Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Matti Salakka 🐠
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
“Analysis of Physiological Fitness of Government and Private Residential Seco...IOSR Journals
Health filled life is the fundamental right of every child and they are the best asset on which a nation‟s
development depends on. Though there is thoughtful actions being undertaken by not only the government and
the school authorities but also by the parents in making the children involve in healthful fitness activities the
ground truth of the children suffering from lack of health related fitness remains unchanged.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Matti Salakka 🐠
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
“Analysis of Physiological Fitness of Government and Private Residential Seco...IOSR Journals
Health filled life is the fundamental right of every child and they are the best asset on which a nation‟s
development depends on. Though there is thoughtful actions being undertaken by not only the government and
the school authorities but also by the parents in making the children involve in healthful fitness activities the
ground truth of the children suffering from lack of health related fitness remains unchanged.
To Assess the Effect of Body Mass Index on Cardiac Efficiency in Adolescent B...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Mal-Alignment as a Risk Factor for Lower Extremity Overuse Injuries: A Case C...iosrjce
Engaging in sports activities has various health benefits, but also carries the risk of injury. Overuse
injuries in young adults is one of them which is challenge to the treating clinician. In the present study, we
studied the association of mal-alignment as a risk factor for overuse injuries of lower extremity in young adults.
In this prospective case-control study, we enrolled all the adult patients engaged in unorganised sports activity
presented with various lower extremity overuses injuries as cases and the without any overuse injury as
controls. After making a clinical impression, all patients were subjected to relevant X-rays to diagnose the malalignment,
if present or not. A total of 471 cases and 857 controls with overuse injuries were included. The
mean age at diagnosis of overuse injuries was 25.5(16-30) yrs in cases and 24.3 (18-30) yrs in controls. The
recreational running was the commonest unorganized activity in both males (38.2%) and females (62.5%).
Correlation of the mal-alignment with overuse injuries found to be statistically significant (p=0.003). In
conclusion overuse injuries in young adults are significantly associated with mal-alignments. Better
understanding of these mal-alignments is better for the management of these injuries.
4th year medical students initiate a quality improvement project for health care providers. Be sure to visit http://wp.me/p4V1Uc-sb for the pre and post test and more information.
Abstract— Respiratory complications are major sources of morbidity and mortality in spinal cord injury (SCI). Improvement in expiratory muscle strength may be associated with improved cough and clearance of secretions. So that expiratory muscle training are advised in SCI cases to improve expiratory muscle strength. This study was conducted to compare the effect of Resistance and Sham training on pulmonary function test in spinal cord injury cases. It was found the mean value of all the parameters of PFT of Sham training was found to increase from baseline to 1st and 2nd follow up. This difference was found significant in all the parameters of PFT at 2nd follow up, but FEV1 and PIFR of 1st follow up (p value < 0.05) only. Likewise, it is also observed that the mean value of all the parameters of PFT of test group was found to increase from baseline to 1st and 2nd follow up. This difference was found highly significant (p value <0.001) in all the parameters of PFT at 1st and 2nd follow up. So it can be concluded that however both the type of training improve PFTs but the improvement of high resistance training was significantly more than they were for sham training.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Firstbeat Technologies
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
To Assess the Effect of Body Mass Index on Cardiac Efficiency in Adolescent B...iosrjce
IOSR Journal of Dental and Medical Sciences is one of the speciality Journal in Dental Science and Medical Science published by International Organization of Scientific Research (IOSR). The Journal publishes papers of the highest scientific merit and widest possible scope work in all areas related to medical and dental science. The Journal welcome review articles, leading medical and clinical research articles, technical notes, case reports and others.
Mal-Alignment as a Risk Factor for Lower Extremity Overuse Injuries: A Case C...iosrjce
Engaging in sports activities has various health benefits, but also carries the risk of injury. Overuse
injuries in young adults is one of them which is challenge to the treating clinician. In the present study, we
studied the association of mal-alignment as a risk factor for overuse injuries of lower extremity in young adults.
