Gymnastik- och idrottshögskolan, GIH

Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Physical activity and sedentary behaviour thresholds for secondary prevention of coronary heart disease: morbidity survival tree analysis.
Swedish School of Sport and Health Sciences, GIH, Department of Physical Activity and Health. Health Research Institute, University of Canberra, Bruce, ACT, Australia.ORCID iD: 0000-0001-9833-8306
Health Research Institute, University of Canberra, Bruce, ACT, Australia.
Health Research Institute, University of Canberra, Bruce, ACT, Australia.
Sydney School of Public Health, The University of Sydney, NSW 2006, Australia.
Show others and affiliations
2024 (English)In: Canadian Journal of Cardiology, ISSN 0828-282X, E-ISSN 1916-7075, article id S0828-282X(24)01230-3Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: There are no diagnosis-specific guidelines for moderate-to-vigorous physical activity (MVPA) and sedentary behaviour (SB) for coronary heart disease (CHD). This study aims identifying thresholds of MVPA and SB associated with cardiovascular events.

METHODS: Cohort study including individuals with CHD. MVPA and SB were self-reported, and health registers identified cardiovascular events (2006-2022). Survival tree analyses identified thresholds of time associated with the risk of cardiovascular events. Thresholds were explored in Cox regression models.

RESULTS: There were 40,156 Australians, 62% men, mean age 70 years. Over 8.3 median years, 3260 non-fatal cardiac events, 5161 total cardiac events, and 14,383 major adverse cardiovascular events (MACE) occurred. Thresholds for MVPA were 122 minutes/week for non-fatal cardiac events and 94 minutes/week for total cardiac events and MACE. Meeting MVPA thresholds was associated with an 18% lower risk for non-fatal cardiac events, 29% lower risk of total cardiac events, and 23% lower risk of MACE than not reaching the thresholds. Thresholds for SB were 4 and 10 hours/day respectively for risk of total cardiac events and MACE. SB below thresholds was associated with a 14% lower risk of total cardiac events and an 18% lower risk of MACE. There were sex-specific thresholds for MVPA and SB.

CONCLUSION: To lower cardiovascular event risk, identified MVPA thresholds were lower (94-122 minutes/week) than the public health guidelines (150 minutes/week) in individuals with CHD. The SB thresholds associated with a lower risk of total cardiac events and MACE varied between 4-10 hours/day.

Place, publisher, year, edition, pages
Elsevier, 2024. article id S0828-282X(24)01230-3
Keywords [en]
Ischemic heart disease, exercise, guidelines, sedentary time
National Category
Cardiac and Cardiovascular Systems
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-8413DOI: 10.1016/j.cjca.2024.11.025PubMedID: 39617049Scopus ID: 2-s2.0-85214016768OAI: oai:DiVA.org:gih-8413DiVA, id: diva2:1917692
Available from: 2024-12-03 Created: 2024-12-03 Last updated: 2025-01-20

Open Access in DiVA

fulltext(1673 kB)19 downloads
File information
File name FULLTEXT01.pdfFile size 1673 kBChecksum SHA-512
3544264bc67d5667d13c2d7f2f7d95b53d09bad4ea2b77bdce9bc7f2f46b98bf22d09bce8f7fba82c7ffea5a78eca6daf0e6c0a6b6a9d28b6607197d556ff592
Type fulltextMimetype application/pdf

Other links

Publisher's full textPubMedScopus

Authority records

Lönn, Amanda

Search in DiVA

By author/editor
Lönn, Amanda
By organisation
Department of Physical Activity and Health
In the same journal
Canadian Journal of Cardiology
Cardiac and Cardiovascular Systems

Search outside of DiVA

GoogleGoogle Scholar
Total: 19 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 39 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf