Prevention & lipids

Maintaining or increasing cardiorespiratory fitness is associated with reduced hospital admission rate

Eur J Prev CardiolPublished Cohort study

Study context

Population
Adults with two occupational health profile assessments, 1986–2019 (mean 3.2 years between examinations); Cardiorespiratory fitness (CRF) estimated by submaximal cycle test41.5% women
Participants
91,140 adults
Exposure
Maintained or increased CRF vs declined CRF
Outcome
CVD-related and all-cause hospital admission
Follow-up
Mean 7 years
Methodological detailsoccupational health profile assessments, multilevel adjustment
  • Occupational health profile assessments
  • Multilevel adjustment

Main finding

As reported in the abstract

CVD and all-cause hospital admission

HR

Cardiovascular disease (CVD) admission; continuous CRF change
0.99
All-cause admission; continuous CRF change
0.99
Maintainers vs Decliners: lower risk of CVD admission
9%
Maintainers vs Decliners: lower risk of all-cause admission
7%
Increasers vs Decliners: lower risk of CVD admission
13%
Increasers vs Decliners: lower risk of all-cause admission
11%

Observational data: associations, not effects.

Further findings

CVD and all-cause admission, individuals with prior admission (subgroup)

Increasers: lower risk of CVD admission
20%
Increasers: lower risk of all-cause admission
14%

Prevented fraction for the population

CVD admission burden lower than if whole cohort had declined CRF
6%
All-cause admission burden lower than if whole cohort had declined CRF
5%

Original publication

Maintaining or increasing cardiorespiratory fitness is associated with reduced hospital admission rate. Eur J Prev Cardiol. Published 29 November 2023. doi:10.1093/eurjpc/zwad367

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

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