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Exercise Capacity and Atrial Fibrillation Risk in Veterans A Cohort Study

Overview of attention for article published in Mayo Clinic Proceedings, April 2016
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  • Good Attention Score compared to outputs of the same age (71st percentile)
  • Above-average Attention Score compared to outputs of the same age and source (51st percentile)

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8 X users
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2 Facebook pages
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1 YouTube creator

Citations

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68 Dimensions

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Title
Exercise Capacity and Atrial Fibrillation Risk in Veterans A Cohort Study
Published in
Mayo Clinic Proceedings, April 2016
DOI 10.1016/j.mayocp.2016.03.002
Pubmed ID
Authors

Charles Faselis, Peter Kokkinos, Apostolos Tsimploulis, Andreas Pittaras, Jonathan Myers, Carl J. Lavie, Fiorina Kyritsi, Dragan Lovic, Pamela Karasik, Hans Moore

Abstract

To assess the association between exercise capacity and the risk of developing atrial fibrillation (AF). A symptom-limited exercise tolerance test was conducted to assess exercise capacity in 5962 veterans (mean age, 56.8±11.0 years) from the Veterans Affairs Medical Center, Washington, DC. None had evidence of AF or ischemia at the time of or before undergoing their exercise tolerance test. We established 4 fitness categories based on age-stratified quartiles of peak metabolic equivalent task (MET) achieved: least fit (4.9±1.10 METs; n=1446); moderately fit (6.7±1.0 METs; n=1490); fit (7.9±1.0 METs; n=1585), and highly fit (9.3±1.2 METs; n=1441). Multivariable Cox proportional hazards regression models were used to compare the AF-exercise capacity association between fitness categories. During a median follow-up period of 8.3 years, 722 (12.1%) individuals developed AF (14.5 per 1000 person-years; 95% CI, 13.9-15.9 per 1000 person-years). Exercise capacity was inversely related to AF incidence. The risk was 21% lower (hazard ratio, 0.79; 95% CI, 0.76-0.82) for each 1-MET increase in exercise capacity. Compared with the least fit individuals, hazard ratios were 0.80 (95% CI, 0.67-0.97) for moderately fit individuals, 0.55 (95% CI, 0.45-0.68) for fit individuals, and 0.37 (95% CI, 0.29-0.47) for highly fit individuals. Similar trends were observed in those younger than 65 years and those 65 years or older. Increased fitness is inversely and independently associated with the reduced risk of developing AF. The decrease in risk was graded and precipitous with only modest increases in exercise capacity. These findings counter previous suggestions that even moderate increases in physical activity, as recommended by national and international guidelines, increase the risk of AF, with marked protection against AF noted with increasing levels of fitness.

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X Demographics

The data shown below were collected from the profiles of 8 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 49 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 49 100%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 11 22%
Student > Bachelor 8 16%
Student > Master 5 10%
Lecturer 4 8%
Other 4 8%
Other 8 16%
Unknown 9 18%
Readers by discipline Count As %
Medicine and Dentistry 25 51%
Sports and Recreations 3 6%
Nursing and Health Professions 2 4%
Psychology 2 4%
Biochemistry, Genetics and Molecular Biology 1 2%
Other 4 8%
Unknown 12 24%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 5. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 01 November 2017.
All research outputs
#6,754,462
of 25,374,647 outputs
Outputs from Mayo Clinic Proceedings
#2,173
of 5,150 outputs
Outputs of similar age
#89,684
of 315,495 outputs
Outputs of similar age from Mayo Clinic Proceedings
#30
of 64 outputs
Altmetric has tracked 25,374,647 research outputs across all sources so far. This one has received more attention than most of these and is in the 73rd percentile.
So far Altmetric has tracked 5,150 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 29.6. This one has gotten more attention than average, scoring higher than 57% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 315,495 tracked outputs that were published within six weeks on either side of this one in any source. This one has gotten more attention than average, scoring higher than 71% of its contemporaries.
We're also able to compare this research output to 64 others from the same source and published within six weeks on either side of this one. This one has gotten more attention than average, scoring higher than 51% of its contemporaries.