1. Physical Activity Modifies the Risk of Incident Cardiac Conduction Disorders Upon Inflammation: A Population‐Based Cohort Study
- Author
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Haiyan Zhao, Man Li, Dan Wu, Shuohua Chen, Chenrui Zhu, Yulong Lan, Hongmin Liu, Yuntao Wu, and Shouling Wu
- Subjects
cardiac conduction disorder ,inflammation ,monocyte‐to‐lymphocyte ratio ,physical activity ,Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Abstract
Background Emerging evidence suggests a central role for inflammation in cardiac conduction disorder (CCD). It is unknown whether habitual physical activity could modulate the inflammation‐associated risks of incident CCD in the general population. Methods and Results This population‐based cohort was derived from the China Kailuan study, including a total of 97 192 participants without prior CCD. The end points included incident CCD and its subcategories (atrioventricular block and bundle‐branch block). Systemic inflammation was indicated by the monocyte‐to‐lymphocyte ratio (MLR). Over a median 10.91‐year follow‐up, 3747 cases of CCD occurred, with 1062 cases of atrioventricular block and 2697 cases of bundle‐branch block. An overall linear dose‐dependent relationship was observed between MLR and each study end point (all P‐nonlinearity≥0.05). Both higher MLR and physical inactivity were significantly associated with higher risks of conduction block. The MLR‐associated risks of developing study end points were higher in the physically inactive individuals than in those being physically active, with significant interactions between MLR levels and physical activity for developing CCD (P‐interaction=0.07) and bundle‐branch block (P‐interaction
- Published
- 2024
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