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February 23, 2013European Journal of Heart FailureOpen Access

Higher physical activity was associated with a 15-56% lower age- and sex-adjusted risk of any heart failure and HFPEF in elderly adults over a mean 10-year follow-up.

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Why the study?

Does higher physical activity reduce the incidence of heart failure (HFPEF and HFREF) in elderly individuals without prior myocardial infarction?

Population

1142 elderly participants (mean age 76 years) from the Framingham Study without prior myocardial infarction

Comparison

Higher physical activity vs Lower physical activity

Design

Cohort

Follow-up

mean 10 years

Key result

Higher physical activity was associated with a 15-56% lower age- and sex-adjusted risk of any heart failure and HFPEF in elderly adults over a mean 10-year follow-up.

Authors

EKElisabeth Kraigher‐KrainerALAsya LyassJMJoseph M. Massaro

Discussion

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Overview

Physical inactivity was associated with higher HF risk in the elderly; extends middle-aged data but leaves open causality for both HFpEF and HFrEF.

Study Design

Type

Cohort (n=1,142)

Structured PICO

Does higher physical activity reduce the incidence of heart failure (HFPEF and HFREF) in elderly individuals without prior myocardial infarction?

P
Population
1,142 elderly adults (mean age 76 years) without prior myocardial infarction, followed for a mean of 10 years to assess heart failure incidence.
E
Exposure
Higher physical activity (middle and highest tertiles of physical activity index [PAI])
C
Comparator
Lower physical activity (lowest tertile of physical activity index [PAI])
O
Outcome
Incidence of heart failure (HF), HF with preserved ejection fraction (HFPEF, EF ≥45%), and HF with reduced ejection fraction (HFREF, EF <45%)hard clinical

Main Result

Effect estimate: 15-56% lower risk

Higher physical activity in the elderly is associated with a reduced risk of developing heart failure, particularly heart failure with preserved ejection fraction (HFPEF).

Cite This Study

Kraigher‐Krainer et al. (2013) conducted a cohort in Heart failure (n=1,142). Physical activity vs. Lower physical activity was evaluated on Incidence of HF, HFPEF, and HFREF (15-56% lower risk). Higher physical activity was associated with a 15-56% lower age- and sex-adjusted risk of any heart failure and HFPEF in elderly adults over a mean 10-year follow-up.

synapsesocial.com/papers/6a6be2e2050bc01bbbcb8a19https://doi.org/10.1093/eurjhf/hft025
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Physical Activity in Heart Failure With Preserved Ejection Fraction2017 · 6 citations
  2. 2Clinical and demographic correlates of accelerometer-measured physical activity in participants enrolled in the OPTIMISE HFpEF study2021 · 8 citations
  3. 3Accelerometer-Measured Physical Activity, Sedentary Time, and Heart Failure Risk in Women Aged 63 to 99 Years2024 · 26 citations
  4. 4Six-Year Changes in Physical Activity and the Risk of Incident Heart Failure2018 · 55 citations
  5. 5Trends in Physical Activity Among US Adults With Heart Failure, 2007-20162021 · 8 citations