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Association Between Moderate-to-Vigorous Physical Activity and the Risk of Major Adverse Cardiovascular Events or Mortality in People With Various Metabolic Syndrome Status: A Nationwide Population-Based Cohort Study Including 6 Million People
DC Field | Value | Language |
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dc.contributor.author | Park, Sehoon | - |
dc.contributor.author | Han, Kyungdo | - |
dc.contributor.author | Lee, Soojin | - |
dc.contributor.author | Kim, Yaerim | - |
dc.contributor.author | Lee, Yeonhee | - |
dc.contributor.author | Kang, Min Woo | - |
dc.contributor.author | Park, Sanghyun | - |
dc.contributor.author | Kim, Yong Chul | - |
dc.contributor.author | Han, Seung Seok | - |
dc.contributor.author | Lee, Hajeong | - |
dc.contributor.author | Lee, Jung Pyo | - |
dc.contributor.author | Joo, Kwon Wook | - |
dc.contributor.author | Lim, Chun Soo | - |
dc.contributor.author | Kim, Yon Su | - |
dc.contributor.author | Kim, Dong Ki | - |
dc.date.accessioned | 2023-07-10T07:07:53Z | - |
dc.date.available | 2023-07-10T07:07:53Z | - |
dc.date.created | 2020-12-24 | - |
dc.date.created | 2020-12-24 | - |
dc.date.issued | 2020-11-17 | - |
dc.identifier.citation | Journal of the American Heart Association, Vol.9 No.22, p. e016806 | - |
dc.identifier.issn | 2047-9980 | - |
dc.identifier.uri | https://hdl.handle.net/10371/194987 | - |
dc.description.abstract | Background A population-scale evidence for the association between moderate-to-vigorous physical activity (MV-PA) and risks of major adverse cardiovascular event (MACE) or all-cause mortality in people with various metabolic syndrome (MetS) status is warranted. Methods and Results We performed a nationwide retrospective cohort study based on the claims database of South Korea. We included people who received >= 3 national health screenings from 2009 to 2013 without a previous MACE history. We determined the MetS status of 6 108 077 people: MetS-chronic (N=864 063), MetS-developed (N=348 163), MetS-recovery (N=348 313), and MetS-free (N=4 547 538). The exposure was self-reported MV-PA frequencies. The outcome was incident MACEs or all-cause mortality. The incidence rate ratios (IRR) were calculated with adjustments for clinical/demographic characteristics. During the median follow-up of 4.28 years, 78 770 and 51 840 people experienced MACEs or died, respectively. Those who engaged in MV-PA had a significantly lower risk of MACEs or all-cause mortality than those not engaged in MV-PA in every spectrum of MetS. Even among those who were free from MetS (for MACEs, IRR 0.94 [0.92-0.97], for all-cause mortality, IRR 0.85 [0.82-0.87]) or who had already recovered from MetS (for MACEs, IRR 0.89 [0.84-0.95], for all-cause mortality, IRR 0.74 [0.68-0.81]), 1 to 2 days per week of MV-PA were significantly associated with lower risk of the adverse outcomes when compared with not being engaged in MV-PA. Those who were engaged in MV-PA more frequently also had significantly lower risks of MACEs or all-cause mortality. Conclusions This nationwide study suggests that MV-PA may be recommended to the general population regardless of recent MetS status. | - |
dc.language | 영어 | - |
dc.publisher | Wiley-Blackwell | - |
dc.title | Association Between Moderate-to-Vigorous Physical Activity and the Risk of Major Adverse Cardiovascular Events or Mortality in People With Various Metabolic Syndrome Status: A Nationwide Population-Based Cohort Study Including 6 Million People | - |
dc.type | Article | - |
dc.identifier.doi | 10.1161/JAHA.120.016806 | - |
dc.citation.journaltitle | Journal of the American Heart Association | - |
dc.identifier.wosid | 000594216700013 | - |
dc.identifier.scopusid | 2-s2.0-85096347826 | - |
dc.citation.number | 22 | - |
dc.citation.startpage | e016806 | - |
dc.citation.volume | 9 | - |
dc.description.isOpenAccess | Y | - |
dc.contributor.affiliatedAuthor | Kim, Yong Chul | - |
dc.contributor.affiliatedAuthor | Lee, Jung Pyo | - |
dc.contributor.affiliatedAuthor | Joo, Kwon Wook | - |
dc.contributor.affiliatedAuthor | Lim, Chun Soo | - |
dc.contributor.affiliatedAuthor | Kim, Yon Su | - |
dc.contributor.affiliatedAuthor | Kim, Dong Ki | - |
dc.type.docType | Article | - |
dc.description.journalClass | 1 | - |
dc.subject.keywordAuthor | cardiovascular outcomes | - |
dc.subject.keywordAuthor | epidemiology | - |
dc.subject.keywordAuthor | metabolic syndrome | - |
dc.subject.keywordAuthor | mortality | - |
dc.subject.keywordAuthor | physical exercise | - |
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