Evaluation of occupational and non-occupational physical activity in acute coronary syndrome patients admitted in emergency heart center of Mashhad University of Medical Sciences

Document Type : Research Paper

Authors

1 Associate Professor, Department of occupational medicine, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

2 Associate Professor, Fellowship of Heart Failure, Atherosclerosis Prevention Research Center, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

3 Associate Professor of Community Medicine. Department of Community Medicine, Faculty of Medicine. Mashhad University of Medical Sciences.

4 Assistant of Occupational Medicine, Department of occupational medicine, Faculty of medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Abstract

Abstract
Introduction:  Physical  inactivity  is  an  important  risk  factor  for  ischemic  heart  disease  (IHD).  This study was conducted to evaluate the relationship between occupational and non-occupational physical activity with acute coronary syndrome (ACS) and its risk factors in patients admitted in an emergency heart center.
Materials and Methods: 227 male patients of ACS were randomly selected in an academic hospital. A questionnaire including individual, medical and occupational history was used for data collection. Occupational, sport and leisure time physical activity was evaluated by Baecke questionnaire. The studied population divided into mild, moderate and severe activity groups based on index of Baecke questionnaire.
Results: The prevalence of the risk factors of IHD, including hypertension, dyslipidemia, diabetes, obesity and smoking, was 32, 18.5, 19, 11, and 34.4 percent respectively. Among risk factors of IHD only obesity and diabetes had significant relationship with occupational physical activity and dyslipidemia had significant relationship with both sports activity and occupational physical activity. While other risk factors of IHD and physical activity revealed no statistically significant relationship.
Conclusion: The results of this study showed that most of ACS patients admitted in the emergency heart center had mild to moderate occupational and non-occupational physical activity. Although the researchers couldn’t find a statistically significant relationship between occupational physical activity and ACS, but sports activity and leisure time physical activity can be effective in prevention of IHDs with decrease in risk factor prevalence of these diseases, specially diabetes and dyslipidemia.

