Key result
Higher estimated cardiorespiratory fitness linked to ~43% lower MI risk in females.
Why the study?
The dose-response association between estimated cardiorespiratory fitness and risk of myocardial infarction, including sex differences, was not well characterized.
Does higher estimated cardiorespiratory fitness (eCRF) reduce the risk of incident myocardial infarction in adults without previous cardiovascular disease?
Cohort (n=14,285)
Does higher estimated cardiorespiratory fitness (eCRF) reduce the risk of incident myocardial infarction in adults without previous cardiovascular disease?
Higher estimated cardiorespiratory fitness is associated with a significantly lower risk of incident myocardial infarction, with a more pronounced risk reduction observed in females compared to males.
Objective: To examine the dose-response association between estimated cardiorespiratory fitness (eCRF) and risk of myocardial infarction (MI). Patients and Methods: Adults who attended Tromsø Study surveys 4-6 (Janurary 1,1994-December 20, 2008) with no previous cardiovascular disease were followed up through December 31, 2014 for incident MI. Associations were examined using restricted cubic splines Fine and Gray regressions, adjusted for education, smoking, alcohol, diet, sex, adiposity, physical activity, study survey, and age (timescale) in the total cohort and subsamples with hyperlipidemia (n=2956), hypertension (n=8290), obesity (n=5784), metabolic syndrome (n=1410), smokers (n=3823), and poor diet (n=3463) and in those who were physically inactive (n=6255). Results: Of 14,285 participants (mean age ± SD, 53.7±11.4 years), 979 (6.9%) experienced MI during follow-up (median, 7.2 years; 25th-75th, 5.3-14.6 years). Females with median eCRF (32 mL/kg/min) had 43% lower MI risk (subdistributed hazard ratio [SHR], 0.57; 95% CI, 0.48-0.68) than those at the 10th percentile (25 mL/kg/min) as reference. The lowest MI risk was observed at 47 mL/kg/min (SHR, 0.02; 95% CI, 0.01-0.11). Males had 26% lower MI risk at median eCRF (40 mL/kg/min; SHR, 0.74; 95% CI, 0.63-0.86) than those at the 10th percentile (32 mL/kg/min), and the lowest risk was 69% (SHR, 0.31; 95% CI, 0.14-0.71) at 60 mL/kg/min. The associations were similar in subsamples with cardiovascular disease risk factors. Conclusion: Higher eCRF associated with lower MI risk in females and males, but associations were more pronounced among females than those in males. This suggest eCRF as a vital estimate to implement in medical care to identify individuals at high risk of future MI, especially for females.
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Sagelv et al. (2024) conducted a cohort in Myocardial infarction (n=14,285). Estimated cardiorespiratory fitness (eCRF) vs. 10th percentile eCRF was evaluated on Incident myocardial infarction (SHR 0.57, 95% CI 0.48-0.68). Higher estimated cardiorespiratory fitness was associated with lower MI risk, with females at median fitness having a 43% lower risk (SHR 0.57; 95% CI 0.48-0.68) compared to the 10th percentile.
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