Cited by 116Atrial Fibrillation Management and OutcomesPhysical Activity and HealthCardiovascular and exercise physiology

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Physical Activity and the Risk of Incident Atrial Fibrillation in Women

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Everett, Brendan M., Conen, David, Buring, Julie E., Moorthy, M.V., Lee, I-Min, Albert, Christine M.·2011·Circulation: Cardiovascular Quality and Outcomes

DOI 10.1161/circoutcomes.110.951442PMC PMC3097307

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Abstract

Background—: Physical activity (PA) is well known to reduce the risk of cardiovascular disease. We hypothesized that regular PA, possibly acting through reductions in blood pressure and body mass index (BMI), would reduce the risk of incident atrial fibrillation (AF) in women. Methods and Results—: We prospectively followed 34 759 women who reported their leisure-time PA levels for the occurrence of AF. We estimated energy expenditure in metabolic equivalent (MET)-h/wk and validated self-reported AF with medical records. The mean (SD) age of the 34 759 participants was 54.6 (7.0) years, the mean BMI was 26.0 (5.0) kg/m 2 , 26.5% had hypertension, and the median (IQR) PA was 8.4 (2.8, 20.4) MET-h/wk. After a median of 14.4 years of observation, 968 women had development of AF. In age-, cholesterol-, smoking-, alcohol-, diabetes-, and race-adjusted models, increasing quintiles of PA were associated with reduced risks of AF (hazard ratio for extreme quintiles, 0.82; 0.66 to 1.01; P trend=0.007 over quintiles). Although this association was not substantially different after adjusting for hypertension (0.87; 0.70 to 1.07; P trend 0.02), it was attenuated after adjustment for BMI (0.99; 0.80 to 1.23; P trend=0.22). Women who achieved the federal government's recommendation of 7.5 MET-h/wk of PA were at reduced risk of AF compared with those who did not (0.86; 0.75 to 0.98; P =0.03). This association was also attenuated by BMI (0.96; 0.84 to 1.10; P =0.57). Conclusions—: In middle-aged women, physical activity was associated with a modestly reduced risk of AF. However, this relationship was no longer significant after controlling for body mass index.

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Authors: Everett, B. M., Conen, D., Buring, J. E., Moorthy, M. V., Lee, I.-M., & Albert, C. M.
Affiliations: Brigham and Women's Hospital (US)
ORCID: Everett, Brendan M.
Conen, David
Buring, Julie E.
Moorthy, M.V.
Lee, I-Min
Albert, Christine M.
Venue: Circulation: Cardiovascular Quality and Outcomes
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2011-05
Volume: 4
Issue: 3
Pages: 321-327
ISSN: 1941-7705 (ISSN-L)
1941-7713
DOI: 10.1161/circoutcomes.110.951442
PMC: PMC3097307
OpenAlex: W2147818589
Cited by: 116
References: 43
Citations by year: 2026: 4 · 2024: 4 · 2023: 6 · 2022: 4 · 2021: 19 · 2020: 14 · 2019: 8 · 2018: 12 · 2017: 6 · 2016: 9 · 2015: 10 · 2014: 5 · 2013: 8 · 2012: 6
FWCI: 4.38
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Locations: Circulation Cardiovascular Quality and Outcomes (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (5r01hl043851-10)
National Heart, Lung, and Blood Institute (R01HL080467, HL043851, HL-093613, R01‐HL043851, HL099355, R21HL093613, RC1HL099355, HL080467)
National Cancer Institute (CA 047988, R01CA047988)
Topics: Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Atrial Fibrillation Management and Outcomes
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
Keywords: physical activity, atrial fibrillation, women, body mass index, hypertension, energy expenditure, leisure-time physical activity, middle-aged women, cardiovascular risk
MeSH terms: Atrial Fibrillation, Blood Pressure, Electrocardiography, Female, Follow-Up Studies, Humans, Middle Aged, Motor Activity, Prospective Studies, Risk Factors, Body Mass Index, Incidence, Self Report

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Physical Activity and the Risk of Incident Atrial Fibrillation in Women

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