Regular physical activity levels and incidence of restrictive spirometry pattern: a longitudinal analysis of two population-based cohorts
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Accepted version
Accepted version
Author(s)
Type
Journal Article
Abstract
A restrictive spirometry pattern is associated with high morbidity and mortality. Whether practicing regular physical activity protects against this pattern has never been studied. We estimated the association between regular physical activity and the incidence of restrictive spirometry pattern. Forced expiratory volume in 1 second (FEV1), forced vital capacity (FVC) and physical activity were assessed between 2000–2002 in the ECRHS (n=2,757, 39-67 years) and SAPALDIA (n=2,610, 36–82 years) population-based European cohorts, and again approximately 10-years later (2010–2013). Subjects with restrictive or obstructive spirometry pattern at baseline were excluded. We assessed the association of being active at baseline (defined as being physically active ≥2-3 times/wk for ≥1 h) with restrictive spirometry pattern at follow-up (defined as a post-bronchodilator FEV1/FVC ≥Lower Limit of Normal and FVC<80% predicted) using modified Poisson regression, adjusting for relevant confounders. After 10 years of follow-up, 3.3% of participants had developed restrictive spirometry pattern. Being physically active was associated with a lower risk of developing this phenotype (RR=0.76, 95% CI=0.59-0.98). This association was stronger among those overweight and obese, compared to those with normal weight (Pinteraction=0.06). In two large European studies, adults practicing regular physical activity were at lower risk of developing restrictive spirometry pattern after 10 years.
Date Issued
2020-06-08
Date Acceptance
2020-05-11
Citation
American Journal of Epidemiology, 2020, 189 (12), pp.1521-1528
ISSN
0002-9262
Publisher
Oxford University Press (OUP)
Start Page
1521
End Page
1528
Journal / Book Title
American Journal of Epidemiology
Volume
189
Issue
12
Copyright Statement
© The Author(s) 2020. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model). This is a pre-copy-editing, author-produced version of an article accepted for publication in American Journal of Epidemiology following peer review. The definitive publisher-authenticated version Anne-Elie Carsin, Dirk Keidel, Elaine Fuertes, Medea Imboden, Joost Weyler, Dennis Nowak, Joachim Heinrich, Silvia Pascual Erquicia, Jesus Martinez-Moratalla, Ismael Huerta, Jose-Luis Sanchez, Emmanuel Schaffner, Serena Caviezel, Anna Beckmeyer-Borowko, Chantal Raherison, Isabelle Pin, Pascal Demoly, Bénédicte Leynaert, Isa Cerveri, Giulia Squillacioti, Simone Accordini, Thorarinn Gislason, Cecilie Svanes, Kjell Toren, Bertil Forsberg, Christer Janson, Rain Jogi, Margareta Emtner, Francisco Gómez Real, Debbie Jarvis, Stefano Guerra, Shyamali C Dharmage, Nicole Probst-Hensch, Judith Garcia-Aymerich, Regular Physical Activity Levels and Incidence of Restrictive Spirometry Pattern: A Longitudinal Analysis of Two Population-based Cohorts, American Journal of Epidemiology, , kwaa087 is available online at: https://doi.org/10.1093/aje/kwaa087
This article is published and distributed under the terms of the Oxford University Press, Standard Journals Publication Model (https://academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model). This is a pre-copy-editing, author-produced version of an article accepted for publication in American Journal of Epidemiology following peer review. The definitive publisher-authenticated version Anne-Elie Carsin, Dirk Keidel, Elaine Fuertes, Medea Imboden, Joost Weyler, Dennis Nowak, Joachim Heinrich, Silvia Pascual Erquicia, Jesus Martinez-Moratalla, Ismael Huerta, Jose-Luis Sanchez, Emmanuel Schaffner, Serena Caviezel, Anna Beckmeyer-Borowko, Chantal Raherison, Isabelle Pin, Pascal Demoly, Bénédicte Leynaert, Isa Cerveri, Giulia Squillacioti, Simone Accordini, Thorarinn Gislason, Cecilie Svanes, Kjell Toren, Bertil Forsberg, Christer Janson, Rain Jogi, Margareta Emtner, Francisco Gómez Real, Debbie Jarvis, Stefano Guerra, Shyamali C Dharmage, Nicole Probst-Hensch, Judith Garcia-Aymerich, Regular Physical Activity Levels and Incidence of Restrictive Spirometry Pattern: A Longitudinal Analysis of Two Population-based Cohorts, American Journal of Epidemiology, , kwaa087 is available online at: https://doi.org/10.1093/aje/kwaa087
Sponsor
European Union's Horizon 2020 research and innovation programme
Identifier
https://academic.oup.com/aje/advance-article/doi/10.1093/aje/kwaa087/5854065
Grant Number
grant agreement No. 633212
Subjects
BMI
FVC
physical activity
restrictive spirometry
spirometry
Adult
Aged
Aged, 80 and over
Europe
Exercise
Female
Forced Expiratory Volume
Humans
Incidence
Longitudinal Studies
Male
Middle Aged
Respiration Disorders
Spirometry
Vital Capacity
Humans
Respiration Disorders
Vital Capacity
Forced Expiratory Volume
Spirometry
Exercise
Incidence
Longitudinal Studies
Adult
Aged
Aged, 80 and over
Middle Aged
Europe
Female
Male
Epidemiology
01 Mathematical Sciences
11 Medical and Health Sciences
Publication Status
Published
Date Publish Online
2020-06-08