Evidence map›Paper›PMID 33054610›Full record

Observational studyJournal of the American Heart Association2020

Association of the Amount and Pattern of Physical Activity With Arterial Stiffness: The Maastricht Study.

Evelien J Vandercappellen, Ronald M A Henry, Hans H C M Savelberg, Julianne D van der Berg, Koen D Reesink, Nicolaas C Schaper, Simone J P M Eussen, Martien C J M van Dongen, Pieter C Dagnelie, Miranda T Schram and 6 more

Abstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

27 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Evelien J VandercappellenDepartment of Internal Medicine Maastricht University Medical Center+ Maastricht the Netherlands.
Ronald M A HenryDepartment of Internal Medicine Maastricht University Medical Center+ Maastricht the Netherlands.
Hans H C M SavelbergDepartment of Nutrition and Movement Science Maastricht University Maastricht the Netherlands.
Julianne D van der BergCARIM School for Cardiovascular Diseases Maastricht University Maastricht the Netherlands.
Koen D ReesinkCARIM School for Cardiovascular Diseases Maastricht University Maastricht the Netherlands.
Nicolaas C SchaperDepartment of Internal Medicine Maastricht University Medical Center+ Maastricht the Netherlands.
Simone J P M EussenCARIM School for Cardiovascular Diseases Maastricht University Maastricht the Netherlands.
Martien C J M van DongenCAPHRI Care and Public Health Research Institute Maastricht University Maastricht the Netherlands.
Pieter C DagnelieDepartment of Internal Medicine Maastricht University Medical Center+ Maastricht the Netherlands.
Miranda T SchramDepartment of Internal Medicine Maastricht University Medical Center+ Maastricht the Netherlands.
Marleen M J van GreevenbroekDepartment of Internal Medicine Maastricht University Medical Center+ Maastricht the Netherlands.
Anke WesseliusNUTRIM School for Nutrition and Translational Research in Metabolism Maastricht University Maastricht the Netherlands.
Carla J H van der KallenDepartment of Internal Medicine Maastricht University Medical Center+ Maastricht the Netherlands.
Sebastian KöhlerMHeNS School for Mental Health and Neuroscience Maastricht University Maastricht the Netherlands.
Coen D A StehouwerDepartment of Internal Medicine Maastricht University Medical Center+ Maastricht the Netherlands.
Annemarie KosterCAPHRI Care and Public Health Research Institute Maastricht University Maastricht the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Arterial stiffness is an independent risk factor for cardiovascular disease and can be beneficially influenced by physical activity. However, it is not clear how an individual's physical activity pattern over a week is associated with arterial stiffness. Therefore, we examined the associations of the amount and pattern of higher intensity physical activity with arterial stiffness. Methods and Results Data from the Maastricht Study (n=1699; mean age: 60±8 years, 49.4% women, 26.9% type 2 diabetes mellitus) were used. Arterial stiffness was assessed by carotid-to-femoral pulse wave velocity and carotid distensibility. The amount (continuous variable as h/wk) and pattern (categorical variable) of higher intensity physical activity were assessed with the activPAL3. Activity groups were: inactive (<75 min/wk), insufficiently active (75-150 min/wk), weekend warrior (>150 min/wk in ≤2 sessions), and regularly active (>150 min/wk in ≥3 sessions). In the fully adjusted model (adjusted for demographic, lifestyle, and cardiovascular risk factors), higher intensity physical activity was associated with lower carotid-to-femoral pulse wave velocity (amount: β = -0.05, 95% CI, -0.09 to -0.01; insufficiently active: β = -0.33, 95% CI, -0.55 to -0.11; weekend warrior: β = -0.38, 95% CI, -0.64 to -0.12; and regularly active: β = -0.46, 95% CI, -0.71 to -0.21 [reference: inactive]). These associations were stronger in those with type 2 diabetes mellitus. There was no statistically significant association between higher intensity physical activity with carotid distensibility. Conclusions Participating in higher intensity physical activity was associated with lower carotid-to-femoral pulse wave velocity, but there was no difference between the regularly actives and the weekend warriors. From the perspective of arterial stiffness, engaging higher intensity physical activity, regardless of the weekly pattern, may be an important strategy to reduce the risk of cardiovascular disease, particularly in individuals with type 2 diabetes mellitus.

Indexed as

Cardiovascular DiseasesSedentary BehaviorAccelerometryCardiometabolic Risk FactorsCarotid ArteriesDiabetes Mellitus, Type 2ExerciseFemaleFemoral ArteryHigh-Intensity Interval TrainingHumansMaleMiddle AgedNetherlandsProspective StudiesPulse Wave Analysisaccelerometryarterial stiffnesscardiovascular diseasephysical activitytype 2 diabetes mellitus

Identifiers

PMID33054610
PMCPMC7763372

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.