The association of sport and exercise activities with cardiovascular disease risk: The Atherosclerosis risk in Communities (ARIC) study

Anna K. Porter, Samantha Schilsky, Kelly R. Evenson, Roberta Florido, Priya Palta, Katelyn M. Holliday, Aaron R. Folsom

Research output: Contribution to journalArticlepeer-review

Abstract

Background: This study assessed the independent associations between participation in self-reported sport and exercise activities and incident cardiovascular disease (CVD). Methods: Data were from 13,204 participants in the Atherosclerosis Risk in Communities Study cohort (1987–2015). Baseline sport and exercise activities were assessed via the modified Baecke questionnaire. Incident CVD included coronary heart disease, heart failure, or stroke. Multivariable-adjusted Cox proportional hazard models assessed the association of participation in specific sport and exercise activities at enrollment with risk of CVD. Results: During a median follow-up time of 25.2 years, 30% of the analytic sample (n = 3966) was diagnosed with incident CVD. In fully adjusted models, participation in racquet sports (hazard ratio [HR] 0.75; 95% confidence interval [CI], 0.61–0.93), aerobics (HR 0.75; 95% CI, 0.63–0.88), running (HR 0.68; 95% CI, 0.54–0.85), and walking (HR 0.89; 95% CI, 0.83–0.95) was significantly associated with a lower risk of CVD. There were no significant associations for bicycling, softball/baseball, gymnastics, swimming, basketball, calisthenics exercises, golfing with cart, golfing with walking, bowling, or weight training. Conclusions: Participation in specific sport and exercises may substantially reduce the risk for CVD.

Original languageEnglish (US)
Pages (from-to)698-705
Number of pages8
JournalJournal of Physical Activity and Health
Volume16
Issue number9
DOIs
StatePublished - 2019

Bibliographical note

Funding Information:
The authors thank the staff and participants of the ARIC study for their important contributions. A.K.P. was supported by a National Research Service Award postdoctoral research fellowship (T32-HL007055), funded by the National Institutes of Health National Heart, Lung, and Blood Institute. The Atherosclerosis Risk in Communities study has been funded in whole or in part with federal funds from the National Heart, Lung, and Blood Institute, National Institutes of Health, Department of Health and Human Services, under contract numbers (HHSN268201700001I, HHSN268201700002I, HHSN268201700003I, HHSN268201700004I, and HHSN268201700005I).

Publisher Copyright:
© 2019 Human Kinetics, Inc.

Keywords

  • Epidemiology
  • Morbidity
  • Physical activity
  • Public health

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