Keywords


  1. Holtermann A, Mortensen OS, Søgaard K, Gyntelberg F, Suadicani P. Risk factors for ischaemic heart disease
    mortality among men with different occupational physical demands.A 30-year prospective cohort study. BMJ
    Open. 2012 Jan 4;2(1). Pubmed PMID:22218719
    2. Vinod RK, Pastapur M, Suresh KP. Screening for risk of cardiovascular disease among officer grade bank
    employees of Gulbarga city. J Cardiovasc Dis Res. 2012 Jul;3(3):218-24. Pubmed PMID:22923940
    3. Purshykhian M, Moghadamnia M, Nasirzadh F. Duration of chest pain to hospitalization in cardiac center, in
    acute myocardial infarction cases admitted, in Rasht. Journal of legal Medicine 2008; 13(4):228-34
    4. Yavari P, Abadi A, mehrabiY. Mortality and changing epidemiological trends in Iran during 1979-2001.
    Hakim Research J.2003,6(3):7-14
    5. Assadi SN. Cardiovascular disorders risk factors in different industries of Iran. Int J Prev Med. 2013 Jun; 4(6):
    728–33. Pubmed PMID:23930194
    6. Ole Olsen, Tage S Kristensen. Impact of work environment on cardiovascular diseases in Denmark. Journal of
    Epidemiology and Community Health 1991; 45 (1): 4-10
    7. Sancini A, Caciari T, De Sio S, Fiaschetti M, Di Giorgio V, Samperi I, et al. Cardiovascular diseases in
    workers at risk. G Ital Med Lav Ergon 2010;32:163-5.
    8. Cohen R. Injuries caused by physical hazards. LaDou Joseph, Current occupational and environmental
    medicine. 3th ed. New York: The McGraw- Hill Companies; 2004. p. 122-52.
    9. Taiwo OA, Cullen MR. Thermal stressors. Rosenstock L, Clinical occupation and environmental medicine. 2td
    ed. Philadelphia: Elsevier Sounders; 2005. p. 381-892.
    10. Stamatakis E, Chau JY, Pedisic Z, Bauman A, Macniven R, Coombs N, et al. Are sitting occupations
    associated with increased all-cause, cancer, and cardiovascular disease mortality risk? A pooled analysis of
    seven british population cohorts. PLOS Medicine 2013; 9(8): e73753. PMID:24086292
    11. Leavitt MO. Physical Activity Guidelines Advisory Committee Report, 2008. U.S. Department of Health and
    Human Services; Washington DC: 2008. p. A-7. www.health.gov/paguidelines (October 2008).
    12. Frank WB, Christian KR, Matthew JL. Lack of exercise is a major cause of chronic diseases. Compr Physiol.
    2012; 2(2): 1143–1211. PMID: 23798298
    13. Nooritajer.M, Ravandy A, Haghani H. The relationship between blood pressure and body mass index, IJN.
    2004; 16 (36) :40-46
  2. 14. Jurakic D, Andrijasevic M, Pedisic Z. Assessment of workplace characteristics and physical activity
    preferences as integral part of physical activity promotion strategies for middle-aged employees. Sociologija i
    Prostor. 2010; 48: 113–131.
    15. Hamilton MT, Hamilton DG, Zderic TW. Exercise physiology versus inactivity physiology: An essential
    concept for understanding lipoprotein lipase regulation. Exerc Sport Sci Rev 2004; 32: 161–166
    16. Dunstan DW, Kingwell BA, Larsen R, Healy GN, Cerin E, Hamilton MT, et al. Breaking up prolonged sitting
    reduces postprandial glucose and insulin responses. Diabetes Care 2012; 35(5): 976–983. PMID:22374636
    17. Morris JN, Heady JA, Raffle PA, Roberts CG, Parks JW (1953) Coronary heart-disease and physical activity
    of work. Lancet 1953; 262(2):1111–120.
    18. Van Uffelen JGZ, Wong J, Chau JY, Van Der Ploeg HP, Riphagen I, et al. Occupational sitting and health
    risks: A systematic review. Am J Prev Med 2010; 39: 379–88.
    19. Baecke JA, Burema J, Frijters JE. A short questionnaire for the measurement of habitual physical activity in
    epidemiological studies. Am J Clin Nutr 1982;36(5):936-42
    20. Florindo AA, Lattorre MR. Validation and reliability of the Baecke questionnaire for the evaluation of habitual
    physical activity in adult men. Rev Bras Med Esporte 2003;9(3):129-35
    21. Tofighi A, Babaei S, Dastah S. The relationship between physical activity and mental health among nurses of
    urmia hospitals. The Journal of Urmia Nursing and Midwifery Faculty, 2014; 12(1):72-78
    22. Franco O.H, De Laet C, Peeters A, Jonker J, Mackenbach J, Nusselder W, et al. Effects of physical activity on
    life expectancy with cardiovascular disease. Arch Intern Med. 2005; 165(20):2355-2360.
    23. Holtermann.A, Marott.JL, Gyntelberg.F, Sogaard.K, Suadicani.P, Mortensen OS, et al. Occupational and
    leisure time physical activity: risk of all-cause mortality and myocardial infraction in the Copenhagen city
    heart study. A prospective cohort study. BMJ open 2012, 2: e 000556.
    24. Warren TY, Barry V, Hooker SP, Sui X, Church TS, Blair SN. Sedentary behaviors increase risk of
