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Relationship of Cardiorespiratory Fitness and Body Mass Index with the Incidence of Dyslipidemia among Japanese Women: A Cohort Study

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  • Takahisa Ohta

    (Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, Japan
    Yokohama Sports Medical Center, Nissan Stadium, 3302-5, Kodukue-chou, Kouhoku-ku, Yokohama-City 222-0036, Japan)

  • Junzo Nagashima

    (Yokohama Sports Medical Center, Nissan Stadium, 3302-5, Kodukue-chou, Kouhoku-ku, Yokohama-City 222-0036, Japan
    Division of Cardiology, Department of Internal Medicine, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki 216-8511, Japan)

  • Hiroyuki Sasai

    (Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, Japan)

  • Naokata Ishii

    (Department of Life Sciences, Graduate School of Arts and Sciences, The University of Tokyo, 3-8-1 Komaba, Meguro-ku, Tokyo 153-8902, Japan)

Abstract

Low cardiorespiratory fitness (CRF) and obesity are independent risk factors for dyslipidemia. We investigated the synergistic effects of CRF and obesity on the incidence of dyslipidemia among Japanese women. Of 7627 participants, 927 normolipidemic Japanese women completed a submaximal exercise test, medical examination, and a questionnaire on smoking and alcohol drinking. The incidence of dyslipidemia was defined as having at least one of the following: high-density lipoprotein cholesterol < 40 mg/dL, low-density lipoprotein cholesterol ≥ 140 mg/dL, fasting triglyceride ≥ 150 mg/dL, or physician-diagnosed dyslipidemia. Multivariable hazard ratios (HRs) and 95% confidence intervals (CI) were calculated using a Cox proportional hazard regression model. During the follow-up period of ≤16 years (median 1 year), 196 (21.1%) women developed dyslipidemia. Compared with those in the body mass index (BMI)-specific (< or ≥25.0 kg/m 2 ) lowest CRF tertile, the multivariable HRs for dyslipidemia in the highest CRF tertile were 1.36 (95% CI, 0.75–2.48) for women with BMI ≥ 25 kg/m 2 and 0.70 (95% CI, 0.45–1.09) for those with BMI < 25 kg/m 2 ( p < 0.01 for interaction). These results suggest that CRF and BMI are interdependent and, together, they affect the incidence of dyslipidemia among Japanese women. CRF is inversely related to a lower incidence of dyslipidemia with low BMI.

Suggested Citation

  • Takahisa Ohta & Junzo Nagashima & Hiroyuki Sasai & Naokata Ishii, 2019. "Relationship of Cardiorespiratory Fitness and Body Mass Index with the Incidence of Dyslipidemia among Japanese Women: A Cohort Study," IJERPH, MDPI, vol. 16(23), pages 1-9, November.
    • Handle: RePEc:gam:jijerp:v:16:y:2019:i:23:p:4647-:d:289757
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    References listed on IDEAS

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    1. Chun-Sheng Hsu & Shin-Tsu Chang & Oswald Ndi Nfor & Kuan-Jung Lee & Shiuan-Shinn Lee & Yung-Po Liaw, 2019. "Effects of Regular Aerobic Exercise and Resistance Training on High-Density Lipoprotein Cholesterol Levels in Taiwanese Adults," IJERPH, MDPI, vol. 16(11), pages 1-8, June.
    2. Jian Li & Johannes Siegrist, 2012. "Physical Activity and Risk of Cardiovascular Disease—A Meta-Analysis of Prospective Cohort Studies," IJERPH, MDPI, vol. 9(2), pages 1-17, January.
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    1. Geraldo A. Maranhao Neto & Iuliia Pavlovska & Anna Polcrova & Jeffrey I. Mechanick & Maria M. Infante-Garcia & Jose Pantaleón Hernandez & Miguel A. Araujo & Ramfis Nieto-Martinez & Juan P. Gonzalez-Ri, 2021. "Prediction of Cardiorespiratory Fitness in Czech Adults: Normative Values and Association with Cardiometabolic Health," IJERPH, MDPI, vol. 18(19), pages 1-12, September.
    2. Chaonan Gao & Wenhao Yu & Xiangjuan Zhao & Chunxia Li & Bingbing Fan & Jiali Lv & Mengke Wei & Li He & Chang Su & Tao Zhang, 2021. "Four-Way Decomposition of Effect of Alcohol Consumption and Body Mass Index on Lipid Profile," IJERPH, MDPI, vol. 18(24), pages 1-9, December.
    3. Xiaohan Li & Rongfang Yu & Ping Wang & Aiwen Wang & Huiming Huang, 2021. "Effects of Exercise Training on Cardiopulmonary Function and Quality of Life in Elderly Patients with Pulmonary Fibrosis: A Meta-Analysis," IJERPH, MDPI, vol. 18(14), pages 1-18, July.

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