Predictors of Endothelial Function in Employees With Sedentary Occupations in a Worksite Exercise Program
A sedentary workforce may be at increased risk for future cardiovascular disease. Exercise at the work site has been advocated, but effects on endothelium as a biomarker of risk and relation to weight loss, lipid changes, or circulating endothelial progenitor cells (EPCs) have not been reported. Sev...
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| Veröffentlicht in: | The American journal of cardiology 2008-10, Vol.102 (7), p.820-824 |
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| creator | Lippincott, Margaret F., MD Desai, Aditi, BA Zalos, Gloria, RN Carlow, Andrea, BA De Jesus, Janet, MS, RD Blum, Arnon, MD Smith, Kevin, RN Rodrigo, Maria, MD Patibandla, Sushmitha, MD Chaudhry, Hira, BS Glaser, Alexander P., BA Schenke, William H., BA Csako, Gyorgy, MD Waclawiw, Myron A., PhD Cannon, Richard O., MD |
| description | A sedentary workforce may be at increased risk for future cardiovascular disease. Exercise at the work site has been advocated, but effects on endothelium as a biomarker of risk and relation to weight loss, lipid changes, or circulating endothelial progenitor cells (EPCs) have not been reported. Seventy-two office and laboratory employees (58 women; average age 45 years, range 22 to 62; 26 with body mass index values >30 kg/m 2 ) completed 3 months of participation in the National Heart, Lung, and Blood Institute's Keep the Beat program, with the determination of vital signs, laboratory data, and peak oxygen consumption (VO 2 ) during treadmill exercise. Brachial artery endothelium was tested by flow-mediated dilation (FMD), which at baseline was inversely associated with Framingham risk score (r = −0.3689, p |
| doi_str_mv | 10.1016/j.amjcard.2008.05.020 |
| format | Article |
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Exercise at the work site has been advocated, but effects on endothelium as a biomarker of risk and relation to weight loss, lipid changes, or circulating endothelial progenitor cells (EPCs) have not been reported. Seventy-two office and laboratory employees (58 women; average age 45 years, range 22 to 62; 26 with body mass index values >30 kg/m 2 ) completed 3 months of participation in the National Heart, Lung, and Blood Institute's Keep the Beat program, with the determination of vital signs, laboratory data, and peak oxygen consumption (VO 2 ) during treadmill exercise. Brachial artery endothelium was tested by flow-mediated dilation (FMD), which at baseline was inversely associated with Framingham risk score (r = −0.3689, p <0.0001). EPCs were quantified by colony assay. With exercise averaging 98 ± 47 minutes each workweek, there was improvement in FMD (from 7.8 ± 3.4% to 8.5 ± 3.0%, p = 0.0096) and peak VO 2 (+1.2 ± 3.1 ml O 2 /kg/min, p = 0.0028), with reductions in diastolic blood pressure (−2 ± 8 mm Hg, p = 0.0478), total cholesterol (−8 ± 25 mg/dl, p = 0.0131), and low-density lipoprotein cholesterol (−7 ± 19 mg/dl, p = 0.0044) but with a marginal reduction in weight (−0.5 ± 2.1 kg, p = 0.0565). By multiple regression modeling, lower baseline FMD, greater age, reductions in total and low-density lipoprotein cholesterol and diastolic blood pressure, and increases in EPC colonies and peak VO 2 were jointly statistically significant predictors of change in FMD and accounted for 47% of the variability in FMD improvement with program participation. Results were similar when modeling was performed for women only. In contrast, neither adiposity at baseline nor change in weight was a predictor of improved endothelial function. In conclusion, daily exercise achievable at their work sites by employees with sedentary occupations improves endothelial function, even with the absence of weight loss, which may decrease cardiovascular risk, if sustained.