Having hobbies and the risk of cardiovascular disease incidence: A Japan public health center-based study,Atherosclerosis

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Having hobbies and the risk of cardiovascular disease incidence: A Japan public health center-based study
Atherosclerosis ( IF 5.3 ) Pub Date : 2021-09-03 , DOI: 10.1016/j.atherosclerosis.2021.09.002
Xiaowen Wang ₁ , Jia-Yi Dong ₂ , Kokoro Shirai ₂ , Kazumasa Yamagishi ₃ , Yoshihiro Kokubo ₄ , Isao Saito ₅ , Hiroshi Yatsuya ₆ , Hiroyasu Iso ₇ , Shoichiro Tsugane ₈ , Norie Sawada ₄ ,

Affiliation

Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan; Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China.
Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan.
Department of Public Health Medicine, Faculty of Medicine, And Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.
Department of Preventive Cardiology, National Cerebral and Cardiovascular Center, Suita, Japan.
Department of Public Health and Epidemiology, Faculty of Medicine, Oita University, Yufu, Japan.
Department of Public Health, Fujita Health University School of Medicine, Toyoake, Japan.
Public Health, Department of Social Medicine, Osaka University Graduate School of Medicine, Osaka, Japan; Department of Public Health Medicine, Faculty of Medicine, And Health Services Research and Development Center, University of Tsukuba, Tsukuba, Japan.
Epidemiology and Prevention Group, Center for Public Health Sciences, National Cancer Center, Tokyo, Japan.

Background and aims

The role of hobbies as a protective factor against cardiovascular diseases (CVD) has gained increasing attention; however, no large-scale studies were performed to confirm this. We aimed to examine the association between having hobbies and the risk of total CVD, coronary heart disease (CHD), and stroke in a large Japanese cohort.

Methods

A total of 56,381 adults aged 45–74 years were divided into the non-hobby, having a hobby, and having many hobbies groups. We performed Cox proportional hazard models to estimate the hazard ratio (HRs) for incident CVD, CHD, and stroke after adjusting for potential confounding factors.

Results

We identified 3685 incident CVDs (940 CHDs and 2839 strokes) during a median follow-up of 16.3 years. After multivariable adjustment, compared to the non-hobby group, participants having a hobby and many hobbies had a 10% (HR = 0.90 [0.83, 0.97]) and 20% (HR = 0.80 [0.69, 0.93]) lower risk of CVD incidence, respectively. The risk of CHD was lower in those with many hobbies, but the association between having many hobbies and CHD risk was not statistically significant. We also found a similar inverse association for stroke. Compared to the non-hobby group, participants having a hobby and many hobbies had a 13% (HR = 0.87 [0.80, 0.96]) and 20% (HR = 0.80 [0.68, 0.94]) lower risk of stroke.

Conclusions

Having hobbies was associated with a lower risk of CVD. Engagement in hobbies may emerge as an important target for healthy lifestyle promotion for the primary prevention of CVD.

中文翻译：

爱好与心血管疾病发病风险：一项基于日本公共卫生中心的研究

背景和目标

爱好作为预防心血管疾病 (CVD) 的保护因素的作用越来越受到关注；然而，没有进行大规模的研究来证实这一点。我们的目的是在一个大型日本队列中检查爱好与总 CVD、冠心病 (CHD) 和中风风险之间的关联。

方法

将45-74岁的56381名成年人分为非爱好组、有爱好组和多爱好组。在对潜在混杂因素进行调整后，我们使用 Cox 比例风险模型来估计发生 CVD、CHD 和中风的风险比 (HR)。

结果

在中位随访 16.3 年期间，我们确定了 3685 例 CVD（940 例 CHD 和 2839 例中风）。多变量调整后，与非爱好组相比，有爱好和许多爱好的参与者患心血管疾病的风险降低了 10% (HR = 0.90 [0.83, 0.97]) 和 20% (HR = 0.80 [0.69, 0.93])分别发生率。爱好多的人患冠心病的风险较低，但爱好多的人患冠心病的风险在统计学上不显着。我们还发现了类似的中风反向关联。与非爱好组相比，有爱好和许多爱好的参与者患中风的风险降低了 13% (HR = 0.87 [0.80, 0.96]) 和 20% (HR = 0.80 [0.68, 0.94])。