Bewegen vermindert de kans op een beroerte met bijna de helft*
Uit een Spaanse studie onder 33.000 mannen en vrouwen blijkt dat regelmatig wandelen de kans op een
beroerte duidelijk kan verminderen, althans voor vrouwen. De deelnemers werden gemiddeld ruim 12 jaar gevolgd en in die periode kregen 210 deelnemers een TIA en 442 een beroerte. Vrouwen die 3,5 uur of meer per week
wandelden bleken 43% minder kans te hebben op een TIA of beroerte. Bij mannen werd dit voordeel niet gezien ook niet bij deelnemers die meer intensief deden bewegen.
Physical activity and risk of cerebrovascular disease in the European prospective investigation into cancer and nutrition-Spain study.
Huerta JM, Chirlaque MD, Tormo MJ, Gavrila D, Arriola L, Moreno-Iribas C, Amiano P, Ardanaz E, Barricarte A, Dorronsoro M, Egüés N, Larrañaga N, Molina-Montes E, Quirós JR, Sánchez MJ, González CA, Navarro C.
Source
Consejería de Sanidad y Política Social, Servicio de Epidemiología, Ronda de Levante, 11, 30008, Murcia, Spain. : josem.huerta@carm.es.
Abstract
BACKGROUND AND PURPOSE:
Large-scale prospective epidemiological data testing the association between physical activity (PA) and cerebrovascular diseases (CVDs) are scarce, particularly in Europe. The objective was to assess the risk of CVD according to PA levels in adults.
METHODS:
We included a total of 13 576 men and 19 416 women aged 29 to 69 years and participating in the European Prospective Investigation into Cancer and Nutrition cohort in Spain, recruited between 1992 and 1996 and followed-up until 2006 to ascertain incident CVD events. The validated European Prospective Investigation into Cancer and Nutrition PA questionnaire was used to assess metabolic equivalent × hours per week dedicated to different types of PA.
Hazard ratios of CVD by PA levels were estimated using multivariate Cox regression. Extensive baseline data collected on diet, lifestyle habits, medical history, and anthropometry were available to adjust for.
RESULTS:
A total of 210 transient ischemic attacks and 442 stroke cases (80% ischemic, 10% hemorrhagic, 7% subarachnoid hemorrhage, and 3% mixed or unspecified) were registered after 12.3 years of mean follow-up. Recreational activity was inversely associated with risk of CVD in women but not in men. Women walking for ≥3.5 hours per week were at lower risk of stroke than those who did not engage in regular walking. No significant associations were found for other leisure time activities or vigorous PA with CVD in either sex.
CONCLUSIONS:
Recreational PA of moderate intensity was inversely associated with stroke incidence in women, whereas PA showed no effect on CVD risk in men. Increasing time dedicated to activities such as walking would be expected to help to reduce the stroke burden in women.
PMID:
23223506 [PubMed]
(Januari 2013)
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