</description><identifier>ISSN: 0002-9149</identifier><identifier>EISSN: 1879-1913</identifier><identifier>DOI: 10.1016/j.amjcard.2008.05.020</identifier><identifier>PMID: 18805104</identifier><identifier>CODEN: AJCDAG</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Biological and medical sciences ; Cardiology ; Cardiology. Vascular system ; Cardiovascular ; Cardiovascular disease ; Cardiovascular Diseases - etiology ; Cardiovascular Diseases - prevention & control ; Cells ; Cholesterol - blood ; Endothelium, Vascular - physiology ; Exercise ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Occupational Health ; Occupations ; Oxygen Consumption - physiology ; Regression Analysis ; Risk Assessment ; Risk factors ; Wellness programs</subject><ispartof>The American journal of cardiology, 2008-10, Vol.102 (7), p.820-824</ispartof><rights>Elsevier Inc.</rights><rights>2008 Elsevier Inc.</rights><rights>2008 INIST-CNRS</rights><rights>Copyright Elsevier Sequoia S.A. 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Exercise at the work site has been advocated, but effects on endothelium as a biomarker of risk and relation to weight loss, lipid changes, or circulating endothelial progenitor cells (EPCs) have not been reported. Seventy-two office and laboratory employees (58 women; average age 45 years, range 22 to 62; 26 with body mass index values >30 kg/m 2 ) completed 3 months of participation in the National Heart, Lung, and Blood Institute's Keep the Beat program, with the determination of vital signs, laboratory data, and peak oxygen consumption (VO 2 ) during treadmill exercise. Brachial artery endothelium was tested by flow-mediated dilation (FMD), which at baseline was inversely associated with Framingham risk score (r = −0.3689, p <0.0001). EPCs were quantified by colony assay. With exercise averaging 98 ± 47 minutes each workweek, there was improvement in FMD (from 7.8 ± 3.4% to 8.5 ± 3.0%, p = 0.0096) and peak VO 2 (+1.2 ± 3.1 ml O 2 /kg/min, p = 0.0028), with reductions in diastolic blood pressure (−2 ± 8 mm Hg, p = 0.0478), total cholesterol (−8 ± 25 mg/dl, p = 0.0131), and low-density lipoprotein cholesterol (−7 ± 19 mg/dl, p = 0.0044) but with a marginal reduction in weight (−0.5 ± 2.1 kg, p = 0.0565). By multiple regression modeling, lower baseline FMD, greater age, reductions in total and low-density lipoprotein cholesterol and diastolic blood pressure, and increases in EPC colonies and peak VO 2 were jointly statistically significant predictors of change in FMD and accounted for 47% of the variability in FMD improvement with program participation. Results were similar when modeling was performed for women only. In contrast, neither adiposity at baseline nor change in weight was a predictor of improved endothelial function. In conclusion, daily exercise achievable at their work sites by employees with sedentary occupations improves endothelial function, even with the absence of weight loss, which may decrease cardiovascular risk, if sustained.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cardiology</subject><subject>Cardiology. 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Vascular system</topic><topic>Cardiovascular</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular Diseases - etiology</topic><topic>Cardiovascular Diseases - prevention & control</topic><topic>Cells</topic><topic>Cholesterol - blood</topic><topic>Endothelium, Vascular - physiology</topic><topic>Exercise</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Occupational Health</topic><topic>Occupations</topic><topic>Oxygen Consumption - physiology</topic><topic>Regression Analysis</topic><topic>Risk Assessment</topic><topic>Risk factors</topic><topic>Wellness programs</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lippincott, Margaret F., MD</creatorcontrib><creatorcontrib>Desai, Aditi, BA</creatorcontrib><creatorcontrib>Zalos, Gloria, RN</creatorcontrib><creatorcontrib>Carlow, Andrea, BA</creatorcontrib><creatorcontrib>De Jesus, Janet, MS, RD</creatorcontrib><creatorcontrib>Blum, Arnon, MD</creatorcontrib><creatorcontrib>Smith, Kevin, RN</creatorcontrib><creatorcontrib>Rodrigo, Maria, MD</creatorcontrib><creatorcontrib>Patibandla, Sushmitha, MD</creatorcontrib><creatorcontrib>Chaudhry, Hira, BS</creatorcontrib><creatorcontrib>Glaser, Alexander P., BA</creatorcontrib><creatorcontrib>Schenke, William