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Printshows through as there istext on both sides of page_____ 7. Indistinct, broken or small print on several pages 8. Printexceeds margin requirements_____ 9. Tightly bound copy with print lost in spine______ 10. S ^ Computer printout pages with indistinct print_____ 11. Page(s)__________ lacking when material received,and not available from school or author. 12. Page(s)__________ seem to be missing in numbering only as textfollows. 13. Two pages numbered 14. Curling and . Text follows. wrinkled pages____ 15. Dissertation contains pages with print at a slant, filmed as received _ 16. Other____________________________________________________________ University Microfilms International THE RELATIONSHIP BETWEEN CALORIC EXPENDITURE AND LONGEVITY AMONG MICHIGAN STATE UNIVERSITY ATHLETES AND NON-ATHLETES BY TIMOTHY J. QUINN A DISSERTATION Submitted to Michigan State University In Partial Fulfillment of the Requirements For the Degree of DOCTOR OF PHILOSOPHY School of Health Education, Counseling Psychology, and Human Performance 1987 ABSTRACT THE RELATIONSHIP BETWEEN CALORIC EXPENDITURE AND LONGEVITY AMONG MICHIGAN STATE UNIVERSITY ATHLETES AND NON-ATHLETES By Ttmothy J. Quinn The purpose of this study was to determine the effects of aerobic activity, represented by kllocalorles per week expenditure, upon longevity and the occurrence of various ailments. Secondary to this was the effect of somatotype upon caloric expenditure and longevity. Michigan State University (MSU) athletes and nonathletes who responded to the original 1952 MSU longevity questionnaire as well as subsequent 1976 and 1984 followup questionnaires were selected as the study group. Aerobic activity was utilized and caloric expenditure was calculated for 256 former athletes and 239 former non­ athletes. The mean age for these subjects was 68.9 years. Subjects were subsequently grouped Into three activity ratings; less than or equal to 500 kcal/week (LE 500), 5011999 kcal/week (TO 1999), and greater than or equal to 2000 kcal/week (GE 2000). It was found that the former athletes exercised significantly more than the former non-athletes In 1976. Timothy J. Quinn Subjects known to be deceased In 1984 performed less aerobic activity In 1976 than subjects known to be alive In 1984. Also, those subjects In the LE 500 group tended to be older than subjects In the other two higher activity groups. No significant difference was noted between the three somatotype groups and caloric expenditure although It was found that the ectomorphs exercised approximately 200 kcal less per week than did the endomorphs or mesomorphs. Considering ailments reported In 1984 versus 1976 caloric expenditure ratings, It was found that signif­ icantly more Individuals reporting cardiovascular disease (CVD), hypertension, or new CVD were In the higher activity groups than In the LE 500 group. Also, more Individuals reporting any aliment were In the lower activity groups. No significant relationship was found between activity and cancer or any of the other ailments studied. To my parents, John and Arden, and my wife, Amy, without whose constant understanding, support, and love this degree would never have been completed. II ACKNOWLEDGMENTS I would like to express appreciation to my chairperson, Wayne D. Van Huss. His continual guidance on this dissertation as well as throughout my five-year stay at Michigan State University has been appreciated. Also, his friendship will last forever. I would like to thank my other committee members, William W. Heusner, Kwok W. Ho, Walter Baird, and Barry Franklin. Your Input and Influence on this dissertation have been appreciated. Gratitude Is extended to Homer Sprague for statistical support throughout the project. HI TABLE OF CONTENTS Page LIST OF TABLES.................................. LIST OF FIGURES............. v! vll Chapter I. THE PROBLEM............................. 1 Purpose of the Study.................. Rationale............................. Significance of the Study............. Limitations of the Study.............. 2 3 4 5 REVIEW OF THE RELATED LITERATURE......... 6 Introduction.......................... General Population Studies............. Non-Cohort Athletic Studies........... Cohort Athletic Studies............... 6 7 18 34 RESEARCH METHODS........................ 59 Background Information................ Design of the Study................... Calculation of Activity Rating......... Somatotype Determination...... Subject Groupings..................... Statistical Analyses.................. 60 63 63 65 65 67 II. III. 1v Page IV. RESULTS AND DISCUSSION............... 69 Results............................... Sample Description and Group Activity Levels..................... Activity versus Longevity............. Discussion of Activity versus Longevity........................... Activity versus Somatotype............ Discussion of Activity versus Somatotype................. Activity versus Aliments.............. Discussion of Activity versus Ailments.. 69 V.SUMMARY,CONCLUSIONS,AND RECOMMENDATIONS... Summary............................... Conclusions........................... Recommendations....................... APPENDICES..................................... A. B. C. 70 79 61 85 87 87 96 100 100 102 102 104 QUESTIONNAIRES (1952, 1960, 1968, 1976, 1984)................... 104 CALORIC EXPENDITURE STANDARDS FOR THE MICHIGAN STATE UNIVERSITY LONGEVITY STUDY. 123 STATISTICAL ANALYSES................ 126 REFERENCES..................................... 144 v LIST OF TABLES Tab Ie 2-1 2-2 2-3 2-4 2-5 2-6 Page Summary of General Population Longevity Studies................................. 15 Comparison of Actual to Expected Deaths Among Yale Untverslty Athletes........... 19 Percent of Actual vs. Expected Deaths According to the American Men Table 21 Mortality by Birth Decade of Athletes of Ten Colleges Compared with Expected Deaths by the American Men Table. 21 Mortality of Athletes of Ten Colleges, Compared with the Expected Mortality According to the American Men Ultimate Tab le.......................... 22 Actual versus Expected Deaths by Age Group............................... 24 2-7 Longevity of Athletes versus Non-Athletes. 2-8 Number of Surviving Men In the Cohort of Skiers and In the Total Male Finnish Population During Three Periods................................. 27 Mortality of Major League Baseball Players Compared with White Males In the United States Population.......... 29 Summary of Non-Cohort Athletic Longevity Studies................................. 30 A Comparison of Expectation of Life In Years................................ 34 Total Numbers Under Investigation.......... 36 2-9 2-10 2-11 2-12 vl 25 Page 2-13 Survival Rates of Sportsmen and Controls Excluding Deaths Due to War and Accidents............................... 37 2-14 Causes of Death In Percentages............. 38 2-15 Harvard Athletes, Alive or Dead of Natural Causes; Percentages of Men Reaching Ages 70 and 75, by Birth Decade.......... 42 Harvard Athletes: Mean Age at Death for Men Dead of Natural Causes............... 42 2-16 2-17 2-18 2-19 2-20 2-21 2-22 2-23 3-1 3-2 4-1 Mean Age at Death for Harvard Athletes and Classmates Dead of Natural Causes... 43 Mean Age at Death of Athletes and NonAthletes................................ 45 Comparison of Average Life Span of Crew Members and Controls at Harvard and Yale.................................... 45 Age-Adjusted Rates and Relative Risks of First Heart Attack CH.A.) Among Harvard Male Alumni..................... 47 Age-Adjusted First Heart Attack (H.A.) Among Harvard Athletes and Non-Athletes Based on Physical Activity.............. 48 Age-Adjusted Rates and Relative Risks of Death Among Harvard Alumni Based on Physical Activity....................... 52 Summary of Cohort Athletic Longevity Studies................................. 55 Overview of The Michigan State University Longevity Study......................... 61 Example of Caloric Expenditure Calculations..................... Descriptive Caloric Measures for Subjects Per Week, Month, and Year In 1976 and 1984.................................... vll 63 71 LIST OF FIGURES Figure 2-1 2-2 2-3 2-4 2-5 2-6 2-7 3-1 4-1 4-2 4-3 Page Mean Age at Death of Michigan State University Athletes and Non-Athletes... 41 Percentage of Deaths from Cardiovascular Diseases of Michigan State University Athletes and Non-Athletes............... 41 Physical Activity of Individuals Within the Michigan State University Longevity Study...................... Heart Attack Incidence Among Harvard Alumni Based on Physical Activity 41 51 Relative Risk of First Heart Attack Based on Activity and College Sports Play........................ 51 Relative Risks of Mortality Among Harvard Alumni According to Physical Activity Levels .................. 54 Relative Risks of Mortality Among Harvard Alumni Based on Physical Activity and College Sports Play........ 54 An Example of one of the Somatotype Curves In Atlas q ± Men................. 66 Year of Birth Among Michigan State University Longevity Study Sample 72 Calortc Expenditure per Week for Sample - 1976.......................... 73 Percent of Population Within each Exercise Caloric Expenditure Category............................... 75 v 111 Page 4-4 4-5 4-6 4-7 4-8 4-9 4-10 4-11 4-12 4-13 Weekly Exercise Caloric Expenditure Comparison of Athletes and NonAthletes In 1976 and 1984............ 76 Year of Birth Comparison of Athletes and Non-Athletes..................... 77 Year of Birth Comparison Among Subjects Deceased (1984) versus Alive Within the Study................................ 78 Caloric Expenditure (1976) Comparison Between Deceased and Living Subjects In 1984.............................. 82 Year of Birth of Comparison A. Athletes, B. Non-Athletes, and C. Total Subjects Comparison Among the Three Caloric Activity Ratings..................... 83 Percentage of A. Athletes, B. NonAthletes, and C. Total Subjects Deceased and A11ve In 1984 per the Three ActivityGroups.................. 84 Comparison of Weekly Caloric Expenditure (METS) Among the Four Somatotype Groups............................... 86 Percentage of A. Athletes, B. NonAthletes, and C. Total Subjects Reporting CVD In 1976 per Activity Group In 1976........................ 90 Percentage of A. Athletes, B. NonAthletes, and C. Total Subjects Reporting Hypertension In 1976 per Activity Group In1976................ 91 Percentage of A. Athletes, B. NonAthletes, and C. Total Subjects Report Ing Any A11ment In 1976 per Activity Group In1976................ 92 Ix Page 14 15 16 17 Percentage of A. Athletes, B. NonAthletes, and C. Total Subjects Reporting CVD In 1984 per Activity Group In 1976........................ 93 Percentage of A. Athletes, B. NonAthletes, and C. Total Subjects Reporting Hypertension In 1984 per Activity Group In 1976............... 94 Percentage of A. Athletes, B. NonAthletes, and C. Total Subjects Reporting New CVD In 1984 versus 1976 Activity Groups...................... 95 Percent of Population Deceased In 1984 Per Activity Group In 1976 According to Year of Birth..................... 98 x CHAPTER I THE PROBLEM Studies which have looked at human longevity are numerous and varied In scope. Conversely, studies relating exercise caloric expenditure to human longevity have been limited. Some of the original longevity studies compared college athletes with the general population. This general population was usually an Insured group of Individuals with varied educational, ethnic, and economic backgrounds. Although athletes tended to live longer when compared to Insured Individuals, these studies (1,8,11,14,24,28) were often criticized for their Inadequate match between athletes and a control group. Later Investigators com­ pared athletes with a more uniform group, specifically non­ athletes, who attended college at the same time as the athlete (7,25,27,54). Results from these studies Indicated that longevity of the former athletes was slightly shorter when compared with the non-athlete control subjects. Investigators proceeded to attempt to determine why the non-athlete groups lived longer than the athlete groups. Post-college activity was assessed In a gross manner by 1 2 several Investigators. Generally, post-col lege activity played a positive role In enhanced longevity (25,26,27,36,44,51,61). Statistically, however, there was little difference between the life span of college athletes and their non-athletlc counterparts. Research pertaining to caloric expenditure through exercise In later life has been under-developed and relatively non-conclustve. Only one longevity study has examined the specific relationship between caloric expenditure and life span. In this study greater exercise In later life was shown to delay the aging process , reduce the Incidence of coronary heart disease, and Improve longevity (40,41,44). Research which looks at the caloric expenditure of exercise and, a possible confounding factor, body type and the subsequent relationships to longevity, to date, have not been elucidated. Purpose ot ih& Study To determine the effects of post college activity on longevity former (pre-1938) Michigan State University athletes and non-athletes were utilized. Follow-up questionnaires (1976 and 1984) to the original 1952 study of the Longevity s M Morbidity Q± Col lege Athletes (27) 3 were assessed. Caloric expenditure was established utilizing aerobic avocatlonal activity. The groups In the study tncluded living and non-living athletes and non­ athletes. This study was designed to answer the following questions: 1. Did athletes, non-athletes, or both groups exercise aerobically an average of 2000 k11oca lories (kcal) per week In 1976 or 1984? 2. Is there a relationship between aerobic exercise Induced caloric expenditure In 1976 and the status of life (living vs. deceased) In 1984? 3. Are certain body types associated with higher exercise caloric expenditures? 4. Is a high exercise caloric expenditure related to the frequency of a 11ments? Answers to these questions should supplement relevant previous research (40,41,44) and lend additional Insight Into the relationship of aerobic exercise to morbtdlty and mortal tty. Rationale The rationale for selecting 2000 kcal per week and the subsequent exercise groupings was from the work conducted by Paffenbarger, et. al. (40,41,44). In his work Individuals expending 2000 kcal or more were shown to have 4 Increased longevity. Since the longevity study contained Information which made It possible to replicate PaffenbargeMs study In an older group of former athletes and non-athletes It was reasoned that by determining the exercise-related caloric expenditures In this population additional Insight could be gained concerning this relationship. Significance q ± ±ha Study Considerable Impact could be afforded from the results of this study. If Individuals, independent of whether they are athletes or non-athletes, tend to have an Increased longevity when they exercise at or above 2000 kcal/week then lifestyle changes could be Implemented to enhance caloric expenditure. Also If the findings tend to Implicate a specific body build as being related to In­ creased longevity then again lifestyle changes (dietary and activity) could be Implemented. These data could result in recommendations for lifestyle changes among population groups that may lead to an enhanced longevity. 5 Limitations q± j M Study. Limitations of this study are as follows: 1. A possible bias of Information may be evident due to the large number of non-respondents In the original 1952 questionnaire. 2. Predictions to the general population are limited due to the selectivity of subjects. 