Circulation, Vol 79, 304-311, Copyright © 1989 by American Heart Association
ML Slattery, DR Jacobs Jr and MZ Nichaman
Seventeen to 20 years of mortality follow-up were used to study the
relation of leisure time physical activity (LTPA) to coronary heart disease
mortality and to all-cause mortality in white male US railroad workers (n =
3,043). This cohort was initially examined from 1957 to 1960, reexamined
from 1962 to 1964, and followed until 1977 or death. LTPA was ascertained
by a precursor of the Minnesota Leisure Time Physical Activity
Questionnaire. The risk estimate for coronary heart disease death, after
adjusting for age, was 1.39 for sedentary men who expended 40 kcal/wk in
LTPA compared with very active men who expended 3,632 kcal/wk. This
relation was attenuated by adjusting for other coronary heart disease risk
factors, but it remained independent and significant. Caloric expenditure
in light and moderate activity, as well as that performed in any intense
activity, showed independent relations to cardiovascular death and
all-cause mortality. Associations were slightly stronger in occupationally
sedentary men. These results support the hypothesis that physical activity
protects against death from coronary heart disease and all-cause mortality.
ARTICLES
Leisure time physical activity and coronary heart disease death. The US Railroad Study
Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis.
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