Associations Between Physical Activity and Cardiometabolic Risk Factors Assessed in a Southern California Health Care System, 2010–2012

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Young, Deborah Rohm ; Coleman, Karen J. ; Ngor, Eunis ; Reynolds, Kristi ; Sidell, Margo ; Sallis, Robert E.
• Description:
  Introduction ; Risk factors associated with many chronic diseases can be improved through regular physical activity. This study investigated whether cross-sectional associations between physical activity, assessed by the Exercise Vital Sign (EVS), and cardiometabolic risk factors can be detected in clinical settings. ; Methods ; We used electronic records from Kaiser Permanente Southern California members (N = 622,897) to examine the association of EVS category with blood pressure, fasting glucose, random glucose, and glycosylated hemoglobin. Adults aged 18 years or older with at least 3 EVS measures between April 2010 and December 2012, without comorbid conditions, and not taking antihypertension or glucose-lowering medications were included. We compared consistently inactive (EVS = 0 min/wk for every measure) with consistently active (EVS ≥150 min/wk) and irregularly active (EVS 1–149 min/wk or not meeting the consistently active or inactive criteria) patients. Separate linear regression analyses were conducted controlling for age, sex, race/ethnicity, body mass index, and smoking status. ; Results ; Consistently active women had lower systolic (−4.60 mm Hg; 95% confidence interval CI, −4.70 to −4.44) and diastolic (−3.28 mm Hg; 95% CI, −3.40 to −3.17) blood pressure than inactive women. Active men had lower diastolic blood pressure than inactive men. Consistently active patients (women, −5.27 mg/dL 95% CI, −5.56 to −4.97; men, −1.45 mg/dL 95% CI, −1.75 to −1.16 and irregularly active patients (women, −4.57 mg/dL 95% CI, −4.80 to −4.34; men, −0.42 mg/dL 95% CI, −0.66 to −0.19) had lower fasting glucose than consistently inactive patients. Consistently active and irregularly active men and women also had favorable random glucose and HbA1c compared with consistently inactive patients. ; Conclusion ; Routine clinical physical activity assessment may give health care providers additional information about their patients’ cardiometabolic risk factors.
• Subjects:
  • Adult
  • Blood Glucose
  • Blood Pressure
  • Body Mass Index
  • Cardiovascular Diseases
  • Cross-Sectional Studies
  • Electronic Health Records
  • Exercise
  • Female
  • Glycated Hemoglobin
  More +
• Source:
  Prev Chronic Dis. 11.
• DOI:
  http://dx.doi.org/10.5888/pcd11.140196
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  California
• Volume:
  11
• Download URL:
  https://stacks.cdc.gov/view/cdc/26559/cdc_26559_DS1.pdf
• File Type:
  [PDF - 296.92 KB]
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:32696f57770cc4417f3fc42f6ef50d5e2474956fac7019c210550fdfbd97684b2e100a48e4c03b95caad5007498bc25581eaf34e2de4239f2f2b8e5a04d135b3