Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study
Aims Endurance sport practice is associated with a high prevalence of atrial fibrillation (AF), which increases the risk of stroke in the general population. However, stroke risk in endurance athletes with AF is sparsely investigated. Most studies have been limited by design and are largely restrict...
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2022
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Online Access: | https://hdl.handle.net/10037/28097 https://doi.org/10.1136/openhrt-2022-002154 |
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ftunivtroemsoe:oai:munin.uit.no:10037/28097 2023-05-15T18:34:48+02:00 Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study Johansen, Kristoffer Robin Ranhoff, Anette Hylen Sørensen, Eivind Nes, Bjarne Heitmann, Kim Arne Apelland, Turid Bucher Sandbakk, Silvana Wilsgaard, Tom Løchen, Maja-Lisa Thelle, Dag Steinar Morseth, Bente Myrstad, Marius 2022-11-17 https://hdl.handle.net/10037/28097 https://doi.org/10.1136/openhrt-2022-002154 eng eng BMJ Publishing Group Open heart Johansen, Ranhoff, Sørensen, Nes, Heitmann, Apelland, Bucher Sandbakk, Wilsgaard, Løchen, Thelle, Morseth, Myrstad. Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study. Open heart. 2022;9(2) FRIDAID 2094330 doi:10.1136/openhrt-2022-002154 2053-3624 https://hdl.handle.net/10037/28097 Attribution 4.0 International (CC BY 4.0) openAccess Copyright 2022 The Author(s) https://creativecommons.org/licenses/by/4.0 CC-BY Journal article Tidsskriftartikkel Peer reviewed publishedVersion 2022 ftunivtroemsoe https://doi.org/10.1136/openhrt-2022-002154 2023-01-12T00:02:50Z Aims Endurance sport practice is associated with a high prevalence of atrial fibrillation (AF), which increases the risk of stroke in the general population. However, stroke risk in endurance athletes with AF is sparsely investigated. Most studies have been limited by design and are largely restricted to younger and middle-aged populations. Thus, we aimed to investigate AF and stroke risk in older athletes exposed to prolonged endurance training. Method During a 10-year period, 505 male athletes aged ≥65 years frequently participating in a long-distance ski race were compared with 1867 men of the same age from the general population. The main exposure was endurance sport practice with self-reported AF and stroke as outcomes. Stroke risk was further examined by joint modelling of AF and endurance practice. Statistical analysis was conducted with a modified Poisson model. Results Athletes (median age: 68, range: 65–90) participated in a long-distance ski race over a median of 14 years (range: 1–53). Prevalence (28.5% vs 17.8%) and adjusted risk of AF (risk ratio (RR): 1.88, 95% CI: 1.49 to 2.37) were higher in athletes compared with non-athletes, whereas the prevalence (5.4% vs 9.7%) and risk of stroke were lower (RR: 0.60, 95% CI: 0.37 to 0.95). Compared with athletes without AF, risk of stroke was twofold in athletes (RR: 2.38, 95% CI: 1.08 to 5.24) and nearly fourfold in non-athletes (RR: 3.87, 95% CI: 1.98 to 7.57) with AF. Conclusion Although older male endurance athletes experienced an increased risk of AF, the long-term risk of stroke was substantially reduced compared with non-athletes. Article in Journal/Newspaper Tromsø University of Tromsø: Munin Open Research Archive Tromsø Open Heart 9 2 e002154 |
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Open Polar |
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University of Tromsø: Munin Open Research Archive |
op_collection_id |
ftunivtroemsoe |
language |
English |
description |
Aims Endurance sport practice is associated with a high prevalence of atrial fibrillation (AF), which increases the risk of stroke in the general population. However, stroke risk in endurance athletes with AF is sparsely investigated. Most studies have been limited by design and are largely restricted to younger and middle-aged populations. Thus, we aimed to investigate AF and stroke risk in older athletes exposed to prolonged endurance training. Method During a 10-year period, 505 male athletes aged ≥65 years frequently participating in a long-distance ski race were compared with 1867 men of the same age from the general population. The main exposure was endurance sport practice with self-reported AF and stroke as outcomes. Stroke risk was further examined by joint modelling of AF and endurance practice. Statistical analysis was conducted with a modified Poisson model. Results Athletes (median age: 68, range: 65–90) participated in a long-distance ski race over a median of 14 years (range: 1–53). Prevalence (28.5% vs 17.8%) and adjusted risk of AF (risk ratio (RR): 1.88, 95% CI: 1.49 to 2.37) were higher in athletes compared with non-athletes, whereas the prevalence (5.4% vs 9.7%) and risk of stroke were lower (RR: 0.60, 95% CI: 0.37 to 0.95). Compared with athletes without AF, risk of stroke was twofold in athletes (RR: 2.38, 95% CI: 1.08 to 5.24) and nearly fourfold in non-athletes (RR: 3.87, 95% CI: 1.98 to 7.57) with AF. Conclusion Although older male endurance athletes experienced an increased risk of AF, the long-term risk of stroke was substantially reduced compared with non-athletes. |
format |
Article in Journal/Newspaper |
author |
Johansen, Kristoffer Robin Ranhoff, Anette Hylen Sørensen, Eivind Nes, Bjarne Heitmann, Kim Arne Apelland, Turid Bucher Sandbakk, Silvana Wilsgaard, Tom Løchen, Maja-Lisa Thelle, Dag Steinar Morseth, Bente Myrstad, Marius |
spellingShingle |
Johansen, Kristoffer Robin Ranhoff, Anette Hylen Sørensen, Eivind Nes, Bjarne Heitmann, Kim Arne Apelland, Turid Bucher Sandbakk, Silvana Wilsgaard, Tom Løchen, Maja-Lisa Thelle, Dag Steinar Morseth, Bente Myrstad, Marius Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
author_facet |
Johansen, Kristoffer Robin Ranhoff, Anette Hylen Sørensen, Eivind Nes, Bjarne Heitmann, Kim Arne Apelland, Turid Bucher Sandbakk, Silvana Wilsgaard, Tom Løchen, Maja-Lisa Thelle, Dag Steinar Morseth, Bente Myrstad, Marius |
author_sort |
Johansen, Kristoffer Robin |
title |
Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
title_short |
Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
title_full |
Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
title_fullStr |
Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
title_full_unstemmed |
Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study |
title_sort |
risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. the birkebeiner ageing study and the tromsø study |
publisher |
BMJ Publishing Group |
publishDate |
2022 |
url |
https://hdl.handle.net/10037/28097 https://doi.org/10.1136/openhrt-2022-002154 |
geographic |
Tromsø |
geographic_facet |
Tromsø |
genre |
Tromsø |
genre_facet |
Tromsø |
op_relation |
Open heart Johansen, Ranhoff, Sørensen, Nes, Heitmann, Apelland, Bucher Sandbakk, Wilsgaard, Løchen, Thelle, Morseth, Myrstad. Risk of atrial fibrillation and stroke among older men exposed to prolonged endurance sport practice: a 10-year follow-up. The Birkebeiner Ageing Study and the Tromsø Study. Open heart. 2022;9(2) FRIDAID 2094330 doi:10.1136/openhrt-2022-002154 2053-3624 https://hdl.handle.net/10037/28097 |
op_rights |
Attribution 4.0 International (CC BY 4.0) openAccess Copyright 2022 The Author(s) https://creativecommons.org/licenses/by/4.0 |
op_rightsnorm |
CC-BY |
op_doi |
https://doi.org/10.1136/openhrt-2022-002154 |
container_title |
Open Heart |
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9 |
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2 |
container_start_page |
e002154 |
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