In this prospective case-control study, we enrolled all the adult patients engaged in unorganised sports activity
presented with various lower extremity overuses injuries as cases and the without any overuse injury as
controls. After making a clinical impression, all patients were subjected to relevant X-rays to diagnose the malalignment,
if present or not. A total of 471 cases and 857 controls with overuse injuries were included. The
mean age at diagnosis of overuse injuries was 25.5(16-30) yrs in cases and 24.3 (18-30) yrs in controls. The
recreational running was the commonest unorganized activity in both males (38.2%) and females (62.5%).
Correlation of the mal-alignment with overuse injuries found to be statistically significant (p=0.003). In
conclusion overuse injuries in young adults are significantly associated with mal-alignments. Better
understanding of these mal-alignments is better for the management of these injuries.
4th year medical students initiate a quality improvement project for health care providers. Be sure to visit http://wp.me/p4V1Uc-sb for the pre and post test and more information.
Abstract— Respiratory complications are major sources of morbidity and mortality in spinal cord injury (SCI). Improvement in expiratory muscle strength may be associated with improved cough and clearance of secretions. So that expiratory muscle training are advised in SCI cases to improve expiratory muscle strength. This study was conducted to compare the effect of Resistance and Sham training on pulmonary function test in spinal cord injury cases. It was found the mean value of all the parameters of PFT of Sham training was found to increase from baseline to 1st and 2nd follow up. This difference was found significant in all the parameters of PFT at 2nd follow up, but FEV1 and PIFR of 1st follow up (p value < 0.05) only. Likewise, it is also observed that the mean value of all the parameters of PFT of test group was found to increase from baseline to 1st and 2nd follow up. This difference was found highly significant (p value <0.001) in all the parameters of PFT at 1st and 2nd follow up. So it can be concluded that however both the type of training improve PFTs but the improvement of high resistance training was significantly more than they were for sham training.
Cardiorespiratory Fitness, Health Outcomes, and Health Care Costs: The Case f...Firstbeat Technologies
Physical inactivity is becoming a world-wide epidemic – and the consequences can be both costly and deadly. This was outlined by Dr. Jonathan Myers who, citing a range of studies and recent research results, was able to show hard-hitting data related to the correlation between fitness (or lack thereof) and poor health. Myers argues fitness may well be a better marker than traditional risk factors for CVD and all-cause mortality. Amongst the eye-opening findings presented to the audience was that, for the first time, global deaths-per-year due to physical inactivity are higher than for smoking.
Copyright 2016 American Medical Association. All rights reservAlleneMcclendon878
Copyright 2016 American Medical Association. All rights reserved.
Association Between Rotating Night Shift Work and Risk
of Coronary Heart Disease Among Women
Céline Vetter, PhD; Elizabeth E. Devore, ScD; Lani R. Wegrzyn, ScD; Jennifer Massa, ScD; Frank E. Speizer, MD;
Ichiro Kawachi, MD, ScD; Bernard Rosner, PhD; Meir J. Stampfer, MD, DrPH; Eva S. Schernhammer, MD, DrPH
IMPORTANCE Prospective studies linking shift work to coronary heart disease (CHD) have
been inconsistent and limited by short follow-up.
OBJECTIVE To determine whether rotating night shift work is associated with CHD risk.
DESIGN, SETTING, AND PARTICIPANTS Prospective cohort study of 189 158 initially healthy
women followed up over 24 years in the Nurses’ Health Studies (NHS [1988-2012]:
N = 73 623 and NHS2 [1989-2013]: N = 115 535).
EXPOSURES Lifetime history of rotating night shift work (�3 night shifts per month in
addition to day and evening shifts) at baseline (updated every 2 to 4 years in the NHS2).
MAIN OUTCOMES AND MEASURES Incident CHD; ie, nonfatal myocardial infarction, CHD
death, angiogram-confirmed angina pectoris, coronary artery bypass graft surgery, stents,
and angioplasty.
RESULTS During follow-up, 7303 incident CHD cases occurred in the NHS (mean age at
baseline, 54.5 years) and 3519 in the NHS2 (mean age, 34.8 years). In multivariable-adjusted
Cox proportional hazards models, increasing years of baseline rotating night shift work was
associated with significantly higher CHD risk in both cohorts. In the NHS, the association
between duration of shift work and CHD was stronger in the first half of follow-up than in the
second half (P=.02 for interaction), suggesting waning risk after cessation of shift work.
