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N Haapanen

Publications and source records attributed to N Haapanen.

5 recordsLinked to original sources
PubMed1997

Agreement between questionnaire data and medical records of chronic diseases in middle-aged and elderly Finnish men and women.

The agreement between self-reported diseases in a questionnaire survey and data from medical records was assessed in a representative sample of Finnish men and women (n = 596) aged 45-73 years. The accumulated medical record information was abstracted from the records in the health centers and the central hospital in the study region. The agreement between the two information sources was substantial (kappa 0.73-0.80) for cardiovascular diseases as a group, hypertension, angina pectoris, myocardial infarction, and diabetes. The lowest agreement (kappa < 0.55) was found for lower back disorder, hip and knee arthrosis, and claudication. These results showed that the agreement between questionnaire data and medical records was good for well-known chronic diseases that have clear diagnostic criteria and are easily communicated to the patient. Conversely, the agreement was poor for diseases with nonestablished diagnostic criteria and a fluctuating course.

Adult↗
PubMed1997

Association between leisure time physical activity and 10-year body mass change among working-aged men and women.

OBJECTIVE: To determine whether habitual leisure time physical activity and body mass change of working-aged men and women are associated. DESIGN: Prospective 10 y follow-up study. SUBJECTS: A regionally representative cohort of 19-63 y old men (n = 2564) and women (n = 2695) in three municipalities in Finland. MEASUREMENTS: The main outcome measures were average body mass change during the 10 y of follow-up and the clinically significant body mass gain defined as a body mass gain of 5 kg or more during the follow-up and a body mass index of 26 or higher at the end of the follow-up. Leisure time physical activity was determined from self-administered questionnaires. RESULTS: After adjustment for the potential confounders, the logistic regression analysis showed that the men and women with no regular weekly activity at the end of the follow-up had an odds ratio of 2.59 (95% confidence interval, 1.69-3.97) and 2.67 (1.65-4.31), respectively for clinically significant body mass gain in comparison with the most active groups. The men who had decreased their activity during the 10 y follow-up had an odds ratio of 1.96 (1.39-2.75), and the men who were physically inactive all the time had an odds ratio of 1.62 (1.18-2.20) for clinically significant body mass gain when compared with the subjects who were active all the time. Among the women the odds ratios for clinically significant body mass gain after adjustment for potential confounders were 2.49 (1.72-3.60) and 1.61 (1.17-2.21), respectively. CONCLUSION: These findings are consistent with the hypothesis that regular physical activity prevents body mass gain and physical inactivity is a risk factor for body mass gain and obesity among adults.

Adult↗
PubMed1997

Association of leisure time physical activity with the risk of coronary heart disease, hypertension and diabetes in middle-aged men and women.

BACKGROUND: The association of physical activity and the risk of coronary heart disease (CHD), hypertension and diabetes has previously been studied mostly in separate follow-up studies. The present analysis focuses on the association between physical activity and these three metabolic diseases in a representative adult cohort. METHODS: The effect of the total amount and intensity of leisure time physical activity on the risk of the three diseases was studied in a cohort of 1340 men and 1500 women aged 35-63 years. RESULTS: During the 10 years of follow-up the incidence rates per 1000 person-years for CHD, hypertension and diabetes were 108, 142 and 64 for men and 75, 117 and 54 for women, respectively. In the Cox proportional hazards model the men's total amount of activity was inversely associated with the risk of CHD and hypertension. An age- and smoking-adjusted relative risk of 1.98 (95% confidence interval [CI]: 1.22-3.23) for CHD and age-adjusted risk of 1.73 (95% CI: 1.13-2.65) for hypertension were found for the lowest third total activity group compared with the highest third of total activity. Vigorous activity once or more often a week was inversely associated with the risk of hypertension. For the women both a higher total amount of activity and weekly vigorous activity had an inverse association with the risk of diabetes. An age-adjusted relative risk of 2.64 (95% CI: 1.28-5.44) for diabetes was found for the lowest third activity group compared with the highest third. CONCLUSIONS: The results suggest a preventive effect of leisure time physical activity on CHD, hypertension and diabetes. This effect may differ among middle-aged men and women and the relative importance of the total amount and the intensity may vary depending on the outcome measure.

Adult↗
PubMed1996

Characteristics of leisure time physical activity associated with decreased risk of premature all-cause and cardiovascular disease mortality in middle-aged men.

The association between leisure time physical activity and the risk of all-cause and cardiovascular disease mortality was analyzed in a Finnish cohort of 1,072 men age 35-63 years who were followed up for 10 years and 10 months. During the period, 168 deaths were recorded, 93 of which were the result of cardiovascular diseases. Leisure time physical activity was assessed by several measures: 1) a single question combining an estimate of the frequency and intensity of the total amount of leisure time physical activity, 2) a compiled measure of leisure time physical activity derived from three separate questions concerning the intensity and frequency of activity, 3) a physical energy expenditure index computed as an estimate of weekly energy expenditure for leisure time activity and commuting to work, 4) 16 separate specified activities of daily living and domestic chores included in the leisure time physical activity index. The association between baseline leisure time physical activity and the risk of death was assessed using the Cox proportional hazards model. After adjustment for potential confounders, the leisure time physical activity energy expenditure index and participation in several specific activities of daily living and domestic chores showed that the mortality risk for all causes and cardiovascular diseases was highest in the most sedentary men. With respect to the leisure time physical activity energy expenditure index, sedentary men ( those with an estimated weekly energy expenditure in leisure time physical activity of < 800 kcal) had an increased risk of 2.74 (95% confidence interval 1.46-5.14) for all-cause mortality and a risk of 3.58 (95% confidence interval 1.45-8.85) for cardiovascular disease mortality compared with the most active persons (those with an estimated weekly energy expenditure in leisure time physical activity of at least 2,100 kcal) when age, initial health status, marital status, employment status, and smoking were controlled.

Adult↗