Association between cardiovascular risk and coronary artery disease in Masters athletes
Oral Presentation C1.4
DOI:
https://doi.org/10.14288/hfjc.v14i3.651Keywords:
Masters Athletes, Cardiovascular Screening, Risk Factors, Physical ActivityAbstract
Background: Studies have shown that coronary artery disease (CAD) is more prevalent in those with a lifelong exercise history compared to the general population and that cardiovascular risk scores (i.e., Framingham Risk Score (FRS)) underestimate the presence of CAD in Masters athletes (> 35 years old). Purpose: To establish whether physical activity intensity and volume in a highly active population contributes to the risk of CAD. Methods: Masters athletes (n=799) underwent yearly cardiovascular screening for five years, including, anthropometrics, blood pressure, blood lipids (to determine FRS), and a health survey. Participants with an abnormal screen underwent further evaluations. All variables of interest (age, sex, FRS, body mass index, LDL cholesterol, HDL cholesterol, family history, physical activity volume, lifetime training hours, history of hypertension) were aggregated up to the first diagnosis for those that were diagnosed and aggregated over the entire time period for those who were not diagnosed. Logistic regression analysis assessed the relationship between cardiovascular risk factors and CAD. Results: 81 (10%) Masters athletes were diagnosed with CAD over the study period. Increasing age (OR=1.05, 95%CI 1.00-1.09; p=0.038), FRS (%) (OR=1.09, 95%CI 1.03-1.16; p=0.003), and LDL cholesterol (mmol/L) (OR=1.71, 95% CI 1.22-2.40; p=0.002) were statistically significant in predicting the presence of CAD, whereas physical activity intensity and volume were not. Conclusions: These results support the utility of the cardiovascular risk score (FRS) in predicting CAD in Masters athletes, whereas physical activity/exercise participation does not. Funding: Canadian Institutes of Health Research (FRN: 157930), Natural Sciences and Engineering Research Council of Canada (RGPIN-2018-04613), and MITACs.
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Barbara N. Morrison, Saul Isserow, Mackenzie MacDonald, Carlee Cater, Ingrid Zwaiman, Jack Taunton, James McKinney, Darren E.R. Warburton
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Terms of Publication
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the Health & Fitness Journal of Canada’s right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The Contributor (author(s)) represents and guarantees that the Contributor is the sole proprietor of the work and the Contributor has full power to make this Agreement and grant that the work does not infringe the copyright or other proprietary right of any other person; and the work contains no libellous or other unlawful matter and makes no improper invasion of the privacy of any other person. The Contributor also represents and is responsible for the accuracy of the work.
- The Contributor will read, correct, and return promptly galleys and page proofs to the Editor (or designate). The Contributor will be responsible for the completeness and accuracy of these corrections. If the Contributor does not return galleys and page proofs within the schedule agreed upon with the Editor (or designate), the Publisher may proceed without the Contributor corrections.
- When applicable, the Contributor agrees to obtain written permissions and letters of agreement for all matter contained in the work that is protected by existing copyright, paying any permission fees for the use of text or illustrations controlled by others, and furnishing the Publisher with written evidence of the copyright owner’s authorization to use the material.
- When applicable, the Contributor agrees to obtain written permission for inclusion of any photographic materials involving a human subject, and provide the Publisher with written evidence of the subject’s authorization to use this material. In the case of subjects who have not reached the age of majority, the Contributor agrees to obtain and furnish the Publisher with written permission from the parent and/or legal guardian.
- The Contributor may draw on and refer to material in the work in preparing other articles for publication in scholarly and professional journals and papers for delivery at professional meetings, provided that credit is given to the work and to the Publisher.
- This agreement may not be changed unless the Contributor and the Publisher agree to the change by means of a formal addendum signed by the Contributor and the Publisher’s representative.
- This agreement shall be construed and governed according to the laws of the province of British Columbia and shall be binding upon the parties hereto, their heirs, successors, assigns, and personal representatives. Should any formal proceedings related to this agreement be brought, such formal proceeding may be brought only in the province of British Columbia.
By submitting an article to the Health & Fitness Journal of Canada the Contributor has accepted and agreed to all terms outlined in the copyright notice.