    cardiovascular disease mortality in men. Med Sci Sports Exerc. 2010 May;42(5):879-85
    25. Petersen CB, Eriksen L, Tolstrup JS, Sqgaard K, Grqnbaek M, Holtermann A. Occupational heavy lifting and
    risk of ischemic heart disease and all-cause mortality. BMC Public Health. 2012; 12:1070. PMID:23231790
    26. Borji.M, Bastami.M, Bastami.Y, Azimi.M, Tavan.H,. Physical activity among elderly people with heart
    disease. Cardiovascular Nursing Journal, 2015;4(2):54-60
    27. Holtermann A, Mortensen OS, Burr H, Sogaard K, Gyntelberg F, Suadicani P. The interplay between physical
    activity at work and during leisure time - risk of ischemic heart disease and all-cause mortality in middle-aged
    Caucasian men. Scand J Work Environ Health 2009, 35:466-74. PMID: 19851700
    28. Holtermann A, Mortensen OS, Burr H, Søgaard K, Gyntelberg F, Suadicani P. Physical demands at work,
    physical fitness, and 30-year ischaemic heart disease and all-cause mortality in the Copenhagen male study.
    Scand J Work Environ Health 2010; 36:357-65. PMID: 20352174
    29. Raum E, Rothenbacher D, Ziegler H, Brenner. Heavy physical activity: risk or protective factor for
    cardiovascular disease? A life course perspective. Ann Epidemiol 2007, 17:417-24. PMID: 17395479
    30. Fransson E, de Faire U, Ahlbom A, Reuterwall C, Hallqvist J, Alfredsson L. The risk of acute myocardial
    infarction - interactions of types of physical activity. Epidemiology 2004; 15(5):573-82. PMID: 15308957
    31. Morris JN, Kagan A, Pattison DC, Gardner MJ. Incidence and prediction of ischaemic heart-disease in London
    busmen. Lancet. 1996 .10; 2(7463). PMID: 4161611
    32. Møller SV, Hannerz H, Hansen AM, Burr H, Holtermann A. Multi-wave cohort study of sedentary work and
    risk of ischemic heart disease. Scand J Work Environ Health. 2016; 42(1):43-51. PMID: 26649851
    33. Petermann-Rocha F, Brown RE, Diaz-Martínez X, Leiva AM, Martinez MA, Poblete-Valderrama F, et al.
    Association of leisure time and occupational physical activity with obesity and cardiovascular risk factors in
    Chile. J Sports Sci. 2019 Jul 31:1-11. PMID: 31366283
    34. Aune D, Norat T, Leitzmann M, Tonstad S, Vatten LJ. Physical activity and the risk of type 2 diabetes: a
    systematic review and dose-response meta-analysis. Eur J Epidemiol. 2015 Jul; 30(7):529-42. PMID:
    26092138
    35. Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT. Effect of physical inactivity on major noncommunicable diseases worldwide: an analysis of burden of disease and life expectancy.Lancet.2012
    Jul21;380(9838):219-29. PMID: 22818936
    36. Oppert JM , Thomas F, Charles MA, Benetos A, Basdevant A, Simon C. Leisure-time and occupational physical
    activity in relation tocardiovascular risk factors and eating habits in French adults. Public Health Nutr 2006
    Sep; 9(6), 746–54. PMID: 16925880
    37. Elwood PC, Yarnell JW, Pickering J, Fehily AM, O’Brien JR. Exercise, fibrinogen, and other risk factors for
    ischaemic heart disease. Caerphilly Prospective Heart Disease Study.Br Heart J 1993 Feb;69(2): 183 –7.
    PMID: 8435246
  3. 38. Lahti-Koski M, Pietinen P, Heliovaara M, Vartiainen E. Associations of body mass index and obesity with
    physical activity, food choices, alcohol intake, and smoking in the1982– 1997 FINRISK Studies. Am J Clin
    Nutr 2002; 75(5): 809 – 17. PMID: 11976153
    39. Fakhrzadeh H ,Nouri M, Pour-Ebrahim R , Ghotbi S, Heshmat R, Bastanhagh MH. Prevalence of hypertension
    and correlated risk factors among 25-64 aged inhabitants of Tehran university of medical sciences population
    lab region. Ijdld.2004; 3:37-43.
    40. Howie E.K, McVeigh J.A, Winkler E.A, Healy G.N, Bucks S.R, Eastwood P.R, et al. Correlates of physical
    activity and sedentary time in young adults: the western Australian pregnancy cohort (raine) study. BMC
    Public Health (2018) 18:916.
    41. Mostafavi H, Dabagh Manesh M, Zare N. Prevalence of obesity and over weight in adolescents and adult
    population in Shiraz. IJEM, 2005; 7 (1) :57-66
    42. Nooritajer.M, Ravandy A, Haghani H. The relationship between blood pressure and body mass index, IJN.
    2004; 16 (36) :40-46
    43. Rosengren A, Smyth A, Rangarajan S, Ramasundarahettige C, Bangdiwala SI, AlHabib KF, et al.
    Socioeconomic status and risk of cardiovascular disease in 20 low-income, middle-income, and high-income
    countries: the prospective urban rural epidemiologic (PURE) study. Lancet Glob Health. 2019; 7(6):748-760.
    PMID: 31028013
    44. Kubota Y, Heiss G, MacLehose R.F, et al. Lower education level is associated with higher risk for
    cardiovascular disease. JAMA Intern Med. 2017; 177(8):1165-1172.