Thirteen-Year Associations of Occupational and Leisure-Time Physical Activity with Cardiorespiratory Fitness in CARDIA.
Journal
Medicine and science in sports and exercise
ISSN: 1530-0315
Titre abrégé: Med Sci Sports Exerc
Pays: United States
ID NLM: 8005433
Informations de publication
Date de publication:
01 11 2023
01 11 2023
Historique:
pmc-release:
01
11
2024
medline:
23
10
2023
pubmed:
22
6
2023
entrez:
21
6
2023
Statut:
ppublish
Résumé
Differential effects on fitness are hypothesized to contribute to the opposing health effects of leisure-time physical activity (LTPA) and occupational physical activity (OPA). As such, this study examined cross-sectional and longitudinal associations of fitness with LTPA and OPA. This study examined fitness associations with LTPA and OPA across 13 yr in the Coronary Artery Risk Development in Young Adults study (years 7 (baseline), 10, 15, and 20 (follow-up) examinations). Fitness was measured at baseline and follow-up via symptom-limited maximal graded exercise test (GXT) duration (in seconds), whereas LTPA and OPA were self-reported during each examination. Baseline and follow-up cross-sectional associations of LTPA (low, medium, high) and OPA (0, 1-6, and ≥6 months with OPA) with fitness were examined using linear regression. Longitudinal linear regression examined associations between 13-yr LTPA (low, medium, or high) and OPA (no, decreasing, or increasing) trajectories with fitness at follow-up, adjusted for baseline values. All models adjusted for center, sex, race, age, education, smoking history, alcohol intake, resting blood pressure, diabetes status, and body mass index. Stratified analyses examined associations by sex (female/male), race (Black/White), and LTPA groups. Compared with low, medium, and high LTPA were positively associated with fitness in all analyses ( P < 0.001). Reporting 1-6 or ≥6 months with OPA was negatively associated with fitness in cross-sectional follow-up models ( β = -15.6 and -15.4, respectively; P ≤ 0.01). Longitudinally, those with increasing OPA had lower follow-up fitness compared with no OPA ( β = -16.41, P < 0.01). Negative associations of OPA with fitness were not meaningfully different across sex and race groups. Significant LTPA-OPA interactions were observed ( P < 001). Physical activity research and public health promotion should consider domain-specific associations on cardiovascular health.
Identifiants
pubmed: 37343382
doi: 10.1249/MSS.0000000000003237
pii: 00005768-202311000-00010
pmc: PMC10592558
mid: NIHMS1908359
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
2025-2034Subventions
Organisme : NHLBI NIH HHS
ID : R01 HL149796
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800003I
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800007I
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800005I
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800006I
Pays : United States
Organisme : NHLBI NIH HHS
ID : R01 HL078972
Pays : United States
Organisme : NHLBI NIH HHS
ID : HHSN268201800004I
Pays : United States
Informations de copyright
Copyright © 2023 by the American College of Sports Medicine.
Références
Leitzmann MF, Park Y, Blair A, et al. Physical activity recommendations and decreased risk of mortality. Arch Intern Med . 2007;167(22):2453–60.
Physical Activity Guidelines Advisory Committee. Physical Activity Guidelines Advisory Committee Scientific Report . Washington (DC): U.S. Department of Health and Human Services; 2018.
Physical activity and cardiovascular health. NIH Consensus Development Panel on Physical Activity and Cardiovascular Health. JAMA . 1996;276(3):241–6.
Durstine JL, Gordon B, Wang Z, Luo X. Chronic disease and the link to physical activity. J Sport Health Sci . 2013;2(1):3–11.
Holtermann A, Mortensen OS, Burr H, Sogaard K, Gyntelberg F, Suadicani P. The interplay between physical activity at work and during leisure time–risk of ischemic heart disease and all-cause mortality in middle-aged Caucasian men. Scand J Work Environ Health . 2009;35(6):466–74.
Holtermann A, Mortensen OS, Burr H, Sogaard K, Gyntelberg F, Suadicani P. Physical demands at work, physical fitness, and 30-year ischaemic heart disease and all-cause mortality in the Copenhagen Male Study. Scand J Work Environ Health . 2010;36(5):357–65.
