Cardiovascular Risk Factors and Coronary Atherosclerosis in Retired National Football League Players

被引:31
|
作者
Chang, Alice Y. [1 ,2 ,3 ]
FitzGerald, Shannon J. [4 ]
Cannaday, John [4 ]
Zhang, Song [3 ]
Patel, Amit [5 ]
Palmer, M. Dean [6 ]
Reddy, Gautham P. [7 ,8 ]
Ordovas, Karen G. [8 ]
Stillman, Arthur E. [9 ]
Janowitz, Warren [10 ]
Radford, Nina B. [4 ]
Roberts, Arthur J. [11 ]
Levine, Benjamin D. [1 ,6 ]
机构
[1] Univ Texas SW Med Ctr Dallas, Dept Internal Med, Dallas, TX 75390 USA
[2] Univ Texas SW Med Ctr Dallas, Div Endocrinol & Metab, Dallas, TX 75390 USA
[3] Univ Texas SW Med Ctr Dallas, Dept Clin Sci, Dallas, TX 75390 USA
[4] Cooper Clin, Dallas, TX USA
[5] Univ Texas SW Med Sch, Dallas, TX USA
[6] Presbyterian Med Ctr, Inst Exercise & Environm Med, Div Cardiol, Dallas, TX USA
[7] Univ Washington, Dept Radiol, Seattle, WA 98195 USA
[8] Univ Calif San Francisco, Dept Radiol, San Francisco, CA 94143 USA
[9] Emory Univ, Sch Med, Dept Radiol, Atlanta, GA 30322 USA
[10] Baptist Cardiac & Vasc Inst, Little Silver, NJ USA
[11] Living Heart Fdn, Little Silver, NJ USA
来源
AMERICAN JOURNAL OF CARDIOLOGY | 2009年 / 104卷 / 06期
基金
美国国家卫生研究院;
关键词
BODY-MASS INDEX; METABOLIC SYNDROME; PHYSICAL-ACTIVITY; CARDIORESPIRATORY FITNESS; HEART-DISEASE; CALCIUM; OVERWEIGHT; OBESITY; ASSOCIATION; PREVALENCE;
D O I
10.1016/j.amjcard.2009.05.008
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
A high prevalence of obesity exists in National Football League (NFL) players as determined by body mass index (BMI). It is not established whether increased BMI is associated with a greater prevalence of cardiovascular (CV) risk factors or coronary atherosclerosis in former NFL players than in nonathletes. This study compared CV risk factors and coronary atherosclerosis in retired NFL players to 2 groups of community controls, the population-based Dallas Heart Study and the preventive medicine cohort, the Aerobics Center Longitudinal Study. Retired NFL players (n = 201) were matched for ethnicity, age, and BMI (Aerobics Center Longitudinal Study, age only). CV risk factors were assessed by survey and screening visit. Coronary atherosclerosis was measured by computed tomography as coronary artery calcium (CAC). Compared to population-based controls, retired NFL players had a significantly lower prevalence of diabetes, hypertension, sedentary lifestyle, and metabolic syndrome, yet a higher prevalence of impaired fasting glucose and hyperlipidemia. However, there was no significant difference in the prevalence of detectable CAC (46% vs 48.3%, p = 0.69) or distribution of CAC (0 to 10, 10 to 100, 100 to 400, >= 400 p = 0.11). Comparing retired NFL players to the physically active preventive medicine controls, there was no difference in the amount of CAC. In retired NFL players, age and hyperlipidemia, not body size, were the most significant predictors of CAC. In conclusion, despite their large body size, retired NFL players do not have a greater prevalence of CV risk factors or amount of CAC than community controls. (C) 2009 Elsevier Inc. All rights reserved. (Am J Cardiol 2009;104:805-811)
引用
收藏
页码:805 / 811
页数:7
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