Leisure time physical activity is associated with improved diastolic heart function and is partly mediated by unsupervised quantified metabolic health.
Hugo Klarenberg, Jeroen Hpm van der Velde, Carel Fw Peeters, Ilona A Dekkers, R de Mutsert, J Wouter Jukema, Frits R Rosendaal, Tim Leiner, Martijn Froeling, Harald Jorstad, S Matthijs Boekholdt, Gustav J Strijkers, Hildo J Lamb
Author Information
Hugo Klarenberg: Biomedical Engineering and Physics, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands. ORCID
Jeroen Hpm van der Velde: Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Carel Fw Peeters: Division of Mathematical & Statistical Methods - Biometris, Wageningen University & Research, Wageningen, The Netherlands.
Ilona A Dekkers: Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
R de Mutsert: Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
J Wouter Jukema: Department of Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Frits R Rosendaal: Department of Clinical Epidemiology, Leiden University Medical Center, Leiden, The Netherlands.
Tim Leiner: Department of Radiology, UMC Utrecht, Utrecht, The Netherlands.
Martijn Froeling: Department of Radiology, UMC Utrecht, Utrecht, The Netherlands.
Harald Jorstad: Department of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands. ORCID
S Matthijs Boekholdt: Department of Cardiology, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Gustav J Strijkers: Biomedical Engineering and Physics, Amsterdam Cardiovascular Sciences, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam, The Netherlands.
Hildo J Lamb: Department of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Objectives: To investigate the association between leisure time physical activity (LTPA) and MRI-based diastolic function and the mediating role of metabolic health. Methods: This cross-sectional analysis comprised 901 participants (46% women, mean age (SD): 56 (6) years (The Netherlands, 2008-2012)). LTPA was assessed via questionnaire, quantified in metabolic equivalent of tasks (METs)-minutes per week and participants underwent abdominal and cardiovascular MRI. Confirmatory factor analysis was used to construct the metabolic load factor. Piecewise structural equation model with adjustments for confounders was used to determine associations between LTPA and diastolic function and the mediating effect of metabolic load. Results: Significant differences in mitral early/late peak filling rate (E/A) ratio per SD of LTPA (men=1999, women=1870 MET-min/week) of 0.18, (95% CI= 0.03 to 0.33, p=0.021) were observed in men, but not in women: -0.01 (-0.01 to 0.34, p=0.058). Difference in deceleration time of mitral early filling (E-DT) was 0.13 (0.01 to 0.24, p=0.030) in men and 0.17 (0.05 to 0.28, p=0.005) in women. Metabolic load, including MRI-based visceral and subcutaneous adipose tissue, fasting glucose, high-density lipoprotein cholesterol and triglycerides, mediated these associations as follows: E/A-ratio of 0.030 (0.000 to 0.067, 19% mediated, p=0.047) in men but not in women: 0.058 (0.027 to 0.089, p<0.001) and E-DT not in men 0.004 (-0.012 to 0.021, p=0.602) but did in women 0.044 (0.013 to 0.057, 27% mediated, p=0.006). Conclusions: A larger amount of LTPA was associated with improved diastolic function where confirmatory factor analysis-based metabolic load partly mediated this effect. Future studies should assess whether improving indicators of metabolic load alongside LTPA will benefit healthy diastolic function even more.
