Despite increased efforts at eliminating disparities, differences continue to exist for racial and ethnic groups on a number of important health indicators for cardiovascular disease (CVD). There are a number of potential explanations for these persistent racial and ethnic disparities, including
Kerstin Gerst Emerson and Jennifer Gay
Ítalo Ribeiro Lemes, Xuemei Sui, Stacy L. Fritz, Paul F. Beattie, Carl J. Lavie, Bruna Camilo Turi-Lynch and Steven N. Blair
conditions may have significantly reduced life expectancy. Higher levels of cardiorespiratory fitness (hereafter referred to as fitness) are widely known to be associated with reduced risk of type 2 diabetes mellitus, 11 cardiovascular disease (CVD), 12 , 13 stroke, 14 cancer mortality, 15 , 16 and all
Anna K. Porter, Samantha Schilsky, Kelly R. Evenson, Roberta Florido, Priya Palta, Katelyn M. Holliday and Aaron R. Folsom
There is substantial evidence of an inverse dose–response relationship between physical activity and cardiovascular disease (CVD) risk. 1 , 2 Physical activity is also important for the prevention and management of risk factors for CVD, such as obesity, hypertension, dyslipidemia, and insulin
Youngdeok Kim, Joaquin U. Gonzales and P. Hemachandra Reddy
-related morbidity and mortality. Several large-scale epidemiological studies have reported an inverse association between handgrip strength and risk of developing cardiovascular diseases (CVDs) including hypertension, coronary heart disease, and diabetes along with cardiovascular mortality ( Cheung, Nguyen, Au, Tan
Christopher C. Draheim, Daniel P. Williams and Jeffrey A. McCubbin
The purpose of the study is to determine whether cardiovascular disease risk factor differences exist between Active Special Olympians, Inactive Non-Special Olympians, and Active Non-Special Olympians. Resting blood pressure, total and abdominal body fat, fasting cholesterol profiles, and fasting insulin were measured in 145 (72 women, 73 men) adults with mild mental retardation. Active Special Olympians (n = 45) possessed lower diastolic blood pressures, body fat percentages, abdominal fat, triglycerides, and insulin than Inactive Non-Special Olympians (n = 38) and possessed lower body fat percentages than Active Non-Special Olympians (n = 62). Active Non-Special Olympians possessed lower triglycerides and insulin than Inactive Non-Special Olympians. Future prospective trials are needed to determine whether Special Olympics participation may be one effective component of community-based physical activity programs aimed at reducing cardiovascular disease risk.
Humberto José Gomes Silva, Lars Bo Andersen, Mara Cristina Lofrano-Prado, Mauro V.G. Barros, Ismael Fortes Freitas Jr., James Hill and Wagner Luiz do Prado
It is unclear how different exercise intensities affect cardiovascular disease (CVD) risk factors in obese adolescents. The aim of this study was to compare the effects of high-intensity (HIT) vs. low-intensity (LIT) aerobic training on CVD risk factors in obese adolescents.
Forty-three obese adolescents (age: 15.7 ± 1.3 years, BMI: 34.3 ± 4.1kg/m2) participated this study either HIT (corresponding to ventilatory threshold I; N = 20) or LIT (20% below ventilatory threshold I; N = 23) for 12 weeks. All sessions were isocaloric (350 kcal). All participants received the same nutritional, psychological, and clinical counseling. Subjects were assessed in fatness, fitness, lipid profile, and glucose at baseline and after 12 weeks. The CVD risk factors assessed were waist circumference (WC), total cholesterol (TC), high-density lipoprotein (HDL), glucose, and fitness, which were single and clustered analyzed (z scores sum).
Body mass, Body Mass Index, fatness, and WC were improved (P < .001) in both groups. The sum of z scores (WC + TC + glucose-fitness-HDL) improved in both HIT (12 weeks = −2.16 SD; Cohen’s d = .45) and LIT (12 weeks = −2.13 SD; Cohen’s d = .60) without groups differences. Changes in fitness were associated with changes in WC (r = −.48; P = .003).
HIT does not promote any additional improvements in CVD risk factors than LIT in obese adolescents.
Trynke Hoekstra, Colin A. Boreham, Liam J. Murray and Jos W.R. Twisk
It is not clear what the relative contribution is of specific components of physical fitness (aerobic and muscular) to cardiovascular disease (CVD) risk. We investigated associations between aerobic fitness (endurance) and muscular fitness (power) and CVD risk factors.
Data were obtained from the Young Hearts project, a representative sample of 12- and 15-year-old boys and girls from Northern Ireland (N = 2016). Aerobic fitness was determined by the 20-m shuttle run test, muscular fitness by the Sargent jump test. CVD risk factors included sum of skinfolds, systolic and diastolic blood pressure, serum total cholesterol (TC), HDL cholesterol, and TC:HDL ratio. Several linear regression analyses were conducted for 4 age and gender groups separately, with the risk factor as the outcome variable.
Significant associations between aerobic fitness and a healthy CVD risk profile were found. These observed relationships were independent of power, whereas the (few) relationships between muscular fitness and the risk factors were partly explained by endurance.
Tailored, preventive strategies during adolescence, incorporating endurance rather than power sports, could be encouraged to help prevent CVD. This is important because existing studies propose that healthiness during adulthood is founded on healthiness in adolescence.
Katja Borodulin, Anja Kärki, Tiina Laatikainen, Markku Peltonen and Riitta Luoto
Daily sitting time may be a risk factor for incident cardiovascular disease (CVD); however, this has not yet been extensively studied. Our aim was to study the association of total sitting time with the risk of CVD.
Participants (n = 4516, free of CVD at baseline) from the National FINRISK 2002 Study were followed for fatal and nonfatal CVD using national registers. Participants underwent a health examination and completed questionnaires, including total daily sitting time.
During a mean follow-up of 8.6 years, 183 incident CVD cases occurred. Sitting on a typical weekday, at baseline, was statistically significantly associated with fatal and nonfatal incident CVD. The hazard ratios (with 95% confidence intervals, CI) for the total amount of sitting were 1.05 (95% CI, 1.00–1.10) in the age and gender adjusted model and 1.06 (95% CI, 1.01–1.11) in the fully adjusted model, including age, gender, employment status, education, BMI, smoking status, leisure time physical activity, use of vegetables and fruit, alcohol use, blood pressure or its medication, and cholesterol or its medication.
Our findings suggest that total amount of daily sitting is a risk factor for incident CVD. More research is needed to understand the etiology of sedentary behavior and CVD.
Katherine M. White, Deborah J. Terry, Carolyn Troup, Lynn A. Rempel, Paul Norman, Kerry Mummery, Malcolm Riley, Natasha Posner and Justin Kenardy
A randomized controlled trial evaluated the effectiveness of a 4-wk extended theory of planned behavior (TPB) intervention to promote regular physical activity and healthy eating among older adults diagnosed with Type 2 diabetes or cardiovascular disease (N = 183). Participants completed TPB measures of attitude, subjective norm, perceived behavioral control, and intention, as well as planning and behavior, at preintervention and 1 wk and 6 wk postintervention for each behavior. No significant time-by-condition effects emerged for healthy eating. For physical activity, significant time-by-condition effects were found for behavior, intention, planning, perceived behavioral control, and subjective norm. In particular, compared with control participants, the intervention group showed short-term improvements in physical activity and planning, with further analyses indicating that the effect of the intervention on behavior was mediated by planning. The results indicate that TPB-based interventions including planning strategies may encourage physical activity among older people with diabetes and cardiovascular disease.
Chris Riddoch, Dawn Edwards, Angie Page, Karsten Froberg, Sigmund A. Anderssen, Niels Wedderkopp, Søren Brage, Ashley R. Cooper, Luis B. Sardinha, Maarike Harro, Lena Klasson-Heggebø, Willem van Mechelen, Colin Boreham, Ulf Ekelund, Lars Bo Andersen and The European Youth Heart Study Team
The aim of the European Youth Heart Study (EYHS) is to establish the nature, strength, and interactions between personal, environmental, and lifestyle influences on cardiovascular disease (CVD) risk factors in European children.
The EYHS is an international study measuring CVD risk factors, and their associated influences, in children. Relationships between these independent factors and risk of disease will inform the design of CVD interventions in children. A minimum of 1000 boys and girls ages 9 and 15 y were recruited from four European countries—Denmark, Estonia, Norway, and Portugal. Variables measured included physical, biochemical, lifestyle, psychosocial, and sociodemographic data.
Of the 5664 children invited to participate, 4169 (74%) accepted. Response rates for most individual tests were moderate to high. All test protocols were well received by the children.
EYHS protocols are valid, reliable, acceptable to children, and feasible for use in large, field-based studies.