A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
Exercise cardiac power and the risk of heart failure in men : A population-based follow-up study (2022)
Kurl, S., Jae, S. Y., Mäkikallio, T. H., Voutilainen, A., Hagnäs, M. J., Kauhanen, J., & Laukkanen, J. A. (2022). Exercise cardiac power and the risk of heart failure in men : A population-based follow-up study. Journal of Sport and Health Science, 11(2), 266-271. https://doi.org/10.1016/j.jshs.2020.02.008
JYU-tekijät tai -toimittajat
Julkaisun tiedot
Julkaisun kaikki tekijät tai toimittajat: Kurl, Sudhir; Jae, Sae Young; Mäkikallio, Timo H.; Voutilainen, Ari; Hagnäs, Magnus J.; Kauhanen, Jussi; Laukkanen, Jari A.
Lehti tai sarja: Journal of Sport and Health Science
ISSN: 2095-2546
eISSN: 2213-2961
Julkaisuvuosi: 2022
Ilmestymispäivä: 24.02.2020
Volyymi: 11
Lehden numero: 2
Artikkelin sivunumerot: 266-271
Kustantaja: Elsevier
Julkaisumaa: Alankomaat
Julkaisun kieli: englanti
DOI: https://doi.org/10.1016/j.jshs.2020.02.008
Julkaisun avoin saatavuus: Avoimesti saatavilla
Julkaisukanavan avoin saatavuus: Kokonaan avoin julkaisukanava
Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/67979
Tiivistelmä
Little is known about exercise cardiac power (ECP), defined as the ratio of directly measured maximal oxygen uptake with peak systolic blood pressure during exercise on heart failure (HF) risk. We examined the association of ECP and the risk of HF.
Methods
This was a population-based cohort study of 2351 men from eastern Finland. The average time to follow-up was 25 years. Participants participated at baseline in an exercise stress test. A total of 313 cases of HF occurred.
Results
Men with low ECP (<9.84 mL/mmHg, lowest quartile) had a 2.37-fold (95% confidence interval (CI): 1.68 − 3.35, p < 0.0001) hazards ratio of HF as compared with men with high ECP (>13.92 mL/mmHg, highest quartile), after adjusting for age. Low ECP was associated with a 1.96-fold risk (95%CI: 1.38 − 2.78, p < 0.001) of HF after additional adjustment for conventional risk factors. After further adjustment for left ventricular hypertrophy, the results hardly changed (hazards ratio = 1.87, 95%CI: 1.31 − 2.66, p < 0.001). One SD increase in ECP (3.16 mL/mmHg) was associated with a decreased risk of HF by 28% (95%CI: 17% − 37%).
Conclusion
ECP provides a non-invasive and easily available measure from cardiopulmonary exercise test in predicting HF. However, ECP did not provide additional value over maximal oxygen uptake.
YSO-asiasanat: sydän; liikunta; fyysinen aktiivisuus; maksimaalinen hapenotto; sydämen vajaatoiminta; sydän- ja verisuonitaudit; miehet
Vapaat asiasanat: exercise cardiac power; heart failure; men
Liittyvät organisaatiot
OKM-raportointi: Kyllä
Raportointivuosi: 2022
Alustava JUFO-taso: 1