Cardiorespiratory fitness, muscular strength, and obesity in adolescence and later chronic disability due to cardiovascular disease: a cohort study of 1 million men

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Cardiorespiratory fitness, muscular strength, and obesity in adolescence and later chronic disability due to cardiovascular disease: a cohort study of 1 million men

Henriksson, Hanna (author): Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Univ Granada, Spain

Henriksson, Pontus (author): Linköpings universitet,Avdelningen för samhälle och hälsa,Medicinska fakulteten,Univ Granada, Spain; Karolinska Inst, Sweden

Tynelius, Per (author): Karolinska Institutet

Ekstedt, Mattias, 1976- (author): Linköpings universitet,Avdelningen för diagnostik och specialistmedicin,Medicinska fakulteten,Region Östergötland, Mag- tarmmedicinska kliniken

Berglind, Daniel (author): Karolinska Institutet

Labayen, Idoia (author): Univ Publ Navarra, Spain

Ruiz, Jonatan R. (author): Karolinska Institutet

Lavie, Carl J. (author): Univ Queensland, LA 70121 USA

Ortega, Francisco B. (author): Karolinska Institutet

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2019-11-09
2020
English.
In: European Heart Journal. - : OXFORD UNIV PRESS. - 0195-668X .- 1522-9645. ; 41:15, s. 1503-

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Journal article (peer-reviewed)

Abstract Subject headings

Aims Cardiorespiratory fitness, muscular strength, and obesity in adulthood are risk factors for cardiovascular disease (CVD). However, Little is known regarding the associations of these risk factors, already in adolescence, with later disability due to chronic CVD. Hence, we investigated associations of cardiorespiratory fitness, muscular strength, and body mass index (BMI) in adolescence with Later chronic disability due to specific causes of CVD disability (i.e. cerebrovascutar disease, ischaemic heart disease and heart failure). Methods and results This population-based cohort study included 1 078 685 male adolescents (16-19 years) from the Swedish military conscription register from 1972 to 1994. Cardiorespiratory fitness (bicycle ergometer test), muscular strength (knee extension strength), and BMI were measured during the conscription examination. Information about disability pension due to CVD was retrieved from the Social Insurance Agency during a mean follow-up of 28.4 years. Cardiorespiratory fitness was strongly and inversely associated with later risk of chronic CVD disability for all investigated causes. The association was particularly strong for ischaemic heart diseases (hazard ratio 0.11, 95% confidence interval 0.05-0.29 for highest vs. lowest fitness-quintiles). Furthermore, overweight/obesity were associated with CVD disability for all investigated causes. Conversely, associations of muscular strength with CVD disability were generally weak. Conclusions This study provides evidence for associations between low levels of cardiorespiratory fitness and obesity with later risk of chronic disability due to CVD. Preventive actions may begin at young ages and include promotion of cardiorespiratory fitness and healthy body weight.

Subject headings

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

Cardiovascular disease; Cardiorespiratory fitness; Muscular strength; Obesity; Disability

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By the author/editor: Henriksson, Hann ...; Henriksson, Pont ...; Tynelius, Per; Ekstedt, Mattias ...; Berglind, Daniel; Labayen, Idoia; show more...; Ruiz, Jonatan R.; Lavie, Carl J.; Ortega, Francisc ...; show less...

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

Articles in the publication: European Heart J ...

By the university: Linköping University; Karolinska Institutet

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