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Speed and Duration of Walking and Other Leisure Time Physical Activity and the Risk of Heart Failure: A Prospective Cohort Study from the Copenhagen City Heart Study

AIM: Physical activity (PA) confers some protection against development of heart failure (HF) but little is known of the role of intensity and duration of exercise. METHODS AND RESULTS: In a prospective cohort study of men and women free of previous MI, stroke or HF with one or more examinations in...

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Autores principales: Saevereid, Hans Askelund, Schnohr, Peter, Prescott, Eva
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3951187/
https://www.ncbi.nlm.nih.gov/pubmed/24621514
http://dx.doi.org/10.1371/journal.pone.0089909
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author Saevereid, Hans Askelund
Schnohr, Peter
Prescott, Eva
author_facet Saevereid, Hans Askelund
Schnohr, Peter
Prescott, Eva
author_sort Saevereid, Hans Askelund
collection PubMed
description AIM: Physical activity (PA) confers some protection against development of heart failure (HF) but little is known of the role of intensity and duration of exercise. METHODS AND RESULTS: In a prospective cohort study of men and women free of previous MI, stroke or HF with one or more examinations in 1976–2003, we studied the association between updated self-assessed leisure-time PA, speed and duration of walking and subsequent hospitalization or death from HF. Light and moderate/high level of leisure-time PA and brisk walking were associated with reduced risk of HF in both genders whereas no consistent association with duration of walking was seen. In 18,209 subjects age 20–80 with 1580 cases of HF, using the lowest activity level as reference, the confounder-adjusted hazard ratios (HR) for light and moderate/high leisure-time physical activity were 0.75 (0.66–0.86) and 0.80 (0.69–0.93), respectively. In 9,937 subjects with information on walking available and 542 cases of HF, moderate and high walking speed were associated with adjusted HRs of 0.53 (0.43–0.66) and 0.30 (0.21–0.44), respectively, and daily walking of ½–1 hrs, 1–2 and >2 hrs with HR of 0.80 (0.61–1.06), 0.82 (0.62–1.06), and 0.96 (0.73–1.27), respectively. Results were similar for both genders and remained robust after exclusion of HF related to coronary heart disease and after a series of sensitivity analyses. CONCLUSIONS: Speed rather than duration of walking was associated with reduced risk of HF. Walking is the most wide-spread PA and public health measures to curb the increase in HF may benefit from this information.
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spelling pubmed-39511872014-03-13 Speed and Duration of Walking and Other Leisure Time Physical Activity and the Risk of Heart Failure: A Prospective Cohort Study from the Copenhagen City Heart Study Saevereid, Hans Askelund Schnohr, Peter Prescott, Eva PLoS One Research Article AIM: Physical activity (PA) confers some protection against development of heart failure (HF) but little is known of the role of intensity and duration of exercise. METHODS AND RESULTS: In a prospective cohort study of men and women free of previous MI, stroke or HF with one or more examinations in 1976–2003, we studied the association between updated self-assessed leisure-time PA, speed and duration of walking and subsequent hospitalization or death from HF. Light and moderate/high level of leisure-time PA and brisk walking were associated with reduced risk of HF in both genders whereas no consistent association with duration of walking was seen. In 18,209 subjects age 20–80 with 1580 cases of HF, using the lowest activity level as reference, the confounder-adjusted hazard ratios (HR) for light and moderate/high leisure-time physical activity were 0.75 (0.66–0.86) and 0.80 (0.69–0.93), respectively. In 9,937 subjects with information on walking available and 542 cases of HF, moderate and high walking speed were associated with adjusted HRs of 0.53 (0.43–0.66) and 0.30 (0.21–0.44), respectively, and daily walking of ½–1 hrs, 1–2 and >2 hrs with HR of 0.80 (0.61–1.06), 0.82 (0.62–1.06), and 0.96 (0.73–1.27), respectively. Results were similar for both genders and remained robust after exclusion of HF related to coronary heart disease and after a series of sensitivity analyses. CONCLUSIONS: Speed rather than duration of walking was associated with reduced risk of HF. Walking is the most wide-spread PA and public health measures to curb the increase in HF may benefit from this information. Public Library of Science 2014-03-12 /pmc/articles/PMC3951187/ /pubmed/24621514 http://dx.doi.org/10.1371/journal.pone.0089909 Text en © 2014 Saevereid et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Saevereid, Hans Askelund
Schnohr, Peter
Prescott, Eva
Speed and Duration of Walking and Other Leisure Time Physical Activity and the Risk of Heart Failure: A Prospective Cohort Study from the Copenhagen City Heart Study
title Speed and Duration of Walking and Other Leisure Time Physical Activity and the Risk of Heart Failure: A Prospective Cohort Study from the Copenhagen City Heart Study
title_full Speed and Duration of Walking and Other Leisure Time Physical Activity and the Risk of Heart Failure: A Prospective Cohort Study from the Copenhagen City Heart Study
title_fullStr Speed and Duration of Walking and Other Leisure Time Physical Activity and the Risk of Heart Failure: A Prospective Cohort Study from the Copenhagen City Heart Study
title_full_unstemmed Speed and Duration of Walking and Other Leisure Time Physical Activity and the Risk of Heart Failure: A Prospective Cohort Study from the Copenhagen City Heart Study
title_short Speed and Duration of Walking and Other Leisure Time Physical Activity and the Risk of Heart Failure: A Prospective Cohort Study from the Copenhagen City Heart Study
title_sort speed and duration of walking and other leisure time physical activity and the risk of heart failure: a prospective cohort study from the copenhagen city heart study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3951187/
https://www.ncbi.nlm.nih.gov/pubmed/24621514
http://dx.doi.org/10.1371/journal.pone.0089909
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