3. The study pertained only to those Individuals who either completed both the 1976 and 1984 questionnaires or who completed the 1976 questionnaire and was proven de­ ceased during the 1984 follow-up. 4. The method of classifying activity standards has not been val(dated. CHAPTER II REVIEW OF THE RELATED LITERATURE Introduction The topic of athleticism and longevity has long been controversial. The question of whether strenuous athletics produces positive or detrimental effects upon the heart goes back many ages with different theories of thought. An Individual who believed that exercise was beneficial was the philosopher, Plato, who said, "Lack of activity destroys the good condition of every human being while movement and methodical physical exercise save It and preserve It". Paul In his letter to Timothy, on the other hand, believed the opposite stating "Physical exercise benefits little.... More recently much controversy has surfaced due to the deaths and severe cardiovascular Illnesses seen In prominent athletes. James FIxx, author of The Complete Book of Running, died recently while performing a dally ritual - his morning Jog. Much speculation developed after this pertaining to the safety and "benefits" of exercise. Arthur Ashe Is another prominent athlete, a tennis player, who experienced a myocardial Infarction 6 7 at an early age. He was lucky enough to recuperate and Is now playing tennis on a regular basis. Again, the question Is raised as to whether or not exercise Is safe. Moreover, will It lead to a longer, fuller 11fe? Many studies have been conducted which try to answer questions concerning Increased longevity and exer­ cise utilizing various study groups Including the general population, university athletes, and non-athletes. Consequently, this review of the literature pertains to these studies. The studies are divided Into three main headings and are discussed separately. Genera I Population Studies The first study to look at habitual activity In the general population was conducted by Pearl (47) In 1924. Pearl looked at 132 occupations and grouped these occupa­ tions as being "heavy" or "light" In nature. His con­ clusion In this study was that "physical hard work was Indeed beneficial to an Individual before the age of 40". From 35 to 44 years of age the death rate In "heavy" occupations was 3.9? greater than that In the "light" occupations. From 45 to 54 the rate rises to 12.8J6 and 8 from 55 to 64 years of age the percentage Increases to 18.6£. Superficially, the data seem to support the hy­ pothesis that physical activity Is detrimental to an In­ creased longevity. Upon further examination, though. It Is seen that those Individuals who are categorized as "heavy" workers are the same Individuals who experience envIronmentaI types of III nesses and deaths such as those seen In coal miners and steel workers. Approximately 30 years later Morris and colleagues (29,30,31,32) performed a series of studies primarily looking at London busmen. Morris and Heady (31) looked at causes of deaths In the middle aged during the years 19301932. Seven conditions were Identified as major causes of death In the middle-aged men working In what was classified as "IIght-actlvlty" jobs. following: The classifications Include the coronary heart disease (CHD), lung cancer, appendicitis, prostate disorders, duodenal ulcers, diabetes, and cirrhosis of the liver. classified as "light" Individuals workers tended to show a decreased longevity and an Increased Incidence of coronary heart disease (33JJ) compared to "heavy" workers. Morris and Crawford (30) looked at post-mortem Information of males at 206 hospitals In the United Kingdom and looked specifically at the coronary tree. Dependent variables Included coronary, vascular lesions of one centimeter or greater and the cardiac weight. Occupa- 9 tlons were classtfled as "light" (clerk or schoolmaster), active (postman, carpenter), and heavy (boilermaker or dockworker). Their findings showed that there were two times as much Ischemic myocardial fibrosis In the light groups as In the heavy 16.8% - 13.4?). They concluded that men In physically active Jobs have less CHD during middle age than men with physically Inactive Jobs. Also, any disease observed In active middle-aged men Is less severe and man Ifestates itself later In life than In men with physically Inactive Jobs. Morris (29) looked at CHD In London.bus drivers and conductors and found that the more active conductors had less CHD than did the bus drivers. Also If CHD was clinically observed In the conductors It tended to appear later In life and was less severe than that seen In the drivers. The conductors did display a higher Incidence of angina pectoris In this study. was performed. In 1956 a follow-up study In this study Morris, et. al. (32) looked at uniforms of the drivers and conductors to determine physique of the Individuals and the relationship to CHD. The data exhibited the following: drivers tend to be taller, girth Increased with age In both groups, the girth of the drivers was greater than that of the conductors, and the difference In girth Is present at every age. Therefore It was concluded that drivers are bigger when they Join the service. This would suggest that somatotype 10 and coronary heart disease are related and that heavier Individuals self-select Into the more sedentary classifi­ cation of drivers. Further study was warranted here. In 1966 Morris, et. al. (34) published a study that looked at 667 middle-aged London bus drivers who showed no clinical evidence of Ischemic heart disease (IHD) and followed them for 5 years. Forty seven men (7%) developed IHD and It was found that more drivers than conductors developed IHD, systolic blood pressure In men aged 30 or greater was higher In the drivers, and blood cholesterol levels were higher In the drivers. This seems to Impltcate physical activity as being protective In nature. Morris and his colleagues (33) also looked at postal route men and clerks. Again, It was concluded that the more active the Individual the less CHD, the less severe the Ischemia If It was evident, and the more angina pectoris when compared to the more sedentary clerks. Morris concluded that the physical activity of work Is Indeed protective against Ischemia and coronary heart disease. Similar findings were observed among other re­ searchers. Zukel, et. al. (65) In 1959 looked at 228 cases of CHD In northeast North Dakota, 101 of which were farmers and the rest were varied occupations. The In­ cidence of more severe manifestations of CHD I.e., myo­ cardial Infarction (Ml) or sudden death, were two times as 11 high among other occupations as In farmers. Preliminary data found that men whose occupational level required no heavy work had an Incidence rate three times as high as a heavy worker. Similarly, Bruner and Manells (5) found that those In sedentary occupations In an Israeli kibbutz had three times the mortality and three times the Incidence of Ml as did those In active occupations. Kahn (16) In 1963 did similar work to that of Morris from the standpoint that he looked at Washington, D.C. postal clerks and carriers. He found that the •carriers generally lived longer than the more sedentary clerks. The risk was found to be 1.4 - 1.9 times higher for clerks than It was for carriers. It was speculated that physical activity must be a positive factor. Fox and Haskell (9) summarized that for those Individuals who were more active displayed a lower Incidence of CHD. Also If exerctse Is to elicit decreased mortality levels It must be performed on a continual basis I.e., It cannot be "stored-up" over time. Taylor, et.al., (62) In 1962 also confirmed much of this Information by looking at death rates among active and sedentary railroad employees. The highest death rate was observed among the clerks who displayed 11.83 deaths per 1000. Switchmen, who were Intermediate In terms of activity, displayed 10.29 deaths per 1000, and section men, the most active, showed a death rate of 7.62 per 12 1000. Paffenbarger, (43) In one of his earlier studies, looked at characteristics In youth which were predisposing to fatal stroke In later years. He Identified seven factors: cigarette smoking, high blood pressure, lower 3 ___ reciprocal of the ponderaI Index (ht./ /wt.), shorter body stature, early parental death, heart consciousness, and non-partIcIpatIon In sports. Kannel (17) went further and stated that heart dIsease was due to sedentary 11vIng, obesity, and excessive cigarette smoking. Frank, et. al. (10) noted that Incidence of fatal Ml among sedentary Individuals who smoked was nine times that of age-matched physically active non-smokers. These studies all helped to solidify the Idea that sedentary living was Indeed a negative factor when related to longevity. Pa Imore (45) In 1969 stated that a healthy and well functioning person had a better chance of surviving stress and trauma than a sick or weak person. He found that actuarial 11fe expectancy, physical functioning, work satisfaction, and performance Intelligence were the four best predictors of longevity. His subjects were volun­ teers between 60 and 94 years of age from North Carolina. After evaluating varied activities no association was found between Increased activity and decreased mortality. This could have been due to the fact that the original sample (n=268) was small and that only a small number of Individuals died during the study. Also a bias was 13 Introduced Into the study since volunteers were only utlIIzed. In 1979 Belloc (4) sent questionnaires to 6,982 men and women living In Alameda County, CA. mortality over a 5.5 year period. She looked at Her findings showed that men who reported that they often engage In active sports had the lowest mortality. Also the average life expectancy of men who reported six or seven "good” practices was 11 years more than those reporting fewer than four. Bassler <3) agreed with the Idea that exercise Is beneficial and stated, after working with the American Medical Joggers Association, "that pathologists hope to see a decrease In the Incidence of CHD but also a decrease In cirrhosis, lung cancer, emphysema, and athero­ sclerosis". In 1978 Paffenbarger, et. al. (39) worked with longshoremen and categorized workers Into high and low expenditure ratings. When they looked at cause of death from ail causes there was a 46% added risk associated with low energy levels. Myocardial Infarction, sudden death, and stroke all Increase with a concomitant decrease In energy expended. This group also Identified smoking and elevated blood pressure as prime Indicators and predictors of Ml, stroke, and sudden death. Thus the major risk factors surface when dealing with the mortality of Individuals. 14 MenottI and Seccareccla (21) looked at 99,029 Italian railroad employees. They observed mortality based on physical activity and Job responsibility and found that activity and Job responsibility were Independent predic­ tors of mortality. They found that Individuals who were sedentary and had high Job responsibilities had the highest Incidence of Ml. Generally the sedentary Indivi­ duals had the highest Incidence of deaths In the groups Independent of age. One study performed by Rose and Cohen (55) In 1977 looked at activity both on and off the Job. They found that off-Job activity was a good predictor of longevity while vocational activity was not. Those Individuals who were "high" In the avocatlonal activity and low In vocational activity lived 3.8 years longer than those low In both avocatlonal and vocational activity. Tabje 2-1 summarizes the studies performed on the general population groups. Most studies looked at physi­ cal activity and Its association with cardiovascular disease. Also most of the work Involved vocational activity only. Nevertheless It Is apparent that the In­ vestigators all favored activity as a positive Influence on longevity. fable 2-1. Summary of General Population L o n gevity Studies. Author Pearl (47) Date Activity Type 1924 Vocational Parameters Studied Mor t a l i t y Findings Light activity favored over heavy Morris (31,32) 1953, 1956 Vocational Cause of death Activity favored Morris (30) 1958 Vocational Coronary Heart disease Ac t i v i t y favored Morris (29) 1959 Vocational Coronary Heart disease Activity favored Morris (34) 1966 Vocational Ischemic Heart disease Activity favored Morris (33) 1953 Vocational Coronary Heart disease Activity favored 1959 Vocational Myocardial Infarction Activity favored 1960 Vocational Myocardial Infarction Activity favored Zukel (63) Brunner (5) Table 2-1. Kahn Cont. (IS) Pox and Haskell 1963 Vocational Coronary Heart disease Activity favored 1968 Review Coronary H eart disease Activity favored (9) Taylor (51) 1962 Vocational Cause of death Activity favored Kannel (17) 1967 Vocational Coronary H eart disease Activity favored 1966 Vocational/ Avocational Coronary H e a r t disease Activity favored 1969 Vocational/ Avocational Cause of death M o relationship between activity and d e creased mortality 1973 Avocational Mo rtality Activity favored P affenbarger (39) 1978 Vocational Myocardial Infarction Activity favored Menotti and Seccareccia (21) 1985 Vocational M o r tality Activity favored Prank (10) Palmore Belloc (45) (4) Table 2-1. Cont. Rose and Cohen (55) 1977 Vocational/ Avocational Cause of death Avocational activity is a good predictor of longevity 18 Non-Cohort Athletic Studies The early studies dealt with college athletes who were generally compared to an Insured group of men. These are Investigations along actuarial lines Into the afterhlstorles of sportsmen so that longevity may be deter­ mined. Probably the earliest study was conducted by Dr. John Morgan In 1873. He looked at the health of oarsmen who rowed In the Oxford-Cambridge boat race between 1829 and 1859. He observed age at death of the oarsmen and compared that with Dr. Farris EnglIsh Life Tables. Morgan (28) found that the rowers tended to live two years longer than that expected from Dr. Farr's tables. Although this paper was a major contribution at the time It had some limitations. Among these Is the fact that the population was small (n=200). Also Dr. Farr's life tables were based on the general population with both healthy and unhealthy Individuals. This was not a good comparison group for a population of oarsmen. Meylan (24) also published Information regarding oarsmen on the Harvard crew teams from found that the oarsmen IIved 2.88 years longer than the general population. 1852-1892.Meylan Again, criticism can be placed upon this paper In a similar manner to In 1906 Gaines that of Morgan. and Hunter (11)found that Yale athletes who graduated before 1905 experienced deaths only 19 49JJ as that which would be expected by Insurance tables. Anderson’s data from a 1916 study (1) Is shown in Table 2-2. Two Insurance populations were compared with 808 Yale Athletes. The athletes were favored In terms of longevity. Table 2-2. Sport Track FootbalI Baseba11 Crew Total Comparison of Actual to Expected Deaths Among Yale University Athletes (From Anderson, 1916) Number of Letter Winners 276 213 148 171 808 Number of Deaths 13 16 11 18 58 Percent of Actual to Expected Deaths, ActuarIa 1 Society Table 62 58 47 45 52 Percent of Actual to Expected Deaths, American Table 52 52 42 41 46 Year of Earl Iest Data 1868 1872 1865 1855 HIM (14) In 1927 studied British cricket players and again found an Increased longevity among the athletes. Dublin (8) in 1928 published research complied from ten Eastern American Universities Involving 4,976 baseball, football, track and field, and rowing athletes. Athletes graduated prior to 1905. The athletes were com­ pared to two different insurance tables. The Medico- 20 Actuarial Table of Mortality displayed an actual to expected death ratio of .932. The slightly more recent American Men Table had a ratio of .915. Therefore, regardless of which table Is used the athlete Is favored by at least a margin of 6.8JS-8.5?. Dublin noted the problems associated with utilizing an Insured population (I.e., the Insured population Is of a different physical and economic grade than that of the athlete) and stated that It was used only because there was nothing better to use as a comparison. The following tables (2-3, 2-4, 2-5) look at mortality ratios when broken Into sport, date of birth, and colleges. Table 2-3 shows the actual to expected death ratios among the different sports. It should be noted that those Individuals engaged In two or more sports had a very favorable mortality when compared with letter winners of Just one sport. Table 2-4 shows the breakdown by date of birth with those born later showing a more favorable mortality. Finally table 2-5 shows the mortality breakdown by college with Amherst and Brown showing the best ratios. 