15.7%) skiers and 1352 (22.3%) non-skiers suffered a re-MI or died during follow-up (median 4.44 years), corresponding to an incidence rate of 38.9 (95% confidence interval (CI) 33.2-45.4)/1000 person-years and 55.6 (95% CI 52.7-58.7)/1000 person-years, respectively. Severity of MI in both groups was the same. For skiers compared to non-skiers the unadjusted hazard ratio (HR) for re-MI was 0.66 (95% CI 0.52-0.82). For death or re-MI, HR was 0.70 (95% CI 0.59-0.82) with consistent results in subgroups based on race year, age, gender, education level, marital status. After adjustment for also smoking, diabetes, hypertension and cardiovascular medication, HR was 0.80 (95% CI 0.67-0.97).Conclusions: This large cohort study supports the hypothesis that patients with MI and with prior physical activity and healthy lifestyle, as evidenced by their participation in a long-distance ski race, have a lower risk of subsequent re-MI or death.
Ämnesord och genrebeteckningar
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Michaëlsson, KarlUppsala universitet,Ortopedi(Swepub:uu)karlmich
(författare)
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Ärnlöv, Johan,1970-Högskolan Dalarna,Medicinsk vetenskap,Uppsala universitet,Kardiovaskulär epidemiologi,Högskolan Dalarna, Falun(Swepub:uu)johaarnl
(författare)
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Hellberg, DanUppsala universitet,Obstetrik & gynekologi,Centrum för klinisk forskning, Dalarna, Falun(Swepub:uu)dahel227
(författare)
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Lagerqvist, BoUppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)bolager
(författare)
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Lindbäck, JohanUppsala universitet,Uppsala kliniska forskningscentrum (UCR)(Swepub:uu)jolin255
(författare)
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James, Stefan K.Uppsala universitet,Uppsala kliniska forskningscentrum (UCR),Kardiologi(Swepub:uu)stjam367
(författare)
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Uppsala universitetKardiologi
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:European Journal of Preventive Cardiology: Oxford University Press (OUP)23:3, s. 282-2902047-48732047-4881
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