Regional Comparisons of Associations Between Physical Activity Levels and Cardiovascular Disease: The Story of Atlantic Canada

Bartosz Orzel, Melanie Keats, Yunsong Cui, Scott Grandy

Producción científica: Contribución a una revistaArtículorevisión exhaustiva

3 Citas (Scopus)

Resumen

Background: Physical inactivity is an important risk factor for cardiovascular disease (CVD). Atlantic Canada is a region with lower physical activity (PA) levels and poorer CVD outcomes than the rest of Canada. Yet, within-region variation is expected. This study aimed to assess the association between PA and CVD and how this relationship varied on a regional level. Methods: This cross-sectional study used data from the Atlantic Partnership for Tomorrow's Health (PATH) Study. The cohort included 823 CVD cases and 2469 age-, sex-, and province of residence-matched controls between the ages 35 and 69. Data collected included self-reported CVD and PA levels as well as information on sociodemographic characteristics, health status, and lifestyle behaviours. Simple and multiple logistic regression were used to assess the association between PA and CVD. Results: High PA levels were associated with a 26% reduction in the mean probability of CVD compared with low PA levels across the total population. Compared with high PA levels, moderate and low PA levels were associated with increased odds of CVD across all 4 provinces. However, regional variation was observed, with higher odds of CVD for low-to-moderate PA levels in Newfoundland and Labrador and New Brunswick compared with Nova Scotia and Prince Edward Island. Conclusions: Atlantic Canadians experience regional inequalities in the association between PA and CVD. Future work needs to explore underlying pathways driving these regional differences, which may be the impetus for interventions that mitigate risk and CVD burden in populations of greatest need.

Idioma originalEnglish
Páginas (desde-hasta)631-638
Número de páginas8
PublicaciónCJC Open
Volumen3
N.º5
DOI
EstadoPublished - may. 2021

Nota bibliográfica

Funding Information:
This study was financially supported by the Dalhousie University Research in Medicine (RIM) program as well as by the Atlantic Partnership for Tomorrow’s Health (PATH) (2018-106). Funding sources did not have any involvement in the study design, analysis, or interpretation of the results. The expressed views and conclusions are the sole work of the study authors.

Funding Information:
The data in this study came from the Atlantic Partnership for Tomorrow’s Health (Atlantic PATH), which is the regional component of the Canadian Partnership for Tomorrow’s Health (CanPath), funded by the Canadian Partnership Against Cancer and Health Canada . We thank Atlantic PATH participants who gave their time and personal health history used for this study. We also thank the Atlantic PATH data custodians for their research platform that enabled this study.

Publisher Copyright:
© 2021 The Authors

ASJC Scopus Subject Areas

  • Cardiology and Cardiovascular Medicine

PubMed: MeSH publication types

  • Journal Article

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