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FältnamnIndikatorerMetadata
00005209naa a2200409 4500
001oai:DiVA.org:liu-155001
003SwePub
008190320s2019 | |||||||||||000 ||eng|
009oai:prod.swepub.kib.ki.se:140309397
024a https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-1550012 URI
024a https://doi.org/10.7326/M18-18612 DOI
024a http://kipublications.ki.se/Default.aspx?queryparsed=id:1403093972 URI
040 a (SwePub)liud (SwePub)ki
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Henriksson, Pontusu Karolinska Institutet,Karolinska Inst, Sweden; Univ Granada, Spain; Karolinska Inst, Sweden4 aut
2451 0a Fitness and Body Mass Index During Adolescence and Disability Later in Life A Cohort Study
264 1b AMER COLL PHYSICIANS,c 2019
338 a print2 rdacarrier
500 a Funding Agencies|Karolinska Institutet [2018-02043]; Henning and Johan Throne-Holst Foundation; Strategic Research Area Health Care Science, Karolinska Institutet/Umea University; Swedish Society of Medicine; County Council of Ostergotland, Sweden; intramural research program at the National Institute on Aging; European Union [667302]; University of Granada, Plan Propio de Investigacion 2016, Excellence actions: Units of Excellence, Unit of Excellence on Exercise and Health; SAMID III network, RETICS - PN I+D+I 2017-2021 (Spain); ISCIII Sub-Directorate General for Research Assessment and Promotion; European Regional Development Fund [RD16/0022]; EXERNET Research Network on Exercise and Health in Special Populations [DEP2005-00046/ACTI]
520 a Background: Low physical fitness, obesity, and the combination of the two in adolescence may be related to risk for disability in adulthood, but this has rarely been studied. Objective: To examine individual and combined associations of cardiorespiratory fitness and obesity in male adolescents with later receipt of a disability pension due to all and specific causes. Design: Population-based cohort study. Setting: Sweden. Participants: 1 079 128 Swedish adolescents aged 16 to 19 years who were conscripted into the military between 1972 and 1994. Measurements: Cardiorespiratory fitness and body mass index (BMI) were measured at conscription and were related to information on later receipt of a disability pension obtained from the Social Insurance Agency. Results: Over a median follow-up of 28.3 years, 54 304 men were granted a disability pension. Low cardiorespiratory fitness was strongly associated with later receipt of a disability pension due to all causes (hazard ratio, 3.74 [95% CI, 3.55 to 3.95] for lowest vs. highest fitness decile) and specific causes (psychiatric, musculoskeletal, injuries, nervous system, circulatory, and tumors). Obesity was associated with greater risk for receipt of a disability pension due to all and specific causes, with the greatest risks observed for class II and III obesity. Compared with being unfit, being moderately or highly fit was associated with attenuated risk for receipt of a disability pension across BMI categories. Limitation: The cohort did not include women, had data on smoking and alcohol intake only in a subsample, and lacked repeated measures of exposures and covariates. Conclusion: Low cardiorespiratory fitness, obesity, and the combination of the two were strongly associated with later chronic disability due to a wide range of diseases and causes. Although additional well-designed studies are required, these findings support the importance of high cardiorespiratory fitness and healthy body weight during adolescence to prevent later chronic disease.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Allmänmedicin0 (SwePub)302242 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex General Practice0 (SwePub)302242 hsv//eng
700a Henriksson, Hannau Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Univ Granada, Spain4 aut0 (Swepub:liu)hanol24
700a Tynelius, Peru Karolinska Institutet,Karolinska Inst, Sweden; Stockholm Cty Council, Sweden; Karolinska Inst, Sweden4 aut
700a Berglind, Danielu Karolinska Institutet,Karolinska Inst, Sweden4 aut
700a Löf, Marieu Karolinska Institutet,Linköpings universitet,Avdelningen för samhällsmedicin,Medicinska fakulteten,Karolinska Inst, Sweden; Karolinska Inst, Sweden4 aut0 (Swepub:liu)marlo59
700a Lee, I-Minu Harvard Med Sch, MA 02115 USA; Harvard TH Chan Sch Publ Hlth, MA USA4 aut
700a Shiroma, Eric J.u NIA, MD 20892 USA4 aut
700a Ortega, Francisco B.u Karolinska Institutet,Karolinska Inst, Sweden; Univ Granada, Spain4 aut
710a Karolinska Institutetb Karolinska Inst, Sweden; Univ Granada, Spain; Karolinska Inst, Sweden4 org
773t Annals of Internal Medicined : AMER COLL PHYSICIANSg 170:4, s. 230-+q 170:4<230-+x 0003-4819x 1539-3704
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-155001
8564 8u https://doi.org/10.7326/M18-1861
8564 8u http://kipublications.ki.se/Default.aspx?queryparsed=id:140309397

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