Longer time since quitting shift work was associated with decreased CHD risk among ever
shift workers in the NHS2 (P<.001 for trend).
Baseline History of Rotating Night Shift Work P Value
for
TrendNone <5 y 5-9 y ≥10 y
NHS cohort
CHD incidence ratea 425.5 435.1 525.7 596.9
HR (95% CI)b 1 [Reference] 1.02 (0.97-1.08) 1.12 (1.02-1.22) 1.18 (1.10-1.26) <.001
First half of follow-up
CHD incidence ratea 367.3 382.4 483.1 494.4
HR (95% CI)b 1 [Reference] 1.10 (1.01-1.21) 1.19 (1.03-1.39) 1.27 (1.13-1.42) <.001
Second half of
follow-up
CHD incidence ratea 436.6 424.8 520.7 556.2
HR (95% CI)b 1 [Reference] 0.98 (0.92-1.05) 1.08 (0.96-1.21) 1.13 (1.04-1.24) .004
NHS2 cohort
CHD incidence ratea 122.6 130.6 151.6 178.0
HR (95% CI)b 1 [Reference] 1.05 (0.97-1.13) 1.12 (0.99-1.26) 1.15 (1.01-1.32) .01
a Age-adjusted rates per 100 000 person-years.
b Multivariable-adjusted hazard ratio (HR).
CONCLUSIONS AND RELEVANCE Among women who worked as registered nurses, longer
duration of rotating night shift work was associated with a statistically significant but small
absolute increase in CHD risk. Further research is needed to explore whether the association
is related to specific work hours and individual characteristics.
JAMA. 2016;315(16):1726-1734. ...
Here is a copy of the presentation that I gave to MRC CBU at Cambridge University on the 5th July 2017, essentially a summary of a book chapter of mine to be published later this year. The focus of my presentation was on connections between #self, #other and our #connections with the environment.
Quantifying Cardiovascular and Behavioral Correlates of Fear in Mice: Implica...InsideScientific
To learn more and watch the webinar, go to:
https://insidescientific.com/webinar/quantifying-cardiovascular-and-behavioral-correlates-of-fear-in-mice-implications-for-ptsd-and-cardiovascular-disease-risk/
Post-traumatic stress disorder (PTSD) is a prevalent neuropsychological disorder that is in part characterized by exaggerated cardiovascular and autonomic arousal to trauma reminders, which over time may contribute to greater risk for cardiovascular disease (CVD) development (ie., stroke, hypertension). In both humans and rodents, cardiovascular and autonomic responses are strong measures of fear or threat assessment and therefore understanding how these systems go awry in anxiety disorders such as PTSD is critical for improving current PTSD therapies as well as reducing CVD risk in this population.
In this webinar, Dr. Paul Marvar and Benjamin Turley discuss research related to innovative methodology developed in rodent models for pairing real-time multi-modal assessment of behavioral (ie., freezing, startle) and cardiovascular (ie., blood pressure, heart rate) responses to cued fear learning and how these approaches may better inform underlying cardiovascular and autonomic impairments in fear-based disorders, such as PTSD.
Key Topics Include:
- To understand the physiological impact of PTSD on cardiovascular and autonomic homeostasis, CVD risk
- To understand how rodent models of conditioned fear learning can be used to assess real-time cardiovascular and autonomic fear or defensive emotional states in both home-cage and novel environments
- To further understand the benefits for using integrated behavioral and cardiovascular multi-modal methodologies and its translational implications for improved treatments for PTSD and CVD comorbidity
Depresi dan bunuh diri sebagai masalah kesehatan mental yang lazim untuk pasien hemodialisis. Tujuan: Para penulis meneliti faktor-faktor demografi dan psikologis yang terkait dengan depresi pada pasien hemodialisis dan dijelaskan hubungan antara depresi, kecemasan, kelelahan, kualitas kesehatan yang berhubungan hidup yang buruk, dan meningkatkan risiko bunuh diri.
Copyright 2016 American Medical Association. All rights reserv.docxmelvinjrobinson2199
Copyright 2016 American Medical Association. All rights reserved.
Intensive vs Standard Blood Pressure Control
and Cardiovascular Disease Outcomes in Adults Aged ≥75 Years
A Randomized Clinical Trial
Jeff D. Williamson, MD, MHS; Mark A. Supiano, MD; William B. Applegate, MD, MPH; Dan R. Berlowitz, MD; Ruth C. Campbell, MD, MSPH;
Glenn M. Chertow, MD; Larry J. Fine, MD; William E. Haley, MD; Amret T. Hawfield, MD; Joachim H. Ix, MD, MAS; Dalane W. Kitzman, MD;
John B. Kostis, MD; Marie A. Krousel-Wood, MD; Lenore J. Launer, PhD; Suzanne Oparil, MD; Carlos J. Rodriguez, MD, MPH;
Christianne L. Roumie, MD, MPH; Ronald I. Shorr, MD, MS; Kaycee M. Sink, MD, MAS; Virginia G. Wadley, PhD; Paul K. Whelton, MD;
Jeffrey Whittle, MD; Nancy F. Woolard; Jackson T. Wright Jr, MD, PhD; Nicholas M. Pajewski, PhD; for the SPRINT Research Group
IMPORTANCE The appropriate treatment target for systolic blood pressure (SBP) in older
patients with hypertension remains uncertain.
OBJECTIVE To evaluate the effects of intensive (<120 mm Hg) compared with standard
(<140 mm Hg) SBP targets in persons aged 75 years or older with hypertension
but without diabetes.
DESIGN, SETTING, AND PARTICIPANTS A multicenter, randomized clinical trial of patients aged
75 years or older who participated in the Systolic Blood Pressure Intervention Trial (SPRINT).
Recruitment began on October 20, 2010, and follow-up ended on August 20, 2015.
INTERVENTIONS Participants were randomized to an SBP target of less than 120 mm Hg
(intensive treatment group, n = 1317) or an SBP target of less than 140 mm Hg (standard
treatment group, n = 1319).
MAIN OUTCOMES AND MEASURES The primary cardiovascular disease outcome was a
composite of nonfatal myocardial infarction, acute coronary syndrome not resulting in a
myocardial infarction, nonfatal stroke, nonfatal acute decompensated heart failure, and death
from cardiovascular causes. All-cause mortality was a secondary outcome.
RESULTS Among 2636 participants (mean age, 79.9 years; 37.9% women), 2510 (95.2%)
provided complete follow-up data. At a median follow-up of 3.14 years, there was a
significantly lower rate of the primary composite outcome (102 events in the intensive
treatment group vs 148 events in the standard treatment group; hazard ratio [HR], 0.66
[95% CI, 0.51-0.85]) and all-cause mortality (73 deaths vs 107 deaths, respectively; HR, 0.67
[95% CI, 0.49-0.91]). The overall rate of serious adverse events was not different between
treatment groups (48.4% in the intensive treatment group vs 48.3% in the standard
treatment group; HR, 0.99 [95% CI, 0.89-1.11]). Absolute rates of hypotension were 2.4% in
the intensive treatment group vs 1.4% in the standard treatment group (HR, 1.71 [95% CI,
0.97-3.09]), 3.0% vs 2.4%, respectively, for syncope (HR, 1.23 [95% CI, 0.76-2.00]), 4.0% vs
2.7% for electrolyte abnormalities (HR, 1.51 [95% CI, 0.99-2.33]), 5.5% vs 4.0% for acute
kidney injury (HR, 1.41 [95% CI, 0.98-2.04]), and 4.9% vs 5.5% for inj.
Copyright 2016 American Medical Association. All rights reserv.docxbobbywlane695641
Copyright 2016 American Medical Association. All rights reserved.
Intensive vs Standard Blood Pressure Control
and Cardiovascular Disease Outcomes in Adults Aged ≥75 Years
A Randomized Clinical Trial
Jeff D. Williamson, MD, MHS; Mark A. Supiano, MD; William B. Applegate, MD, MPH; Dan R. Berlowitz, MD; Ruth C. Campbell, MD, MSPH;
Glenn M. Chertow, MD; Larry J. Fine, MD; William E. Haley, MD; Amret T. Hawfield, MD; Joachim H. Ix, MD, MAS; Dalane W. Kitzman, MD;
John B. Kostis, MD; Marie A. Krousel-Wood, MD; Lenore J. Launer, PhD; Suzanne Oparil, MD; Carlos J. Rodriguez, MD, MPH;
Christianne L. Roumie, MD, MPH; Ronald I. Shorr, MD, MS; Kaycee M. Sink, MD, MAS; Virginia G. Wadley, PhD; Paul K. Whelton, MD;
Jeffrey Whittle, MD; Nancy F. Woolard; Jackson T. Wright Jr, MD, PhD; Nicholas M. Pajewski, PhD; for the SPRINT Research Group
IMPORTANCE The appropriate treatment target for systolic blood pressure (SBP) in older
patients with hypertension remains uncertain.
OBJECTIVE To evaluate the effects of intensive (<120 mm Hg) compared with standard
(<140 mm Hg) SBP targets in persons aged 75 years or older with hypertension
but without diabetes.
DESIGN, SETTING, AND PARTICIPANTS A multicenter, randomized clinical trial of patients aged
75 years or older who participated in the Systolic Blood Pressure Intervention Trial (SPRINT).
Recruitment began on October 20, 2010, and follow-up ended on August 20, 2015.
INTERVENTIONS Participants were randomized to an SBP target of less than 120 mm Hg
(intensive treatment group, n = 1317) or an SBP target of less than 140 mm Hg (standard
treatment group, n = 1319).
MAIN OUTCOMES AND MEASURES The primary cardiovascular disease outcome was a
composite of nonfatal myocardial infarction, acute coronary syndrome not resulting in a
myocardial infarction, nonfatal stroke, nonfatal acute decompensated heart failure, and death
from cardiovascular causes. All-cause mortality was a secondary outcome.
RESULTS Among 2636 participants (mean age, 79.9 years; 37.9% women), 2510 (95.2%)
provided complete follow-up data. At a median follow-up of 3.14 years, there was a
significantly lower rate of the primary composite outcome (102 events in the intensive
treatment group vs 148 events in the standard treatment group; hazard ratio [HR], 0.66
[95% CI, 0.51-0.85]) and all-cause mortality (73 deaths vs 107 deaths, respectively; HR, 0.67
[95% CI, 0.49-0.91]). The overall rate of serious adverse events was not different between
treatment groups (48.4% in the intensive treatment group vs 48.3% in the standard
treatment group; HR, 0.99 [95% CI, 0.89-1.11]). Absolute rates of hypotension were 2.4% in
the intensive treatment group vs 1.4% in the standard treatment group (HR, 1.71 [95% CI,
0.97-3.09]), 3.0% vs 2.4%, respectively, for syncope (HR, 1.23 [95% CI, 0.76-2.00]), 4.0% vs
2.7% for electrolyte abnormalities (HR, 1.51 [95% CI, 0.99-2.33]), 5.5% vs 4.0% for acute
kidney injury (HR, 1.41 [95% CI, 0.98-2.04]), and 4.9% vs 5.5% for inj.
Quantitative Analysis Template !Instructions When analyzing.docxamrit47
Quantitative Analysis Template !
Instructions: When analyzing a journal article, first focus on the title of the article and/or the abstract.
Determine the independent variables (IVs) or the dependent variables (DVs) from these sections. If the
IVs and DVs are what you are looking for, then go ahead and read the whole article and fill out the following
information below. The purpose of filling out this template is to organize the most relevant information in a
journal article.
Reference (APA style) !!!
Background of the problem {e.g., According to Jonson et al. (2008), low self-esteem is correlated to lower
academic performance and behavioral problems in young adolescents.} !!!!!
Rationale (Key phrase: …few studies…) !!!!
Purpose (Key phrase: to determine or to examine…) !!!!