21 Table 2-3. Percent of Actual vs. Expected Deaths According to the American Men Table (From Dublin, 1928) Sport Al 1 Classes Comb Ined C 1asses Prior to 1880 Classes 1880-89 Classes 1890-99 Classes 1900-05 All sports 91.5 94.1 94.6 93.6 72.6 BasebalI Crew Footba11 Track Two or more sports 98.0 94.1 88.3 91.8 98.6 92.2 87.6 --- 97.4 72.1 94.7 121.7 103.1 124.0 91.6 86.6 81.4 113.4 63.4 73.0 78.3 85.8 80.8 81.0 62.9 Table 2-4. Mortality by Birth Decade of Athletes of Ten Colleges Compared with Expected Deaths by American Men Table (From Dublin, 1928) Class Group Actual Deaths Expected Deaths by American Men Table All classes 1,202 1,314 91.5 454 322 310 116 483 340 331 160 94.1 94.6 93.6 72.6 Prior to 1880 1880-1889 1890-1899 1900-1905 Percent Actual of Expected Deaths 22 Table 2-5. Mortality of Athletes of Ten Colleges, Compared with the Expected Mortality According to the American Men Ultimate Table. Specified Class Groups Experience on Classes 1905 and Prior (From Dublin, 1928) Co 11ege All co11eges comb Ined Al 1 Classes Comb Ined Classes Prior to 1880 Classes 1880-89 Classes 1890-99 C 1asses 1900-05 91.5 94.1 94.6 93.6 72.6 Amherst 74.7 Brown 74.1 Cornel I 94.6 Dartmouth 113.4 100.1 Harvard Mass. AgrlcuIt. 84.4 Tulane 94.2 Wes 1eyan 85.3 Wi11 lams 79.5 Yale 89.2 91.1 80.4 99.5 112.4 107.5 62.9 99.5 104.1 113.8 99.2 73.6 59.8 97.9 127.1 94.9 56.2 51.7 70.0 80.0 85.0 98.6 --- --- 93.4 ---82.0 ---- 94.0 75.7 73.6 61.9 108.6 --120.3 61.2 101.1 71.1 Rate not specified 84.2 93.7 23 Dub 11n cone Iuded that the athIetes showed a favorable mortality but was surprised that It was not even more favorable. His final opinion was that athleticism with "loose supervision" In the earlier periods may have been harmful. Reed and Love (53) studied West Point athletes compared with West Point officers and Army officers against the general population. They found that both the officers and the athletes had an Increased longevity over the control populations. Cooper, et. al., (6) In 1937 observed that 24 Australian oarsmen (n=100) of Ormond College had died between an Investigation period of 1885 and 1905. The expected mortality was 31.8 Individuals producing an actual to expected percentage of 75.4$. This may be biased due to the low numbers of rowers Initially studied. Hartley and Llewellyn (13) used Oxford and Cambridge rowers (n=767) and divided them Into 4 groups based on age. Table 2-6 Is from the HartIey-LI ewe Ilyn study and contains mortality data from the, at the time up to date, 1924 - 1929 standard table. From these figures It appears that for ages up to 50 In periods 1 through 3 that the athletes were not as favored as the general population. After age 50 though the figures seem to display a trend toward Increased longevity. Wakefield (62) used high school athletes as the 24 Table 2-6. Actual versus Expected Deaths by Age Group. (From Hartley and Lewwllyn, 1939) Period Age Group 1 (18291862) Up to 50 51 to 70 Over 70 22 1 — A 11 Ages 2 (18631893) 3 (18941923) 4 (19241928) Actual Deaths Expected Deaths by the A 19241929 Table Actual as Percentage of Expected 8.7 0.5 -- 252.9 200.0 ---- 23 . 9.2 250.0 Up to 50 51 to 70 Over 70 53 39 18 24.7 40.8 19.9 214.6 95.6 90.5 AlI Ages 110 85.4 128.8 Up to 50 51 to 70 Over 70 32* 85 108 23.3 81.1 120.2 137.3 104.8 89.9 Al1 Ages 225 224.6 100.2 Up to 50 51 to 70 Over 70 3 13 20 3.4 13.2 21.9 88.2 98.3 91.3 A 11 Ages 36 38.5 93.5 * Excluding 37 Great War Deaths. 25 primary research group In 1944. He found that there were 123 actual deaths compared to an expected value of 181.1. He also found that the younger players, 14,15, and 16 years old, had an Increased longevity as compared to 17,18, and 19 year old boys (54.2$ vs 78.9$). Schmid (56) In 1952 reported on 400 deceased CzechosIavakIan athletes. supplied In Table 2-7. A summary of the data Is Upon analysis the athletes again are favored In terms of longevity. Table 2-7. Longevity of Athletes versus Non-Athletes. (From Schmid, 1952) Year of Birth 1861-1870 1871-1880 Mean Age (yrs) of Non-Athletes 58.2 60.3 Mean Age (yrs) of Athletes 66.9 61.7 Karvonen’s 1959 paper (18) pertained primarily to the training of the cardiovascular system but also looked at the length of life of 388 pre-1930 champion skiers. He concluded that training of the cardiovascular system over a period of several years does not appreciably shorten life but may even prolong It. Also, the cholesterol levels of trained athletes was lower than that of the general population. He called training programs "proven- 26 five rehabilitation" regimens If significant training of the cardiovascular system was enhanced. Pyorala, et.al. (52) studied long distance runners (n=40) and skiers (n=53) and a control group. It was found that Irrespective of age and absence or presence of CHD the average degree of physical activity was higher In the athletes than the control group. Mortality ratios were not presented. Schnohr (58) performed a Danish study on 297 male athletic champions born between 1880 and 1910 compared to the general population. The data Indicated that male athletic champions under the age of 50 had a significantly lowered mortality, 61Jf, than the general population. Above the age of 50 though no significant difference was found I.e., age 50-64 the ratio was 108J& and at ages 65-80 the ratio was 102JJ. In 1972, Schnohr (57) reported that mortalIty after the age of 50 was unaffected by the degree of past athletic performance, instead the difference In any Increased athletic longevity was due more to socio­ economic status than sport performed. Karvonen (20) In 1974 again looked at the longevity of endurance Finnish skiers and the general population. The median age for the skiers was 73.0 years. During 1931-1935 the median age for Finnish men was 68.9, 1946-1950 was 68.7, and during 1956-1960 the median age was 70.2. As compared to men In the 40's the skiers lived 27 4.3 years longer but this was reduced to 2.8 years In the 1950’s. Table 2-8 shows the number of surviving men In the general population versus the skiers. It Is apparent that the largest difference Is In the 65-69 age group. Thus It can be concluded as Karvonen states In his 1976 paper (19) that Finnish skiers tend to live longer than the general population of Finnish males. This was associated with fewer risk factors, fewer signs of re­ tarding the aging process, and healthier life habits. The Metropolitan Life Insurance Company (22,23) performed studies on major league baseball players and used a white male population as the control group. Table 2-9 shows that pre-1900 players had a mortality ratio of 103/6 while post 1900 players had a ratio of This was further broken down by batting 71J6. average and position played. Finally Table 2-10 summarizes the studies which have compared athletes versus a general population control group I.e., non-cohort studies. Most studies Indicate that athletes lived longer. As previously stated, however, many of these studies have pitfalls. Usually an Insured group of Individuals Is far different than an athletic group. They usually reflect healthy, prosperous Indivi­ duals who can afford life Insurance policies. General population tables Include both healthy and unhealthy 28 Table 2-8. Number of Surviving Men In the Cohort of Skiers and In the Total Male Finnish Population During Three Periods. (From Karvonen, 1976) Total Male Population Age (Yrs) 15-19 20-24 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74 75-79 80-84 85-89 90-94 95-99 Skiers 1931-1935 1946-1950 1000 1000 982 963 945 917 872 847 800 738 672 527 397 224 113 38 38 1000 981 953 928 901 871 836 793 738 666 578 478 372 273 203 164 -- 1000 988 967 946 925 901 870 826 765 685 583 465 341 238 144 100 -- 1956-1 1000 995 987 976 964 946 923 887 832 753 646 515 368 228 120 63 43 29 Table 2-9. Mortality of Major League Baseball Players Compared with White Males In the United States Population. (From Metropolitan Life Statistical Bulletin, 1975) Players Who Had Careers Beginning 1876-1900 Deaths 1901-1973 Morta11ty Ratio Batting Avg. .300 or more ....77 .250-.299... .200-.249...* less than .200..... . All........ .1,060 109 103 Position Played Pitcher........242 Catcher......,.118 First Base...., Second Base..., Third Base. Shortstop.... Outfield.......221 105* 108 100 105 103 90 95 88* 99 107 Deaths 102 547 558 588 1,795 594 184 96 104 88 94 342 Morta11ty Ratio 71* 74 65 75 71 79* 69 79 68 55 67 72 Source of basic data: The Baseball Encyclopedia, 2nd ed., New York, Macmillan Publishing Co., Inc., 1974. 30 individuals which are far unlike an athletic group. Use of these tables will provide a certain bias to the re­ sults. Also In many studies the population studied was too small for accurate analyses. Other studies have been performed which attempt to alleviate some of these biases by looking at an athletic group and matching It with a control group which was usually In school at the same time as the athlete. studies were termed cohort studies. These Fable 2-10. Author Summary of Non-Cohort Athletic L o ngevity Studies. year E x a mined Population Nu m b e r Comparison Population Fi n dings Comments Morgan (28) 1873 1829-1859 O x f o r d and Cambridge Univ e r s i t y Oarsmen 251 Dr. Farr's E n g l i s h Life Athletes favored By 2.0 years Meylan (24) 1904 1852-1892 Harv a r d U niv e r s i t y Oarsmen 152 S t a ndard Mo r t a l i t y Tables Athletes favored By 2.88 years Gaines and Hunter (11) 1906 Pre-1905 Yale University Athletes Mot S tated Insurance F ables Athletes favored Mo r t a l i t y R atio 49% Anderson (1) 1916 1855-1905 Yale Univ. Athletes 808 Actuarial Athletes favored Society T a b l e (AST) and Am. Fable (AD AST Mort. R atio 52% AT Mort. Ratio 46% Hill 1927 1800-1888 British Cricket (14) 3,424 E n g l i s h Life Table # 4 and t 8 Athletes favored Signif. at All ages rable 2-10. Cont. Dublin (8) 1928 1890-1905 Athletes from Ten Eastern American Colleges Reed and Love (53) 1931 1901-1916 West Point Military Academy 4,976 Wot Stated (Total M=4,991) MedicoAthletes Actuarial favored (MA) Table American Men fable of Mort. (AMTM) MA Mort. R atio 93% AMTM Mort. R atio 91% American Men Table of Mort. and West Point Officers Athletes favored By .251.25 Yrs. Cooper, 1937 0 1S u l l i v a n , and Hughes(6) Or m a n d College Oarsmen 100 Australian Insurance Table Athletes favored Mort. R a t i o 75% Hartley and Llewellyn (13) 1939 1829-1928 O x f o r d and Cambridge Oarsmen 767 4 Standard Mort. Tables Athletes favored #1=87.8% #2=76.7% #3=85.1% #4=93.5% Wa k efield (52) 1944 1911-1935 Indiana High School Basketball Players 2,919 U.S. Bureau of Census Life Tables Athletes favored Mort. Ratio 68% Sc h m i d (56) 1952 1851-1880 Czech. Ath. 400 General Pop. Mon-Ath. Athletes favored By 1.448.55 Yrs. Cable 2-10. Cont. 388 Karvonen (18) 1959 P r e - 1930 Finnish Champion Skiers 1931-1940 Athletes and 1951favored 1955 General Male Finnish Pop. and 19491953 Ins. Pop. By 6-7 Yrs. over 1931-1940 M o diff. with Ins. group Pyorala, et.al., (52) 1967 Finnish Long Oist. Runners and Skiers 93 Randomly S e l ected Finnish Pop. Athletes favored Ratio not calc. Activity greater. S chnohr (59) 1971 1880-1910 Danish Champion Athletes 297 General Male Pop. Athletes favored Mort. R atio to age 50= 61%, post age 50= 108-109% Metro­ politan Lite (22,23) 1975 1876-1973 6 ,753 Major League Baseball Players General Pop. (Nhite Males) of the U.S. Athletes favored 1876-1900 Mort. Ratio= 103%, 1901-1973 Ratio= 71% 34 CphPLt A.thlsi.e Studies The following studies utilize, what Is thought to be, a more defined and uniform control group. Athletes are compared to non-athletes who attended the same school or university at the same time as the athletes. That Is, both groups come from a similar population and statistics may be applied over a wide variety of variables such as age at death, cause of death, as well as specific activity ratings. Greenway and Hlscock (12) were probably the first to utilize this method. They obtained records of 686 former Yale athletes and compared them with 9,421 Yale non-letter winners. When compared to Insured lives the athletes were favored but when compared to classmates the death rate among non-letter graduates was 4.59 per 1000 and that of the letter winners was 5.61 per 1000. It was reported that a large percentage of athletic deaths were due to accidents and war casualties. Special considera­ tion In this study must be given due to the small numbers of athletes. In 1932 Dublin (7) compared his 4,976 letter wtnners from Eastern American Universities with 38,269 graduates. Two-thirds of the graduates came from Harvard, Yale and Cornell and 6,500 were honor students. 2-11 summarizes the findings. Table It can be seen that honors 35 men lived longer than the athletes by an average of two years and this was maintained throughout life. Moreover, the athletes closely approximated the life expectancy of college graduates and held a slight advantage when compared with data obtained from the Amerlcan-Men Table. Table 2-11. A Comparison of Expectation of Life In Years. (From Dublin, 1932) Age 22 27 32 37 42 47 52 57 62 67 72 77 82 87 92 General Col lege Graduates (38,269) 45.71 41.68 37.59 33.51 29.44 25.37 21.43 17.78 14.48 11.47 8.81 6.52 4.56 3.01 1.92 Col lege AthIetes (4,976) 45.56 41.41 37.25 33.09 28.92 24.80 20.85 17.34 14.09 11.06 8.41 6.15 4.24 2.77 1.75 Co 11ege Honor Men (6,500) 47.73 43.61 39.48 35.30 31.07 26.85 22.79 19.03 15.56 12.36 9.50 7.06 4.98 3.30 2.11 American Men Tab 1e (1900-1915) 44.29 40.18 36.03 31.83 27.66 23.62 19.79 16.25 13.06 10.28 7.91 5.96 4.41 3.21 2.30 In 1954, Sir Alan Rook (54) published Information regarding Cambridge athletes. The athletes Included men who, during a certain period, had represented Cambridge In contests against Oxford University. The sportsmen (n = 834) Included track and field athletes, cricket athletes, 36 rowers and rugby footballers. Two control groups were selected; Intellectuals (n=382) and random (n=379) Individuals. 12. The breakdown data Is presented In Table 2- Table 2-13 displays the survival rates of the sportsmen compared to the two control groups. Rook found no significant difference In age at death when comparing the groups but found that the Intellectuals lived approximately 2 years longer than the control group and 1.5 years longer than the sportsmen. The major cause of death was cardiovascular disease (Table 2-14) formulating approximately 40% of all deaths In the control groups. The sportsmen displayed lower percentages In cause of death from cardiovascular disease In all athletic groups except the rugby football players (.42%). There was little evidence to support the statement that sportsmen are more likely to die from cardiovascular disease or that they are affected at an earlier age. Michigan State University has looked extensively Into the question of athleticism and longevity. Montoye and associates (27) not only reported age at death and cause of death but also vocational and recreational post college activity. A 1952 questionnaire was sent to 2,258 Individuals broken equally Into an athletic group (letter winners at Michigan State University) and a randomly selected control group obtained from the registrar’s 37 Table 2-12. Total Numbers Under Investigation. (From Rook, 1954) Group Number Dead Alive 252 187 178 206 162 155 15 15 16 31 10 7 217 180 23 14 834 703 69 62 Controls: Intellectuals 382 Random Group 379 332 293 42 43 8 43 Sportsmen: AthIetes Cricketers Rowing Men Rugby Footballers Total Lost To Study Total 761 625 85 51 Grand Total 1,595 1,328 154 113 38 Table 2-13. Survival Rates of Sportsmen and Controls Excluding Deaths Due to War and Accidents. (From Rook, 1954) No. of Survivors at Each Age Age Sportsmen 20 25 30 35 40 45 50 55 60 65 70 75 80 85 90 1,000 996 982 963 934 898 870 825 763 673 523 377 186 82 23 Intellectuals Random Group 1,000 987 962 948 937 910 888 841 791 738 597 434 231 92 26 1,000 985 964 949 913 889 867 837 754 634 532 364 193 82 23 No. In group.. 362 325 Avg. age at death.... 69.41 67.43 Variance of estimate of avg. age at death.... 0.61 0.74 39 Table 2-14. Causes of Death In Percentages. (From Rook, 1954) Groups Ath. Crick. Row. Rugby Intel 1ac­ tuals Random Disease: Infection Pneumonia Bronchitis Cardio­ vascular Conditions Neop 1asms Gen ItoUrlnary DIseases Accidents and War Deaths Sen 111ty Suicide MlscelIan. 