Relationship between Physical Activity and Cardiovascular Risk Factors: A Cross-Sectional Study among Low-Income Housewives in Kuala Lumpur

Combinations of physical activity, sedentary behavior and sleep and their associations with cardiovascular risk

BACKGROUND

Cardiovascular diseases (CVD) are the primary cause of global morbidity and mortality. Movement behaviors; physical activity (PA), sedentary behavior (SB) and sleep are essential for cardiovascular health, yet they are often studied separately.

OBJECTIVE

To investigate the association between the movement behaviors with cardiovascular risk (CVR) mediated by sleep quality.

METHODS

Population-based survey in two Brazilian municipalities, collected through face-to-face interview.PA practice was assessed using a question adapted from the study: Surveillance of risk and protective factors for chronic diseases by telephone survey (VIGITEL). Total daily SB time was measured in hours. The proportion of minutes of moderate to vigorous physical activity (MVPA) in relation to SB time was calculated and dichotomized into < 2.5 or ≥ 2.5 min of MVPA per hour of SB. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), and CVR was estimated via the Framingham risk score (FRS), categorized as low risk (< 5%) or intermediate to high risk (≥ 5%).

RESULTS

The study involved 1,550 individuals, 46.3% aged 35-59 years and 50.7% female. Multivariate analysis, adjusted for confounders, indicated that individuals with ≥ 2.5 min of MVPA per hour of SB had a lower likelihood of intermediate to high CVR (odds ratio (OR): 0.60; 95%CI: 0.39-0.92), and 16.6% of this effect was mediated by sleep quality (OR: 0.65; 95%CI: 0.43-0.99). In the combined analysis, individuals with an MVPA per SB hour ratio and good sleep quality were less likely to have intermediate to high CVR (OR: 0.38; 95%CI: 0.21-0.69).

CONCLUSIONS

The combination of high MVPA, low SB and good sleep quality, was associated with a less CVR. These findings highlight the importance of integrated interventions addressing multiple movement behaviors to prevent and treat CVR.

Lipid Levels and Atherogenic Indices as Important Predictive Parameters in the Assessment of Cardiovascular Risk in Patients with Pulmonary Tuberculosis-Slovak Pilot Study

Background and Objective: Tuberculosis is one of the globally prevalent infectious diseases. Lipids play a crucial role in its development as well as in other diseases of the cardiovascular system. Cardiovascular diseases significantly worsen the functional and vital prognosis of tuberculosis patients. The aim of the study was to assess the differences in lipid profile, glucose, and atherogenic markers between tuberculosis patients and healthy individuals. Materials and Methods: The project involved 34 patients diagnosed with pulmonary tuberculosis (TB) and a control group (CG: n = 35). The following were assessed: total cholesterol (CHOL), low-density lipoprotein (LDL), high-density lipoprotein (HDL), triglycerides (TG), and glucose. Atherogenic indices: Castelli risk index I (CRI-I), Castelli risk index II (CRI-II), atherogenic index of plasma (AIP) and atherogenic coefficient (AC) were calculated from lipid profile parameters using appropriate formulas. Results: A statistically significant difference was found between CG and TB in the parameters CHOL, LDL and HDL (p < 0.001). Based on the calculated atherogenic indices CRI-I and AIP, people diagnosed with TB can be classified into the high cardiovascular risk group. By fitting the ROC curve, atherogenic indices were shown to be effective predictors of cardiovascular risk in people with tuberculosis. Conclusions: Atherogenic indices are useful markers for detecting cardiovascular disease in patients with tuberculosis and may help identify cardiovascular risks that might otherwise be missed.

Cardiovascular risk in adults with different levels of physical activity

BACKGROUND

Physical inactivity is a behavioral and modifiable risk factor for cardiovascular disease. We aimed to assess the association of walking or moderate to vigorous physical activity of various durations with cardiovascular risk in age and sex groups of the adult general population.

