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(Circulation. 2000;102:1358.)
© 2000 American Heart Association, Inc.
Clinical Investigation and Reports |
Physical Activity and Mortality in Older Men With Diagnosed Coronary Heart Disease
From the Department of Primary Care and Population Sciences, Royal Free and University College Medical School, London.
Correspondence to Goya Wannamethee, Department of Primary Care and Population Sciences, Royal Free and University College Medical School, Rowland Hill St, London NW3 2PF, UK. E-mail goya{at}rfhsm.ac.uk
Background—We have studied the relations between physical activity, types of physical activity, and changes in physical activity and all-cause mortality in men with established coronary heart disease (CHD).
Methods and Results—In 1992, 12 to 14 years after the initial
screening (Q1) of 7735 men 40 to 59 years of age from general practices
in 24 British towns, 5934 (91% of available survivors, mean age 63
years) provided further information on physical activity (Q92) and were
followed up for 5 years; 963 had a physician’s diagnosis of CHD
(myocardial infarction or angina). After exclusions, there were 772 men
with established CHD, 131 of whom died of all causes. The lowest risks
for all-cause and cardiovascular mortality were seen in
light and moderate activity groups (adjusted relative risk compared
with inactive/occasionally active: light, 0.42 (0.25, 0.71); moderate,
0.47 (0.24, 0.92); and moderately vigorous/vigorous, 0.63 (0.39, 1.03).
Recreational activity of 
4 hours per weekend, moderate or heavy
gardening, and regular walking (>40 min/d) were all associated with a
significant reduction in all-cause mortality. Nonsporting activity was
more beneficial than sporting activities. Men sedentary at Q1 who began
at least light activity by Q92 showed lower mortality rates on
follow-up than those who remained sedentary ( relative risk 0.58, 95%
CI 0.33 to 1.03; P=0.06).
Conclusions—Light or moderate activity in men with established CHD is associated with a significantly lower risk of all-cause mortality. Regular walking and moderate or heavy gardening were sufficient to achieve this benefit.
Key Words: exercise • coronary disease • mortality
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