11.8 14.1 14.6 16.0 11.7 16.2 6.4 13.1 8.4 8.0 8.2 10.5 36.4 13.6 37.2 10.1 31.5 18.4 42.0 12.0 39.9 12.3 41.5 12.8 5.5 7.0 4.6 4.0 8.2 7.1 13.6 3.9 0.9 7.9 9.1 5.1 1.0 3.3 10.8 3.8 --7.9 8.0 3.0 3.0 4.0 4.7 6.4 4.1 4.5 7.0 2.8 --2.1 40 office. A total return rate of 52.4JK was observed. The Initial return showed that 67 out of 625 athletes had died while 55 out of 557 non-athletes were deceased. Also, In regards to vocational and recreational activity It was found that prior to age 45 the athletes were more active than the non-athletes but this was reversed after age 45. The non-athletes tended to be more active than the athletes. These data should be Interpreted with caution due to the low return rate, although It seems plausible that the Increased activity among the non-athletes was beneficial and may be a reason why fewer non-athletes were deceased at the time of the questionnaire. In 1962, Montoye, et.al., (26) reported seven-year follow-up analyses of the original questionnaire. Figure 2-1 shows the mean age at death which was not signifi­ cantly different among the groups. It can be seen In Figure 2-2 that athletes tend to die more often from cardlovascular disease than do the non-athletes. Also from Figure 2-3 It can be seen that when subjects who died from cardiovascular disease were compared with living subjects (data obtained when subjects were alive) the living subjects performed more physical activity. There­ fore living subjects were much more active than deceased subjects when they were alive Irrespective of whether they were athletes or non-athletes. 41 B. MEAN Violent Violent Deaths AGE AT DEATH Only Deaths Excluded Total Deaths 20 so Agi 40 at SO (0 Death Figure 2-1. Mean Age at Death of Michigan State University Athletes and Non-Athletes. (From Montoye,1962) C. PERCENTAGE ■ OF DEATHS Cnrdin.aiculgr P itta x M FROM CARDIOVASCULAR DISEASES Cordiovosculor Diseoses 40 SO Athlete " | . 20 | ----------- SO Other 70 00 Non-Athlete L Other Cnusts ----- Causes 00 90 100 I Figure 2-2. Percentage of Deaths from Cardiovascular Diseases of Michigan State University Athletes and Non-Athletes. (From Montoye, 1962) Vigorous Moderate Mod hflp«r 2 *oy L=LIvtng D=Deceased A. NON-SPORTS PHYSICAL ACTIVITY AT TIM E OF FIRST CONTACT Figure 2-3. Physical Activity of Individuals Within the Michigan State University Longevity Study. (From Montoye, 1962) 42 Again, In 1967, Montoya's group (25) updated the status of the study. It was reported that the mean age at death for the athlete was 62 years while that for the non­ athlete was 64 years. This was not considered significant but It was noted that the "amount of physical activity was significantly greater among the subjects who survived the seven years." Paffenbarger and his group (42) presented a paper Involving approximately 45,000 college students from the University of Pennsylvania and Harvard. A questionnaire was utilized with an 85J6 response rate. Paffenbarger found an Inverse relationship between participation In varsity athletics and coronary heart disease. A significantly smaller percentage of varsity athletes was found among future coronary decendents than among control subjects (11Jf to 16/8). The data did not distinguish any protective effect afforded by vigorous physical exertion. Harvard University was the site of Polednak and Damon's study (50). They reported on 2,090 men and were divided Into three groups; major athletes (those that won a varsity letter In a major sport), minor athletes (those that did not win a letter or won a letter In a minor sport), and the non-athletes. The data, summarized In Table 2-15, showed that the minor athletes longest In each decade studied. and non-athletes did not differ. lived the Major athletes Age at death (Table 2- 43 Table 2-15. Harvard Athletes, Alive or Dead of Natural Causes; Percentage of Men Reaching Ages 70 and 75, by Birth Decade. (From Polednak and Damon, 1970) Reaching Aga 13. Reaching Age 70 Birth Decade 1860-69 1870-79 1880-89 1860-69 N *# N ** N ** N ** 1870-79 1880-89 N ** N ** Major Ath. 26 46.4 52 59.7 14 60.9 21 37.5 42 48.3 12 52.2 Minor Athlete 29 58.0 86 63.2 55 76.4 21 42.0 72 52.9 48 66.7 NonAth. 239 57.2 444 60.7 255 62.9 186 44.5 333 45.5 201 49.6 * Percent of men In each decade who reached the athletes alive or dead decade 1860-69, 26, or athletic category In each birth specified age. Thus, of 56 major of natural causes In the birth 46.4*, reached age 70. Table 2-16. Harvard Athletes: Mean Age at Death for Men Dead of Natural Causes. (From Polednak and Damon, 1970) Age at death (yrs.) Major Ath. Minor Ath. Non-Ath. N 1860-69 Mean S.D. 55 67.3 49 67.9 416 69.3 16.8 18.0 17.4 N 1870-79 Mean S.D. 84 69.8 119 70.8 699 70.1 15.9 14.7 15.0 N 1880-89 Mean S.D. 16 66.2 43 67.2 308 67.7 14.2 16.8 12.5 Note: Percentage of deaths among original cohort In each birth decade: 1860-69, 99.3*; 1870-79; 94.6*, 1880-89, 75.7*. Differences among athletic categories within each birth decade are not significant. 44 16) shows that major athletes did not live as long as the other two groups. It was postulated that body build may have been a pre-dIsposIng factor. Polednak (48,49), In a 1972 study, reported on the longevity of 6,303 Harvard athletes and classmates. Groups were categorized Into major and minor athletes and a non-athletlc control group. shown In Table 2-17. The mean age at death Is The findings were small and Incon­ sistent but It can be seen that major athletes were the shortest lived In respect to the other two groups. It was expected that since a greater percentage of minor athletes were still alive In the latter two decades studied that they would eventually Improve their longevity when com­ pared to the other two. Two possible explanations were afforded for this Increased longevity among the minor athletes; "that they are a select group In terms of general health or that they continue their habitual activity later In life and benefit from this". Table 2-17. Mean Age at Death for Harvard Athletes and Their Classmates Dead of Natural Causes. (From Polednak, 1972) N Major Ath. Minor Ath. Non-Ath. 1860-69 Mean S.D. N 1870-79 Mean S.D. N 1880-89 Mean S.D. 139 65.7 17.1 184 67.8 17.1 214 64.2 13.8 228 68.6 16.5 287 67.9 15.1 592 64.5 14.2 842 67.8 16.9 1,259 68.5 15.4 1,186 65.2 14.6 45 Olson (36) reported on the Michigan State University data with respect to vocational and avocatlonal activity patterns. Among subjects studied between 1960 and 1968 those that were living performed more physical activity prior to the study period than those deceased. This was Irrespective of athletic status. In terms of avocatlonal activity It was found that the former athletes were more active than the non-athletes. However, age at death (Table 2-18) favored the non-athletes but this was not significant. In 1978, Olson et.al., (37,38) showed that non-athletes lived longer than former athletes (70.17 years vs. 68.13 years). Prout (51) diverted from the results of most of the succeeding studies by reporting an age at death ad­ vantage for the athlete. He observed 172 total crew- members from the Harvard and Yale teams. The athletes were favored by 6.35 years at Yale and 6.24 years at Harvard. Apart from the small numbers this was an un­ expected and unexplained result (Table 2-19). Stephens (61) looked at activity ratings among Individuals In the Michigan State University study. Avocatlonal ratings were subjectively analyzed and sub­ jects were placed In either sedentary, light, or mediumheavy activity categories. Athletes and non-athletes did not differ In terms of percentages deceased, percentages 46 Table 2-18. Mean Age at Death of Athletes and NonAthletes. (From Olson, 1972) 1952-1960 N Athletes Non-Ath. Mean Age at Death 46 30 67.32 69.81 1960-1968 N 62 57 Mean Age at Death 72.29 72.46 Total 1952-1968 N Mean Age at Death 108 87 70.17 71.57 Table 2-19. Comparison of Average Life Span of Crew Members and Controls at Harvard and Yale. (From Prout, 1972) Group No. of Subjects Average Life Span t-test P Harvard crew Harvard controls 90 90 67.79 61.54 2.41 <.05 Yale crew Yale controls 82 82 67.91 61.56 2.37 <.05 172 Combined crew Combined controls 172 67.85 61.55 3.39 <.01 47 In birth decades, or percentages In specific activity categories. There was a general trend Implicating those Individuals who died towards 1976 having a higher activity rating than those Individuals dying shortly after 1960. There were no energy expenditure ranges stated for each category therefore It Is difficult to determine how much activity may have produced the trend toward Increased longevity. Paffenbarger, et.al., (44) looked at physical activity as an Index of heart attack risk In 16,936 Harvard alumni who entered college between 1916-1950. Questionnaires were utilized In 1962 and 1966 with sponse rates of 71$ and 82$ respectfully. re­ Activity was computed In kllocalorles (kcal) for flights of stairs walked, city blocks walked, and light and strenuous sports. Paffenbarger used 2000 kcal/week as a cutoff point and found that Individuals below this were at a 64$ Increased risk of heart attack over their classmates (Figure 2-4). From Table 2-20 It can be seen that Indivi­ duals showing a higher Incidence of Ml were relatively Inactive, did not participate in strenuous or light sports, walked fewer city blocks and climbed fewer stairs than those Individuals with a low Incidence of Ml. From Table 2-21 It can be seen that varsity athletes maintained their Increased longevity only If activity was maintained. Table 2-20. Age-adjusted Rates and Relative Risks of First Heart Attack (H.A.) Among Harvard Male Alumni. (From Paffenbarger, 1978) Physical Activity Stairs Cl Imbed <50 50+ Person years of observation No. with H.A. per 10,000 person-years of observation Relative Risk of H.A. P 37,946 76,064 56.5 45.1 1.25 .008 City Blocks Walked <5 24,996 5+ 85,345 57.8 45.7 1.26 .016 Light Sports Play No 50,606 Yes 16,032 59.8 55.3 1.08 .505 Strenuous Sports Play No Yes 66,638 45,724 54.1 39.3 1.38 .001 Physical Activity Index (kcal/week) <2000 56,459 2000+ 38,027 Unknown 23,194 57.9 35.3 47.6 1.64 <.001 49 Table 2-21. Age-adjusted First Heart Attack (H.A.) Among Harvard Athletes and Non-Athletes Based on Physical Activity. (From Paffenbarger, 1978) AJumnl Physical Activity Jlld.ex Jte&l/tf.eeJO <500 No,.* Rate** 500--1999 Rate No. 2000+ No. Rate Varsity Athlete * No 92 70.7 183 53.3 98 35.3 Yes 12 92.7 20 45.2 24 35.2 Number with H.A. ** Number with H.A. per 10,000 person-years of observation. 50 "Student athleticism Is unrelated to heart attack risk later In life". Paffenbargerfs study made a strong case for physical activity but was criticized for Its evalua­ tion of activity and the utilization of 2000 kcal/week as the main criterion for evaluation. In an effort to respond to critics, Paffenbarger, et.al. (41) did an update on his original Harvard Alumni study. He categorized his subjects Into three energy expenditure ranges; less than 500, 500-1,999, and 2000+ kcals/week. This represented 15$, 45$, and 40$ of the population. His findings supported his original paper, I.e., vigorous sports play by alumni Is Important for CHD health but sports play during school had little effect on longevity. Also, ex-varsity athletes who were active (2000+ kcal/week) had half the CHD risk of less active classmates. Inactive students becoming active were at as low a risk as that of active ex-varsity athletes. Less active alumni were at a 49$ greater risk than males who were more active. Also, conversion from a sedentary to an active life style could reduce CHD risk by 33$. The stereograms In Figure 2-5 depict the relative risk of a first CHD attack. Paffenbarger concluded that "we do not know the specific types and amounts of exercise likely to achieve cardiovascular health but CHD risk is decreased substantially In those Individuals who expend 2000+ kcal/week In walking, climbing, and sports play. 51 > UK 60 2SJ is gs 22 40 •— TOTAL HEART ATTACKS: — —-NONFATAL — - — FATAL t o *J2 2 S.' 20 i*o' f <500 500 - 1000999 1999 2000 2990 3000 3999 4000 < PHYSICAL ACTIVIIY INOIX IN KCAI PFII WCLK Figure 2-4. Heart Attack Incidence Among Harvard Alumni Based on Physical Activity. (From Paffenbarger, 1978) RR < ! 1.00 ' ' *>■ 0.7S 0 .6 0 ' ■C*7 (^1 0.50 0.25 ' " 0 . 0 0 '" " “ Alumnus Vigorous Sports Play Figure 2-5. College Student Sports Play ''600 • Alumnus Physical Activity Index College Student Sports Play Relative Risk of First Heart Attack Based on Activity and College Sports Play. (From Paffenbarger, 1984) 52 In 1986, Paffenbarger, et.al., (40) reported another follow-up to his original study. presented In Table 2-22. The data are From Figure 2-6 the relative risks are shown In specific age groups as per activity expended In kcal per week. The following results were reported: 1. Vigorous sports had an Inverse relationship with mortality but this reversed when the activity was performed 3 or more hours per day. 2. Men with an activity Index of 2000+ kcal/week had a 28$ lower all cause death rate than those less active. This was seen most readily In cardiovascular and respiratory diseases. 3. Former varsity athletes who exercised less than 500 or greater than 2000 kcal/week had higher death rates than those In the 500-1999 kcal/week range. Figure 2-7 Is a stereogram depicting physical activity Index versus college student sports play. 4. Men expending < 2000 kcal/week had a 31$ higher risk of death than more active men. 5. Sedentary men who Increased their activity might reduce their risk by 24$. 6. Longevity among Harvard alumni has been Influenced to an appreciable extent by both the total time and Intensity of habitual physical activity engaged In adult life. 53 Table 2-22. Age-adjusted Rates and Relative Risks of Death Among Harvard Alumni Based on Physical Activity. (From Paffenbarger, 1986) Physical Activity (weekly) MIles walked <3 3-8 >8 PrevaIence (Man-Years,J) Deaths Per 10,000 Man-Years Re 1at Ive Risk of Death P of Trend 26.0 44.2 29.8 78.1 66.7 61.8 1.00 0.85 0.79 .0009 Stairs cl Imbed 34.4 <350 50.0 350-1049 >1049 15.6 74.0 62.7 68.0 1.00 0.85 0.92 .0646 Light sports played (hr) * None 77.0 1-2 6.2 3 or more 16.8 81.2 61.4 56.7 1.00 0.76 0.70 <.0001 Vigorous sports played (hr)*# None 61.4 1-2 18.4 3 or more 20.2 75.4 49.1 55.9 1.00 0.65 0.74 <.0001 Physical activity Index (kcal)### <500 15.4 500-999 20.9 1000-1499 15.2 1500-1999 10.4 8.1 2000-2499 2500-2999 6.9 3000-3499 5.0 18.1 3500+ 93.7 73.5 68.2 59.3 57.7 48.5 42.7 58.4 1.00 0.78 0.73 0.63 0.62 0.52 0.46 0.62 <.0001 * Excludes subjects who played vigorous sports. ** With or without light sports play. ##* Summation of above measures equated to kllocalorles. All-Cause D eath R a te s per 10.000 M an-Years O bservation 500 400 R e la tiv e R isk s a b o v e Plot P o i n t s 1.00 300 , 7? 1.00 ii A9« 200 '• 70-84 .63 ,53 - • 100 BO 60 -6 9 1.00 .86 60 ,64 50-59 40 1.00 ,97 ,79 20 ••35-49 2000+ <500 5 0 0 -1 9 9 9 P h y s ic a l A ctivity in K iloealories p e r W e e k Figure 2-6. Relative Risks of Mortality Among Harvard Alumni According to Physical Activity Levels. (From Paffenbarger, 1986) Figure 2-7. Relative Risks of Mortality Among Harvard Alumni Based on Physical Activity and College Sports Play. (From Paffenbarger, 1986) 55 7. Exercise Is protective against all-cause mortalIty. Cohort athletic studies do Indeed seem to be the most effective method of looking at the varsity athlete and comparing him to a peer group. But, again, that Is not to say that these studies do not have discrepancies. Many studies had small numbers of subjects (12,36,37,38, 50,54) or the number of deceased Individuals was small (25,26,27,38,54) so that comparisons are difficult. Also the selection of the peer group Is often a select group Itself as In Polednak's study (49,50) who chose controls from a group of Individuals who had applied for lockers at Harvard University. A summary of the papers Is presented In Table 23. 