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Published on: March 7, 2019
The association between physical activity and neck circumference with cardiovascular disease risk in older wheelchair
Jeonghyeon Kim1, Inhwan Lee2, Hyunsik Kang3
1College of Sport Science, Sungkyunkwan University, Seoul, Republic of Korea.
Objective:
To examine the association between physical activity, neck circumference, and cardiovascular disease risk in older wheelchair users.
Design:
A cross-sectional study.
Subjects/Patients:
Sixty-one Korean wheelchair users aged 50 years and older.
Methods:
Physical activity was assessed using a self-administered questionnaire. Neck circumference was measured with a tape ruler. Cardiovascular disease risk was evaluated by calculating the Framingham risk score (FRS) for estimating 10-year cardiovascular disease risk, which was classified as low-moderate (19% or less) or high risk (20% or more).
Results:
The FRS for 10-year cardiovascular disease risk was inversely related to physical activity (beta [SE] = -0.213 (0.103), p = 0.043) and positively related to neck circumference (beta [SE] = 1.331 ± 0.419, p = 0.003). Binary logistic regression showed that those with low physical activity (odds ratio [95% confidence interval] = 4.256 (1.188~15.243), p = 0.026) or a large neck circumference (odds ratio [95% confidence interval] = 3.645 (1.172~11.338), p = 0.025) had a higher risk for high cardiovascular disease risk compared with those with high physical activity or normal neck circumference.
Conclusion:
The current study findings suggest that an intervention targeting physical inactivity and upper-body obesity should be implemented to reduce cardiovascular disease risk in older wheelchair users.
