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American Journal of Epidemiology Vol. 125, No. 4: 601-610
Copyright © 1987 by The Johns Hopkins University School of Hygiene and Public Health

research-article

PROTECTION AGAINST ISCHEMIC HEART DISEASE IN THE BELGIAN PHYSICAL FITNESS STUDY: PHYSICAL FITNESS RATHER THAN PHYSICAL ACTIVITY?

JOHN SOBOLSKI1,, MARCEL KORNITZER2, GUY DE BACKER3, MICHELE DRAMAIX2, MICHEL ABRAMOWICZ1, SERGE DEGRE1 and HENRI DENOLIN4

1Medical Cardiology Service, Hôpital Académique Erasme, Cliniques Universitaires de Bruxelles Belgique
2Laboratoire d'Epidémiologie et de Médecine Sociale, Ecole de Santé Publique, Université Libre de Bruxelles Belgique
3Dienst Hygiëne en Sociale Geneeskunde, Rijks-universiteit Gent België
4Service de Cardiologie, Hôpital Universitaire Saint-Pierre, Bruxelles Belgique

Address for reprint requests: J. Sobolski, Medical Cardiology Service, Hôpital Académique Erasme—C.U.B., Route cia Lennik 808, B-1070 Bruxelles, Belgique

Occupational and leisure time physical activity and conventional risk factors were determined in the Belgian Physical Fitness Study, a prospective study of 2,383 healthy male factory workers who were aged 40–55 years at entry in 1976–1978 and who were followed for five years. Physical fitness, defined as the interpolated physical working capacity at heart rate 150 beats per minute, was measured in 2,109 subjects. In this subgroup, there were 31 myocardial infarctions and sudden deaths. Smoking, physical fitness, and high density lipoprotein cholesterol (HDL cholesterol) were independent risk indicators for subsequent ischemic heart disease, while both physical activity scores were not. It is concluded that in this healthy, predominantly sedentary population, the fitness level, but not the physical activity pattern, is an independent protective factor against ischemic heart disease.

coronary disease; energy expenditure; exercise test; ischemic heart disease; myocardial infarction; physical fitness


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