University of Massachusetts Medical School Faculty Publications
UMMS Affiliation
Department of Quantitative Health Sciences
Publication Date
2017-05-15
Document Type
Article
Disciplines
Behavior and Behavior Mechanisms | Cardiology | Cardiovascular Diseases | Women's Health
Abstract
BACKGROUND: How physical activity (PA) and sitting time may change after first myocardial infarction (MI) and the association with mortality in postmenopausal women is unknown.
METHODS AND RESULTS: Participants included postmenopausal women in the Women's Health Initiative-Observational Study, aged 50 to 79 years who experienced a clinical MI during the study. This analysis included 856 women who had adequate data on PA exposure and 533 women for sitting time exposures. Sitting time was self-reported at baseline, year 3, and year 6. Self-reported PA was reported at baseline through year 8. Change in PA and sitting time were calculated as the difference between the cumulative average immediately following MI and the cumulative average immediately preceding MI. The 4 categories of change were: maintained low, decreased, increased, and maintained high. The cut points were > /=7.5 metabolic equivalent of task hours/week versus /=8 h/day versus /day for sitting time. Cox proportional hazard models estimated hazard ratios and 95% CIs for all-cause, coronary heart disease, and cardiovascular disease mortality. Compared with women who maintained low PA (referent), the risk of all-cause mortality was: 0.54 (0.34-0.86) for increased PA and 0.52 (0.36-0.73) for maintained high PA. Women who had pre-MI levels of sitting time /day, every 1 h/day increase in sitting time was associated with a 9% increased risk (hazard ratio=1.09, 95% CI: 1.01, 1.19) of all-cause mortality.
CONCLUSIONS: Meeting the recommended PA guidelines pre- and post-MI may have a protective role against mortality in postmenopausal women.
Keywords
exercise, mortality, myocardial infarction, physical exercise, sitting time, women
Rights and Permissions
Copyright 2017 The Authors. Published on behalf of the American Heart Association, Inc., by Wiley.
DOI of Published Version
10.1161/JAHA.116.005354
Source
J Am Heart Assoc. 2017 May 15;6(5). pii: e005354. doi: 10.1161/JAHA.116.005354. Link to article on publisher's site
Related Resources
Journal/Book/Conference Title
Journal of the American Heart Association
PubMed ID
28507059
Repository Citation
Gorczyca, Anna M.; Eaton, Charles; Lamonte, Michael J.; Manson, JoAnn E.; Johnston, Jeanne D.; Bidulescu, Aurelian; Waring, Molly E.; Manini, Todd; Martin, Lisa W.; Stefanick, Marcia L.; He, Ka; and Chomistek, Andrea K., "Change in Physical Activity and Sitting Time After Myocardial Infarction and Mortality Among Postmenopausal Women in the Women's Health Initiative-Observational Study" (2017). University of Massachusetts Medical School Faculty Publications. 1307.
https://escholarship.umassmed.edu/faculty_pubs/1307
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.
Included in
Behavior and Behavior Mechanisms Commons, Cardiology Commons, Cardiovascular Diseases Commons, Women's Health Commons