HypertensionCohort study

Long-Distance Skiing and Incidence of Hypertension

CirculationPublished

  • Cohort study
  • matched on age, sex and place of residence

Authors' conclusion

Participation in a long-distance skiing event was associated with a 41% lower incidence of hypertension over the next 8 years compared with nonparticipation. A near linear association between performance and incidence of hypertension was observed.

Study context

Population
Participants in Vasaloppet and matched general-population controls
Participants
206,889 vs 505,542
Exposure
Long-distance skiers vs nonskiers from the general population
  • Skiersn = 206,889
  • Nonskiersn = 505,542reference
Outcome
Incidence of hypertension (prescription of BP-lowering drugs, national drug registry)
Follow-up
Median time at risk 8.3 years

Main finding

Incidence of hypertension · median 8.3 years

Hazard ratio

0.59

95% CI 0.58–0.60

Skiers vs Nonskiers
HR 0.59 (95% CI 0.58–0.60)

As reported in the abstract

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Hypertension by performance (% of winning time), skiers — Fastest fifth vs Nonskiers0.41 (0.39–0.42)
Hypertension by performance (% of winning time), skiers — Slowest fifth vs Nonskiers0.78 (0.75–0.81)
Hypertension by number of completed races, skiers — 1 race vs Nonskiers · weaker association0.63 (0.62–0.65)
Hypertension by number of completed races, skiers — >5 races vs Nonskiers · weaker association0.51 (0.50–0.53)

Hypertension by performance (% of winning time), skiers

Nearly linear association; did not differ between sexes

Subanalysis adjusted for lifestyle factors (n = 10 804)

Similar results

Original publication

Long-Distance Skiing and Incidence of Hypertension. Circulation. Published 6 January 2020. doi:10.1161/circulationaha.119.042208

Summarised from the published abstract; every number is checked against it