Interactive Effects of Aerobic Fitness, Strength, and Obesity on Mortality in Men

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Crump, CaseyIcahn School of Medicine at Mount Sinai (author)

Interactive Effects of Aerobic Fitness, Strength, and Obesity on Mortality in Men

Article/chapterEnglish2017

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Elsevier BV,2017

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LIBRIS-ID:oai:lup.lub.lu.se:d2bc339e-eb87-4552-9f3c-fab5c902da19
https://lup.lub.lu.se/record/d2bc339e-eb87-4552-9f3c-fab5c902da19URI
https://doi.org/10.1016/j.amepre.2016.10.002DOI

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Language:English
Summary in:English

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Introduction: Low aerobic fitness, low muscular strength, and obesity have been associated with premature mortality, but their interactive effects are unknown. This study examined interactions among these common, modifiable factors, to help inform more-effective preventive interventions. Methods: This national cohort study included all 1,547,478 military conscripts in Sweden during 1969-1997 (97%-98% of all men aged 18 years each year). Aerobic fitness, muscular strength, and BMI measurements were examined in relation to all-cause and cardiovascular mortality through 2012 (maximum age, 62 years). Data were collected/analyzed in 2015-2016. Results: Low aerobic fitness, low muscular strength, and obesity at age 18 years were independently associated with higher all-cause and cardiovascular mortality in adulthood. The combination of low aerobic fitness and muscular strength (lowest versus highest tertiles) was associated with twofold all-cause mortality (adjusted hazard ratio=2.01; 95% CI=1.93, 2.08;. p<0.001; mortality rates per 100,000 person years, 247.2 vs 73.8), and 2.6-fold cardiovascular mortality (2.63; 95% CI=2.38, 2.91;. p<0.001; 43.9 vs 8.3). These factors also had positive additive and multiplicative interactions in relation to all-cause mortality (their combined effect exceeded the sum or product of their separate effects;. p<0.001), and were associated with higher mortality even among men with normal BMI. Conclusions: Low aerobic fitness, low muscular strength, and obesity at age 18 years were associated with increased mortality in adulthood, with interactive effects between aerobic fitness and muscular strength. Preventive interventions should begin early in life and include both aerobic fitness and muscular strength, even among those with normal BMI.

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Sundquist, JanLund University,Lunds universitet,Allmänmedicin och klinisk epidemiologi,Forskargrupper vid Lunds universitet,Family Medicine and Clinical Epidemiology,Lund University Research Groups(Swepub:lu)med-jsu (author)
Winkleby, Marilyn A.Stanford University(Swepub:lu)med-mwe (author)
Sundquist, KristinaLund University,Lunds universitet,Allmänmedicin, kardiovaskulär epidemiologi och levnadsvanor,Forskargrupper vid Lunds universitet,Family Medicine, Cardiovascular Epidemiology and Lifestyle,Lund University Research Groups(Swepub:lu)med-ksq (author)
Icahn School of Medicine at Mount SinaiAllmänmedicin och klinisk epidemiologi (creator_code:org_t)

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In:American Journal of Preventive Medicine: Elsevier BV52:3, s. 353-3610749-3797

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