2- Most of the advantages favored the non-athlete, the minor athlete, or the honor students. Exceptions were Prout's (51) and Paffenbarger’s paper (42). It Is apparent from the work of Montoye, et.al., (27) and Paffenbarger, et.al. (40,41,44) that post college activity Is an Important variable when determining longevity. rable 2-23. Summary o£ Cohort Athletic Longevity Studies. Author Yr. Gr e e n w a y 1926 and Hisc o c k (12) E x a mined Population Post 1904 Yale Univ. Lettermen Mo. Comparison Population No. Findings Comments 686 1905-1923 9,421 Yale Univ. N o n-Letter C o n trols favored Actual to e x p ected deaths (%) Contr o l s 83% MY" Men 93% Ho n o r s Men favored G e n e r a l l y by 2 yrs Ov e r both ath. and other students Dublin (7) 1932 1870-1905 4976 Eastern American College Lettermen 1870-1905 38,259 Eastern American College Lettermen Rook (54) 1941 1860-1900 Cambridge Univ. Ath. 1860-1900 374 Honors Cambridge ( H o n ) Men 336 Univ. favored Hon o r s (Rand) and Random Graduates G e n e r a l l y by 1.5 yrs. over both ath. and other students ( N . S . ) Pre-1938 563 M i c higan State Univ. Students 122 deceased Montoye, et.al. (27) 772 1957 Pre-1938 628 Michigan State Univ. Lettermen M o diff. in age at death Cable 2-23. Cont. Montoye, et.al. (26) 1962 Pre-1938 628 Michigan State Univ. Lettermen Pre-1938 563 Michigan State Univ. Students M o diff. in age at death 206 deceased Montoye, e t .al. (25) 1967 Pre-1938 628 Michigan State Univ. Lettermen Pre-1938 563 Michigan State Univ. Students Mon-Ath. favored By 2 yrs. ( M . S . ) 206 deceased Paffen­ barger, et.al. (42) 1967 1921-1950 63 Univ. of Penn, and H a r v a r d Univ. Vars. Ath. 1921-1950 590 Univ. of Penn and H a r v a r d Univ. Vars. Ath. Athletes favored in CHD M o r t a l i t y ratio=.6 Polednak and Damon (50) 1970 1880-1916 Harvard Univ. Lettermen (Major) 177 1880-1916 275 Harvard Minor Univ. 1638 Students Mon (Minor & non-ath.) Minor Athletes favored Major athletes shortest lived Polednak 1972 (48,49) 1830-1915 Harvard Univ. Lettermen (Major) 568 1880-1916 1501 Minor Harvard Minor Athletes Univ. 4134 favored S t u dents Mon (Minor & non-ath. By 1-3 years Table 2-23. Cont. Olson (36) 1972 Pre-1938 628 Michigan State Univ. Lettermen Pre-1938 563 Michigan State Univ. Students NonA t h letes favored By 1.4 y ears Prout (51) 1972 1882-1902 172 Harv a r d and Yale Univ. C r e w s 1882-1902 172 Harvard and Yale Univ. Stud. A t h letes favored B y 6.24-6.35 years Olson (37,38) 1978 Pre-1938 628 M i c higan State Univ. Athletes Pre-1938 563 Mi c higan State Univ. Students NonAthletes favored By 1.86 (N.S.) Stephens 1978 (60) Pre-1938 628 Michigan State Univ. Athletes P re-1938 563 M i c higan State Univ. Students No diff. between a t h . and stud. Slight trend implicating a c t ivity as a p o s itive factor for inc. longevity Paffenbarger (44) 1978 1916-1950 16936 H arv a r d U niv e r s i t y M a l e Alumni Examined Pop. used as own control Active Individ. <2000 kcal= 64% favored greater risk of H.A. regardless <2000 kcal= 49% of ath. status greater risk of H •A <2000 kcal= 31% greater risk of H.A. (41) 1984 (40) 1986 years CHAPTER III RESEARCH METHODS Relatively little research has been conducted which pertains to the relationship between caloric expenditure and longevity of athletes and non-athletes. Also, few studies have related body build to caloric expenditure ratings. It would be Interesting to determine If there are specific somatotypes associated with Increased caloric expenditure and/or an Increased longevity. Therefore this study was designed to answer the following main questions: 1. Did athletes, non-athletes, or both groups exercise aerobically an average of 2000 kllocalorles (kcal) per week In 1976 or 1984? 2. Is there a relationship between aerobic exercise-Induced caloric expenditure In t976 and status of life (living versus deceased) in 1984? 3. Are certain body types associated with higher exercise caloric expenditures? 4. Is a high exercise caloric expenditure related to the frequency of ailments? 59 60 Background Information This research Is based upon a 1952 questionnaire which was sent to athletes and a control population enrolled at Michigan State University prior to 1938. An athlete was defined as a student who earned a varsity letter In any sport while attending MSU. A non-athlete (control) was selected from the college student directory In the same year that the athlete won an award. If the athlete won letters In more than one year then the last year was used and a control was selected from that year accordingly. utilized. A stratified random sampling techlque was The total study population consisted of 1,129 athletes matched with 1,129 control subjects. The 1952 questionnaire (see Appendix A) was mat led via first class mall to the population group with a stamped return envelope. questionnaires. Cover letters accompanied all Two follow-up letters were sent and the final response rate for the athletes was 55.6jf and that for the controls was 49.9%. Information was coded and punched on 80 column IBM cards and stored on tape. Of the 628 athletes and 563 non-athletes who responded 122 subjects were deceased. Deceased Individuals had the questionnaire filled out by another family member and death certificates were obtained to determine cause of death. 61 A follow-up study was conducted In 1960. Questionnaires were sent to 1060 Individuals who were alive and responded to the Initial questionnaire. A return rate of 92.1$ of the athletes yielding 514 subjects and 91.4$ of the non-athletes showing 458 subjects was recorded In the same manner as the original. Of these, 52 athletes and 32 non-athletes had died at some time between 1952 and 1960. A second follow-up In 1968 showed 96.1$ of the athletes and 97.3$ of the non-athletes had responded. Sixty six athletes and 62 non-athletes had died during this period. In 1976 the third follow-up was sent to 751 subjects. Again a high percentage was returned (93.8$ athletes and 92.8% non-athletes) yielding 89 athletes and 78 non-athletes deceased. The fourth follow-up was undertaken In 1984. Ninety-three athletes and 78 non-athletes were deceased with a return rate of 90.5% athletes and 90.2$ non­ athletes. Table 3-1 summarizes the original and follow-up questionnaires listing the number of subjects surveyed, returned and the number deceased and living. 62 Table 3-1. Overview of The Michigan State University Longevity Study. (Adapted from Olson, et.al 1978) Ath1etes Non-AthIetes Total 1952 Surveyed Returned % Returned Deceased LIvIng 1129 625 55.4 67 558 1129 557 49.3 55 502 2259 1182 52.4 122 1060 1960 Surveyed Returned % Returned Deceased Living 558 514 92.1 52 462 502 458 91.4 32 426 1060 972 91.7 84 888 1968 Surveyed Returned % Returned Deceased Living 490 471 96.1 66 405 452 440 97.3 62 378 942 911 96.7 128 783 1976 Surveyed Returned % Returned Deceased L 1vIng 392 368 93.8 89 279 359 333 92.8 78 255 751 701 93.3 167 534 1984 Surveyed Returned % Returned Deceased L 1vIng 243 220 90.5 93 199 214 193 90.2 78 176 457 413 90.4 171 375 63 Design q± ±h£ Study The current study only considered subjects who had either responded to both the 1976 and 1984 follow-up questionnaires or had responded to the 1976 questionnaire and were declared deceased at the time of the 1984 questionnaire. The reason for selecting this group of respondants was that these questionnaires provided detailed data on recreational activity patterns. Also, during this 8 year period 93 athletes and 78 non-athletes had died and thus mortality Information could be obtained and compared to age at death and activity patterns. Calculation Q± Activity Rating Activity was calculated In kcal/week by adapting the work of Bannister and Brown (2), How ley and Glover (15), and Passmore and Durnln (46). A table was formed that lists the caloric standards In kcal/mln/lb for each of the activities presented In the 1976 and 1984 question­ naires and may be found In Appendix B. The activities selected were only those which had an aerobic component associated with them. This study attempted to look only at caloric expenditure from aerobic activities. Aerobic activity In this study was considered acttvlty which utilized the major muscle groups and was performed at an 64 Intensity considered appropriate for conditioning. The activities selected are marked with an asterisk In Appendix B. Caloric expenditure was calculated by multiplying the subjects weight by the amount of time which the activity was performed per month (time was converted to minutes). This calculated Information was then multiplied by the activity standard for each activity. caloric expenditure per month. This yielded The 12 months were then summed together and an average per month was calculated. The average monthly total was then divided by 4.2 to establish the average weekly caloric expenditure for each subject. These calculations were computer-generated and an example Is displayed In Table 3-2. Table 3-2. Example of caloric expenditure calculations. Subject £ Year. 00053 76 Caloric Expend Iture Jan. 10560 Feb. 10560 Mar. 10560 Apr. 03900 May. Jne. 01950 01950 Jly. 01950 Aug. 01950 Sep. 01950 Oct. 03900 Nov. Dec. 03900 03900 Total yearly kcal expenditure = 57,030 kcal/year Average monthly kcal expenditure = 4,752 kcal/month Average weekly kcal expenditure = 1,131 kcal/week 65 Somatotype Determinations The method for predicting somatotype utilized the work of Sheldon, et.al., from Atlas of Men (59). Eighty eight different somatotypes were determined from over 46,000 men. For each somatotype a curve was plotted with the reciprocal of the ponderaI Index (RPI) on the abscissa and age on the ordinate (Figure 3-1). These 88 curves were then used to predict somatotype within the Michigan State University population. Three Independent raters were used. Each subject had an RPI calculated for each survey. The determined RPI was plotted versus age and a curve was fit to the data. The specific procedures used have been described by Wilson (64). Comparisons of these curves with Sheldon*s, et. al., (59) curves yielded a specific somatotype. Subject Group Ings Subject groups were based upon the following categories: 1. Athlete - Letter winners attending Michigan State University prior to 1938. 2. Non-athlete - non-letter winners matched to the athletes during the same time period. / 66 Ht/i'wi SOMATOTYPE 444 12.40 15.45 12.30 12.33 12.60 12.63 12.70 12.73 12.(0 t2.83 17 .(0 12«3 12.00 12.03 12.10 12.13 12JO 23 ACE *« . Figure 3-1. 33 53 58 63 53 220 212 204 195 187 179 172 165 157 150 143 137 131 124 119 58 221 212 204 196 187 180 172 165 158 151 144 137 131 124 119 63 221 212 204 196 187 180 172 165 158 151 144 137 131 124 119 W eight jor A ge © ' 6 and Height O « H e ig h t ( in c h e s ) 75 74 73 72 71 70 69 68 67 66 65 64 63 62 61 28 Age 18 183 176 169 163 155 149 143 137 131 125 119 114 109 103 99 23 192 184 177 170 163 156 150 143 137 131 125 119 114 108 103 28 198 190 183 176 168 162 155 148 142 135 129 123 118 112 107 33 206 198 190 183 175 168 161 154 147 140 134 128 122 117 111 38 212 204 196 189 180 173 166 159 152 145 138 132 126 120 114 43 219 210 202 194 185 178 170 163 156 149 142 135 129 123 117 48 220 211 203 195 187 179 172 165 157 150 143 137 131 125 119 An exenple of one of the soma+o+ype curves In A-. las of Men. (From Sheldon, et. al., 1954). 67 3. Caloric expenditure 0 - 500 kcal/week 501 - 1999 kcal/week - 2000 - max kcal/week 4. Somatotype - Endomorph -high degree of fat component. - Mesomorph -high degree of muscular component. - Ectomorph -high degree of - Balanced -no difference between the three components. lean component. Statistical Analyses different statistical analyses were utilized where appropriate In this study. To test the difference between means of athletes and non-athletes when comparing caloric expenditure a Student’s t-test was utilized (60). A Median test was utilized to test differences where parametric analysis procedures were Inappropriate (35). Analysis of covariance was performed with year of birth as the con­ founding variable (60). Subjects were divided Into three caloric expenditure groupings, as previously designated, and to consider somatotype rating In conjunction with caloric expenditure a univariate one-way analysis of variance was performed (60). Analysis of variance was also 68 used to test for differences between the subjects' three caloric expenditure ratings In terms of year of birth. In an effort to predict death from activity and age a multiple regression analysis was performed (35). Specific ailments were considered In this study as well. A two-way cross tabulation which used the non- parametrlc Kendall's Tau-b was performed to determine differences between Individuals reporting the ailment and activity ratings (35). To further consider this problem tt was speculated that age may be a confounding factor In these analyses. Therefore, analysis of covariance was performed with blrthyear acting as the covarlate (60). When It was determined that the covariance analysis was not valid a discriminate analysis, controlling for age, was performed (60). In all analyses an alpha level of .05 was selected to Indicate statistical significance. CHAPTER IV RESULTS AND DISCUSSION The main purpose of this study was to determine the effects of aerobic activity as rated from questionnaire responses on longevity. Secondary purposes were to deter­ mine If there were any relationships between activity ratings and somatotype or the Incidence of various ali­ ments . The data presented were derived from the aerobic activity responses of Michigan State University athletes and non-athletes (age= 56-86 years) who took part In the longevity study which was originated In 1952. The specific caloric calculations were tabulated from the 1976 and 1984 follow-up surveys. ResuIts The results have been organized for presentation Into four main categories: a. the sample description and group activity levels, b. activity versus longevity, c. activity versus somatotype, and d. activity versus a IIments. 69 70 SampIe Description and Group Activity LeveIs Figure 4-1 shows the year of birth with the number ofsubjects born In each respective year. Using this Information and utilizing 1976 as the year when all subjects In this sample were alive the mean age was 68.9 years. In 1984 the mean age was 76.9 years. Figure 4-2 displays the weekly aerobic exercise caloric activity for all subjects from the 1976 survey. In Table 4-1 the descriptive measures for subjects per week, month, and year (total) are presented for both the 1976 and 1984 surveys. Figure 4-3 shows the percentage of subjects comprising each caloric activity category. As can be seen approximately 22% of the population exercises at a level of 2000 kcal per week or more. Weekly caloric expenditure was the main Indepen­ dent variable used throughout this study. Therefore Figure 4-4 compares the athlete and non-athlete In terms of weekly caloric expenditure during 1976 and 1984. In 1976 It can be seen that the athletes exercised. In an aerobic fashion, approximately 1558 kcal/week compared to 1216 kcal/week for non-athletes. This was significantly different at the .05 level. This same trend can be seen In 1984, 1289 kcal/week expended by the athletes versus 1056 kcal/week by the non­ athletes, but the 1984 differences were not statistically significant at the .05 level. 71 To consider If there was a difference In age between the athletes and non-athletes In the study Figure 4-5 was compiled. It can be seen that the athletes and non-athletes did not differ In year of birth (1907.3 for the athletes, 1906.9 for the non-athletes, p = .5719). There Is a statistically significant difference tn year of birth when one considers the subjects alive versus the subjects who are deceased within this sample. Figure 4-6 displays that the mean year of birth for those Individuals who were deceased In 1984 was 1902 whereas for those still living It was 1908 (p <.05). In summary, the previously described figures show that: 1. The sample selected for study consisted of 256 athletes and 239 non-athletes. 2. Twenty-two percent of the combined sample exer­ cised aerobically an average of 2000 kcal. The athletes tended to exercise, aerobically, more than the non-athlete but neither group maintained an average of 2000 kcal/week. (Question 9 1). 3. There was no difference In year of birth between the athlete and non-athlete. There was a difference In year of birth when considering subjects deceased versus subjects alive. The deceased subjects, as would be expected, were btrn at earlier dates. 4. The subjects comprise an older population base which Is unique to the study. 40 r 36 35 SUBJECT 31 30 28 26 26 23 25 21 21 20 31 ’29 18 IS) i A5 14* 15 14 12 10 9 10 9 « O f9 44 5 1 0 T 1880 iilLl 2 1r 1 1 T T T 1885 1890 1895 — I-------- 1--------1— 1900 1905 1910 1915 1920 YEAR Figure 4-1. J J-I.f Year of Birth Among Michigan State University Longevity Study Sample 1925 1926 EXPENDITURE M ID PO IN TS CALORIC 'j Ol NUMBER OF S U B JE C T S Figure 4-2. Caloric Expenditure Per Week For Sample - 1976. 74 Table 4-1. Descriptive Caloric Measures for Subjects per Week, Month, and Year In 1976 and 1984. Variable Number of Subjects Minimum kcal Expend. Maximum kcal Expend. Mean kcal Expend. Standard Dev. Week- 76 495 0 8,784 1,393.5 1,499.9 Month-76 495 0 38,065 6,038.4 6,499.0 Year- 76 495 0 456,780 Week- 84 330 0 7,855 1,177.5 1,283.5 Month-84 330 0 34,040 5,102.6 5,561.9 Year- 84 330 0 408,480 72,460 61,230 77,996.0 66,743.0 75 100 90 CO 80 hO LU “D 70 CD D 60 CO LL O 1“ z LLI o QC 50 42% 40 7a 30 111 CL 20 10 LE 500 TO 1999 GE 2000 C A LO RIC G R O U P S Figure 4-3. Percent of Population Within Each Caloric Category 76 1558 * CALORIES * p < .0 5 1289 1216 ATH I NON-ATH 1 9 7 6 ------ 1 Figure 4-4. ATH NON-ATH ATH |------ 1 9 8 4 ------- 1 YEAR Weekly Exercise Caloric Expenditure Comparison of Athletes and Non-Athletes in 1976 and 1984. 77 YEAR 1908 P=N.S. 1907.3 1906.9 1907 - 1906 - 1905 - 1904 - 1903 ATHLETE N O N -A TH LETE STATUS Figure 4-5. Year of Bir+h Comparison of A+hle+es and Non-A+hIetes. 78 CALORIES 1500 1908.9 1450140013501300 1250 1902.8 1200 1150 - DECEASED LIVING STATUS Figure 4-6. Year of Birth Comparison Among Subjects Deceased Versus Alive Within the Study. 79 Activity versus Longevity It was postulated, at the onset of this study, that activity may have a positive effect upon longevity. To assess this hypothesis on a two sample t-test and median test were utilized comparing weekly caloric activity In 1976 among those deceased and alive in 1984. Statistical significance was not obtained (p=.1255) but there Is a developing trend as seen In Figure 4-7. Among those subjects living In 1984 more aerobic activity was performed In 1976 (1458 kcal/week) as compared to those deceased In 1984 who performed 1220 kcal/week of aerobic activity In 1976. Year of birth was thought to be confounding In these analyses and, therefore, an analysis of covariance was performed. Although year of birth was significant (p=.0007) It was found that the regress Ion-11ne slopes of energy expenditure on blrthyear were significantly different between the two groups (alive and deceased). Therefore the analysts of covariance was Invalid. To elaborate on this trend seen In Figure 4-7 subjects were grouped Into three categories of activity based upon aerobic caloric expenditure. The categories selected were as follows: 1. Less than or equal to 500 kcal/week (LE 500). 2. Between 501 and 1999 kcal/week (TO 1999). 3. Greater than or equal to 2000 kcal/week (GE 2000). 80 To assess activity and Its relationship to longevity an analysis of variance was performed using these three categories and year of birth. Figure 4-8 displays the three activity ratings. There was a significant between-group difference (p <.05) In year of birth between those Individuals In the LE 500 category and those In either the TO 1999 or GE 2000 categories. This trend was consistent regardless of athlete/non-athlete status. The results were not surprising In that older Individuals exercise aerobically less than their younger counterparts. In an effort to establish the effect of the 1976 activity ratings on whether Individuals were alive or deceased a two-way cross tabulation was performed. Figure 4-9 shows that of those Individuals who were deceased In 1984 (n=131) more Individuals exercised within the lower activity (LE 500) activity group In 1976. Conversely, of those individuals alive In 1984 (n=325) a greater number were In the higher activity groups (TO 1999 and GE 2000) In 1976. Of those Individuals deceased 47$ exercised at a caloric expenditure rating of less than or equal to 500 kcal/week while only 22$ exercised aerobically within the highest caloric output rating. Conversely of those Individuals alive In 1984 30$ were In the lowest activity rating (LE 500), 46$ exercised up to 1999 kcal/week, and 81 25$ performed at least 2000 kcal/week. This was significant at the .05 level (ps.0006). When athletes were separated from the non-athletes It can be seen that the athletes demonstrated this trend significantly more than the non­ athletes (Figure 4-9 A & B). Greater than 15$ of the 11vIng athIetes comprIsed the TO 1999 and GE 2000 groupings. Conversely, 65^ of the non-athletes comprised these two groupings. To further consider this Issue a least squares dlsclmlnate analysis was attempted to predict death while controlling for year of birth. Upon analysis It was found that neither activity nor athlete/non-athlete status were significant factors (p >.05) for the prediction of death. Therefore further analysts was not warranted. Discussion ef Activity versus Longevity. Those Individuals who were deceased In 1984 per­ formed less aerobic activity In 1976 than those still living tn 1984. When subjects were grouped Into the three activity ratings It was found that those Individuals who performed the highest amount of aerobic activity In 1976 were still living In 1984 (Question #2). These results are In agreement with those of Paffenbarger (40,41,44). This would further support the Importance of aerobic acttvlty upon status of life (living vs. deceased) and, possibly, 82 * p < .05 YEAR 1910 * 1458 1908 - 1906 - 1904- 1902 - 1900 DECEASED (1372) LIVING (1399) STATUS Figure 4-7. Caloric Expenditure (1976) Comparison Between Deceased and Living Subjects in 1984. 83 1910 • 1909.5 p < .05 B 1909 1909 ■ p < .05 1 9 0 18 2 . 1908.0 1908 ■ 1908.1 1908 1907 ■ 1907 1906 ■ 1906 1905 1905 ■ 1904.5 1904.4 1904 1904 ■ 1903 1903 L E 500 T O 1999 G E 2000 » L E 500 T O 1999 NON -ATHL ETES ATHLETE 1908.9 p < .05 1908.1 1904.4 LE 500 T O 1999 GE2000 ACTIVITY L E V E L S - T O T A L Figure 4-8. G E 2000 Year of Birth of A. Athletes, B. Non-Athletes, and C. Total Subjects Among the Three Caloric Activity Ratings in 1976. 84 Ph P * N.S. p < 0.001 LIVING n « 170 54.8 n * 40 DECEASED n« 69 78.0 LIVING n * 155 78.8 n * 52 65.1 n * 54 67.4 n * 31 79.5 n = 70 OECEASEO n « 62 45.2 n *33 LE 500 22.0 n » 22 TO 1999 21.2 34.9 o«29 LE 500 n * 14 GE 2000 ACTIVITY LEVELS - T O T A L 20.5 a * 18 TO 1999 32.6 n *IS GE2000 NON-ATHLETES rj\ p < .05 STATUS LIVING DECEASED n = 131 LE 500 TO 1999 GE 2000 ACTIVITY LEVELS - TOTAL Figure 4-9- Percentage of A. Athletes, B. Non-Athletes, and C. Total Subjects Oeceased and Alive in 1984 Per The Three Activity Groups in 1976. 85 longevity In a population of this type. It Is Interesting to note the differences between the athletes and nonathIetes. More athIetes who were a 11ve exercIse In the higher activity groupings than the non-athletes. would be expected from Figure 4-4. This It Is difficult to suggest reasons for this but It may be possible that an athletic background Is helpful for the pursuance and main­ tenance of an aerobic exercise regimen. Activity versus Somatotype One purpose of this study was to determine If there was a relationship between specific body types and aerobic activity levels In this former athIete/non-athIete population. Figure 4-10 displays the mean caloric output In metabolic equivalents per week (METS) for the three major somatotype groups. An additional group which was termed "balanced" was tncluded due to the fact that In some Instances the three major groups all had the same numerical value such as 4-4-4 or 5-5-5. Although statistical significance was not found (p=.64) It can be seen that endomorphs exercise slightly more than mesomorphs (1229 METS/week versus 1103 METS/week) and ectomorphs (994 METS/week). 86 15001400 * \a 1300 ■ 1247.7 1229.1 1103.4 I ENDO. MESO. ECTO. n * 66 n = 297 n = 39 Figure 4-10. ( /if I i BAL. n = 61 Comparison of Weekly Caloric Expenditure (METS) Among the Four Somatotype Groups. 87 D.is,CUSS ton £f Act.lyJty versus Somatotype The quantity of aerobic physical activity per­ formed by the former athletes and non-athletes In this population was Independent of somatotype (Question #3). Although not statistically significant (p=.64) the ecto­ morphs exercise aerobically approximately 120-260 METS/week less than the mesomorphs and endomorphs. The small number of subjects (n=41) within the ectomorph group prevents specific conclusions. Act.IyJ.ty versus AI Iments The effect of activity on various ailments was also considered In this study. Figure 4-11 shows the 1976 activity ratings versus cardiovascular disease (CVD) reported In 1976. Cardio­ vascular disease was a conglomerate of hypertension, angina, myocardial Infarction (Ml), and cerebral-vascular accidents (CVA). Approximately 39|f of the subjects reported CVD In 1976 while 61? did not report the ailment. No statistically significant differences were found among 88 the three activity groupings and the reporting of any CVD ^=.19). When the athletes and non-athletes are separated It can be seen that a trend develops among the non-athletes toward those reporting CVD comprising the higher activity groupings. Athletes did not display this (Figure 4-11 A & B). Figure 4-12 displays hypertension reported In 1976 versus activity of 1976. Approximately 23$ of the population reported hypertension while 77$ did not. Statistical significance was not obtained (p=.44) In either the athlete breakdown, non-athlete breakdown, or pooled comparisons. Only 19 subjects reported cancer as an ailment and there was no difference In activity rating among those subjects. When all 1976 ailments reported were grouped together statistical significance was obtained among the former athletes and the pooled former athlete/non-athlete data, p<.001, but not among the non-athlete data alone (Figure 4-13 A-C). The majority of Individuals within the population (80$) report at least one ailment while approximately 20$ report no 1976 ailments. To further consider this Issue 1984 ailments were analyzed with 1976 activity data on subjects who were known to be a 11ve In 1984. 89 Figure 4-14 shows the CVD reported In 1984. A significantly greater number of those Individuals reporting CVD exercise In the two higher activity ratings (p <.01). Among those not reporting CVD more Individuals fall Into the lower activity ratings (p <.01). This occurs regardless of athlete/non-athlete status. Figure 4-15 displays hypertension reported In 1984. A significant difference (p <.001) Is observed similar to that associated with CVD. Both athletes and non-athletes displayed this relationship. New CVD In 1984, that Is CVD reported In 1984 but not reported In 1976 or any previous year, was analyzed and compared to the 1976 activity ratings. When subjects were pooled It was found that more of those Individuals who report the aliment tend to exercise aerobically within the higher activity groupings (Figure 4-16). Those who do not report the new CVD tend to fall In the lower activity group. This was determined to be significant (ps .01). Non-athletes displayed this trend more readily than athletes as can be seen In Figure 4-16 A & B. 90 £71 £71 P = N.S p < .05 NO n * 114 n • 57 69.4 n * 43 n * 30 64.9 n * 48 56.1 n « 23 YES n *63 LE 500 32.1 / 45.5 n « 27 / n * 25 TO 1999 GE 2000 30.6 n * 19 LE 500 35.1 n « 26 TO 1999 43.9 n » 18 GE 2000 NON-ATHLETES ATHLETE P = N.S. 66.5 = 105 55.2 n = 53 n = 144 44.8 n = 43 LE 500 TO 1999 GE 2000 ACTIVITY LEVELS - TOTAL Figure 4-11. Percentage of A. Athletes, B. Non-Athletes, and C. Total Subjects Reporting CVD in 1976 Per Activity Group in 1976. 91 O o P * N.S. NO n • 146 77.4 n » 65 73.3 n « 4' P * N.S. NO n * 145 67.3 n » 37 82.3 n * 51 82.4 n » 61 80.5 n » 33, YES n » 32 YES n * 53 26.7 n « 16 LE 500 22.6 n » 19 TO 1999 17.7 32.7 n « 18 LE 500 GE 2000 ATHLETE 17.6 n * 13 TO 1999 19.5 n* 8 GE 2000 NON-ATHLETES rj\ £71 rj\ P = N.S. HBP NO n = 291 77.9 n = 95 72.9 n = 70 YES n = 85 22.1 n = 27 LE 500 20.3 n = 32 TO 1999 GE 2000 ACTIVITY LEVELS - TOTAL Figure 4-12. Percentage of A. Athletes. B. Non-Athletes, and C. Total Subjects Reporting Hypertension in 1976 Per Activity Group in 1976. LE 500 T 0 1999 GE 2000 LE 500 ATHLETE T 0 1999 GE 2000 NON-ATHLETES n AILMENT / 9 NO n = 73 p < .0001 26 n = 25/ YES n = 303 n = 71 LE 500 TO 1999 GE 2000 ACTIVITY LEVELS - TOTAL Figure 4-13. Percentage of A. Athletes, B. Non-Athletes, and C. Total Subjects Reporting Any Ai Intent in 1976 Per Activity Group in 1976. 93 O CJ\ P7\ p < .001 p<.01 NO n = 128 68.3 n = 41 54.5 n =30 67.9 n * 57 NO (1 = 124 63.5 n = 47 85.5 (1 = 5 3 58.5 n = 24 YES n = 53 YES n * 71 31.7 n = 19 32.1 n = 27 T O 1999 L E 500 14.5 45.5 (1 = 2 5 LE 500 G E 2000 41.5 n = 17 36.5 (l = 27 T O 1999 G E 2000 NON-ATHLETES ATHLETE p < .001 n = 54 n = 124 LE 5 00 TO 1999 GE 2000 ACTIVITY LEVELS - TOTAL Figure 4-14. Percentage of A. Athletes, B. Non-Athletes, and C. Total Subjects Reporting CVD in 1984 Per Activity Group in 1976. 94 £71 p < .001 p < .001 NO n = 151 76.2 n * 64 83.3 n = 50 67.3 n*37, NO n = 141 82.4 n = 61 90.3 75.6 n =31 YES 0 * 48 16.7 n * 10 LE 500 23.8 n = 20 TO 1999 9.7 32.7 n * 18 GE 2000 LE 500 24.4 17.6 n = 13 TO 1999 n * 10 GE 2000 NON-ATHLETES ATHLETE p < .001 n = 68 n = 125 n = 28 LE 5 00 TO 1999 GE 2000 ACTIVITY LEVELS - TOTAL Figure 4-15. Percentage of A. Athletes, B. Non-Athletes, and C. Total Subjects Reporting Hypertension in 1984 Per Activity Group in 1976. 95 a Ph pC.001 NO NO n * 141 84.6 n = 66 85.0 88.9 n * 48 28.8 n *41 64.5 n = 20, YES n *34 YES n * 29 15.4 n = 12 15.0 n =6 TO 1999 LE 500 24.3 n = 17 21.2 GE 2000 LE 500 ATHLETE TO 1999 35.5 n = 11 GE 2000 NON-ATHLETES p < .0001 n = 61 n = 63 n = 22 LE 500 TO 1999 GE 2000 ACTIVITY LEVELS - TOTAL Figure 4-16. Percentage of A. Athletes, B. Non-Athletes, and C. Total Subjects Reporting New CVD in 1984 Versus 1976 Activity Groups. 96 Discussion cl Activity versus A.UmSJits. When 1976 aerobic activity was compared with CVD In 1976 It was found that non-athletes reporting CVD tended to comprise the TO 1999 and GE 2000 categories. athletes nor total subjects displayed this. Neither The fact that non-athletes displayed this Is Inconsistent with previously reported data (40,41,44). could be due to chance. One possible reason for this Epidemiological data can yield statistical analyses which are Inconsistent. Another possibility could be the fact that CVD was comprised of hypertension, angina, Ml, and CVA. It Is possible that those Individuals who exercise at the higher Intensity levels also elicit anginal responses and therefore report this ailment more readily. It might also be possible that more non-athletes are aware of their ailments and the need for exercise to control those ailments. Therefore they comprise the higher activity ratings. When observing the any aliment category versus 1976 activity It was found that athletes displayed a trend which Is consistent with Paffenbarger's findings (40,41,44). That Is, more athletes reporting an ailment tend to perform the least amount of exercise. Also, of those not reporting an ailment more comprised the GE 2000 activity category. This would suggest the Importance of 97 aerobic activity In the possible prevention of disease. When 1976 activity versus 1984 CVD and hypertension was observed both athletes and non-athletes displayed similar trends. This trend suggests that higher activity levels result In the reporting of more CVD. angina hypothesis may be accurate. The Another possibility could be that those who exercise are concerned about their physical well being and are committed to obtaining regular physical, medical check-ups. Therefore these Individuals would be more aware of an aliment and report It as opposed to someone not committed to such a procedure. When new, 1984 CVD was compared to 1976 activity the same trend occured. It Is evident when looking at specific ailments versus activity that some underlying variable Is Interacting In the analyses. The discriminate analysis to predict death while controlling for year of birth found that exercise level (p-.29) and athlete/non­ athlete status (p=.83) did not contribute to the regression equation. Therefore, year of birth and activity level were compared to determine If a linear relationship existed when the deceased percentage of the population was observed (Figure 4-17). When year of birth was broken Into prior to 1905, between 1905 and 1912, and 1913 and greater It can be seen that a linear relationship exists In the prior to 1905 group. This shows that the percentage deceased decreases as the caloric expenditure Increases. This would suggest 98 a \ n \ £71 <1905 YEAR OF BIRTH 36.36 47.83 C T ZZ7 1905-1912 16.67 25.53 31.37 1913+ 21.05 TO 1999 7.02 LE 500 12.82 GE 2000 ACTIVITY GROUPS Figure 4-17. Percent of Population Deceased in 1984 Per Activity Group in 1976 According to Year of Birth. 99 the posstble advantages to the Increased caloric expenditure In terms of longevity. In the 1905-1912 and 1913+ year of birth groups this linearity Is not observed. This lack of linearity may explain some of the unusual findings pertaining to the specific ailments. On the basis of the data presented no clear conclusion can be drawn to Question S 4: Is a high aerobic exercise caloric expenditure related to the frequency of ailments? Non-athletes In the higher activity groups report more CVD. More athIetes reportIng allments report the least amount of exercise. When 1984 CVD was compared with 1976 activity those In the higher activity groupings reported more CVD. This significant finding was also observed with those subjects first reporting CVD in 1984. It Is evident from these results that additional study of ailments and activity levels Is warranted. CHAPTER V SUMMARY,CONCLUSIONS,AM RECOMMENDATIONS Summary This study was conducted to determine the effects of aerobic activity upon longevity and the occurrence of various ailments among former athletes and non-athletes attending Michigan State University prior to 1938. The 1976 and 1984 follow-up surveys were utilized from the original questionnaire In 1952. Activities which had an aerobic component were used for computation of caloric output. The activity standard, minutes of activity, and Individual weight were utilized In the computation. Caloric output was established for 256 athletes and 239 non-athletes. Caloric groupings were established at less than or equal to 500 kcal/week, 501 to 1999 kcal/week, and greater than or equal to 2000 kcal/week. Subjects were categorized and subsequent statistical analyses were applied. It was found that 22% of the population exercised aerobically more than 2000 kcal/week. Former athletes exercised significantly more than the non-athletes In 1976 (p <.05). In the 1984 survey athletes again exercised more 100 101 than the non-athletes but the difference was not statisti­ cally significant. Neither group exercised aerobically an average of 2000 kcal/week. There was a significant relationship between status of life (alive vs. deceased) and activity. Individuals In the higher activity groupings In 1976 were more likely to be living In 1984 as compared to subjects In the lower activity group (LE500). This would suggest the benefits of aerobic exercise on longevity. No significant differences were observed among the three somatotype groupings when activity was considered. In this population there does not seem to be an Identifi­ able body type associated with higher exercise caloric expenditure. When any ailment reported In 1976 was considered with the 1976 activity groups It was found that Individuals In the higher exercise expenditure groups reported fewer ailments than those In the lower exercise group. When CVD and hypertension In 1984 were considered with the 1976 activity ratings more Individuals reporting these ailments fell Into the higher activity ratings. Due to the inconsistent results In the ailment results no conclusions are warranted. 102 Conclusions The following conclusions may be established from this study: 1. The population studied consisted of older Individuals with a mean age In 1984 of 76.9 years. 2. Athletes tended to exercise aerobically more than non-athletes. 3. Subjects In the higher activity groupings (TO 1999 and GE 2000) In 1976 were more likely to be alive In 1984 than those In the LE 500 group. 4. Aerobic activity levels were Independent of somatotype. 5. Aerobic activity was not a good predictor for death In the sample. Recommendations The following are recommendations afforded from this study: 1. Non-aeroblc activity should be calculated and Implemented into this study. Comparing non-aeroblc, aerobic, and combined activity should be performed on these subjects. 2. Cause of death Information should be obtained and utilized with activity ratings. 103 3. Similar surveys should be carried out until the entire population Is deceased. 4. Additional studies should be performed on similar, older population groups to validate the findings. 5. More recent studies should be undertaken with both male and female population groups. 6. Additional research Is warranted regarding activity levels and ailments to provide Insight Into the confounding results In the present Investigation. APPENDICES APPENDIX A QUESTIONNAIRES (1952, I960, 1968, 1976, 1984) 104 NATIONAL STUDY OF LONGEVITY AND MORBIDITY OF ATHLETES IN COLLEGES AND UNIVERSITIES V m i A. th is h m fc lor paduatoc teho aamod a —Hi— tatter 4a am or more *orto. (H not M t do Ido f t a i — Omjrfteifr Mrf d w t e f r — * ■■!»/>) ttata Yoar of Btrth i of Atktato (piano petal) IT AJKUOTt B UVIMa -- Weight te GnduaOoa from Cottafa V ATHUETS 18 DBCSASED . . yn. «•)! I n death M dd« Win h* atirted _ H am of B»art a * •chad Catkga r Amateur Wna TVhrnt Jlofooteooal jna. te ft*, to fit. of a«« fit. of aaa jrra te fit. of act jit. ta fifc of ao* f n . to yn. to fit. of agt yn. of aaa Activity Dating Adnlt Life, Ifocftidfwy Playing Participation In Sport* Am jib. fn . to te fit. fit. M a i * waOonal a a i iw H n a ri actlvUta* Ifanbor *f k m te phyalni ateM tr (daUf or alaate daOy) V lia ia i Madteilo fan. fan. m . te fn . te JIB. y iu fan. fan. fan. fan. fan. fan. fart fan. fan. fan. Military Service i t ! Sank datetatty Maw jam —Ago — wok): Vlgw .M U . hrmfa of tha S anto, m i ffcaaUNnaaJ indicate thaaawu&t of phjtecal EetK B le Statns o f Home From Early Childhood Upward (ck«k « • ) After Cat1a«a Yaara {chock oat) Stetafaefey CoRumnta PnaU tetteoij-------(OVU) 105 MmUm I Hlsioty AILMENT 1. h l i r t m m i Cate—lam Ptaea— (Stafta age el a S. Ilypirtaniwi (MuHmi f llniHiea m b m i t a l u ear»tm y fkrwnkntaa, heart fclhire* i w l a , ate, afcag wttA age AChlMheei ib— eHM (State, II |w M i, el M—f i e «l MS 4 Aitatte Saliaaata I attaek . C*ug>. A Aaytea X t e t a — Sri Stake H ate iatecta <|tea m r e f la te a Caaaaaty f tw a ta ta . . 9erl»bant VmoiW THaaaaa . A Otear Ptaaaaaa (iaaH— «rp> ar beiy f — ifriMA m A aga a< m u n m i)* eta). Smoking g&A Drinking — - Oaatebaaaa; W h ta h m „ S w ri Hcradluijr Hfetocy ■Lhteta ____ if Aaa a t PaatS* Civat el Death (B Hypenaaeiea, Cereariy Ibw bataa ar Diabiwa p f im In teailjr, ptaaaa telteete) Do you think thnt porticipotioo la athlatha k lairtlllti. hannia L a th a aa a tfa rt* Olbar M aaaoli which arlU provide adriltinaal tafi—Mllaa m year pamrfjedaB ar leek el pwidpellee te i« ta .. ana an Imam aa naattar nthlota.* D l l a rt itrtlrijrta on •M m a< a phjaidaa.* D l l art paiWrtpala haanaa 1 hal la m k mr n y th rn ih aa0a«a.* 1 a a a l a r t a aa a * ‘ib 'H A i1— ’ a t, 106 NATIONAL STUDY OF LONGEVITY AND MORBIDITY OF MALE GRADUATES OF COLLEGES AND UNIVERSITIES F n B. Iklt r m b h w t b M i i l a a i U r la ayaito iflm m n aU lkU fW n a t Cm*r M y toto 4 nwtodyr « . f» iiiWt) Data____________________ p ., , f . . fr.— Yaar af Mf1h Watfht at Onduatian (ran Collafa A lh lrtle an d G enera] S porU H ltto ry o f A lnm nna yn. to m at m to yn. t o yn. yn. to yn. to aft Activity Daring Adult Life, Excluding P b y iii| Participation In SporU t o h to yitoHtotl a d tr a ato n al aathrtttoa Vltmmm Am yn. is yn. te in . te yn. te yn. yn. yn. yn. 1014 M rfH t tee. In . bn. In . tee. In . In . IHI. tea. ten. tee. bn. Military Scrriea Sntotot to Storito----------------------------------- ««■ _ .. 7T».t o __________ /to. Ikydaal aatlvtty tow ln d (*ack)t Vlfaraaa H it m i l _______ laid _ B wwt ttaa a t toaifc «t t o Barton, a — Ito tolwn a d InHatn t o «d ylytoial aalhlly iaalaad ___________________________ _________________________ Economic Statue of Ho ^ste&JsL&slBSJSsSsisJBSBm (ckack aa) i Early QillJliood Upward AFtot Colton Vwn (aback «M) _ leHaferteiy (om) 107 Medical Hlclmy AILMENT L I d aaCaa* t * « C e U j M P ktaaaa MWH f a *» i ioiim M * «. Arkria M a ta * , I akaak . •>■ M Bm I k U (|h * aa aaapMa a XMabal . Ptripharml Ta< I Olka Maaaaaa (— all— ar y ar hady i p l i a akaafeai, aad a*a f t a a a a a a l i ------------------------------------------at*).. Smoking aad Drinking Habit* Oaatakaaaat W k a lla ta * . Hereditary ITlalnry C«1M Ml P f th (II Hrrnnaoaliai. Carnaary Thnimhtah ar Diabataa pcaaaat la taaally, pfcaac IndkaVa) Aa yaa think that (artidpaliaa ia alUailat i* hanaiclal. haratM .atk a* aaaC attt flaaaa aaaaM k II aridaal at pnaraa. daa naaaaa____ Othaa rwnmanU which will am ide addition! hdanaaiia aa yaar *aitjrl;a>liai aa lack at pactkipatica la apaaaa ■aaa aaaa^lii: *1 played haahaihan ter Ugh achaol l a . jw aiiw rw a. and tar a alah la tha r r ir lr a h>UM."*atd a aa aoaaaat at 108 MICHIGAN STATE UNIVERSITY D e p a rtm e n t o f H e a l t h , P h y s i c a l E d u c a tio n an d R e c r e a t i o n FOLLOW-UP STUDY OF LONGEVITY AND MORBIDITY OF MALE GRADUATES OF MICHIGAN STATE UNIVERSITY D a te NAME OF ALUMNUS ( P l e a s e p r i n t ) PRESENT ADDRESS _________________ MARITAL STATUS (C heck o n e ) M a r r ie d S in g l e Widowed D iv o rc e d PRESENT WEIGHT ________ l b s . I f y o u r w e ig h t h a s c h a n g e d m o re th a n 1 5 l b s . w ith in th e l a s t sev en y e a r s , p le a s e e x p la in RACE W h ite N egro O th e r From 19 PRESENT OCCUPATION _______________ t o 19 ANY PREVIOUS FULL TIME OCCUPATIONS: 1. 2. _____________________ 3. ______________________________ _From _From _From From 4. ____________________ 19____t o 19___ t o 19____t o 19 to 19_ 19_ 19_ 19 SMOKING HABITS: ( P l e a s e c h e c k o n ly th o s e w h ic h a p p ly ) DRINKING HABITS ( P l e a s e c h e c k o n ly t h o s e w h ic h a p p ly ) Smoke Do n o t sm oke ( I f y o u do n o t sm oke, p l e a s e d i s r e ­ g a r d t h e re m a in in g q u e s t i o n s i n t h i s s e c tio n ) D rin k Do n o t d r i n k ( I f y o u do n o t d r i n k , p l e a s e ‘d i s r e ­ g a r d th e re m a in in g q u e s t i o n s i n t h i s s e c tio n ) C ig a re tte s : 1 . L e s s th a n 1 /2 p a c k p e r d ay __ 2 . 1 / 2 to 1 p a c k p e r day__ 3 . O v er 1 p a c k p e r d ay __ B e e r: C ig a rs : W ine: 1. 2. 3. L e s s th a n 3 p e r day_ 3 t o 6 p e r day O v e r 6 p e r day 1. 2. 3. O c c a s io n a l b o t t l e __ 1 t o 3 b o t t l e s p e r day O v er 3 b o t t l e s p e r day 1. O c c a s io n a l g l a s s o t h e r th a n f o r r e l i g i o u s u s e __ D a ily b u t l e s s th a n 1 /2 b o t t l e __ O ver 1 / 2 b o t t l e p e r d ay__ 2. 3. P ip e : 1. 2. 3. L e s s th a n 4 b o w ls p e r day_ 4 t o 10 b o w ls p e r day__ O v e r 10 b o w ls p e r d ay __ 1. L e s s th a n 1 /4 p a c k p e r day_ 1 / 4 t o 3 /4 p a c k p e r d a y __ O v e r 3 /4 p a c k p e r d ay Chew: 2. 3. W hiskey ( g i n , e t c . ) : 1. O c c a s io n a l g l a s s _ 2. 1 t o 3 s h o t s p e r day__ 3. 4 to 6 s h o t s p e r d ay __ 4. O v er 6 s h o t s p e r d ay _____ 109 LONGEVITY OF BROTHERS AND SISTERS: ( I f a n y o f y o u r b r o t h e r s and s l a t e r s h a v e d ie d i n t h e p a s t s e v e n y e a r s , p l e a s e f u r n i s h In f o n a t i o n r e q u e s te d ) R e la tio n s h ip C au se o f D e a th B r o th e r s Age a t D e a th __________________________________________ ___ S is te rs MEDICAL HISTORY: What a i l m e n t s h a v e y o u h ad i n t h e l a s t s e v e n y e a r s ? (E x am p les: C o ro n a ry T h ro m b o s is , H ig h B lo o d P r e s s u r e , C a n c e r, D i a b e t e s , TB, e t c . ) Age a t O c c u rre n c e 1. 2. 3. 4. _______________________________ FAMILY: Do y o u h a v e an y c h i l d r e n ? Y es No ( I f y o u r a n s w e r i s y e s , p l e a s e f u r n i s h i n f o r m a t io n r e q u e s te d ) S o n s: Number l i v i n g Number d e c e a s e d ___ Age a n d c a u s e o f d e a t h ____________________________________ D a u g h te r s : Number l i v i n g ___ Number d e c e a s e d . Age a n d c a u s e o f d e a th ___________ NON-VOCATIONAL ACTIVITY RECORD FOR THE PAST YEAR: 1. Do y o u Mow y o u r own law n ? Do o t h e r y a r d o r h o u s e m a in te n a n c e ? ( P l e a s e d e s c r i b e ) ________________________________________________________ 2. Do y o u 3. Do y o u Do any s i t t i n g u p e x e r c i s e s i n th e w i n t e r ? I n t h e summer? How lo n g d o e s e a c h s e s s i o n l a s t ? ___________ When w as t h e l a s t tim e ? ____________________ T he tim e b e f o r e t h a t ? 4. Do y o u w a lk o r b i k e t o w o r k ? ________________ How f a r ? ____________ How o f t e n ? ____________________- 5. Do y o u h a v e any h o b b ie s o r s n g a g e i n o t h e r n o n - v o c a t l o n a l w ork o r r e c r e a t i o n r a g u l a r l y ? EXCLUDING SPORTS ( P l e a s e l i s t b e lo w ) Hobby o r A c t i v i t y How O f te n Do You P a r t i c i p a t e ? a. ____________________________________________________________________ b . ______________________________________________________________________ c. . __________________________________ d. Have a g a rd e n ? W hat do y o u do i n c o n n e c t io n w i t h t h i s ? 110 6. a. b. c. d. W hat s p o r t s d i d 'y o u e n g a g e I n r e g u l a r l y d u r i n g t h e p a a t summer m o n th s? ( P l e a s e u s e t h e l i s t b e lo w a s a g u id e ) S p o r t___________ How O fte n ? When Was t h e L a s t Time? The Time B e fo re ? _________________________________________________________ ~ _____________________________________________~ 7. W hat s p o r t s d id you e n g a g e I n r e g u l a r l y d u r in g th e p a s t w i n t e r m o n th s? ( P l e a s e u s e t h e l i s t b e lo w a s a g u id e ) S p o rt How O f te n 7 When Was t h e L a s t Tim e? The Tim e B e fo re ? a. __ b. c. d. _____________________________ _________________________________________________ ____________ ____________________ __________________________________________________________ ' e. __________________ _______________________________ f. _____________________________ ________________ ^ ______ LIST OF SPORTS ACTIVITIES A n g lin g ( f i s h i n g ) A rc h e ry B ad m in to n B a s e b a ll B a s k e tb a ll B ic y c l in g B lrlln g B o b -S le d d in g B ow lin g B oxing C an o ein g C o d e b a ll C ric k e t C ro s s C o u n try C u r li n g F e n c in g F ie ld B a ll F o o tb a ll G o lf G y m n a stic s H a n d b a ll H ik in g H ockey ( f i e l d ) Hockey ( I c e ) H o rse b a c k E ld in g H o rse sh o e P i t c h i n g H u n tin g H u r lin g I c e B o a tin g J a l A la i J u J lts u Lawn B o w ling M o u n ta in C lim b in g P a d d le T e n n is P o lo ( h o r s e ) P o lo (w a te r ) Rowing and S c u l l i n g S a ilin g S h u f f le b o a r d S k a ti n g ( I c e ) S k a ti n g ( r o l l e r ) S k e e t a n d / o r T ra p S h o o tin g S k ii n g Snow S h o e in g S q u a sh R a c k e ts S w lm in g T a b le T e n n is T e n n is T ra c k an d F i e l d T ra p p in g V o lle y B a ll W alk in g C o m p e titiv e W eig h t L i f t i n g W r e s tli n g _________ 111 Serial No.______ SECOND FOLLOW-UP OF THE LONCEVITY AND MORBIDITY OF MALE CRADUATES OF MICHICAN STATE UNIVERSITY Name of Alumnus '___________________________________ D a te ______ Street________________________________________ City S ta te _ PERSONAL INFORMATION 1. Have there been any changes in your marital status since 1960 (our previous follow up)? Yes □ No □ (If yes to question 1, answer A; if no, move on to question 2) | A. Pl«n«»Eiplnin 2. Present weight _ _ _ _ _ _ _ lbs. A. Have you lost 15 lbs. or more since I960? (Ifyes to question A, answer 1 and 2; if no, move on to question 3) Yes □ No □ 1. How many times did you lose this much weight? 