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Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 1989 Sep;43(3):228–233. doi: 10.1136/jech.43.3.228

Relation between leisure time exercise and cardiovascular risk factors among 15-year-olds in eastern Finland.

B Marti 1, E Vartiainen 1
PMCID: PMC1052841  PMID: 2607300

Abstract

STUDY OBJECTIVE: To examine the associations between frequency of leisure time exercise and cardiovascular risk factors in adolescents. DESIGN: Cross sectional survey carried out over a 3 month period in 1984. SETTING: All 24 schools in North Karelia province and 16 randomly selected schools in Kuopio province. PARTICIPANTS: A total of 1142 boys and girls aged 15, randomly selected from 40 schools (16 boys and 16 girls from each), participated out of a possible total sample of 1280. Main reason for non-participation was absence from school but a small number refused to participate. MEASUREMENTS AND MAIN RESULTS: The investigation comprised a medical examination, including anthropometry, a self administered questionnaire checked by interview, a parental questionnaire, and a blood sample for biochemical estimations. The main findings were: (1) Leisure time exercise was inversely related to daily smoking (Spearman's rho, boys -0.16, p less than 0.01; girls -0.13, p less than 0.01) but was not related to serum lipoproteins or blood pressure. The inverse association between exercise and smoking was independent of socioeconomic family background. (2) Body mass index and sexual maturation were associated with systolic blood pressure, and among boys they were inversely related to high density lipoprotein cholesterol. (3) The lack of linear trends between exercise and biological risk factors may be explained by the high prevalence of leisure time exercise in the sample (72% of boys and 71% of girls exercised at least 2-3 times per week, in addition to physical education classes at school). CONCLUSIONS: Among 15-year-old eastern Finnish boys and girls, leisure time exercise is favourably associated with the main behavioural cardiovascular risk factor, smoking, but not with serum total cholesterol or blood pressure.

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Selected References

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  1. Andersen K. L., Ilmarinen J., Rutenfranz J., Ottmann W., Berndt I., Kylian H., Ruppel M. Leisure time sport activities and maximal aerobic power during late adolescence. Eur J Appl Physiol Occup Physiol. 1984;52(4):431–436. doi: 10.1007/BF00943375. [DOI] [PubMed] [Google Scholar]
  2. Blair S. N., Jacobs D. R., Jr, Powell K. E. Relationships between exercise or physical activity and other health behaviors. Public Health Rep. 1985 Mar-Apr;100(2):172–180. [PMC free article] [PubMed] [Google Scholar]
  3. Blair S. N., Jacobs D. R., Jr, Powell K. E. Relationships between exercise or physical activity and other health behaviors. Public Health Rep. 1985 Mar-Apr;100(2):172–180. [PMC free article] [PubMed] [Google Scholar]
  4. Byckling T., Sauri T. Atherosclerosis precursors in Finnish children and adolescents. XII. Smoking behaviour and its determinants in 12-18-year-old subjects. Acta Paediatr Scand Suppl. 1985;318:195–203. doi: 10.1111/j.1651-2227.1985.tb10094.x. [DOI] [PubMed] [Google Scholar]
  5. Dahlström S., Viikari J., Akerblom H. K., Solakivi-Jaakkola T., Uhari M., Dahl M., Lähde P. L., Pesonen E., Pietikäinen M., Suoninen P. Atherosclerosis precursors in Finnish children and adolescents. II. Height, weight, body mass index, and skinfolds, and their correlation to metabolic variables. Acta Paediatr Scand Suppl. 1985;318:65–78. doi: 10.1111/j.1651-2227.1985.tb10083.x. [DOI] [PubMed] [Google Scholar]
  6. Dwyer T., Coonan W. E., Leitch D. R., Hetzel B. S., Baghurst R. A. An investigation of the effects of daily physical activity on the health of primary school students in South Australia. Int J Epidemiol. 1983 Sep;12(3):308–313. doi: 10.1093/ije/12.3.308. [DOI] [PubMed] [Google Scholar]
  7. Fraser G. E., Phillips R. L., Harris R. Physical fitness and blood pressure in school children. Circulation. 1983 Feb;67(2):405–412. doi: 10.1161/01.cir.67.2.405. [DOI] [PubMed] [Google Scholar]
  8. Freedman D. S., Srinivasan S. R., Shear C. L., Hunter S. M., Croft J. B., Webber L. S., Berenson G. S. Cigarette smoking initiation and longitudinal changes in serum lipids and lipoproteins in early adulthood: the Bogalusa Heart Study. Am J Epidemiol. 1986 Aug;124(2):207–219. doi: 10.1093/oxfordjournals.aje.a114379. [DOI] [PubMed] [Google Scholar]
  9. Gottlieb N. H., Chen M. S. Sociocultural correlates of childhood sporting activities: their implications for heart health. Soc Sci Med. 1985;21(5):533–539. doi: 10.1016/0277-9536(85)90037-1. [DOI] [PubMed] [Google Scholar]
  10. Gyárfás I. Blood pressure in childhood and adolescence. Results from an international collaborative study on juvenile hypertension. Acta Paediatr Scand Suppl. 1985;318:11–22. doi: 10.1111/j.1651-2227.1985.tb10079.x. [DOI] [PubMed] [Google Scholar]
  11. Hofman A., Walter H. J., Connelly P. A., Vaughan R. D. Blood pressure and physical fitness in children. Hypertension. 1987 Feb;9(2):188–191. doi: 10.1161/01.hyp.9.2.188. [DOI] [PubMed] [Google Scholar]
  12. Hämynen H., Vartiainen E., Sahi T., Pallonen U., Salonen J. T. Social, personality and environmental determinants of smoking in young Finnish men. Scand J Soc Med. 1987;15(4):219–224. doi: 10.1177/140349488701500403. [DOI] [PubMed] [Google Scholar]
  13. Katz S. H., Hediger M. L., Zemel B. S., Parks J. S. Blood pressure, body fat, and dehydroepiandrosterone sulfate variation in adolescence. Hypertension. 1986 Apr;8(4):277–284. doi: 10.1161/01.hyp.8.4.277. [DOI] [PubMed] [Google Scholar]
  14. Killen J. D., Telch M. J., Robinson T. N., Maccoby N., Taylor C. B., Farquhar J. W. Cardiovascular disease risk reduction for tenth graders. A multiple-factor school-based approach. JAMA. 1988 Sep 23;260(12):1728–1733. [PubMed] [Google Scholar]
  15. Linder C. W., DuRant R. H. Exercise, serum lipids, and cardiovascular disease--risk factors in children. Pediatr Clin North Am. 1982 Dec;29(6):1341–1354. doi: 10.1016/s0031-3955(16)34284-5. [DOI] [PubMed] [Google Scholar]
  16. Linder C. W., DuRant R. H., Mahoney O. M. The effect of physical conditioning on serum lipids and lipoproteins in white male adolescents. Med Sci Sports Exerc. 1983;15(3):232–236. [PubMed] [Google Scholar]
  17. Marti B., Salonen J. T., Tuomilehto J., Puska P. 10-year trends in physical activity in the eastern Finnish adult population: relationship to socioeconomic and lifestyle characteristics. Acta Med Scand. 1988;224(3):195–203. doi: 10.1111/j.0954-6820.1988.tb19362.x. [DOI] [PubMed] [Google Scholar]
  18. Marti B., Tuomilehto J., Salonen J. T., Puska P., Nissinen A. Relationship between leisure-time physical activity and risk factors for coronary heart disease in middle-aged Finnish women. Acta Med Scand. 1987;222(3):223–230. doi: 10.1111/j.0954-6820.1987.tb10663.x. [DOI] [PubMed] [Google Scholar]
  19. Murray M., Swan A. V., Kiryluk S., Clarke G. C. The Hawthorne effect in the measurement of adolescent smoking. J Epidemiol Community Health. 1988 Sep;42(3):304–306. doi: 10.1136/jech.42.3.304. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Nizankowska-Błaz T., Abramowicz T. Effects of intensive physical training on serum lipids and lipoproteins. Acta Paediatr Scand. 1983 May;72(3):357–359. doi: 10.1111/j.1651-2227.1983.tb09728.x. [DOI] [PubMed] [Google Scholar]
  21. Powell K. E., Spain K. G., Christenson G. M., Mollenkamp M. P. The status of the 1990 objectives for physical fitness and exercise. Public Health Rep. 1986 Jan-Feb;101(1):15–21. [PMC free article] [PubMed] [Google Scholar]
  22. Puska P., Vartiainen E., Pallonen U., Salonen J. T., Pöyhiä P., Koskela K., McAlister A. The North Karelia youth project: evaluation of two years of intervention on health behavior and CVD risk factors among 13- to 15-year old children. Prev Med. 1982 Sep;11(5):550–570. doi: 10.1016/0091-7435(82)90068-8. [DOI] [PubMed] [Google Scholar]
  23. Salonen J. T., Puska P., Kottke T. E., Heinonen O. P. Coronary risk factor clustering patterns in eastern Finland. Int J Epidemiol. 1981 Sep;10(3):203–210. doi: 10.1093/ije/10.3.203. [DOI] [PubMed] [Google Scholar]
  24. Saris W. H. The assessment and evaluation of daily physical activity in children. A review. Acta Paediatr Scand Suppl. 1985;318:37–48. doi: 10.1111/j.1651-2227.1985.tb10081.x. [DOI] [PubMed] [Google Scholar]
  25. Savage M. P., Petratis M. M., Thomson W. H., Berg K., Smith J. L., Sady S. P. Exercise training effects on serum lipids of prepubescent boys and adult men. Med Sci Sports Exerc. 1986 Apr;18(2):197–204. [PubMed] [Google Scholar]
  26. Telama R., Viikari J., Välimäki I., Siren-Tiusanen H., Akerblom H. K., Uhari M., Dahl M., Pesonen E., Lähde P. L., Pietikäinen M. Atherosclerosis precursors in Finnish children and adolescents. X. Leisure-time physical activity. Acta Paediatr Scand Suppl. 1985;318:169–180. doi: 10.1111/j.1651-2227.1985.tb10092.x. [DOI] [PubMed] [Google Scholar]
  27. Tuomilehto J., Geboers J., Salonen J. T., Nissinen A., Kuulasmaa K., Puska P. Decline in cardiovascular mortality in North Karelia and other parts of Finland. Br Med J (Clin Res Ed) 1986 Oct 25;293(6554):1068–1071. doi: 10.1136/bmj.293.6554.1068. [DOI] [PMC free article] [PubMed] [Google Scholar]
  28. Tuomilehto J., Marti B., Salonen J. T., Virtala E., Lahti T., Puska P. Leisure-time physical activity is inversely related to risk factors for coronary heart disease in middle-aged Finnish men. Eur Heart J. 1987 Oct;8(10):1047–1055. doi: 10.1093/oxfordjournals.eurheartj.a062169. [DOI] [PubMed] [Google Scholar]
  29. Vartiainen E., Puska P., Pietinen P., Nissinen A., Leino U., Uusitalo U. Effects of dietary fat modifications on serum lipids and blood pressure in children. Acta Paediatr Scand. 1986 May;75(3):396–401. doi: 10.1111/j.1651-2227.1986.tb10220.x. [DOI] [PubMed] [Google Scholar]
  30. Vartiainen E., Puska P., Salonen J. T. Serum total cholesterol, HDL cholesterol and blood pressure levels in 13-year-old children in Eastern Finland. The North Karelia Youth Project. Acta Med Scand. 1982;211(1-2):95–103. doi: 10.1111/j.0954-6820.1982.tb01908.x. [DOI] [PubMed] [Google Scholar]
  31. Vartiainen E., Puska P., Tossavainen K. Serum total cholesterol, HDL cholesterol and blood pressure levels in 15-year-old adolescents in eastern Finland. Acta Paediatr Scand. 1987 Mar;76(2):332–337. doi: 10.1111/j.1651-2227.1987.tb10470.x. [DOI] [PubMed] [Google Scholar]
  32. Vartiainen E., Tuomilehto J., Nissinen A. Blood pressure in puberty. Acta Paediatr Scand. 1986 Jul;75(4):626–631. doi: 10.1111/j.1651-2227.1986.tb10262.x. [DOI] [PubMed] [Google Scholar]
  33. Washburn R. A., Adams L. L., Haile G. T. Physical activity assessment for epidemiologic research: the utility of two simplified approaches. Prev Med. 1987 Sep;16(5):636–646. doi: 10.1016/0091-7435(87)90047-8. [DOI] [PubMed] [Google Scholar]

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