H., BA</creatorcontrib><creatorcontrib>Csako, Gyorgy, MD</creatorcontrib><creatorcontrib>Waclawiw, Myron A., PhD</creatorcontrib><creatorcontrib>Cannon, Richard O., MD</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biochemistry Abstracts 1</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>The American journal of cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lippincott, Margaret F., MD</au><au>Desai, Aditi, BA</au><au>Zalos, Gloria, RN</au><au>Carlow, Andrea, BA</au><au>De Jesus, Janet, MS, RD</au><au>Blum, Arnon, MD</au><au>Smith, Kevin, RN</au><au>Rodrigo, Maria, MD</au><au>Patibandla, Sushmitha, MD</au><au>Chaudhry, Hira, BS</au><au>Glaser, Alexander P., BA</au><au>Schenke, William H., BA</au><au>Csako, Gyorgy, MD</au><au>Waclawiw, Myron A., PhD</au><au>Cannon, Richard O., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Predictors of Endothelial Function in Employees With Sedentary Occupations in a Worksite Exercise Program</atitle><jtitle>The American journal of cardiology</jtitle><addtitle>Am J Cardiol</addtitle><date>2008-10-01</date><risdate>2008</risdate><volume>102</volume><issue>7</issue><spage>820</spage><epage>824</epage><pages>820-824</pages><issn>0002-9149</issn><eissn>1879-1913</eissn><coden>AJCDAG</coden><abstract>A sedentary workforce may be at increased risk for future cardiovascular disease. Exercise at the work site has been advocated, but effects on endothelium as a biomarker of risk and relation to weight loss, lipid changes, or circulating endothelial progenitor cells (EPCs) have not been reported. Seventy-two office and laboratory employees (58 women; average age 45 years, range 22 to 62; 26 with body mass index values >30 kg/m 2 ) completed 3 months of participation in the National Heart, Lung, and Blood Institute's Keep the Beat program, with the determination of vital signs, laboratory data, and peak oxygen consumption (VO 2 ) during treadmill exercise. Brachial artery endothelium was tested by flow-mediated dilation (FMD), which at baseline was inversely associated with Framingham risk score (r = −0.3689, p <0.0001). EPCs were quantified by colony assay. With exercise averaging 98 ± 47 minutes each workweek, there was improvement in FMD (from 7.8 ± 3.4% to 8.5 ± 3.0%, p = 0.0096) and peak VO 2 (+1.2 ± 3.1 ml O 2 /kg/min, p = 0.0028), with reductions in diastolic blood pressure (−2 ± 8 mm Hg, p = 0.0478), total cholesterol (−8 ± 25 mg/dl, p = 0.0131), and low-density lipoprotein cholesterol (−7 ± 19 mg/dl, p = 0.0044) but with a marginal reduction in weight (−0.5 ± 2.1 kg, p = 0.0565). By multiple regression modeling, lower baseline FMD, greater age, reductions in total and low-density lipoprotein cholesterol and diastolic blood pressure, and increases in EPC colonies and peak VO 2 were jointly statistically significant predictors of change in FMD and accounted for 47% of the variability in FMD improvement with program participation. Results were similar when modeling was performed for women only. In contrast, neither adiposity at baseline nor change in weight was a predictor of improved endothelial function. In conclusion, daily exercise achievable at their work sites by employees with sedentary occupations improves endothelial function, even with the absence of weight loss, which may decrease cardiovascular risk, if sustained.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>18805104</pmid><doi>10.1016/j.amjcard.2008.05.020</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Biological and medical sciences Cardiology Cardiology. Vascular system Cardiovascular Cardiovascular disease Cardiovascular Diseases - etiology Cardiovascular Diseases - prevention & control Cells Cholesterol - blood Endothelium, Vascular - physiology Exercise Female Humans Male Medical sciences Middle Aged Occupational Health Occupations Oxygen Consumption - physiology Regression Analysis Risk Assessment Risk factors Wellness programs |
| title | Predictors of Endothelial Function in Employees With Sedentary Occupations in a Worksite Exercise Program |
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