Holtermann A, Hansen JV, Burr H, Søgaard K, Sjøgaard G. The health paradox of occupational and leisure-time physical activity. Br J Sports Med . 2012;46(4):291–5.
Holtermann A, Krause N, van der Beek AJ, Straker L. The physical activity paradox: six reasons why occupational physical activity (OPA) does not confer the cardiovascular health benefits that leisure time physical activity does. Br J Sports Med . 2018;52(3):149–50.
Salonen JT, Slater JS, Tuomilehto J, Rauramaa R. Leisure time and occupational physical activity: risk of death from ischemic heart disease. Am J Epidemiol . 1988;127(1):87–94.
Coenen P, Huysmans MA, Holtermann A, et al. Do highly physically active workers die early? A systematic review with meta-analysis of data from 193 696 participants. Br J Sports Med . 2018;52(20):1320–6.
Quinn TD, Yorio PL, Smith PM, Seo Y, Whitfield GP, Barone Gibbs B. Occupational physical activity and cardiovascular disease in the United States. Occup Environ Med . 2021;78(10):724–30.
Krause N, Brand RJ, Arah OA, Kauhanen J. Occupational physical activity and 20-year incidence of acute myocardial infarction: results from the Kuopio Ischemic Heart Disease Risk Factor Study. Scand J Work Environ Health . 2015;41(2):124–39.
Blair SN, Kohl HW 3rd, Paffenbarger RS Jr, Clark DG, Cooper KH, Gibbons LW. Physical fitness and all-cause mortality. A prospective study of healthy men and women. JAMA . 1989;262(17):2395–401.
Kodama S, Saito K, Tanaka S, et al. Cardiorespiratory fitness as a quantitative predictor of all-cause mortality and cardiovascular events in healthy men and women: a meta-analysis. JAMA . 2009;301(19):2024–35.
Lee DC, Sui X, Ortega FB, et al. Comparisons of leisure-time physical activity and cardiorespiratory fitness as predictors of all-cause mortality in men and women. Br J Sports Med . 2011;45(6):504–10.
Ross R, Blair SN, Arena R, et al. Importance of assessing cardiorespiratory fitness in clinical practice: a case for fitness as a clinical vital sign: a scientific statement from the American Heart Association. Circulation . 2016;134(24):e653–99.
Talbot LA, Metter EJ, Fleg JL. Leisure-time physical activities and their relationship to cardiorespiratory fitness in healthy men and women 18–95 years old. Med Sci Sports Exerc . 2000;32(2):417–25.
Quinn TD, Kline CE, Nagle EF, Radonovich LJ, Barone Gibbs B. Physical activity in the workplace: does just working meet activity recommendations? Workplace Health Saf . 2022;70(2):81–9.
Quinn TD, Kline CE, Nagle E, Radonovich LJ, Alansare A, Barone Gibbs B. Cardiovascular responses to physical activity during work and leisure. Occup Environ Med . 2022;79(2):94–101.
Jacobs DR Jr, Hahn LP, Haskell WL, Pirie P, Sidney S. Validity and reliability of short physical activity history: CARDIA and the Minnesota Heart Health Program. J Cardiopulm Rehabil . 1989;9(11):448–59.
Schmitz KH, Jacobs DR Jr, Leon AS, Schreiner PJ, Sternfeld B. Physical activity and body weight: associations over ten years in the CARDIA study. Int J Obes (Lond) . 2000;24(11):1475–87.
Nagin DS, Jones BL, Passos VL, Tremblay RE. Group-based multi-trajectory modeling. Stat Methods Med Res . 2018;27(7):2015–23.
Sidney S, Haskell WL, Crow R, et al. Symptom-limited graded treadmill exercise testing in young adults in the CARDIA study. Med Sci Sports Exerc . 1992;24(2):177–83.
Borg G. Borg’s Perceived Exertion and Pain Scales . Champaign (IL): Human Kinetics; 1998.
