Abstract

BackgroundHigh body mass index (BMI) and lack of physical activity have been recognized as important risk factors for coronary heart disease. The aim of the present study was to evaluate whether leisure-time physical activity compensates for the increased risk of acute myocardial infarction associated with overweight and obesity.MethodsData from the SHEEP (Stockholm Heart Epidemiology Program) study were used. The SHEEP study is a large Swedish population-based case-control study, comprising 1204 male and 550 female cases, and 1538 male and 777 female controls, conducted in Stockholm County, Sweden, during the period 1992–1994. Odds ratios (OR), together with 95 % confidence intervals (95% CI), were calculated using unconditional logistic regression, as estimates of the relative risks.ResultsRegular leisure-time physical activity was associated with a decreased risk of myocardial infarction among lean, normal-weight and overweight subjects, but not among obese subjects. Obese (BMI ≥ 30) and physically active persons had an almost twofold risk of myocardial infarction, compared with normal-weight and sedentary persons (OR 1.85, 95% CI 1.07–3.18). The results were similar for men and women.ConclusionWhile regular leisure-time physical activity seems to provide protection against myocardial infarction among lean, normal-weight and overweight subjects, this does not appear to be the case in obese subjects.

Highlights

  • High body mass index (BMI) and lack of physical activity have been recognized as important risk factors for coronary heart disease

  • Regular physical activity seems to attenuate much of the increased risk associated with overweight or obesity, and active obese persons seem to have lower allcause mortality and CHD morbidity compared with those who are of normal weight but physically inactive [16]

  • Leisure-time physical activity on a regular basis was associated with a decreased risk of myocardial infarction among the normal-weight persons

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Summary

Introduction

High body mass index (BMI) and lack of physical activity have been recognized as important risk factors for coronary heart disease. The aim of the present study was to evaluate whether leisure-time physical activity compensates for the increased risk of acute myocardial infarction associated with overweight and obesity Both excess body weight and lack of leisure-time physical activity have been identified as important risk factors for cardiovascular mortality, as well as coronary heart disease [1,2,3,4,5,6,7,8,9,10,11,12,13]. Regular physical activity seems to attenuate much of the increased risk associated with overweight or obesity, and active obese persons seem to have lower allcause mortality and CHD morbidity compared with those who are of normal weight but physically inactive [16]. We wanted to study whether leisuretime physical activity lowers the risk of myocardial infarction among overweight and obese persons to the same level, or lower, as among normal-weight but physically inactive persons

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