{"id":1563,"date":"2011-07-13T05:03:26","date_gmt":"2011-07-13T04:03:26","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/bjsm\/?p=1563"},"modified":"2011-07-13T16:48:25","modified_gmt":"2011-07-13T15:48:25","slug":"steven-n-blair-comments-on-comparing-us-deaths-from-low-fitness-and-%e2%80%98smokadiabesity%e2%80%99","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/bjsm\/2011\/07\/13\/steven-n-blair-comments-on-comparing-us-deaths-from-low-fitness-and-%e2%80%98smokadiabesity%e2%80%99\/","title":{"rendered":"Steven N Blair comments on comparing US deaths from low fitness and \u2018Smokadiabesity\u2019"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright size-full wp-image-1569\" title=\"steve N blair running\" src=\"https:\/\/stg-blogs.bmj.com\/bjsm\/files\/2011\/07\/steve-N-blair-running.jpg\" alt=\"\" width=\"184\" height=\"236\" \/><\/p>\n<p><em>Steven N Blair Guest Blog<\/em><\/p>\n<p>When  comparing US deaths from low fitness and \u2018<a href=\"https:\/\/stg-blogs.bmj.com\/bjsm\/2011\/06\/17\/suffering-from-smokadiabesity-physical-activity-can-lower-your-risk-of-death\/\" target=\"_blank\">Smokadiabesity<\/a>\u2019, remember  that attributable fractions are\u00a0based on the prevalence of the risk  factor as well as the relative risk.\u00a0 In the <a href=\"http:\/\/www.cooperinstitute.org\/research\/study\/acls.cfm\" target=\"_blank\">Aerobics Centre  Longitudinal Study<\/a> (1) the smoking prevalence is substantially lower than in  the U.S. (I think probably less than half the U.S. rate).<\/p>\n<p>I do not know how much difference this would make, but I doubt that \u2018low fitness\u2019 \u2013 cardiorespiratory fitness would account for more deaths than smokadiabesity in national data.<\/p>\n<p>I recommend we currently limit conclusions from the ACLS (1) to that  setting and I recommend against extrapolating to the national  population.<\/p>\n<p><strong>References<\/strong><\/p>\n<p>(1)\u00a0<abbr title=\"British Journal of Sports Medicine\"><a href=\"http:\/\/bjsm.bmj.com\/content\/43\/1\/1\" target=\"_blank\">Blair SN. 2009. Physical inactivity: the biggest public health problem of the 21st century.\u00a0BJSM, <\/a><\/abbr><a href=\"http:\/\/bjsm.bmj.com\/content\/43\/1\/1\" target=\"_blank\">43: 1-2.<\/a><\/p>\n<p><strong>Related Articles<\/strong><\/p>\n<p><a href=\"http:\/\/bjsm.bmj.com\/content\/45\/10\/761.full?sid=2d630053-5ff0-4c47-83a8-f3656a9f4616\" target=\"_blank\">Bauman A, Titze S, Rissel Cand Oja P. 2011.\u00a0Changing gears: bicycling as the panacea for physical inactivity? BJSM <\/a><em><a href=\"http:\/\/bjsm.bmj.com\/content\/45\/10\/761.full?sid=2d630053-5ff0-4c47-83a8-f3656a9f4616\" target=\"_blank\">45:761-762. <\/a><\/em><a href=\"http:\/\/bjsm.bmj.com\/content\/45\/10\/761.full?sid=2d630053-5ff0-4c47-83a8-f3656a9f4616\" target=\"_blank\">(Free online!)<\/a><\/p>\n<p><a href=\"http:\/\/bjsm.bmj.com\/content\/43\/7\/469.full?sid=2d630053-5ff0-4c47-83a8-f3656a9f4616\">Khan, KM. 2009.\u00a0Mid-year review: physical inactivity universally  accepted as the biggest public health problem of the 21st century,  shoulder                                           exam challenges, and progress  against the scourges of anterior knee pain and ACL injuries. BJSM,\u00a043:469-470<\/a><em><a href=\"http:\/\/bjsm.bmj.com\/content\/43\/7\/469.full?sid=2d630053-5ff0-4c47-83a8-f3656a9f4616\">. <\/a><\/em><a href=\"http:\/\/bjsm.bmj.com\/content\/43\/7\/469.full?sid=2d630053-5ff0-4c47-83a8-f3656a9f4616\">(Free Online!)<\/a><em><a href=\"http:\/\/bjsm.bmj.com\/content\/43\/7\/469.full?sid=2d630053-5ff0-4c47-83a8-f3656a9f4616\"> <\/a><\/em><\/p>\n<p><em> <\/em><em>Steven N. Blair is a\u00a0Professor in the\u00a0Departments of Exercise Science \u00a0Epidemiology\/Biostatistics at the University of South Carolina<\/em><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Steven N Blair Guest Blog When comparing US deaths from low fitness and \u2018Smokadiabesity\u2019, remember that attributable fractions are\u00a0based on the prevalence of the risk factor as well as the relative risk.\u00a0 In the Aerobics Centre Longitudinal Study (1) the smoking prevalence is substantially lower than in the U.S. (I think probably less than half [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/bjsm\/2011\/07\/13\/steven-n-blair-comments-on-comparing-us-deaths-from-low-fitness-and-%e2%80%98smokadiabesity%e2%80%99\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-1563","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts\/1563","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/comments?post=1563"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/posts\/1563\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/media?parent=1563"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/categories?post=1563"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/bjsm\/wp-json\/wp\/v2\/tags?post=1563"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}