Table 2.
Ten-Year Risk of Asthmaa Under Hypothetical Interventions on BMIb and Moderate-to-Vigorous Physical Activity in Womenc in the Nurses’ Health Study, United States, 1988–1998
Intervention | Asthma Risk, % | 95% CI | Population RR | 95% CI | Population Risk Difference, % | 95% CI | Women Who Received Intervention |
|
---|---|---|---|---|---|---|---|---|
% of Total | % in Each 2-Year Period | |||||||
Natural course (no intervention) | 1.5 | 1.4, 1.7 | 1 | Referent | 0 | 0 | 0 | |
Primary interventions | ||||||||
Lose 5% of BMI if BMI >25 | 1.5 | 1.4, 1.6 | 0.96 | 0.93, 0.99 | −0.1 | −0.1, −0.01 | 67 | 56 |
Physical activity at least 2.5 hours/weekd | 1.5 | 1.3, 1.7 | 0.96 | 0.81, 1.10 | −0.1 | −0.3, 0.2 | 97 | 67 |
Joint intervention | 1.4 | 1.2, 1.6 | 0.92 | 0.78, 1.06 | −0.1 | −0.3, 0.1 | 98 | 77 |
Secondary interventions | ||||||||
Lose 5% of BMI if BMI >23 | 1.4 | 1.3, 1.6 | 0.94 | 0.89, 1.00 | −0.1 | −0.2, −0.01 | 85 | 69 |
Physical activity at least 3.5 hours/weekd | 1.4 | 1.0, 1.8 | 0.90 | 0.65, 1.15 | −0.2 | −0.6, 0.2 | 98 | 71 |
Joint intervention | 1.3 | 0.9, 1.7 | 0.85 | 0.62, 1.08 | −0.2 | −0.6, 0.1 | 99 | 85 |
Abbreviations: BMI, body mass index; CI, confidence interval; RR, risk ratio.
a Estimated risk in the population using the parametric g-formula to standardize for time-varying covariates (smoking intensity, BMI, menopausal status, postmenopausal hormone use, physical activity), and baseline covariates (age, smoking history prior to 1988, type of nursing, BMI, BMI at 18 years of age, smoking intensity, menopausal status, postmenopausal hormone use, physical activity).
b Weight (kg)/height (m)2.
c Total of 76,470 women and 1,146 asthma cases representing 746,096 person-years.
d Equates to 30 minutes/day on 5 days/week.