Department of Cardiology, Henan Provincial Chest Hospital, Zhengzhou, China.
Women and Infants Hospital of Zhengzhou, Zhengzhou, China.
Front Public Health. 2022 Jul 25;10:964862. doi: 10.3389/fpubh.2022.964862. eCollection 2022.
Physical activity plays a key role in the prevention of cardiovascular disease (CVD). However, previous studies focused predominantly on the associations of the total amount of physical activity with CVD. There were few evidences on the associations of specific sport disciplines with CVD. Furthermore, little was known on the interactions between the different types of sports on CVD risk. Therefore, this study aimed to examine the independent associations of specific types of physical activities with the 10-year risk of CVD, and further evaluate the interactions between specific types of physical activities on the 10-year risk of CVD in US adults.
This study used the data of the National Health and Nutrition Examination Survey (NHANES) 1999-2006. Participants aged ≥ 30 years and with free of CVD were eligible. The physical activity questionnaire is used to collect general information on leisure-time activities in the past 30 days, including the frequency, duration, and intensity of participation in each activity. The exposures of interest included cycling, swimming, aerobics, running, American Football, basketball, and racquet sports. The Framingham risk score algorithm was used to assess 10-year CVD risk based on age, high density lipoprotein, total cholesterol, systolic blood pressure, smoking status, and diabetes. A higher total score reflects a greater risk of CVD.
This study included 10829 participants. Compared to no participation, participation in cycling (β = -0.890, :-1.278,-0.502, < 0.001), running (β = -1.466, :-1.837,-1.095, < 0.001), American Football (β = -2.934, :-3.750,-2.119, < 0.001), basketball (β = -1.968, :-2.645,-1.291, < 0.001), and aerobics (β = -0.980, :-1.352,-0.608, < 0.001) was associated with a lower CVD risk. Furthermore, cycling was antagonistic with basketball and racquet sports in the associations with CVD risk. An antagonistic action between swimming and aerobics was also observed. Nevertheless, running was synergistic with cycling, aerobics, and racquet sports in the associations with CVD risk.
There were inverse associations of specific types of physical activities with CVD risk. Furthermore, there might be synergistic and antagonistic associations of multiple types of physical activities with CVD risk.
体力活动在预防心血管疾病（CVD）方面起着关键作用。然而，以前的研究主要集中在体力活动总量与 CVD 之间的关系上。关于特定运动项目与 CVD 的关系的证据很少。此外，人们对不同类型运动对 CVD 风险的相互作用知之甚少。因此，本研究旨在检验特定类型的体力活动与 CVD 10 年风险的独立相关性，并进一步评估美国成年人中特定类型的体力活动对 CVD 10 年风险的相互作用。
本研究使用了 1999-2006 年全国健康与营养调查（NHANES）的数据。年龄≥30 岁且无 CVD 的参与者符合条件。体力活动问卷用于收集过去 30 天内的休闲活动的一般信息，包括参与每项活动的频率、持续时间和强度。研究的暴露因素包括骑自行车、游泳、有氧运动、跑步、美式足球、篮球和球拍运动。Framingham 风险评分算法用于根据年龄、高密度脂蛋白、总胆固醇、收缩压、吸烟状况和糖尿病来评估 10 年 CVD 风险。更高的总评分反映了更大的 CVD 风险。
本研究共纳入了 10829 名参与者。与不参加任何运动相比，参加骑自行车（β=-0.890，-1.278，-0.502，<0.001）、跑步（β=-1.466，-1.837，-1.095，<0.001）、美式足球（β=-2.934，-3.750，-2.119，<0.001）、篮球（β=-1.968，-2.645，-1.291，<0.001）和有氧运动（β=-0.980，-1.352，-0.608，<0.001）与较低的 CVD 风险相关。此外，骑自行车与篮球和球拍运动在与 CVD 风险的关系中存在拮抗作用。还观察到游泳和有氧运动之间的拮抗作用。然而，跑步与骑自行车、有氧运动和球拍运动在与 CVD 风险的关系中具有协同作用。
特定类型的体力活动与 CVD 风险呈负相关。此外，多种类型的体力活动与 CVD 风险之间可能存在协同和拮抗作用。
