title: Amount of leisure-time physical activity and risk of nonfatal myocardial infarction.
abstract: OBJECTIVE
  To investigate the shape of the relation between amount of leisure-time physical activity (LTPA) and myocardial infarction (MI) risk.
  
  
  METHODS
  Data were from a case-control study in a Washington State health maintenance organization, 1986 to 2002. Participants had no prior cardiovascular disease and good self-reported health before selection. Telephone interviews asked 697 nonfatal MI cases and 3,397 control subjects about 26 types of LTPA. Models adjusted for age, sex, year, treated hypertension, family history of heart disease, smoking, alcohol, aspirin, race, retirement, income, and education.
  
  
  RESULTS
  Some LTPA was reported by 90% of control subjects and 84% of cases. Compared with no LTPA, participation in LTPA was associated with lower risk of MI (adjusted odds ratio [OR] = 0.67, 95% confidence interval [CI]: 0.52, 0.86). Among active participants, LTPA time was associated with risk of MI (OR = 0.66 for high versus low quartile, 95% CI: 0.51, 0.86). Risk of MI decreased with increasing total or nonstrenuous LTPA time up to the median, beyond which we could not detect an association between LTPA time and MI risk.
  
  
  CONCLUSIONS
  Time engaged in LTPA, even nonstrenuous LTPA, was associated with lower risk of MI, and the shape of this relationship was nonlinear.
authors.affiliation: Columbia University, Institute for Social and Economic Research and Policy, New York, NY 10027, USA. gl2225@columbia.edu
authors.forename: Gina S
authors.initials: GS
authors.lastname: Lovasi
authors.forename: Rozenn N
authors.initials: RN
authors.lastname: Lemaitre
authors.forename: David S
authors.initials: DS
authors.lastname: Siscovick
authors.forename: Sascha
authors.initials: S
authors.lastname: Dublin
authors.forename: Joshua C
authors.initials: JC
authors.lastname: Bis
authors.forename: Thomas
authors.initials: T
authors.lastname: Lumley
authors.forename: Susan R
authors.initials: SR
authors.lastname: Heckbert
authors.forename: Nicholas L
authors.initials: NL
authors.lastname: Smith
authors.forename: Bruce M
authors.initials: BM
authors.lastname: Psaty
mesh_terms: D016022:Case-Control Studies; D015444:Exercise; D005260:Female; D006801:Humans; D007345:Insurance Claim Review; D007899:Leisure Activities; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000453:epidemiology*; D018570:Risk Assessment