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. 2019 Sep;35(5):534-541.
doi: 10.6515/ACS.201909_35(5).20190126A.

InVestiGation of the Association of Physical Activity and Sedentary Behavior with tHe Occurrence of Future Cardiovascular Disease and Long Term Outcome in General Population Using the HEALTHCARE Database (VGH-HEALTHCARE)

Hung-Chou Yang  1 , Ying Liang  2   3 , Hsiu-Chuan Hsu  2   3 , Jiah-Hwang Shu  2   3 , Ruey-Hsing Chou  4   5 , Pai-Feng Hsu  3   4   5 , Yuan-Jen Wang  3   4 , Yaw-Zon Ding  3   4 , Teh-Ling Liou  3   4 , Ying-Wen Wang  3   4 , Shao-Sung Huang  3   4   5 , Chung-Chi Lin  3   4   6 , Tse-Min Lu  3   4   5 , Hsin-Bang Leu  3   4   5 , Wan-Leong Chan  3   4   5 , Shing-Jong Lin  3   4   5
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InVestiGation of the Association of Physical Activity and Sedentary Behavior with tHe Occurrence of Future Cardiovascular Disease and Long Term Outcome in General Population Using the HEALTHCARE Database (VGH-HEALTHCARE)

Hung-Chou Yang et al. Acta Cardiol Sin. 2019 Sep.

Abstract

Background: Current evidence supports the beneficial effect of physical activity in reducing adverse events, however studies on Asian populations are limited and have reported inconsistent findings. The aim of this study was to investigate the association between physical activity and the development of cardiovascular disease, diabetes, hypertension and malignancy in a large Asian cohort. We also investigated interactions between the intensity of physical activity, environmental exposure and biochemical markers.

Methods: Subjects who received annual checkups at Taipei Veterans General Hospital were invited to join this study. Information on physical activity was evaluated using the International Physical Activity Questionnaire Short Form (IPAQ-SF). Associations between the occurrence of clinical events including cardiovascular events, diabetes and malignancies and the intensity of physical activity, biochemical markers, imaging findings, personality trait evaluations and nutrition were evaluated.

Results: In the initial stage of this study, a total of 1010 patients enrolled, 626 (62%) were male, 74 (7.4%) had diabetes, 183 (18.3%) had hypertension, and 220 (21.8%) were smokers. The total cholesterol was 202.1 ± 36.2 mg/dL and low-density lipoprotein-cholesterol was 125.7 ± 32.9 mg/dL, including 49.3 ± 13.1 mg/dL for serum high-density lipoprotein-cholesterol and 120.7 ± 70.7 mg/dL for triglycerides. The fasting glucose level was 93.8 ± 21.9 mg/dL, and HbA1c was 5.7 ± 0.7%. All information collected will be incorporated with future events to analyze the relationship between biochemical parameters, physical activity and future adverse events.

Conclusions: These findings will contribute to the understanding of the value of physical activity in determining future cardiovascular and non-cardiovascular events in Asian populations.

Keywords: Physical activity; Prognosis; Sedentary behavior.

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Study flow.
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