National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol.
Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Learning & Research Building (Level 1), Southmead Hospital, Bristol, UK.
J Hypertens. 2019 Aug;37(8):1624-1632. doi: 10.1097/HJH.0000000000002110.
The prospective relationship between cross-country skiing and hypertension is uncertain. We aimed to assess the associations of leisure time cross-country skiing habits with incident hypertension in a general population.
The frequency, average duration, and intensity of leisure cross-country skiing were assessed at baseline using a 12-month physical activity questionnaire in the Kuopio Ischemic Heart Disease prospective study of 1809 middle-aged men without hypertension. Hazard ratios [95% confidence intervals (CIs)] were calculated.
New onset diagnosis of hypertension was observed in 279 participants during a median (interquartile range) follow-up of 24.7 (18.1-26.8) years. Total volume and duration of cross-country skiing were continuously associated with hypertension risk. In analyses adjusted for hypertension risk factors, when compared with men with no cross-country skiing activity, the hazard ratios (95% CIs) of incident hypertension were 0.75 (0.57-0.99) and 0.57 (0.41-0.79) for men who did 1-200 and more than 200 MET hours/year of cross-country skiing, respectively. Compared with men with no cross-country skiing activity, the corresponding adjusted hazard ratios (95% CIs) for incident hypertension were 0.72 (0.55-0.94) and 0.62 (0.44-0.86) for men who did 1-60 min/week and more than 60 min/week of cross-country skiing, respectively. In subsidiary analyses, there were age-adjusted associations of cross-country skiing habits with risk of stroke and acute coronary events, but these were attenuated on further adjustment for several confounders. Cross-country skiing habits were associated with reduced risk of type 2 diabetes.
Total volume as well as duration of leisure time cross-country skiing are each continuously, inversely, and independently associated with future risk of hypertension in a white male population.
越野滑雪与高血压之间的前瞻性关系尚不确定。本研究旨在评估一般人群中休闲时间越野滑雪习惯与高血压发病之间的关联。
在 Kuopio 缺血性心脏病前瞻性研究中，1809 名无高血压的中年男性在基线时使用为期 12 个月的体力活动问卷评估休闲越野滑雪的频率、平均持续时间和强度。计算了危害比（95%置信区间）。
在中位（四分位间距）24.7（18.1-26.8）年的随访期间，279 名参与者出现高血压新诊断。越野滑雪的总运动量和持续时间与高血压风险呈连续相关。在调整高血压危险因素后，与无越野滑雪活动的男性相比，每年进行 1-200 个和多于 200 个代谢当量小时的越野滑雪者发生高血压的危险比（95%置信区间）分别为 0.75（0.57-0.99）和 0.57（0.41-0.79）。与无越野滑雪活动的男性相比，每年进行 1-60 分钟/周和多于 60 分钟/周的越野滑雪者发生高血压的相应调整后危险比（95%置信区间）分别为 0.72（0.55-0.94）和 0.62（0.44-0.86）。在辅助分析中，越野滑雪习惯与中风和急性冠脉事件的风险呈年龄调整相关，但进一步调整了多个混杂因素后，这些关联减弱。越野滑雪习惯与 2 型糖尿病风险降低相关。
在白种男性人群中，休闲时间越野滑雪的总运动量和持续时间均与未来高血压风险呈连续、负相关和独立相关。
