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Fitness and Body Mass Index During Adolescence and Disability Later in Life A Cohort Study
Karolinska Inst, Sweden; Univ Granada, Spain; Karolinska Inst, Sweden.
Linköping University, Department of Medical and Health Sciences, Division of Community Medicine. Linköping University, Faculty of Medicine and Health Sciences. Univ Granada, Spain.
Karolinska Inst, Sweden; Stockholm Cty Council, Sweden; Karolinska Inst, Sweden.
Karolinska Inst, Sweden.
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2019 (English)In: Annals of Internal Medicine, ISSN 0003-4819, E-ISSN 1539-3704, Vol. 170, no 4, p. 230-+Article in journal (Refereed) Published
Abstract [en]

Background: Low physical fitness, obesity, and the combination of the two in adolescence may be related to risk for disability in adulthood, but this has rarely been studied. Objective: To examine individual and combined associations of cardiorespiratory fitness and obesity in male adolescents with later receipt of a disability pension due to all and specific causes. Design: Population-based cohort study. Setting: Sweden. Participants: 1 079 128 Swedish adolescents aged 16 to 19 years who were conscripted into the military between 1972 and 1994. Measurements: Cardiorespiratory fitness and body mass index (BMI) were measured at conscription and were related to information on later receipt of a disability pension obtained from the Social Insurance Agency. Results: Over a median follow-up of 28.3 years, 54 304 men were granted a disability pension. Low cardiorespiratory fitness was strongly associated with later receipt of a disability pension due to all causes (hazard ratio, 3.74 [95% CI, 3.55 to 3.95] for lowest vs. highest fitness decile) and specific causes (psychiatric, musculoskeletal, injuries, nervous system, circulatory, and tumors). Obesity was associated with greater risk for receipt of a disability pension due to all and specific causes, with the greatest risks observed for class II and III obesity. Compared with being unfit, being moderately or highly fit was associated with attenuated risk for receipt of a disability pension across BMI categories. Limitation: The cohort did not include women, had data on smoking and alcohol intake only in a subsample, and lacked repeated measures of exposures and covariates. Conclusion: Low cardiorespiratory fitness, obesity, and the combination of the two were strongly associated with later chronic disability due to a wide range of diseases and causes. Although additional well-designed studies are required, these findings support the importance of high cardiorespiratory fitness and healthy body weight during adolescence to prevent later chronic disease.

Place, publisher, year, edition, pages
AMER COLL PHYSICIANS , 2019. Vol. 170, no 4, p. 230-+
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General Practice
Identifiers
URN: urn:nbn:se:liu:diva-155001DOI: 10.7326/M18-1861ISI: 000458888200014PubMedID: 30743265OAI: oai:DiVA.org:liu-155001DiVA, id: diva2:1297531
Note

Funding Agencies|Karolinska Institutet [2018-02043]; Henning and Johan Throne-Holst Foundation; Strategic Research Area Health Care Science, Karolinska Institutet/Umea University; Swedish Society of Medicine; County Council of Ostergotland, Sweden; intramural research program at the National Institute on Aging; European Union [667302]; University of Granada, Plan Propio de Investigacion 2016, Excellence actions: Units of Excellence, Unit of Excellence on Exercise and Health; SAMID III network, RETICS - PN I+D+I 2017-2021 (Spain); ISCIII Sub-Directorate General for Research Assessment and Promotion; European Regional Development Fund [RD16/0022]; EXERNET Research Network on Exercise and Health in Special Populations [DEP2005-00046/ACTI]

Available from: 2019-03-20 Created: 2019-03-20 Last updated: 2019-06-28

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