Physical activity and the progression of coronary artery calcification
BackgroundThe association of physical activity with the development and progression of coronary artery calcium (CAC) scores has not been studied. This study aimed to evaluate the prospective association between physical activity and CAC scores in apparently healthy adults.MethodsProspective cohort s...
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| Veröffentlicht in: | Heart (British Cardiac Society) 2021-11, Vol.107 (21), p.1710-1716 |
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| container_title | Heart (British Cardiac Society) |
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| creator | Sung, Ki-Chul Hong, Yun Soo Lee, Jong-Young Lee, Seung-Jae Chang, Yoosoo Ryu, Seungho Zhao, Di Cho, Juhee Guallar, Eliseo Lima, Joao A C |
| description | BackgroundThe association of physical activity with the development and progression of coronary artery calcium (CAC) scores has not been studied. This study aimed to evaluate the prospective association between physical activity and CAC scores in apparently healthy adults.MethodsProspective cohort study of men and women free of overt cardiovascular disease who underwent comprehensive health screening examinations between 1 March 2011 and 31 December 2017. Baseline physical activity was measured using the International Physical Activity Questionnaire Short Form (IPAQ-SF) and categorised into three groups (inactive, moderately active and health-enhancing physically active (HEPA)). The primary outcome was the difference in the 5-year change in CAC scores by physical activity category at baseline.ResultsWe analysed 25 485 participants with at least two CAC score measurements. The proportions of participants who were inactive, moderately active and HEPA were 46.8%, 38.0% and 15.2%, respectively. The estimated adjusted average baseline CAC scores (95% confidence intervals) in participants who were inactive, moderately active and HEPA were 9.45 (8.76, 10.14), 10.20 (9.40, 11.00) and 12.04 (10.81, 13.26). Compared with participants who were inactive, the estimated adjusted 5-year average increases in CAC in moderately active and HEPA participants were 3.20 (0.72, 5.69) and 8.16 (4.80, 11.53). Higher physical activity was association with faster progression of CAC scores both in participants with CAC=0 at baseline and in those with prevalent CAC.ConclusionWe found a positive, graded association between physical activity and the prevalence and the progression of CAC, regardless of baseline CAC scores. |
| doi_str_mv | 10.1136/heartjnl-2021-319346 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2580848905</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2580848905</sourcerecordid><originalsourceid>FETCH-LOGICAL-b442t-988604ca24dbd3e89c2beff0d044d38eb708e358f21eb3c6f74dc8241ffb4f243</originalsourceid><addsrcrecordid>eNp9kNFLwzAQxoMobk7_A5GCz9VLcm3TRxlOhYE-KPgWmjRxLVs7k0zYf7-Mbvrm0x13v--74yPkmsIdpTy_X5jKhbZbpgwYTTktOeYnZEwxF3FEP09jz7MszYEXI3LhfQsAWIr8nIw4ZogCijGZvS22vtHVMql0aH6asE2qrk7CwiRr1385433Td0lvE927vqtc3LtgYoka3dgoDRG4JGe2WnpzdagT8jF7fJ8-p_PXp5fpwzxViCykpRA5oK4Y1qrmRpSaKWMt1IBYc2FUAcLwTFhGjeI6twXWWjCk1iq0DPmE3A6-8bnvjfFBtv3GdfGkZJkAgaKELFI4UNr13jtj5do1q_i7pCD34cljeHIfnhzCi7Kbg_lGrUz9KzqmFQEYALVq_w7_67kDKXh9XA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2580848905</pqid></control><display><type>article</type><title>Physical activity and the progression of coronary artery calcification</title><source>MEDLINE</source><source>PubMed Central</source><creator>Sung, Ki-Chul ; Hong, Yun Soo ; Lee, Jong-Young ; Lee, Seung-Jae ; Chang, Yoosoo ; Ryu, Seungho ; Zhao, Di ; Cho, Juhee ; Guallar, Eliseo ; Lima, Joao A C</creator><creatorcontrib>Sung, Ki-Chul ; Hong, Yun Soo ; Lee, Jong-Young ; Lee, Seung-Jae ; Chang, Yoosoo ; Ryu, Seungho ; Zhao, Di ; Cho, Juhee ; Guallar, Eliseo ; Lima, Joao A C</creatorcontrib><description>BackgroundThe association of physical activity with the development and progression of coronary artery calcium (CAC) scores has not been studied. This study aimed to evaluate the prospective association between physical activity and CAC scores in apparently healthy adults.MethodsProspective cohort study of men and women free of overt cardiovascular disease who underwent comprehensive health screening examinations between 1 March 2011 and 31 December 2017. Baseline physical activity was measured using the International Physical Activity Questionnaire Short Form (IPAQ-SF) and categorised into three groups (inactive, moderately active and health-enhancing physically active (HEPA)). The primary outcome was the difference in the 5-year change in CAC scores by physical activity category at baseline.ResultsWe analysed 25 485 participants with at least two CAC score measurements. The proportions of participants who were inactive, moderately active and HEPA were 46.8%, 38.0% and 15.2%, respectively. The estimated adjusted average baseline CAC scores (95% confidence intervals) in participants who were inactive, moderately active and HEPA were 9.45 (8.76, 10.14), 10.20 (9.40, 11.00) and 12.04 (10.81, 13.26). Compared with participants who were inactive, the estimated adjusted 5-year average increases in CAC in moderately active and HEPA participants were 3.20 (0.72, 5.69) and 8.16 (4.80, 11.53). Higher physical activity was association with faster progression of CAC scores both in participants with CAC=0 at baseline and in those with prevalent CAC.ConclusionWe found a positive, graded association between physical activity and the prevalence and the progression of CAC, regardless of baseline CAC scores.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/heartjnl-2021-319346</identifier><identifier>PMID: 34544807</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd and British Cardiovascular Society</publisher><subject>Adult ; Age ; Alcohol use ; Blood pressure ; Body mass index ; Calcium - metabolism ; Cardiac risk factors and prevention ; Cardiovascular disease ; Cholesterol ; Coronary Angiography - methods ; coronary artery disease ; Coronary Artery Disease - diagnosis ; Coronary Artery Disease - physiopathology ; Coronary Circulation - physiology ; Coronary vessels ; Coronary Vessels - diagnostic imaging ; Coronary Vessels - metabolism ; Diabetes ; Disease Progression ; Drug dosages ; Education ; Estimates ; Exercise ; Exercise - physiology ; Family medical history ; Fasting ; Female ; Follow-Up Studies ; Glucose ; Health care ; Hospitals ; Humans ; Hypertension ; Lipids ; Low density lipoprotein ; Male ; Medical screening ; Metabolism ; Multidetector Computed Tomography - methods ; Prevalence ; Prospective Studies ; Questionnaires ; Republic of Korea - epidemiology ; Risk Factors ; Triglycerides ; Vascular Calcification - diagnosis ; Vascular Calcification - metabolism ; Vascular Calcification - physiopathology ; Veins & arteries ; Womens health</subject><ispartof>Heart (British Cardiac Society), 2021-11, Vol.107 (21), p.1710-1716</ispartof><rights>Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2021 Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b442t-988604ca24dbd3e89c2beff0d044d38eb708e358f21eb3c6f74dc8241ffb4f243</citedby><cites>FETCH-LOGICAL-b442t-988604ca24dbd3e89c2beff0d044d38eb708e358f21eb3c6f74dc8241ffb4f243</cites><orcidid>0000-0002-6553-9782 ; 0000-0001-5630-2145 ; 0000-0002-9978-6773</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34544807$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Sung, Ki-Chul</creatorcontrib><creatorcontrib>Hong, Yun Soo</creatorcontrib><creatorcontrib>Lee, Jong-Young</creatorcontrib><creatorcontrib>Lee, Seung-Jae</creatorcontrib><creatorcontrib>Chang, Yoosoo</creatorcontrib><creatorcontrib>Ryu, Seungho</creatorcontrib><creatorcontrib>Zhao, Di</creatorcontrib><creatorcontrib>Cho, Juhee</creatorcontrib><creatorcontrib>Guallar, Eliseo</creatorcontrib><creatorcontrib>Lima, Joao A C</creatorcontrib><title>Physical activity and the progression of coronary artery calcification</title><title>Heart (British Cardiac Society)</title><addtitle>Heart</addtitle><addtitle>Heart</addtitle><description>BackgroundThe association of physical activity with the development and progression of coronary artery calcium (CAC) scores has not been studied. This study aimed to evaluate the prospective association between physical activity and CAC scores in apparently healthy adults.MethodsProspective cohort study of men and women free of overt cardiovascular disease who underwent comprehensive health screening examinations between 1 March 2011 and 31 December 2017. Baseline physical activity was measured using the International Physical Activity Questionnaire Short Form (IPAQ-SF) and categorised into three groups (inactive, moderately active and health-enhancing physically active (HEPA)). The primary outcome was the difference in the 5-year change in CAC scores by physical activity category at baseline.ResultsWe analysed 25 485 participants with at least two CAC score measurements. The proportions of participants who were inactive, moderately active and HEPA were 46.8%, 38.0% and 15.2%, respectively. The estimated adjusted average baseline CAC scores (95% confidence intervals) in participants who were inactive, moderately active and HEPA were 9.45 (8.76, 10.14), 10.20 (9.40, 11.00) and 12.04 (10.81, 13.26). Compared with participants who were inactive, the estimated adjusted 5-year average increases in CAC in moderately active and HEPA participants were 3.20 (0.72, 5.69) and 8.16 (4.80, 11.53). Higher physical activity was association with faster progression of CAC scores both in participants with CAC=0 at baseline and in those with prevalent CAC.ConclusionWe found a positive, graded association between physical activity and the prevalence and the progression of CAC, regardless of baseline CAC scores.</description><subject>Adult</subject><subject>Age</subject><subject>Alcohol use</subject><subject>Blood pressure</subject><subject>Body mass index</subject><subject>Calcium - metabolism</subject><subject>Cardiac risk factors and prevention</subject><subject>Cardiovascular disease</subject><subject>Cholesterol</subject><subject>Coronary Angiography - methods</subject><subject>coronary artery disease</subject><subject>Coronary Artery Disease - diagnosis</subject><subject>Coronary Artery Disease - physiopathology</subject><subject>Coronary Circulation - physiology</subject><subject>Coronary vessels</subject><subject>Coronary Vessels - diagnostic imaging</subject><subject>Coronary Vessels - metabolism</subject><subject>Diabetes</subject><subject>Disease Progression</subject><subject>Drug dosages</subject><subject>Education</subject><subject>Estimates</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Family medical history</subject><subject>Fasting</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Glucose</subject><subject>Health care</subject><subject>Hospitals</subject><subject>Humans</subject><subject>Hypertension</subject><subject>Lipids</subject><subject>Low density lipoprotein</subject><subject>Male</subject><subject>Medical screening</subject><subject>Metabolism</subject><subject>Multidetector Computed Tomography - methods</subject><subject>Prevalence</subject><subject>Prospective Studies</subject><subject>Questionnaires</subject><subject>Republic of Korea - epidemiology</subject><subject>Risk Factors</subject><subject>Triglycerides</subject><subject>Vascular Calcification - diagnosis</subject><subject>Vascular Calcification - metabolism</subject><subject>Vascular Calcification - physiopathology</subject><subject>Veins & arteries</subject><subject>Womens health</subject><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kNFLwzAQxoMobk7_A5GCz9VLcm3TRxlOhYE-KPgWmjRxLVs7k0zYf7-Mbvrm0x13v--74yPkmsIdpTy_X5jKhbZbpgwYTTktOeYnZEwxF3FEP09jz7MszYEXI3LhfQsAWIr8nIw4ZogCijGZvS22vtHVMql0aH6asE2qrk7CwiRr1385433Td0lvE927vqtc3LtgYoka3dgoDRG4JGe2WnpzdagT8jF7fJ8-p_PXp5fpwzxViCykpRA5oK4Y1qrmRpSaKWMt1IBYc2FUAcLwTFhGjeI6twXWWjCk1iq0DPmE3A6-8bnvjfFBtv3GdfGkZJkAgaKELFI4UNr13jtj5do1q_i7pCD34cljeHIfnhzCi7Kbg_lGrUz9KzqmFQEYALVq_w7_67kDKXh9XA</recordid><startdate>20211101</startdate><enddate>20211101</enddate><creator>Sung, Ki-Chul</creator><creator>Hong, Yun Soo</creator><creator>Lee, Jong-Young</creator><creator>Lee, Seung-Jae</creator><creator>Chang, Yoosoo</creator><creator>Ryu, Seungho</creator><creator>Zhao, Di</creator><creator>Cho, Juhee</creator><creator>Guallar, Eliseo</creator><creator>Lima, Joao A C</creator><general>BMJ Publishing Group Ltd and British Cardiovascular Society</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><orcidid>https://orcid.org/0000-0002-6553-9782</orcidid><orcidid>https://orcid.org/0000-0001-5630-2145</orcidid><orcidid>https://orcid.org/0000-0002-9978-6773</orcidid></search><sort><creationdate>20211101</creationdate><title>Physical activity and the progression of coronary artery calcification</title><author>Sung, Ki-Chul ; Hong, Yun Soo ; Lee, Jong-Young ; Lee, Seung-Jae ; Chang, Yoosoo ; Ryu, Seungho ; Zhao, Di ; Cho, Juhee ; Guallar, Eliseo ; Lima, Joao A C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b442t-988604ca24dbd3e89c2beff0d044d38eb708e358f21eb3c6f74dc8241ffb4f243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Adult</topic><topic>Age</topic><topic>Alcohol use</topic><topic>Blood pressure</topic><topic>Body mass index</topic><topic>Calcium - metabolism</topic><topic>Cardiac risk factors and prevention</topic><topic>Cardiovascular disease</topic><topic>Cholesterol</topic><topic>Coronary Angiography - methods</topic><topic>coronary artery disease</topic><topic>Coronary Artery Disease - diagnosis</topic><topic>Coronary Artery Disease - physiopathology</topic><topic>Coronary Circulation - physiology</topic><topic>Coronary vessels</topic><topic>Coronary Vessels - diagnostic imaging</topic><topic>Coronary Vessels - metabolism</topic><topic>Diabetes</topic><topic>Disease Progression</topic><topic>Drug dosages</topic><topic>Education</topic><topic>Estimates</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Family medical history</topic><topic>Fasting</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Glucose</topic><topic>Health care</topic><topic>Hospitals</topic><topic>Humans</topic><topic>Hypertension</topic><topic>Lipids</topic><topic>Low density lipoprotein</topic><topic>Male</topic><topic>Medical screening</topic><topic>Metabolism</topic><topic>Multidetector Computed Tomography - methods</topic><topic>Prevalence</topic><topic>Prospective Studies</topic><topic>Questionnaires</topic><topic>Republic of Korea - epidemiology</topic><topic>Risk Factors</topic><topic>Triglycerides</topic><topic>Vascular Calcification - diagnosis</topic><topic>Vascular Calcification - metabolism</topic><topic>Vascular Calcification - physiopathology</topic><topic>Veins & arteries</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sung, Ki-Chul</creatorcontrib><creatorcontrib>Hong, Yun Soo</creatorcontrib><creatorcontrib>Lee, Jong-Young</creatorcontrib><creatorcontrib>Lee, Seung-Jae</creatorcontrib><creatorcontrib>Chang, Yoosoo</creatorcontrib><creatorcontrib>Ryu, Seungho</creatorcontrib><creatorcontrib>Zhao, Di</creatorcontrib><creatorcontrib>Cho, Juhee</creatorcontrib><creatorcontrib>Guallar, Eliseo</creatorcontrib><creatorcontrib>Lima, Joao A C</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sung, Ki-Chul</au><au>Hong, Yun