Pettee Gabriel K, Jaeger BC, Sternfeld B, et al. Factors associated with age-related declines in cardiorespiratory fitness from early adulthood through midlife: CARDIA. Med Sci Sports Exerc . 2022;54(7):1147–54.
Zhu N, Suarez-Lopez JR, Sidney S, et al. Longitudinal examination of age-predicted symptom-limited exercise maximum heart rate. Med Sci Sports Exerc . 2010;42(8):1519–27.
Blair SN, Cheng Y, Holder JS. Is physical activity or physical fitness more important in defining health benefits? Med Sci Sports Exerc . 2001;33(6 Suppl):S379–99.
Lakka TA, Venalainen JM, Rauramaa R, Salonen R, Tuomilehto J, Salonen JT. Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction in men. N Engl J Med . 1994;330(22):1549–54.
Eaton CB, Lapane KL, Garber CE, Assaf AR, Lasater TM, Carleton RA. Physical activity, physical fitness, and coronary heart disease risk factors. Med Sci Sports Exerc . 1995;27(3):340–6.
Rauramaa R, Tuomainen P, Väisänen S, Rankinen T. Physical activity and health-related fitness in middle-aged men. Med Sci Sports Exerc . 1995;27(5):707–12.
Schmidt MD, Cleland VJ, Thomson RJ, Dwyer T, Venn AJ. A comparison of subjective and objective measures of physical activity and fitness in identifying associations with cardiometabolic risk factors. Ann Epidemiol . 2008;18(5):378–86.
Bull FC, Al-Ansari SS, Biddle S, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med . 2020;54(24):1451–62.
Physical Activity Guidelines Advisory Committee. 2018 Physical Activity Guidelines for Americans . Washington, (DC): U.S. Department of Health and Human Services; 2018.
Tipton CM. American College of Sports Medicine. ACSM’s Advanced Exercise Physiology . Philadelphia (PA): Lippincott Williams & Wilkins; 2006.
Myers J, Kaykha A, George S, et al. Fitness versus physical activity patterns in predicting mortality in men. Am J Med . 2004;117(12):912–8.
Hallman DM, Birk Jørgensen M, Holtermann A. On the health paradox of occupational and leisure-time physical activity using objective measurements: effects on autonomic imbalance. PLoS One . 2017;12(5):e0177042.
Korshoj M, Krause N, Clays E, Sogaard K, Krustrup P, Holtermann A. Does aerobic exercise increase 24-hour ambulatory blood pressure among workers with high occupational physical activity?—a RCT. Am J Hypertens . 2017;30(4):444–50.
Korshøj M, Lidegaard M, Skotte JH, et al. Does aerobic exercise improve or impair cardiorespiratory fitness and health among cleaners? A cluster randomized controlled trial. Scand J Work Environ Health . 2015;41(2):140–52.
Gonzales E, Whetung C, Lee YJ, Kruchten R. Work demands and cognitive health inequities by race and ethnicity: a scoping review. Gerontologist . 2022;62(5):e282–92.
McCluney CL, Schmitz LL, Hicken MT, Sonnega A. Structural racism in the workplace: does perception matter for health inequalities? Soc Sci Med . 2018;199:106–14.
Prince SA, Rasmussen CL, Biswas A, et al. The effect of leisure time physical activity and sedentary behaviour on the health of workers with different occupational physical activity demands: a systematic review. Int J Behav Nutr Phys Act . 2021;18(1):100.
Shephard RJ. Is there a ‘recent occupational paradox’where highly active physically active workers die early? Or are there failures in some study methods? Br J Sports Med . 2019;53(24):1557–9.
Sallis JF, Saelens BE. Assessment of physical activity by self-report: status, limitations, and future directions. Res Q Exerc Sport . 2000;71(2 Suppl):S1–14.
Gupta N, Hallman DM, Dumuid D, et al. Movement behavior profiles and obesity: a latent profile analysis of 24-h time-use composition among Danish workers. Int J Obes (Lond) . 2020;44(2):409–17.
Friedman GD, Cutter GR, Donahue RP, et al. CARDIA: study design, recruitment, and some characteristics of the examined subjects. J Clin Epidemiol . 1988;41(11):1105–16.