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DOI: 10.1055/s-2000-309
Long-Term Effects of Different Physical Activity Levels on Coronary Heart Disease Risk Factors in Middle-Aged Men
Publikationsverlauf
Publikationsdatum:
31. Dezember 2000 (online)
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In order to define the amount of physical activity appropriate in primary prevention of coronary heart disease (CHD), we have compared the effects during 5 years of physical activity in four groups of middle-aged men with different but stable approximate metabolic costs of leisure time sports activities (AMCSA): sedentary (n = 40; 0 kcal per week), low activity (n = 31; 1 - 999 kcal per week), moderate activity (n = 56; 1000 - 1999 kcal per week), and high activity (n = 71; ≥ 2000 kcal per week). Time related increase of body mass and BMI was more pronounced in lower activity groups. Changes in HDL cholesterol were more favourable in the high activity group as compared to sedentary and low activity groups. The increase of diastolic blood pressure (DBP) in the sedentary group was statistically significantly different from the decrease of DBP observed in both moderate and high activity groups. We conclude that favourable long-term stabilization of most coronary risk factors is achievable with physical activity energy expenditure above 1000 kcal per week. Physical activity-related energy expenditure ≥ 2000 kcal per week is associated with some additional benefits, especially with a favourable modification of HDL cholesterol level.
Key words:
Physical activity, fitness, lipids, blood pressure, health promotion.
References
- 01 American College of Sports Medicine position stand . The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Med Sci Sports Exerc. 1990; 22 265-274
- 02 Blair S N. Dose of exercise and health benefits. Arch Intern Med. 1997; 157 153-154
- 03 Blair S N, Kampert J B, Kohl H WI, Barlow C E, Macera C A, Paffenberger R SJ, Gibbons L W. Influence of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. JAMA. 1996; 276 205-210
- 04 Blair S N, Kohl H WI, Barlow C E, Paffenberger R SJ, Gibbons L W, Macera C A. Changes in physical fitness and all-cause mortality: a prospective study of healthy and unhealthy men. JAMA. 1995; 273 1093-1098
- 05 Boldt F, Drygas W, Fric J. Sportmedizin - Kursbestimmung. Berlin, Heidelberg; Springer Verlag 1987: 855-860
- 06 Drygas W, Jegier A, Kunski H. Ischaemic heart disease prevention risk factors in systematically training men aged 30 - 59 years. Mater Med Pol. 1985; 4 43-48
- 07 Drygas W, Jegier A, Kunski H. Study on threshold dose of physical activity in coronary heart disease prevention. Part I: Relationship between leisure time physical activity and coronary risk factors. Int J Sports Med. 1988; 9 275-278
- 08 Durnin J V, Womersley J. Body fat assessed from total body density and its estimation from skinfold thickness: measurements on 481 men and women aged from 16 to 72 years. Br J Nutr. 1974; 32 77-97
- 09 Fox S, Naughton J, Corman P. Physical activity and cardiovascular health. III. The exercise prescription: frequency and type of activity. Mod Concepts Cardiovasc Dis. 1972; 41 25-30
- 10 Hein H O, Suadicani P, Gyntelberg F. Physical fitness or physical activity as a predictor of ischaemic heart disease? A 17-year follow-up in the Copenhagen Male Study. J Intern Med. 1992; 232 471-479
- 11 Kostka T, Bonnefoy M, Berthouze S E, Lacour J-R. The relationship of physical activity and fitness to lipid and lipoprotein (a) levels in the elderly men and women. Med Sci Sports Exerc. 1999; 31 1183-1189
- 12 Lakka T A, Venäläinen J M, Rauramaa R, Salonen R, Tuomiletho J, Salonen J T. Relationship of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction in men. N Engl J Med. 1994; 330 1549-1554
- 13 Leon A S, Myers M J, Connett J. Leisure time physical activity and the 16-year risks of mortality from coronary heart disease and all-causes in the Multiple Risk Factor Intervention Trial (MRFIT). Int J Sports Med. 1997; 18 S208-S215
- 14 Mengelkoch L J, Pollock M L, Limacher M C, Graves J E, Shireman R B, Riley W J, Lowenthal D T, Leon A S. Effects of age, physical training, and physical fitness on coronary heart disease risk factors in older track athletes at twenty-year follow-up. J Am Geriatr Soc. 1997; 45 1446-1453
- 15 Mensink G BM, Heerstrass D W, Neppelenbroek S E, Schuit A J, Bellach B-M. Intensity, duration, and frequency of physical activity and coronary risk factors. Med Sci Sports Exerc. 1997; 29 1192-1198
- 16 Nieman D C, Warren B J, O'Donnell K A, Dotson R G, Butterworth D E, Henson D A. Physical activity and serum lipids and lipoproteins in elderly women. J Am Geriatr Soc. 1993; 41 1339-1344
- 17 Paffenbarger R, Hyde R, Wing A, Hsieh C. Physical activity, all-cause mortality, and longevity of college alumni. N Engl J Med. 1986; 314 605-613
- 18 Paffenbarger R, Wing A, Hyde R. Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol. 1978; 108 161-175
- 19 Paffenbarger R S, Hyde R T, Wing A L, Lee I M, Jung D L, Kampert J B. The association of changes in physical-activity level and other lifestyle characteristics with mortality among men. N Engl J Med. 1993; 328 538-545
- 20 Paffenbarger R S, Kampert J B, Lee I M, Hyde R T, Leung R W, Wing A L. Changes in physical activity and other lifeway patterns influencing longevity. Med Sci Sports Exerc. 1994; 26 857-865
- 21 Rauramaa R, Salonen J, Kukkonen K, Seppanen K, Seppala E, Vapaatala H, Huttunen J. Effects of mild physical exercise on serum lipoproteins and metabolites of arachidonic acid: a controlled randomized trial in middle-aged men. Br Med J. 1984; 288 603-606
- 22 Rose G, Blackburn H. Cardiovascular Survey Methods. Geneva; WHO 1968
- 23 Rywik S L, Davis C E, Pajak A, Broda G, Folsom A, Kawalec E, Williams O D. Poland and U.S. collaborative study on cardiovascular epidemiology hypertension in the community: prevalence, awareness, treatment, and control of hypertension in the Pol-MONICA Project and the U. S. arteriosclerosis risk in the communities studies. Ann Epidemiol. 1998; 8 3-13
- 24 Sedgwick A, Brotherhood J, Harris-Davidson A, Taplin R, Thomas D. Long-term effects of physical training on risk factors of coronary heart disease in otherwise sedentary men. Br Med J. 1980; 281 7-10
- 25 Uemura K, Pisa Z. Trends in cardiovascular disease mortality in industrialized countries since 1950. World Health Stat Q. 1988; 41 155-178
- 26 Williams P, Wood P, Haskell W, Vranitzan K. The effects of running mileage and duration on plasma lipoprotein levels. JAMA. 1982; 247 2674-2677
- 27 Williams P T. Relationship of distance run per week to coronary heart disease risk factors in 8283 male runners. Arch Intern Med. 1997; 157 191-198
Prof. Wojciech Drygas
Department of Preventive Medicine Medical University
Zachodnia 81/83 90-402 Łodz Poland
Telefon: Phone:+ 48 (42) 632 60 29
Fax: Fax:+ 48 (42) 632 60 29
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