Past Studies{i.e., facts that are relevant to the IV and DV with citations (APA style)} !!!!!
Participants !
Age group(s) !
Gender !
Ethnic group(s)
SES !!
Quantitative Methods (survey, causal-comp, experimental, single-subject, mixed)
Assessments !
IV:
Measure !
Example question !
Likert-scale !
Reliability !
DV:
Measure !
Example question !
Likert-scale !
Reliability !!
(If there are more IVs and DVs that you feel are relevant, then you may note them here) !!
Treatment (Intervention) !!!
Hypothesis or research question(s) (Focus on the IVs and DVs from your definitions section) !!!!
What was significant (results) in the study? Focus on the IVs and DVs that you have picked. You don’t have
to state all the IVs and DVs from the article. What reasons do the authors give for the significant data (key
phrase in the discussion section: may be, might be)? !!!!!!!
Implications (What is the study recommending to educators? How can educators apply what they have
learned to their children/students/clients?)
RESEARCH ARTICLE
Mental Health and the Life Span
Depression and Retirement in Late
Middle-Aged U.S. Workers
Jalpa A. Doshi, Liyi Cen, and Daniel Polsky
Objective. To determine whether late middle-aged U.S. workers with depression are
at an increased risk for retirement.
Data Source. Six biennial waves (1992–2002) of the Health and Retirement Study, a
nationally representative panel survey of noninstitutionalized 51–61-year-olds and their
spouses started in 1992.
Study Design. Workers aged 53–58 years in 1994 were followed every 2 years there-
after, through 2002. Depression was coded as lagged time-dependent variables mea-
suring active depression and severity of depression. The main outcome variable was a
transition to retirement which was measured using two distinct definitions to capture
different stages in the retirement process: (1) Retirement was defined as a transition out
of the labor force in the sample of all labor force participants (N 5 2,853); (2) In addition
a transition out of full time work was used as the retirement definition in the subset of
labor force participants who were full time workers (N 5 2,288).
Princip ...
1. Heart Rate Variability and Cardiovascular Health in Police Officers
Betker, M., Snyder, E., West, Ian., & Brewer, G.
School of Kinesiology, College of Education and Human Development, University of Minnesota
METHODS
RESULTS DISCUSSIONINTRODUCTION
Previous studies have demonstrated that Public
Safety Officers (PSOs) have higher levels of self-
reported stress when compared to the general
population. It is likely that higher job-related stress
leads to high levels of early cardiovascular death in
these individuals.
To our knowledge, no previous studies have
assessed heart rate variability (HRV) in PSOs, which
is a parameter that can predict early mortality.
Therefore, the purpose of this study was to assess
HRV and heart rate recovery (HRR) following
maximal exercise (VO2MAX test), and the
relationship between these variables and
cardiovascular fitness in PSOs.
23 police officers, 16 males (30% female,
age=35±2years, height=177±2cm,
weight=91±20kg, BMI=28±1kg/m2, Body
fat=24±2%) were asked to come in for testing
within one hour of their normal wake-up time and
to refrain from any food, alcohol, caffeine or
tobacco for at least eight hours prior to testing.
Subjects’ resting HRV and HR was assessed (Kubios
HRV 2.2, Kuopio, Finland) while the subject rested
in a dark room in a supine position for 30 minutes.
A graded maximal exercise test measured values
for O2 consumption, HR, and HRR post-test.
REFERENCES
Our results show a significant, negative
relationship between VO2max and resting heart rate,
indicating that higher cardiorespiratory fitness is
associated with lower resting heart rate in PSOs.
Also, resting heart rate is positively correlated with
resting HRV as they are intrinsically mediated by
the autonomic nervous system.
During active recovery, 90 seconds post-maximal
exercise test, subjects who had a greater percent
drop from maximal HR also had a higher HRV at
rest, further linking the relationship between
autonomic nervous system health and
cardiovascular fitness.
• Brandl, S. G., & Smith, B. W. (2012). An Empirical Examination of Retired Police Officers’ Length of
Retirement and Age at Death: A Research Note.
• Charles, L. E., Burchfiel, C. M., Fekedulegn, D., Vila, B., Hartley, T. A., Slaven, J., ... & Violanti, J. M.
