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Prev Chronic Dis. 2014 Dec 18;11:E219. doi: 10.5888/pcd11.140196.

Associations between physical activity and cardiometabolic risk factors assessed in a Southern California health care system, 2010-2012.

Author information

1
Department of Research & Evaluation, Kaiser Permanente Southern California, 100 S. Los Robles, 2nd Floor, Pasadena CA 91101. E-mail: Deborah.r.young@kp.org.
2
Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California.
3
Department of Family Medicine, Fontana Medical Center, Kaiser Permanente Southern California, Fontana, California.

Abstract

INTRODUCTION:

Risk factors associated with many chronic diseases can be improved through regular physical activity. This study investigated whether cross-sectional associations between physical activity, assessed by the Exercise Vital Sign (EVS), and cardiometabolic risk factors can be detected in clinical settings.

METHODS:

We used electronic records from Kaiser Permanente Southern California members (N = 622,897) to examine the association of EVS category with blood pressure, fasting glucose, random glucose, and glycosylated hemoglobin. Adults aged 18 years or older with at least 3 EVS measures between April 2010 and December 2012, without comorbid conditions, and not taking antihypertension or glucose-lowering medications were included. We compared consistently inactive (EVS = 0 min/wk for every measure) with consistently active (EVS ≥150 min/wk) and irregularly active (EVS 1-149 min/wk or not meeting the consistently active or inactive criteria) patients. Separate linear regression analyses were conducted controlling for age, sex, race/ethnicity, body mass index, and smoking status.

RESULTS:

Consistently active women had lower systolic (-4.60 mm Hg; 95% confidence interval [CI], -4.70 to -4.44) and diastolic (-3.28 mm Hg; 95% CI, -3.40 to -3.17) blood pressure than inactive women. Active men had lower diastolic blood pressure than inactive men. Consistently active patients (women, -5.27 mg/dL [95% CI, -5.56 to -4.97]; men, -1.45 mg/dL [95% CI, -1.75 to -1.16] and irregularly active patients (women, -4.57 mg/dL [95% CI, -4.80 to -4.34]; men, -0.42 mg/dL [95% CI, -0.66 to -0.19]) had lower fasting glucose than consistently inactive patients. Consistently active and irregularly active men and women also had favorable random glucose and HbA1c compared with consistently inactive patients.

CONCLUSION:

Routine clinical physical activity assessment may give health care providers additional information about their patients' cardiometabolic risk factors.

PMID:
25523350
PMCID:
PMC4273545
DOI:
10.5888/pcd11.140196
[Indexed for MEDLINE]
Free PMC Article

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