title: Recreational exercise and cardiovascular status in the rural community of Tecumseh, Michigan.
abstract: BACKGROUND
  Because of population stability, Tecumseh, a rural community in Michigan, was the site of health surveys over a period of three decades.
  
  
  METHODS
  In the recent survey anthropometrics, blood pressure (BP), blood chemistry, echo/Doppler cardiac exam, personality and exercise questionnaires were collected on site.
  
  
  RESULTS
  In this rural community 70% of subjects (447 men, 410 women, average age 30 years) do not engage in recreational exercise. Sedentary subjects were heavier (4 kg), had higher BP (2.3/2 mm Hg), faster heart rate (4 beats/min), and lower stroke volume (2 ml/m2) than physically more active subjects (p = 0.02 to 0.00001). Measures of cardiac structure and function were more favorable in exercising subjects. Cholesterol (+8 mg/dl), triglycerides (+15 mg/dl) and insulin (+2.4 microU/ml) were higher and HDL cholesterol was lower (-2 mg/dl) in the sedentary group (p = 0.04 to 0.003). Being sedentary was associated with more anxiety, anger and feeling time pressure (p = 0.001 to 0.00001). Exercise demands at work had no effect while even once a week recreational exercise was associated with a more favorable cardiovascular risk status. A difference in cardiovascular status between the sedentary and exercising subjects was not apparent throughout childhood, adolescence or early adult life, suggesting that subjects who exercise presently were not a priori healthier than presently sedentary subjects.
  
  
  CONCLUSIONS
  Seventy percent of the residents studied in Tecumseh are physically inactive and have a less favorable cardiac risk profile. Enhancement of exercise habits may beneficially affect cardiovascular status and, presumably, the prognosis.
authors.affiliation: Division of Hypertension, University of Michigan Medical Center, Ann Arbor.
authors.forename: T
authors.initials: T
authors.lastname: Gudbrandsson
authors.forename: S
authors.initials: S
authors.lastname: Julius
authors.forename: K
authors.initials: K
authors.lastname: Jamerson
authors.forename: S
authors.initials: S
authors.lastname: Smith
authors.forename: L
authors.initials: L
authors.lastname: Krause
authors.forename: N
authors.initials: N
authors.lastname: Schork
mesh_terms: D000293:Adolescent; D000328:Adult; D002320:Cardiovascular Physiological Phenomena; D015444:Exercise; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008499:Medical Records; D011998:Recreation; D012423:Rural Health