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Performance in physical education and health impairment 30 years later-a community based cohort study.

Timpka, Simon LU ; Petersson, Ingemar LU ; Rylance, Rebecca; Kedza, Ljuba and Englund, Martin LU (2012) In PLoS ONE 7(4).
Abstract
OBJECTIVE:

A main purpose of physical education (PE) in school is to promote future health. However, there is very limited evidence of the effects of PE on the adult health. We hypothesized that a low performance in PE was associated with an increased risk of health impairment by middle age.



METHODS:

We performed a cohort study in a community-based setting in Sweden spanning over three decades. We followed up on 1712 of 2225 students (76.9%) who in 1974-1976 graduated with a grade in PE after 9 years of education (mean subject age 16 years). The grade in PE (compulsory subject) was retrieved from municipal archives. We defined three proxies for health impairment: total number of visits to primary care... (More)
OBJECTIVE:

A main purpose of physical education (PE) in school is to promote future health. However, there is very limited evidence of the effects of PE on the adult health. We hypothesized that a low performance in PE was associated with an increased risk of health impairment by middle age.



METHODS:

We performed a cohort study in a community-based setting in Sweden spanning over three decades. We followed up on 1712 of 2225 students (76.9%) who in 1974-1976 graduated with a grade in PE after 9 years of education (mean subject age 16 years). The grade in PE (compulsory subject) was retrieved from municipal archives. We defined three proxies for health impairment: total number of visits to primary care physicians in 2003-2007, having been hospitalized 2003-2007, and total number of days with sick leave in 2004-2007. Using binomial regression models, we adjusted the risk estimates for level of education and occupation. Subjects with an average grade in PE served as reference category.



RESULTS:

In both the crude and adjusted model, women with a low grade in PE had more physician visits (adjusted IRR 1.30, 95% confidence interval 1.06-1.60) and an increased number of days with sick leave (adjusted IRR 1.44, 1.05-1.95). An increased, although not significant, risk was also observed for having received in-patient care (adjusted RR 1.26; 0.88-1.80). No significant results or similar pattern were observed in men.



CONCLUSION:

Women with a low grade in PE in adolescence seem to have an increased risk of health impairment by middle age, raising the question of early primary prevention towards these students in particular. (Less)
Please use this url to cite or link to this publication:
author
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
PLoS ONE
volume
7
issue
4
publisher
Public Library of Science
external identifiers
  • wos:000305341000062
  • pmid:22539996
  • scopus:84859991737
ISSN
1932-6203
DOI
10.1371/journal.pone.0035718
language
English
LU publication?
yes
id
f3410eda-e481-40ef-989b-15fdf6e52003 (old id 2518910)
alternative location
http://www.ncbi.nlm.nih.gov/pubmed/22539996?dopt=Abstract
date added to LUP
2012-05-07 11:51:17
date last changed
2017-01-01 05:28:27
@article{f3410eda-e481-40ef-989b-15fdf6e52003,
  abstract     = {OBJECTIVE:<br/><br>
A main purpose of physical education (PE) in school is to promote future health. However, there is very limited evidence of the effects of PE on the adult health. We hypothesized that a low performance in PE was associated with an increased risk of health impairment by middle age.<br/><br>
<br/><br>
METHODS:<br/><br>
We performed a cohort study in a community-based setting in Sweden spanning over three decades. We followed up on 1712 of 2225 students (76.9%) who in 1974-1976 graduated with a grade in PE after 9 years of education (mean subject age 16 years). The grade in PE (compulsory subject) was retrieved from municipal archives. We defined three proxies for health impairment: total number of visits to primary care physicians in 2003-2007, having been hospitalized 2003-2007, and total number of days with sick leave in 2004-2007. Using binomial regression models, we adjusted the risk estimates for level of education and occupation. Subjects with an average grade in PE served as reference category.<br/><br>
<br/><br>
RESULTS:<br/><br>
In both the crude and adjusted model, women with a low grade in PE had more physician visits (adjusted IRR 1.30, 95% confidence interval 1.06-1.60) and an increased number of days with sick leave (adjusted IRR 1.44, 1.05-1.95). An increased, although not significant, risk was also observed for having received in-patient care (adjusted RR 1.26; 0.88-1.80). No significant results or similar pattern were observed in men.<br/><br>
<br/><br>
CONCLUSION:<br/><br>
Women with a low grade in PE in adolescence seem to have an increased risk of health impairment by middle age, raising the question of early primary prevention towards these students in particular.},
  articleno    = {e35718},
  author       = {Timpka, Simon and Petersson, Ingemar and Rylance, Rebecca and Kedza, Ljuba and Englund, Martin},
  issn         = {1932-6203},
  language     = {eng},
  number       = {4},
  publisher    = {Public Library of Science},
  series       = {PLoS ONE},
  title        = {Performance in physical education and health impairment 30 years later-a community based cohort study.},
  url          = {http://dx.doi.org/10.1371/journal.pone.0035718},
  volume       = {7},
  year         = {2012},
}