Soo</au><au>Lee, Jong-Young</au><au>Lee, Seung-Jae</au><au>Chang, Yoosoo</au><au>Ryu, Seungho</au><au>Zhao, Di</au><au>Cho, Juhee</au><au>Guallar, Eliseo</au><au>Lima, Joao A C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Physical activity and the progression of coronary artery calcification</atitle><jtitle>Heart (British Cardiac Society)</jtitle><stitle>Heart</stitle><addtitle>Heart</addtitle><date>2021-11-01</date><risdate>2021</risdate><volume>107</volume><issue>21</issue><spage>1710</spage><epage>1716</epage><pages>1710-1716</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>BackgroundThe association of physical activity with the development and progression of coronary artery calcium (CAC) scores has not been studied. This study aimed to evaluate the prospective association between physical activity and CAC scores in apparently healthy adults.MethodsProspective cohort study of men and women free of overt cardiovascular disease who underwent comprehensive health screening examinations between 1 March 2011 and 31 December 2017. Baseline physical activity was measured using the International Physical Activity Questionnaire Short Form (IPAQ-SF) and categorised into three groups (inactive, moderately active and health-enhancing physically active (HEPA)). The primary outcome was the difference in the 5-year change in CAC scores by physical activity category at baseline.ResultsWe analysed 25 485 participants with at least two CAC score measurements. The proportions of participants who were inactive, moderately active and HEPA were 46.8%, 38.0% and 15.2%, respectively. The estimated adjusted average baseline CAC scores (95% confidence intervals) in participants who were inactive, moderately active and HEPA were 9.45 (8.76, 10.14), 10.20 (9.40, 11.00) and 12.04 (10.81, 13.26). Compared with participants who were inactive, the estimated adjusted 5-year average increases in CAC in moderately active and HEPA participants were 3.20 (0.72, 5.69) and 8.16 (4.80, 11.53). Higher physical activity was association with faster progression of CAC scores both in participants with CAC=0 at baseline and in those with prevalent CAC.ConclusionWe found a positive, graded association between physical activity and the prevalence and the progression of CAC, regardless of baseline CAC scores.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd and British Cardiovascular Society</pub><pmid>34544807</pmid><doi>10.1136/heartjnl-2021-319346</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-6553-9782</orcidid><orcidid>https://orcid.org/0000-0001-5630-2145</orcidid><orcidid>https://orcid.org/0000-0002-9978-6773</orcidid></addata></record> |
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| subjects | Adult Age Alcohol use Blood pressure Body mass index Calcium - metabolism Cardiac risk factors and prevention Cardiovascular disease Cholesterol Coronary Angiography - methods coronary artery disease Coronary Artery Disease - diagnosis Coronary Artery Disease - physiopathology Coronary Circulation - physiology Coronary vessels Coronary Vessels - diagnostic imaging Coronary Vessels - metabolism Diabetes Disease Progression Drug dosages Education Estimates Exercise Exercise - physiology Family medical history Fasting Female Follow-Up Studies Glucose Health care Hospitals Humans Hypertension Lipids Low density lipoprotein Male Medical screening Metabolism Multidetector Computed Tomography - methods Prevalence Prospective Studies Questionnaires Republic of Korea - epidemiology Risk Factors Triglycerides Vascular Calcification - diagnosis Vascular Calcification - metabolism Vascular Calcification - physiopathology Veins & arteries Womens health |
| title | Physical activity and the progression of coronary artery calcification |
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