(2007). Shift work and sleep: the Buffalo Police health study. Policing: An International Journal of
Police Strategies & Management, 30(2), 215-227.
• Huikuri, H. V., Jokinen, V., Syvänne, M., Nieminen, M. S., Airaksinen, K. J., Ikäheimo, M. J., ... &
Frick, M. H. (1999). Heart rate variability and progression of coronary atherosclerosis.
Arteriosclerosis, Thrombosis, and Vascular Biology, 19(8), 1979-1985.
• Jouven, X., Empana, J. P., Schwartz, P. J., Desnos, M., Courbon, D., & Ducimetière, P. (2005). Heart-
rate profile during exercise as a predictor of sudden death. New England Journal of Medicine,
352(19), 1951-1958.
• Kors, J. A., Swenne, C. A., & Greiser, K. H. (2007). Cardiovascular disease, risk factors, and heart
rate variability in the general population. Journal of Electrocardiology, 40(1), S19-S21.
• Ramey, S. L., Downing, N. R., & Franke, W. D. (2009). Milwaukee police department retirees
cardiovascular disease risk and morbidity among aging law enforcement officers. AAOHN Journal,
57(11), 448-453.
• Sassen, B., Kok, G., Schaalma, H., Kiers, H., & Vanhees, L. (2010). Cardiovascular risk profile: cross-
sectional analysis of motivational determinants, physical fitness and physical activity. BMC Public
Health, 10(1), 1.
• Thayer, J. F., Åhs, F., Fredrikson, M., Sollers, J. J., & Wager, T. D. (2012). A meta-analysis of heart
rate variability and neuroimaging studies: implications for heart rate variability as a marker of
stress and health. Neuroscience & Biobehavioral Reviews, 36(2), 747-756.
• Varvarigou, V., Farioli, A., Korre, M., Sato, S., Dahabreh, I. J., & Kales, S. N. (2014). Law enforcement
duties and sudden cardiac death among police officers in United States: case distribution study.
BMJ, 349, g6534.
• Violanti, J. M., Fekedulegn, D., Hartley, T. A., Andrew, M. E., Gu, J. K., & Burchfiel, C. M. (2012). Life
expectancy in police officers: a comparison with the US general population. International journal
of emergency mental health, 15(4), 217-228.
• Vrijkotte, T. G., Van Doornen, L. J., & De Geus, E. J. (2000). Effects of work stress on ambulatory
blood pressure, heart rate, and heart rate variability. Hypertension, 35(4), 880-886.
• Weber, C. S., Thayer, J. F., Rudat, M., Wirtz, P. H., Zimmermann-Viehoff, F., Thomas, A., ... & Deter,
H. C. (2010). Low vagal tone is associated with impaired post stress recovery of cardiovascular,
endocrine, and immune markers. European Journal of Applied Physiology, 109(2), 201-211.
Men Women
N 16 7
Age 36.06 ± 9.49 32.57 ± 4.86
Height (in) 71.75 ± 3.27 65.96 ± 1.50
Weight (lbs) 215.01 ± 40.88 166.26 ± 53.34
BMI 29.15 ± 4.62 26.36 ± 7.26
% Body Fat 21.55 ± 8.26 29.37 ± 7.97
There was a moderate but non-significant
relationship between HRV and VO2max (r=0.46,
p=0.06) and a moderate and significant relationship
between HRV and HRR (r= -.052, p<0.05) at 90s
post-maximal exercise test during active recovery.
Also, a moderate and significant relationship
between average resting HR and VO2max (r= -0.64,
p<0.05) and resting HR and HRV (r=0.57, p<0.05).
0
20
40
60
80
100
30 35 40 45 50 55 60
HRV(ms)
VO2MAX
Correlation between Heart Rate Variability
and VO2MAX
r = 0.46
p = 0.06
0
50
100
150
10 15 20 25 30 35
HRV(ms)
HRR at 90s post-maximal exercise (% drop MHR)
Correlation between Heart Rate Variability
and Heart Rate Recovery at 90s
r = -0.52
p < 0.05