Featured Research

from universities, journals, and other organizations

Physical activity decreases sudden cardiac death risk in unfit men

Date:
September 1, 2013
Source:
European Society of Cardiology
Summary:
Physical activity decreases the risk of sudden cardiac death in unfit men, reveals new research.

Cumulative survival from SCD according to CRF and LTPA.
Credit: Image courtesy of European Society of Cardiology

Physical activity decreases the risk of sudden cardiac death in unfit men, reveals research presented at the ESC Congress today by Dr Jari Laukkanen and Dr Magnus Hagnas from Finland.

Related Articles


Dr Laukkanen said: "Sudden cardiac death (SCD) accounts for approximately 50% of deaths from coronary heart disease. SCD typically occurs shortly after the onset of symptoms, leaving little time for effective medical interventions, and most cases occur outside hospital with few or no early warning signs. Finding ways to identify individuals at elevated risk of SCD would allow early interventions on risk factors to be implemented." The current study investigated the impact of high leisure-time physical activity (LTPA) combined with cardiorespiratory fitness (CRF) on risk of SCD. It included 2,656 randomly selected men aged 42 to 60 years from the Kuopio Ischemic Heart Disease Risk Factor Study, a Finnish study of risk predictors for cardiovascular outcomes and SCD in the general population. Baseline cycle exercise test and risk factor assessment were performed in 1984-89. SCD was defined as death with cardiac origin within 24 hours after onset of symptoms.

LTPA was assessed using a 12-month physical activity questionnaire. One third of subjects had low LTPA (energy consumption <191 kcal/day, equal to around 35 minutes of slow walking or 25 minutes of jogging for a 70 kg male). CRF was assessed with a maximal symptom limited cycle exercise test and peak oxygen uptake was calculated in metabolic equivalents (MET). One third of men had a low CRF (<7.9 METs).

For the analyses the study population was divided into 4 groups: 1) high CRF and high LTPA, 2) high CRF and low LTPA, 3) low CRF and high LTPA and 4) low CRF and low LTPA. Group 1 was used as a reference. The risk of SCD was adjusted for previously established cardiovascular risk factors (age, smoking, alcohol consumption, body mass index, systolic blood pressure, low density lipoprotein cholesterol, C-reactive protein, prevalent type 2 diabetes and previously diagnosed coronary heart disease).

During the mean 19 years of follow-up 193 SCDs occurred. There was a 2-fold increased risk of SCD in men with low CRF and LTPA (group 4, see figure) compared to men with high CRF and high LTPA (hazard ratio [HR] 2.0, 95% confidence interval [CI] 1.3-2.9). Men with low CRF and high LTPA (group 3) did not have a statistically significant increased SCD risk compared to men with high CRF and high LTPA (HR 1.3, 95% CI 0.9-1.8). Dr Laukkanen said: "This indicates that a higher amount of leisure-time physical activity might reduce the risk of SCD among men with low cardiorespiratory fitness."

The amount of LTPA did not affect the risk of SCD among the men with high CRF (groups 1 and 2). Dr Laukkanen said: "Our study shows that CRF is a risk factor for SCD. High leisure-time physical activity exerts a protective effect on the risk of SCD among men with low cardiorespiratory fitness but does not affect risk in men with high baseline CRF."

He added: "It is widely believed that the level of CRF is determined by physical exercise, genetics and other lifestyle factors. Our study shows that exercise training and LTPA may be especially important in individuals with low CRF. One possible explanation is that CRF can be improved with regular exercise training."

Dr Laukkanen concluded: "The importance of CRF has often been neglected in the equation of SCD risk, despite appearing to be one of the most important correlates of overall health status. Our study emphasises the importance of regular physical exercise, especially among men with low CRF. An exercise test could be used to identify individuals with low CRF and high risk of SCD, who should then be urged to exercise more."


Story Source:

The above story is based on materials provided by European Society of Cardiology. Note: Materials may be edited for content and length.


Cite This Page:

European Society of Cardiology. "Physical activity decreases sudden cardiac death risk in unfit men." ScienceDaily. ScienceDaily, 1 September 2013. <www.sciencedaily.com/releases/2013/09/130901154117.htm>.
European Society of Cardiology. (2013, September 1). Physical activity decreases sudden cardiac death risk in unfit men. ScienceDaily. Retrieved October 31, 2014 from www.sciencedaily.com/releases/2013/09/130901154117.htm
European Society of Cardiology. "Physical activity decreases sudden cardiac death risk in unfit men." ScienceDaily. www.sciencedaily.com/releases/2013/09/130901154117.htm (accessed October 31, 2014).

Share This



More Health & Medicine News

Friday, October 31, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Fauci Says Ebola Risk in US "essentially Zero"

Fauci Says Ebola Risk in US "essentially Zero"

AP (Oct. 30, 2014) NIAID Director Anthony Fauci said the risk of Ebola becoming an epidemic in the U.S. is essentially zero Thursday at the Washington Ideas Forum. He also said an Ebola vaccine will be tested in West Africa in the next few months. (Oct. 30) Video provided by AP
Powered by NewsLook.com
Nurse Defies Ebola Quarantine With Bike Ride

Nurse Defies Ebola Quarantine With Bike Ride

AP (Oct. 30, 2014) A nurse who vowed to defy Maine's voluntary quarantine for health care workers who treated Ebola patients followed through on her promise Thursday, leaving her home for an hour-long bike ride. (Oct. 30) Video provided by AP
Powered by NewsLook.com
Pot-Infused Edibles Raise Concerns in Colorado

Pot-Infused Edibles Raise Concerns in Colorado

AFP (Oct. 30, 2014) Colorado may have legalized marijuana for recreational use, but the debate around the decision still continues, with a recent - failed - attempt to ban cannabis-infused edibles. Duration: 01:53 Video provided by AFP
Powered by NewsLook.com
British Navy Ship Arrives in Sierra Leone With Ebola Aid

British Navy Ship Arrives in Sierra Leone With Ebola Aid

AFP (Oct. 30, 2014) The British ship RFA ARGUS arrived in Sierra Leone to deliver supplies and equipment to help the fight against Ebola. Duration: 00:42 Video provided by AFP
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:

Strange & Offbeat Stories


Health & Medicine

Mind & Brain

Living & Well

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins