Prevention & lipidsCohort study
Maintaining or increasing cardiorespiratory fitness is associated with reduced hospital admission rate
- Cohort study
- occupational health profile assessments
- multilevel adjustment
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
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