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Effects of body fatness and physical activity on cardiovascular risk: risk prediction using the bioelectrical impedance method.

Calling, Susanna LU ; Hedblad, Bo LU ; Engström, Gunnar LU ; Berglund, Göran LU and Janzon, Lars LU (2006) In Scandinavian Journal of Public Health 34(6). p.568-575
Abstract
Aims: To explore the effects of body fat percentage (BF%) on incidence of and mortality from cardiovascular disease (CVD) and to study the cardio-protective effect of physical activity in relation to BF%. Methods: A total of 26,942 men and women, aged 45-73 years, without history of CVD were followed up for incidence of coronary events (CE), ischaemic stroke, and CVD mortality over seven years in relation to sex-specific quartiles (Q1-Q4) of BF%. The cardio-protective effect of leisure-time physical activity was studied in relation to BF%. Results: In men, the relative risk (RR) for CE and CVD mortality increased progressively with BF%. RR for CE in Q4 was 1.37 (95% confidence interval: 1.07-1.74), adjusted for age, height, smoking, high... (More)
Aims: To explore the effects of body fat percentage (BF%) on incidence of and mortality from cardiovascular disease (CVD) and to study the cardio-protective effect of physical activity in relation to BF%. Methods: A total of 26,942 men and women, aged 45-73 years, without history of CVD were followed up for incidence of coronary events (CE), ischaemic stroke, and CVD mortality over seven years in relation to sex-specific quartiles (Q1-Q4) of BF%. The cardio-protective effect of leisure-time physical activity was studied in relation to BF%. Results: In men, the relative risk (RR) for CE and CVD mortality increased progressively with BF%. RR for CE in Q4 was 1.37 (95% confidence interval: 1.07-1.74), adjusted for age, height, smoking, high alcohol intake, and physical activity, compared with Q1. In women, BF% was significantly associated with incidence of CE and stroke. BF% was more strongly correlated to body mass index (BMI) (r=50.83) and waist circumference (r=0.76) in women than in men (r=0.59 and r=50.66, respectively). BF% was a stronger risk factor than BMI in women, and equally strong as waist circumference. A significant interaction (p=0.013 for incidence of CE, p=0.026 for ischaemic stroke) was found between BF% and sex. The raised cardiovascular risk was reduced by physical activity in subjects with high BF%. Conclusions: BF% is a risk factor for CE, ischaemic stroke, and CVD mortality. An interaction between BF% and sex suggests that BF% is a stronger CVD risk factor in women. The raised cardiovascular risk associated with high BF% is reduced by physical activity. (Less)
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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
physical activity, cardiovascular diseases, bioelectrical impedance, body composition, obesity, myocardial infarction
in
Scandinavian Journal of Public Health
volume
34
issue
6
pages
568 - 575
publisher
SAGE Publications
external identifiers
  • wos:000242346600003
  • scopus:33751518331
  • pmid:17132589
ISSN
1651-1905
DOI
10.1080/14034940600595621
language
English
LU publication?
yes
id
1c85eaf3-3527-4e3f-8038-8b98a0cf043a (old id 164313)
alternative location
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=17132589&dopt=Abstract
date added to LUP
2016-04-01 15:37:06
date last changed
2022-02-27 07:52:14
@article{1c85eaf3-3527-4e3f-8038-8b98a0cf043a,
  abstract     = {{Aims: To explore the effects of body fat percentage (BF%) on incidence of and mortality from cardiovascular disease (CVD) and to study the cardio-protective effect of physical activity in relation to BF%. Methods: A total of 26,942 men and women, aged 45-73 years, without history of CVD were followed up for incidence of coronary events (CE), ischaemic stroke, and CVD mortality over seven years in relation to sex-specific quartiles (Q1-Q4) of BF%. The cardio-protective effect of leisure-time physical activity was studied in relation to BF%. Results: In men, the relative risk (RR) for CE and CVD mortality increased progressively with BF%. RR for CE in Q4 was 1.37 (95% confidence interval: 1.07-1.74), adjusted for age, height, smoking, high alcohol intake, and physical activity, compared with Q1. In women, BF% was significantly associated with incidence of CE and stroke. BF% was more strongly correlated to body mass index (BMI) (r=50.83) and waist circumference (r=0.76) in women than in men (r=0.59 and r=50.66, respectively). BF% was a stronger risk factor than BMI in women, and equally strong as waist circumference. A significant interaction (p=0.013 for incidence of CE, p=0.026 for ischaemic stroke) was found between BF% and sex. The raised cardiovascular risk was reduced by physical activity in subjects with high BF%. Conclusions: BF% is a risk factor for CE, ischaemic stroke, and CVD mortality. An interaction between BF% and sex suggests that BF% is a stronger CVD risk factor in women. The raised cardiovascular risk associated with high BF% is reduced by physical activity.}},
  author       = {{Calling, Susanna and Hedblad, Bo and Engström, Gunnar and Berglund, Göran and Janzon, Lars}},
  issn         = {{1651-1905}},
  keywords     = {{physical activity; cardiovascular diseases; bioelectrical impedance; body composition; obesity; myocardial infarction}},
  language     = {{eng}},
  number       = {{6}},
  pages        = {{568--575}},
  publisher    = {{SAGE Publications}},
  series       = {{Scandinavian Journal of Public Health}},
  title        = {{Effects of body fatness and physical activity on cardiovascular risk: risk prediction using the bioelectrical impedance method.}},
  url          = {{http://dx.doi.org/10.1080/14034940600595621}},
  doi          = {{10.1080/14034940600595621}},
  volume       = {{34}},
  year         = {{2006}},
}