(Circulation. 1997;95:335-341.)
© 1997 American Heart Association, Inc.
Articles |
Leisure-Time Physical Activity but Not Work-Related Physical Activity Is Associated With Decreased Plasma Viscosity
Results From a Large Population Sample
the Department of Internal Medicine II/Cardiology (W.K.), Ulm University Medical Center, Ulm, Germany; GSF National Research Center for Environment and Health, MEDIS Institute (M.S.) and Institute of Epidemiology (A.D.), Neuherberg, Germany; and Postgraduate Medical School (E.E.), University of Exeter, Exeter, UK.
Correspondence to Wolfgang Koenig, MD, Department of Internal Medicine II/Cardiology, University of Ulm Medical Center, Robert-Koch-Str 8, D-89081 Ulm/Germany.
Background Regular leisure-time physical activity (LTPA) is inversely associated with coronary heart disease (CHD). This has been mainly explained by its impact on traditional CHD risk factors, but more recently it was also shown to lower fibrinogen, which largely determines plasma viscosity. No data on the effect of work activity (WA) on plasma viscosity have been published.
Methods and Results We studied the relationship between self-reported LTPA or WA and plasma viscosity as well as other CHD risk factors in 3522 men and women age 25 to 64 years. Physical activity was assessed by questionnaire. LTPA was inversely associated with plasma viscosity in both sexes. The unadjusted mean differences in plasma viscosity in men between no activity and the highest activity were 0.024 mPa·s (95% confidence interval [CI], 0.016 to 0.032 mPa·s, P<.001) during winter and 0.024 mPa·s (95% CI, 0.016 to 0.031 mPa·s, P<.001) during summer. After adjustment for age, cholesterol, smoking, blood pressure, body mass index, and years of education, mean differences decreased but still remained substantial and statistically significant (0.010 mPa·s; 95% CI, 0.003 to 0.018 mPa·s [P=.009] for winter activity; and 0.010 mPa·s; 95% CI, 0.002 to 0.017 mPa·s [P=.011] for summer activity). Similar results were found in women. WA showed no appreciable association with plasma viscosity after controlling for the covariates.
Conclusions LTPA is inversely associated with plasma viscosity, independent of other risk factors, whereas WA shows no material effect in men and women. Decreased plasma viscosity may represent one mechanism through which LTPA confers a decrease of CHD risk.
Key Words: exercise • risk factors • epidemiology • microcirculation • viscosity, plasma
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