Advanced

Diastolic dysfunction is associated with sedentary leisure time physical activity and smoking in females only.

Bennet, Louise LU ; Larsson, Charlotte A LU ; Söderström, Marianne; Råstam, Lennart LU and Lindblad, Ulf LU (2010) In Scandinavian Journal of Primary Health Care 28(3). p.172-178
Abstract
OBJECTIVES: Left ventricular diastolic dysfunction with preserved systolic function (DD-PSF) is associated with an increased risk of morbidity and mortality. Population-based surveys studying the associations between DD-PSF and lifestyle-associated risk factors, such as leisure time physical activity (LTPA) and smoking, are scarce. Thus, the aims were to explore the associations between DD-PSF and LTPA and smoking, employing optimal echocardiographic techniques. DESIGN: Cross-sectional study conducted from 2001 to 2003. SETTING:The study was conducted in a random sample of a rural Swedish population. SUBJECTS: Men and women of 30-75 years of age were consecutively invited for conventional echocardiography and tissue velocity imaging (n =... (More)
OBJECTIVES: Left ventricular diastolic dysfunction with preserved systolic function (DD-PSF) is associated with an increased risk of morbidity and mortality. Population-based surveys studying the associations between DD-PSF and lifestyle-associated risk factors, such as leisure time physical activity (LTPA) and smoking, are scarce. Thus, the aims were to explore the associations between DD-PSF and LTPA and smoking, employing optimal echocardiographic techniques. DESIGN: Cross-sectional study conducted from 2001 to 2003. SETTING:The study was conducted in a random sample of a rural Swedish population. SUBJECTS: Men and women of 30-75 years of age were consecutively invited for conventional echocardiography and tissue velocity imaging (n = 1149). Structured questionnaires and physical examinations were conducted using standardized methods. MAIN OUTCOME MEASURES: DD-PSF was defined according to the European Society of Cardiology criteria excluding subjects with ejection fraction < 45%, or a self-reported history of heart failure. RESULTS: Complete information was available in 500 men and 538 women. In a multivariate model, DD-PSF was independently associated with sedentary LTPA and smoking in females; sedentary LTPA odds ratio (OR) 2.91, 95% confidence interval (CI) 1.02 to 8.27, and smoking OR 3.42, 95% CI 1.35 to 8.64. The probability of identifying DD-PSF in females with a sedentary LTPA was 37% and increased to 80% if they also had hypertension and were obese. CONCLUSIONS: Sedentary LTPA and smoking are independently associated with DD-PSF in females. Identification of a sedentary lifestyle in females increases the probability of diagnosing DD-PSF. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Left: ultrasonography, Ventricular Dysfunction, Left: prevention & control, Left: physiopathology, Smoking: adverse effects, Diastole: physiology, Exercise: physiology
in
Scandinavian Journal of Primary Health Care
volume
28
issue
3
pages
172 - 178
publisher
Taylor & Francis
external identifiers
  • wos:000281925800008
  • pmid:20698731
  • scopus:77955503387
ISSN
0281-3432
DOI
10.3109/02813432.2010.506803
language
English
LU publication?
yes
id
503afa11-0451-4099-bb5b-5e921c22926e (old id 1665392)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/20698731?dopt=Abstract
date added to LUP
2010-09-03 10:14:52
date last changed
2018-05-29 10:42:21
@article{503afa11-0451-4099-bb5b-5e921c22926e,
  abstract     = {OBJECTIVES: Left ventricular diastolic dysfunction with preserved systolic function (DD-PSF) is associated with an increased risk of morbidity and mortality. Population-based surveys studying the associations between DD-PSF and lifestyle-associated risk factors, such as leisure time physical activity (LTPA) and smoking, are scarce. Thus, the aims were to explore the associations between DD-PSF and LTPA and smoking, employing optimal echocardiographic techniques. DESIGN: Cross-sectional study conducted from 2001 to 2003. SETTING:The study was conducted in a random sample of a rural Swedish population. SUBJECTS: Men and women of 30-75 years of age were consecutively invited for conventional echocardiography and tissue velocity imaging (n = 1149). Structured questionnaires and physical examinations were conducted using standardized methods. MAIN OUTCOME MEASURES: DD-PSF was defined according to the European Society of Cardiology criteria excluding subjects with ejection fraction &lt; 45%, or a self-reported history of heart failure. RESULTS: Complete information was available in 500 men and 538 women. In a multivariate model, DD-PSF was independently associated with sedentary LTPA and smoking in females; sedentary LTPA odds ratio (OR) 2.91, 95% confidence interval (CI) 1.02 to 8.27, and smoking OR 3.42, 95% CI 1.35 to 8.64. The probability of identifying DD-PSF in females with a sedentary LTPA was 37% and increased to 80% if they also had hypertension and were obese. CONCLUSIONS: Sedentary LTPA and smoking are independently associated with DD-PSF in females. Identification of a sedentary lifestyle in females increases the probability of diagnosing DD-PSF.},
  author       = {Bennet, Louise and Larsson, Charlotte A and Söderström, Marianne and Råstam, Lennart and Lindblad, Ulf},
  issn         = {0281-3432},
  keyword      = {Left: ultrasonography,Ventricular Dysfunction,Left: prevention & control,Left: physiopathology,Smoking: adverse effects,Diastole: physiology,Exercise: physiology},
  language     = {eng},
  number       = {3},
  pages        = {172--178},
  publisher    = {Taylor & Francis},
  series       = {Scandinavian Journal of Primary Health Care},
  title        = {Diastolic dysfunction is associated with sedentary leisure time physical activity and smoking in females only.},
  url          = {http://dx.doi.org/10.3109/02813432.2010.506803},
  volume       = {28},
  year         = {2010},
}