Advertisement
Mayo Clinic Proceedings Home

Family History of Chronic Disease and Meeting Public Health Guidelines for Physical Activity: The Cooper Center Longitudinal Study

      Abstract

      We aimed to assess whether a family history of coronary heart disease, diabetes, or cancer is linked to meeting public health guidelines for health-promoting physical activity. To achieve this objective, we analyzed data on 29,513 adults who came to the Cooper Clinic (Dallas, Texas) between January 1, 1990, and December 31, 2010, for a preventive medicine visit. Patients completed a comprehensive medical survey including information on family medical history, physical activity, and other lifestyle behaviors. Bivariate and multivariate logistic regression were used to examine the relationship between having a family history of chronic disease and meeting physical activity guidelines. The results indicated that individuals with a family history of disease had reduced odds for meeting or exceeding physical activity guidelines. For example, participants with a family history of 3 diseases were 36% less likely to meet or exceed physical activity guidelines than their counterparts without a family history of disease (odds ratio, 0.64; 95% CI, 0.58-0.72), while controlling for covariates. Among this large sample of adults, those with a family history of chronic disease were less inclined to regularly engage in physical activity. Thus, targeted programs encouraging adoption and maintenance of health-promoting physical activity might be warranted, specifically targeting individuals with familial history of disease.

      Abbreviations and Acronyms:

      CCLS (Cooper Center Longitudinal Study), CHD (coronary heart disease), FHD (family history of disease), MET (metabolic equivalent)
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Mayo Clinic Proceedings
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • US Department of Health and Human Services
        Physical Activity and Health: A Report of the Surgeon General.
        US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA1996 (Accessed March 5, 2013)
      1. US Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. http://www.health.gov/paguidelines/default.aspx. Updated March 11, 2013. Accessed March 5, 2013.

        • World Health Organization
        Global Recommendations on Physical Activity for Health.
        World Health Organization, Geneva, Switzerland2010 (Accessed March 5, 2013)
      2. Centers for Disease Control and Prevention. Facts about physical activity. CDC website. http://www.cdc.gov/physicalactivity/data/facts.html. Updated August 7, 2012. Accessed March 5, 2013.

        • Wang C.
        • Sen A.
        • Ruffin IV, M.T.
        • et al.
        Family history assessment: impact on disease risk perceptions.
        Am J Prev Med. 2012; 43: 392-398
        • Scheuner M.T.
        • McNeel T.S.
        • Freedman A.N.
        Population prevalence of familial cancer and common hereditary cancer syndromes: the 2005 California Health Interview Survey.
        Genet Med. 2010; 12: 726-735
        • Townsend J.S.
        • Steele C.B.
        • Richardson L.C.
        • Stewart S.L.
        Health behaviors and cancer screening among Californians with a family history of cancer.
        Genet Med. 2013; 15: 212-221
        • Shuval K.
        • Barlow C.E.
        • Chartier K.G.
        • Gabriel K.P.
        Cardiorespiratory fitness, alcohol, and mortality in men: the Cooper Center Longitudinal Study.
        Am J Prev Med. 2012; 42: 460-467
        • Shuval K.
        • Finley C.E.
        • Chartier K.G.
        • Balasubramanian B.A.
        • Gabriel K.P.
        • Barlow C.E.
        Cardiorespiratory fitness, alcohol intake, and metabolic syndrome incidence in men.
        Med Sci Sports Exerc. 2012; 44: 2125-2131
        • Bachmann J.M.
        • Willis B.L.
        • Ayers C.R.
        • Khera A.
        • Berry J.D.
        Association between family history and coronary heart disease death across long-term follow-up in men: the Cooper Center Longitudinal Study.
        Circulation. 2012; 125: 3092-3098
        • Blair S.N.
        • Kannel W.B.
        • Kohl H.W.
        • Goodyear N.
        • Wilson P.W.
        Surrogate measures of physical activity and physical fitness: evidence for sedentary traits of resting tachycardia, obesity, and low vital capacity.
        Am J Epidemiol. 1989; 129: 1145-1156
        • Lee D.C.
        • Sui X.
        • Ortega F.B.
        • et al.
        Comparisons of leisure-time physical activity and cardiorespiratory fitness as predictors of all-cause mortality in men and women.
        Br J Sports Med. 2011; 45: 504-510
        • Ainsworth B.E.
        • Haskell W.L.
        • Herrmann S.D.
        • et al.
        2011 Compendium of Physical Activities: a second update of codes and MET values.
        Med Sci Sports Exerc. 2011; 43: 1575-1581
        • Hosmer D.W.
        • Lemeshow S.
        Applied Logistic Regression.
        John Wiley & Sons, New York, NY1989
        • Ruffin IV, M.T.
        • Nease Jr., D.E.
        • Sen A.
        • et al.
        • Family History Impact Trial (FHITr) Group
        Effect of preventive messages tailored to family history on health behaviors: the Family Healthware Impact Trial.
        Ann Fam Med. 2011; 9: 3-11
        • Slattery M.L.
        • Levin T.R.
        • Ma K.
        • Goldgar D.
        • Holubkov R.
        • Edwards S.
        Family history and colorectal cancer: predictors of risk.
        Cancer Causes Control. 2003; 14: 879-887
        • Pharoah P.D.
        • Day N.E.
        • Duffy S.
        • Easton D.F.
        • Ponder B.A.
        Family history and the risk of breast cancer: a systematic review and meta-analysis.
        Int J Cancer. 1997; 71: 800-809
        • Annis A.M.
        • Caulder M.S.
        • Cook M.L.
        • Duquette D.
        Family history, diabetes, and other demographic and risk factors among participants of the National Health and Nutrition Examination Survey 1999-2002.
        Prev Chronic Dis. 2005; 2: A19
        • Christakis N.A.
        • Fowler J.H.
        Social contagion theory: examining dynamic social networks and human behavior.
        Stat Med. 2013; 32: 556-577
        • Christakis N.A.
        • Fowler J.H.
        The spread of obesity in a large social network over 32 years.
        N Engl J Med. 2007; 357: 370-379
        • Bauman A.E.
        • Reis R.S.
        • Sallis J.F.
        • Wells J.C.
        • Loos R.J.
        • Martin B.W.
        • Lancet Physical Activity Series Working Group
        Correlates of physical activity: why are some people physically active and others not?.
        Lancet. 2012; 380: 258-271
        • Glanz K.
        • Rimer B.K.
        • Viswanath K.
        Health Behavior and Health Education: Theory, Research, and Practice.
        4th ed. Jossey-Bass, San Francisco, CA2008