METHODS

This research was a secondary analysis of cross-sectional data from a Brazilian cohort study (2009 to 2014) on the general population in an urban area. Overall, 1208 patients (48.2% males) aged 20-59 years [mean (SD) age = 38.8 (12.0) years] were included.

RESULTS

We developed two well-fitted logistic models for investigating the main and interaction effects of physical activity; C-statistic = 74.1 and 80.4, respectively. Older age groups showed a higher association with the risk of cardiovascular disease, adjusted odds ratio OR (95%CI) = 5.28 (2.69, 10.76) for age ≥ 50 years. Walking < 150 min/w was not significant for all age groups (all P ≥ 0.139) compared with the base category (20-29 years). Also, moderate to vigorous physical activity < 150 min/w was not associated with lower cardiovascular risk. However, for moderate to vigorous physical activity ≥ 150 min/w, our results were indicative of a significant protective role for people in 30-39 and ≥ 50 age ranges; OR = 0.20 (0.09, 0.46) and 0.22 (0.10, 0.48), respectively (both P < 0.001).

CONCLUSION

Our study did not suggest a protective role for walking. However, moderate to vigorous physical activity ≥ 150 min/w was associated with a lower risk of cardiovascular disease in older patients.

Socio-Ecological Support and Physical Facilities Satisfaction: How They Link to Social Participation and Well-Being among Urban Residents in Malaysia

In urban communities, the threat to residents’ social well-being arises from their social lives; however, there is little evidence demonstrating how urban communities are connected with each other to improve their well-being. Therefore, the current study aims to identify the satisfaction levels with socio-ecological support and facilities received by selected urban residents in Malaysia. The study also examines the link between residents’ satisfaction and their social participation, as well as social well-being. This survey used a set of closed-ended questionnaires. A simple random sampling technique was employed, where a total number of 2502 respondents from six zones participated in this study. The collected data were analysed descriptively and inferentially. The results revealed that the majority of respondents are satisfied with socio-ecological and physical green facilities. Better green infrastructure management practice is required because the results from this study identified scientific issues in green environments in urban recreational centres, waste management, regular health maintenance, landscaping, and building maintenance. Results showed significant differences in the residents’ social well-being based on their socio-economic backgrounds. Results also demonstrated that social participation has significantly contributed to the social well-being of urban residents. These findings indicate the importance of various socio-ecological programmes to ensure a positive impact on the social well-being of the urban community. Overall, this study suggests implementing a comprehensive support mechanism for socio-ecological support initiatives to improve the social well-being of urban residents.

Self-Reported Modifiable Risk Factors of Cardiovascular Disease among Older Adults in Malaysia: A Cross-Sectional Study of Prevalence and Clustering

The co-occurrence of multiple modifiable risk factors increases the risk of cardiovascular disease (CVD) morbidity or mortality. This study examines the prevalence and clustering of self-reported modifiable CVD risk factors among older adults in Malaysia. A total of 7117 adults aged ≥50 years participated in the National Health and Morbidity Survey (NHMS) 2018: Elderly Health, a community-based cross-sectional survey. Data were collected using a standardized structured questionnaire. Multivariable logistic regression was used to determine the factors associated with the clustering of self-reported modifiable CVD risk factors. The prevalence of self-reported diabetes, hypertension, hypercholesterolemia, overweight/obesity, and current smoking was 23.3%, 42.2%, 35.6%, 58.4%, and 17.5%, respectively. Overall, the prevalence of clustering of ≥1, ≥2, and ≥3 modifiable CVD risk factors was 83.3%, 75.4%, and 62.6%, respectively. Multivariable logistic regression analysis showed that men, 60–69 age group, urban dwellers, having no formal education, unemployed/retirees/homemakers, and being physically inactive were independently associated with self-reported modifiable CVD risk factors clustering. There are also ethnic differences in self-reported modifiable CVD risk factors clustering. Our findings underscore the necessity of targeted interventions and integrated strategies for early detection and treatment of modifiable CVD risk factors among older adults, considering age, sex, ethnicity, and socioeconomic status.