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© 1989 Oxford University Press

research-article

Association of Physical Activity with Coronary Risk Factors and Physical Ability: Twenty-year Follow-up of a Cohort of Finnish Men

BERNARD MARTI, JUHA PEKKANEN*, AULIKKI NISSINEN, ARTO KETOLA, SIRKKA-LIISA KIVELÄ, SVEN PUNSAR and MARTTI J. KARVONEN

Department of Epidemiology, National Public Health Institute Mannerheimintie 166, SF-00280 Helsinki, Finland
University of Tampere, Department of Public Health Tampere, Finland
Department of Public Health Science, University of Helsinki Helsinki, Finland
Pioppi, Italy

*Address for correspondence

The association of physical activity with coronary risk factors and self-reported physical ability was studied in a cohort of 331 healthy Finnish men aged 45–64 years at entry, representing the survivors of a 20-year longitudinal study from 1964 to 1984. Baseline physical activity was not significantly related to levels of coronary risk factors at subsequent 5-year, 10-year or 20-year follow-up examinations. The 72 who increased their physical activity during the study period smoked less at 20-year follow-up than those who remained sedentary (p = 0.03). No other significant associations between 20-year changes of physical activity and coronary risk factors were seen. Although baseline physical activity was not, physical activity and exercise at 20-year follow-up were positively related to indices of functional capacity assessed at the end of the study period, when the subjects had reached a mean age of 73 years. It is concluded from this long-term study that a relative increase of physical activity between middle and old age is associated with both less smoking and a maintained high level of physical ability.

accepted in revised form April 15, 1988.


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