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Work Activity and Coronary Heart Mortality
Abstract
To appraise the role of physical activity in reducing coronary mortality among longshoremen, 6351 men, 35 to 74 years old upon entry, were followed for 22 years or to death or to the age of 75. Their longshoring experience was computed in terms of work-years according to categories of high, medium and low caloric output. Individual work assignments were reclassified annually to allow for effect of job transfers. The age-adjusted coronary death rate for the high-activity category was 26.9 per 10,000 work-years, and the medium and low catgories had rates of 46.3 and 49.0 which were little different from each other. This protective "threshold" effect was seen especially for the sudden-death syndrome, in which the death rate for heavy workers was 5.6, as contrasted with 19.9 for moderate and 15.7 for light workers. We conclude that repeated bursts of high energy output established a plateau of protection against coronary mortality, and that several different mechanisms may explain this finding.
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Citations
Cited by
Health benefits of physical activity: the evidence
Warburton, D. E. R. (2006) · Canadian Medical Association Journal · doi:10.1503/cmaj.051351 · Cited by 8,007
Fletcher, G. F., Ades, P. A., Kligfield, P., Arena, R., Balady, G. J., Bittner, V. A., Coke, L. A., Fleg, J. L., Forman, D. E., Gerber, T. C., et al. (2013) · Circulation · doi:10.1161/cir.0b013e31829b5b44 · Cited by 2,235
Fletcher, G. F., Balady, G. J., Amsterdam, E. A., Chaitman, B., Eckel, R., Fleg, J., Froelicher, V. F., Leon, A. S., Piña, I. L., Rodney, R., et al. (2001) · Circulation · doi:10.1161/hc3901.095960 · Cited by 1,923
Andersen, L. B., Schnohr, P., Schroll, M., & Hein, H. O. (2000) · Archives of Internal Medicine · doi:10.1001/archinte.160.11.1621 · Cited by 1,035
Triggering of Sudden Death from Cardiac Causes by Vigorous Exertion
Albert, C. M., Mittleman, M. A., Chae, C. U., Lee, I.-M., Hennekens, C. H., & Manson, J. E. (2000) · New England Journal of Medicine · doi:10.1056/nejm200011093431902 · Cited by 1,020
Metadata
- Authors
- Paffenbarger, R. S., & Hale, W. E.
- Venue
- New England Journal of Medicine
- Publisher
- Massachusetts Medical Society
- Published
- 1975-03-13
- Volume
- 292
- Issue
- 11
- Pages
- 545-550
- ISSN
- 0028-4793 (ISSN-L)
- 1533-4406
- OpenAlex
- W2093472884
- Cited by
- 581
- References
- 0
- FWCI
- 18.43
- Type
- journal article
- Language
- en
- Open access
- closed
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- Paffenbarger, R. S., & Hale, W. E. (1975). Work Activity and Coronary Heart Mortality. New England Journal of Medicine. https://doi.org/10.1056/nejm197503132921101
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Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.