Tags

Type your tag names separated by a space and hit enter

Social participation and coronary heart disease risk in a large prospective study of UK women.
Eur J Prev Cardiol 2016; 23(9):995-1002EJ

Abstract

BACKGROUND

Participation in social activities is thought to prevent heart disease, but evidence is inconclusive.

DESIGN

We assessed whether participating in social activities reduces the risk of coronary heart disease (CHD) in a large prospective study of 735,159 middle-aged UK women.

METHODS

Women reported their participation in eight social activities (religious group, voluntary work, adult education, art/craft/music, dancing, sports club, yoga, bingo) and were followed for first CHD event (hospital admission or death) over the next 8.6 years. Cox regression models were used to estimate relative risks for CHD incidence by participation in each and in any of the social activities.

RESULTS

After adjustment for age and region only, every activity except bingo was associated with a reduced risk of CHD (n = 30,756 cases in total). However, after additional adjustment for 11 factors (deprivation, education, smoking, physical activity, body mass index, alcohol, marital status, self-rated health, happiness, hypertension, diabetes), every relative risk estimate moved close to 1.0. For example, for participation in any of the activities compared with none, the relative risk adjusted for age and region only was 0.83 (99% confidence interval 0.81-0.86), but changed to 1.06 (99% confidence interval 1.02-1.09) after additional adjustment. Adjustment for education, self-rated health, smoking and physical activity attenuated the associations most strongly. Residual confounding and other unmeasured factors may well account for any small remaining associations.

CONCLUSIONS

Associations between participation in various social activities and CHD risk appear to be largely or wholly due to confounding by personal characteristics of the participants.

Authors+Show Affiliations

Nuffield Department of Population Health, University of Oxford, UK sarah.floud@ceu.ox.ac.uk.Nuffield Department of Population Health, University of Oxford, UK.Nuffield Department of Population Health, University of Oxford, UK.Nuffield Department of Population Health, University of Oxford, UK.Nuffield Department of Population Health, University of Oxford, UK.Nuffield Department of Population Health, University of Oxford, UK.Nuffield Department of Population Health, University of Oxford, UK.No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

26416995

Citation

Floud, Sarah, et al. "Social Participation and Coronary Heart Disease Risk in a Large Prospective Study of UK Women." European Journal of Preventive Cardiology, vol. 23, no. 9, 2016, pp. 995-1002.
Floud S, Balkwill A, Canoy D, et al. Social participation and coronary heart disease risk in a large prospective study of UK women. Eur J Prev Cardiol. 2016;23(9):995-1002.
Floud, S., Balkwill, A., Canoy, D., Reeves, G. K., Green, J., Beral, V., & Cairns, B. J. (2016). Social participation and coronary heart disease risk in a large prospective study of UK women. European Journal of Preventive Cardiology, 23(9), pp. 995-1002. doi:10.1177/2047487315607056.
Floud S, et al. Social Participation and Coronary Heart Disease Risk in a Large Prospective Study of UK Women. Eur J Prev Cardiol. 2016;23(9):995-1002. PubMed PMID: 26416995.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Social participation and coronary heart disease risk in a large prospective study of UK women. AU - Floud,Sarah, AU - Balkwill,Angela, AU - Canoy,Dexter, AU - Reeves,Gillian K, AU - Green,Jane, AU - Beral,Valerie, AU - Cairns,Benjamin J, AU - ,, Y1 - 2015/09/28/ PY - 2015/04/29/received PY - 2015/08/31/accepted PY - 2015/9/30/entrez PY - 2015/9/30/pubmed PY - 2018/1/24/medline KW - Coronary heart disease KW - incidence KW - social participation KW - women SP - 995 EP - 1002 JF - European journal of preventive cardiology JO - Eur J Prev Cardiol VL - 23 IS - 9 N2 - BACKGROUND: Participation in social activities is thought to prevent heart disease, but evidence is inconclusive. DESIGN: We assessed whether participating in social activities reduces the risk of coronary heart disease (CHD) in a large prospective study of 735,159 middle-aged UK women. METHODS: Women reported their participation in eight social activities (religious group, voluntary work, adult education, art/craft/music, dancing, sports club, yoga, bingo) and were followed for first CHD event (hospital admission or death) over the next 8.6 years. Cox regression models were used to estimate relative risks for CHD incidence by participation in each and in any of the social activities. RESULTS: After adjustment for age and region only, every activity except bingo was associated with a reduced risk of CHD (n = 30,756 cases in total). However, after additional adjustment for 11 factors (deprivation, education, smoking, physical activity, body mass index, alcohol, marital status, self-rated health, happiness, hypertension, diabetes), every relative risk estimate moved close to 1.0. For example, for participation in any of the activities compared with none, the relative risk adjusted for age and region only was 0.83 (99% confidence interval 0.81-0.86), but changed to 1.06 (99% confidence interval 1.02-1.09) after additional adjustment. Adjustment for education, self-rated health, smoking and physical activity attenuated the associations most strongly. Residual confounding and other unmeasured factors may well account for any small remaining associations. CONCLUSIONS: Associations between participation in various social activities and CHD risk appear to be largely or wholly due to confounding by personal characteristics of the participants. SN - 2047-4881 UR - https://www.unboundmedicine.com/medline/citation/26416995/Social_participation_and_coronary_heart_disease_risk_in_a_large_prospective_study_of_UK_women_ L2 - http://journals.sagepub.com/doi/full/10.1177/2047487315607056?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -