University of Oulu

S. Kunutsor, T. Mäkikallio, J. Kauhanen, A. Voutilainen, S. Jae, S. Kurl and J.A. Laukkanen. (2019) Leisure-time cross-country skiing is associated with lower incidence of hypertension : a prospective cohort study. Journal of Hypertension, 8 (37), 1624-1632. https://doi.org/10.1097/HJH.0000000000002110

Leisure-time cross-country skiing is associated with lower incidence of hypertension : a prospective cohort study

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Author: Kunutsor, Setor1,2; Mäkikallio, Timo3; Kauhanen, Jussi4;
Organizations: 1National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol
2Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, University of Bristol, Learning & Research Building (Level 1), Southmead Hospital, Bristol, UK
3Division of Cardiology, Department of Internal Medicine, Oulu University Hospital, Oulu
4Institute of Public Health and Clinical Nutrition, University of Eastern Finland, Kuopio, Finland
5Department of Sport Science
6Graduate School of Urban Public Health, University of Seoul, Seoul, Republic of Korea
7Faculty of Sport and Health Sciences, University of Jyväskylä
8Central Finland Health Care District, Jyväskylä, Finland
Format: article
Version: accepted version
Access: open
Online Access: PDF Full Text (PDF, 0.3 MB)
Persistent link: http://urn.fi/urn:nbn:fi-fe202001212903
Language: English
Published: Wolters Kluwer, 2019
Publish Date: 2020-08-01
Description:

Abstract

Objective: The prospective relationship between cross-country skiing and hypertension is uncertain. We aimed to assess the associations of leisure time cross-country skiing habits with incident hypertension in a general population.

Methods: The frequency, average duration, and intensity of leisure cross-country skiing were assessed at baseline using a 12-month physical activity questionnaire in the Kuopio Ischemic Heart Disease prospective study of 1809 middle-aged men without hypertension. Hazard ratios [95% confidence intervals (CIs)] were calculated.

Results: New onset diagnosis of hypertension was observed in 279 participants during a median (interquartile range) follow-up of 24.7 (18.1–26.8) years. Total volume and duration of cross-country skiing were continuously associated with hypertension risk. In analyses adjusted for hypertension risk factors, when compared with men with no cross-country skiing activity, the hazard ratios (95% CIs) of incident hypertension were 0.75 (0.57–0.99) and 0.57 (0.41–0.79) for men who did 1–200 and more than 200 MET hours/year of cross-country skiing, respectively. Compared with men with no cross-country skiing activity, the corresponding adjusted hazard ratios (95% CIs) for incident hypertension were 0.72 (0.55–0.94) and 0.62 (0.44–0.86) for men who did 1–60 min/week and more than 60 min/week of cross-country skiing, respectively. In subsidiary analyses, there were age-adjusted associations of cross-country skiing habits with risk of stroke and acute coronary events, but these were attenuated on further adjustment for several confounders. Cross-country skiing habits were associated with reduced risk of type 2 diabetes.

Conclusion: Total volume as well as duration of leisure time cross-country skiing are each continuously, inversely, and independently associated with future risk of hypertension in a white male population.

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Series: Journal of hypertension
ISSN: 0263-6352
ISSN-E: 1473-5598
ISSN-L: 0263-6352
Volume: 37
Issue: 8
Pages: 1624 - 1632
DOI: 10.1097/HJH.0000000000002110
OADOI: https://oadoi.org/10.1097/HJH.0000000000002110
Type of Publication: A1 Journal article – refereed
Field of Science: 3121 General medicine, internal medicine and other clinical medicine
Subjects:
Funding: The authors acknowledge the Finnish Foundation for Cardiovascular Research, Helsinki, Finland, for supporting the Kuopio Ischemic Heart Disease Study. THM and SKK acknowledge support from the Division of Cardiology, Department of Internal Medicine, Oulu University Hospital, Oulu, Finland via the Finnish Governmental Research Funding (VTR). SKK acknowledges support from the NIHR Biomedical Research Centre at University Hospitals Bristol NHS Foundation Trust and the University of Bristol. The views expressed in this publication are those of the authors and not necessarily those of the NHS, the National Institute for Health Research or the Department of Health and Social Care. These sources had no role in design and conduct of the study; collection, management, analysis, and interpretation of the data; and preparation, review, or approval of the manuscript.
Copyright information: © 2019 Wolters Kluwer Health, Inc. All rights reserved. This is a post-peer-review, pre-copyedit version of an article published in Journal of hypertension. The final authenticated version is available online at: http://dx.doi.org/10.1097/HJH.0000000000002110