1-2 times Q 3 or more times Q 2. Any specific reason for these weight fluctuations?_______________________________________ 3. Height (in inches)________________ 4. Which of these body type classification do you feel is closest to your body build? Stocky Q Medium Q Slender □ OCCUPATIONAL INFORMATION 5. Are you presently working (job or self employed)? Yes □ No Q (If no, answer A; if yes, move on to question 6) A. Have you had a job or been self employed at any time since 1960? (If no, skip to question 7; if yes, move on to question 6) Yes Q No Q 6. Answer the following questions about your present occupation or the last job you have had since 1960. A. What kind of work (for example, engineer, teacher, doctor)___________________________________ B. About how much time on the job is spent sitting? Practically all □ More than half □ About half □ Almost none Q C . About how much time on the job is spent walking? Practically all □ More than half □ About half □ Almost none □ D. About how much walking getting to and from your job? Blocks Miles_____ E. What type of transportation do you use to and from your job (check all that apply) Subway □ Bus O Car Q Bicycle Q Others (Please describe)____________________ F. How often do you have to lift heavy weights or cany heavy things on the job? Frequently Q Sometimes O Very infrequently (or never) Q C. How many hours a week do you work on your job? (Hours per week) H. How much tension in your job? Great Deal □ Some □ Very Little □ None □ I. Any responsibility for supervising other workers on the Job? Yes □ No Q (If yes, answer 1; if no, move on to J) 1. About how many on the average do you supervise?______ J. When did you start on this job? Year _ _ _ K. Just before this job were you doing the same typeofwork? Yes, did the same type of work □ . I was on that j o b years. No, this was my first job □ . No, did different type of work Q . If you check this item, please answer the following questions, 1,2,3, and4: 1. How long did you do this different type of work? years. 2. What kind of work was i t ? ________________________________________________________ 3. On this job did you spend more or less time sitting than your present job? More □ Less Q Same Q 4. Was there more or less walking on this earlier job than on your present (or last) job? More □ Less □ Same □ 112 LEISURE TIME ACTIVITIES 7. How often do you do the following? (For each activity listed, please check whether you do it frequently, sometimes, or very infrequently.) Frequently Sometimes Very Infrequently (Or Never) A. Take walk in good weather □ o □ B. Work around the house or apartment Q □ □ (painting, repairing, etc.) C. Gardening inspring or summer D G G D. Take part in sports during season G G G E. If you take part in sports, please indicate what kind of sports and frequency either by the week or year. SPO R T □ □ □ □ □ □ □ □ P er W k. F requ en cy o r P erY r. A ngling (R>hing) Archery B adm inton B aseball B asketball Bicycling Bob-Sledding B ow ling (exclude la w n bow ling h e r e ) . □ Boxing □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ □ P C an o ein g C odeball C ricket C ross C o u n try C u rlin g F en cin g F o o tb all C o if G ym nastics H an d b all H iking H ockey (Beld) H ockey (ice) H orseback R iding H orseshoe P itch in g H u n tin g Ice B oating J a i A lai F req u en cy Per W k. P er Yr. or S PO R T □ □ □ G □ □ Q □ □ □ □ □ □ □ □ □ □ □ □ □ □ Judo L a w n B ow ling M o u n tain C lim bing P a d d le T ennis P olo (horse) P o lo (w ater) R ow ing Sc Sculling S hu fileb o ard S k a tin g (ice) S k atin g (roller) S k iin g S now S hoeing S q u ash R ackets S w im m ing T a b le T ennis T e n n is T ra ck & F ield T ra p p in g V olleyball W eig h t L iftin g W restling O th ers: □. □. □• □. F. Have you been using an exercise plan at any time during or since 1960? (If yes to question F, answer 1 and 2; if no, answer question G) 1. Please check how often you used this plan. Frequently Q Sometimes □ Yes Q No □ Very infrequently Q 2. Give a brief explanation of the exercises and amounts of time spent.__________________________ C. Up till the time you graduated from high school did you live mostly on the farm? G years? Or did you live in the city? Q How many years?______ How many DIET RECALL 8. List the things you ate and drank yesterday (this should preferably be a week day). When possible, give the specific name of the item, e.g., Fresca or Coca Cola, rather than soft drink; McDonald’s hamburger; whole milk, sldm milk, half and half, rather than just milk. Indicate the amount you ate or drank in terms of cups (200 ml), tablespoons, teaspoons, ounces, numbers and approximate size, e.g., small, large, medium for fruits, vegetables, etc. You may list meats either in ounces or size of pieces: one hamburger patty (3” diameter x 1” thick) weighs 3 oz.; an average serving of steak (3” x 3” x V i") weighs 3 oz. Be sure to include everything you ate or drank yesterday —candy, liquor, coffee (list sugar and cream, if used), popcorn, potato chips, etc., as well as your regular meals. To help you estimate sizes, a rule is marked off on the edge of this page. 113 Breakfast M orning Snack* A m ount or A m ount or A m ount or Size A m ount or Size E v en in g Snack* D in n er A m ount or A m ount or Item J lu n - _SiZ£_ A. Check date of diet record: Sun. □ Mon. □ Tue*. □ Wed. Q Thurs. □ Frl. □ Sat. □ B. Did yesterday's meals include any special or unusual event, e.g., party,birthday,anniversary, picnic, etc.? Yes Q No □ 1. I f t w w h a t w a s it? C. Does the above represent your usual day's food intake? Yes G No G 1. If no, how did it differ from your usual Intake?___________________________________________ D. Check the column which indicates the approximate frequency with which you consume each food. D a llv F ood Weekly N ever WKnla mfllr F ood F ish C ream o r h a lf a n d h a lf Ic e c re a m (not ic e milk) £ h e e se (other th a n cottage) b u tte r M argarine S our cream S alad dressing* (not low calorie) E ass C raw Do you drink coffee? A. Yes G W eekly Never C rea m o r cu sta rd Dies C ream B id d in g s S u g ar: in coffee, te a . etc. Sugar: o n cereal Sugar: o n fruits, vegetables F ro ste d cak es, brow nies, sw eet rolls, etc. S oft d rin k s (o th e r th a n low o r non-calorie) H oney le llv . lam . oreserves. m arm alade S y ru p s (on p an cak es, w affles, etc.) M olasses S w eeten ed firuit Juices, syrups, etc. Pork Veal French-fried p o ta to es f r ie d m e at, fried o o ta to es. etc. O th er deep*fat fried food* 9. D aily No G (If yes, answer question a; if no, go on to question 10) What is the average number of cups per day? 1-3 G W Q 7-9 G more G • SMOKING HABITS 10. Do you smoke at the present time? Yes G No G (If yes to question 10, answer A and B) A. About how old were you when you first began to smoke? rig o rs B. What is the average number of cigarettes, (continue on to question 11) (If no to question 10, answer C) C. Did you ever smoke regularly? Y e sG No G (Ifyes to C, answer 1, 2, and 3; if no, move on to question 11) Yrs. nM. .. ,. pipefuls __ you smoke per day. 114 Y rs. o ld . 1. About how old were you when you started smoking? _ Yr*. o ld . 2. About how old were you when you stopped smoking? . 3. When you were smoking, what was the average number of cigarettes that you smoked per day? rig a n p ip e fu ls DRINKING HABITS 11. Doyou drink at the present time? Yes Q No Q (If yes to question 11. answer A) A. Please check the amounts you usually drink. W ine Beer □ O ccasional b o ttle □ 1 to 3 b o ttle s p er d a y □ over 3 b o ttle r per d ay W hiskey (gin. etc.) P I O ccasional a l a r t o th e r th a n for reliaious u se f~l D aily , b u t less th a n V4 b o ttle n O ver Hi b o ttle per d ay ( 1 O ccasio n al glass □ 3 to 6 shots p er d ay P I over 6 shots p er d ay (continue on to question 12) (If no to question 11, answer B) B. Did you ever drink regularly? Yes Q No □ (If yes to question B, answer 1 and 2; if no, go on to question 12) 1. Please give the number of years that you drank regularly before you quit Y rs , a n d w h y v n u m ilt- 2. Please check the amounts you usually drank. W ine Beer W hiskey (gin. etc.) □ O ccasional glass o th er th a n for religious use O D ally , b u t lew th a n W b o ttle □ O ver '.'2 b o ttle p er d ay □ O ccasional b o ttle □ 1 to 3 b o ttle s p er d a y □ over 3 b o ttle s p er day □ O ccasio n al glass □ 3 to 6 shots p er d ay 1 1over 6 sh o ts p er d ay HEREDITARY HISTORY 12. If there are any changes in this history since 1960, will you please bring this information up to date, and make any additions or corrections in the data listed below. RELATIONSHIP Age If Living Ailment, if any Age at Death If Deceased Cause of Death Father Mother Brothers Sisters A. Father’s occupation_____________________________________________________________ _____ ____ MEDICAL HISTORY 13. If you have had any of these diseases since 1960, will you please bring this information up to date. Make any correction or addition in the data we listed below. Ailm ent A rc at O nset A re you still tro u b led w ith th is co n d itio n ? Yes H igh Blood P ressure A ngina Pectoris S troke (C erebral T hrom bosis) H eart A ttack (Coronary Throm bosis) R h e w m tic H eart D isease C an cer D iab e tes T uberculosis Ulcer Liver A ilm ent A rthritis G out O th er No Are you tak in g m edication or treatm en t for it? Yes No 115 Serial No. TH IRD FOLLOW-UP O F TH E LONGEVITY AND MORBIDITY OF MALE GRADUATES OF MICHIGAN STATE UNIVERSITY D ate____________ N am e of A lum nus_________ S treet_________________________________ C ity_________________________ S ta te ____________ Social Security Number _________________________ P E R S O N A L IN F O R M A T IO N I . H ave there been an y changes in your m arital statu s since 1968 (our previous follow-up)? Yes □ No □ (If yes to question 1, answ er A; i f no, move on to question 2) A. Please E xp lain __________________________________________________________ 2. P resent w eight lbs. A. H ave you lost 15 lbs. or more since 1968? O C C U P A T IO N A L IN F O R M A T IO N 3. Are you presently w orking (job o r self employed)? (If no, answ er A; if yes, move on to question 4) Yes □ Yes □ No □ Yes □ No □ No □ A. H ave you h ad a job o r been self employed a t any tim e since 1968? (If no, skip to question 5; i f yes, move on to question 4) 4. Is th is th e sam e job you reported on the 1968 questionnaire? Yes □ No □ (If yes, move on to question 5; if no, answ er the following questions A through J . A. W hat kind of work (for exam ple, engineer, teacher, doctor) '_________________________ B. About how m uch tim e on th e job is spent sitting? Practically all □ More th a n h a lf □ About h a lf □ A lm ost none □ C. About how much tim e on th e job is spent walking? P ractically all □ More th a n h a lf □ About h alf □ A lm ost none □ D. Do you ever w alk to or from work? Yes □ No □ I f yes, how fa r do you w alk? Blocks Miles How m any tim es a year___________________ Do you ever bicycle to an d from work? Yes □ No □ If yes, how far do you cycle (both wayB)? Blocks Miles N um ber of tim es per y ea r_____________________________________________ E. W hat type of transportation do you use to an d from your job (check all th a t apply)? Subway □ Bus □ C ar □ Bicycle □ W alking □ O thers (Please describe)_____________________ F. How often do you have to lift heavy weights or carry heavy th in g s on th e job? Frequently □ Sometimes □ Very infrequently (or never) □ G. How m any hours a week do you work on your job? (Hours per week) H. How much tension in your job? Great deal □ Some □ Very little □ None □ I. A ny responsibility for supervising other workers on the job? Yes □ No □ (If yes, answ er 1; if no, move on to J) 1. About how m any on th e average do you supervise?__________ J . When did you s ta rt on th is job? Y ear_________ L E IS U R E T IM E A C T IV IT IE S 5. How m any hours a m onth do you do the following activities and w hich m onths? (List num ber of hours involved in each activity under the month(s) you participate. Leave blank where not involved.) 116 ACTIVITY Fishing - bank, boat, ice Fishing - wading Archery, target Badminton__________________ Baseball - hard, soft Basketball Bicycling • pleasure Tobagganing, sledding_______ Bowling, including lawn Canoeing or rowing Jogging Curling_____________________ Fencing Gardening Lawn mowing - riding Lawn mowing - power m ow er_ Lawn mowing - hand mower Snow shoveling Golf - walking Golf • power c a r t ____________ Handball, including paddleball, racket and aquash Walking - back packing Walking - cross country ____ Walking • mountain climbing Walking - pleasure Home workshop (carpentry) Horseback riding____________ Horseshoe pitching Hunting - bow and gun Sailing • ice and water Judo, including karate_______ Paddle tennis Rowing, skulling Shufflsboard (not hand) Skating - ice, roller---------------Skiing • downhill Skiing - cross country Skiing • water Snow shoeing_______________ Dancing - ballroom Dancing • square Swimming • pleasure Swimming - exercise________ Table tennis Tennis - singles Tennis • doubles Volleyball__________________ Weight lifting Calisthenics - home Calisthenics - Health C lub____ Others; 5 S’ * 1 * 1 f f f 3 I 3 6. I f you have been routinely exercising under a home exercise p lan or H ealth Club plan (commercial, Y.M.CA., A thletic Club, etc.) answ er th e following questions: A. Number of hours per m onth .which m onths (circle): Ja n ., Feb., Mar., Apr., May, June, July, Aug., Sept., Oct., Nov., Dec. B. W hat type o f exercises?__________________________________ ____ _____________________________ D IE T R E C A L L 7. Lost th e things you ate an d d ran k yesterday (this should preferably be a week day). When possible, give th e specific nam e of th e item, e.g., Fresca or Coca Cola, rath e r th a n soft drink; McDonald’s ham burger; whole milk, skim milk, h a lf an d h alf, ra th e r th a n ju st milk. Indicate the am ount you a te or drank in terms o f cups (200 ml), tablespoons, teaspoons, ounces, num bers an d approxim ate size, e.g., sm all, large, medium for firuits, vegetables, etc. You m ay list m eats either in ounces or size of pieces: one ham burger p atty (3” diam eter x 1” thick) w eighs 3 oz.; a n average serving o f steak (3” x 3” x V4”) weighs 3 oz. Be sure to include everything you ate or d ran k yesterday—candy, liquor, coffee (list su g ar an d cream, if used), popcorn, potato chips, etc., as well as your regular m eals. To help you estim ate sizes, a rule is marked off on th e edge o f th is page. Breakfast Morning Snacks Amount or Item Size Lunch Item Amount or Size Afternoon Snacks Amount or Size Dinner Item Item Item Amount or Size Evening Snacks Amount or Size Item Amount or Size A. Check date of diet record: Sun. □ Mon. □ Tues. □ Wed. □ Thurs. □ Fri. □ Sat. □ B. Did yesterday’s m eals include a n y special or unusual event, e.g., party, birthday, anniversary, picnic, etc.? Yes □ No □ 1. I f yes, w h at w as i t ? _________________________________________________ C. Does th e above represent your u su al day’s food intake? Yes □ No □ 1. I f no, how did i t differ from your usual intake?_______________________________________________ D. Check the column which indicates th e approxim ate frequency w ith w hich you consume each food. Food Dally Weekly Never Whole milk Cream or half and half Ice cream (not ice milk) Cheese (other than cottage) Butter Margarine Sour cream Salad dressings (not low calorie) Eggs Gravy Fat around meat f>ork Veal French-fried potatoes Fried meat, tried potatoes, etc. Other deep-fat fried foods Food Fish Beef Cream or custard pies Cream puddings Sugar: In coffee, tea. etc. Sugar: on cereal S u g a r on fruits, vegetables Frosted cakes, brownies, sweet rolls, etc. Soft drinks (other than low or non-calorie) Honey Jelly, jam, preserves, marmalade Syrups (on pancakes, waffles, etc.) Molasses Sweetened fruit iuicas. svruos. etc. Dally Weekly Never 118 E. A. Do you drink coffee? Yes □ No □ (If yes, answ er questionA; if no, go on to question 8) W hat is th e average num ber of cups per day? 1-3 □ 4-6 □ 7-9 □ more □ S M O K IN G H A B IT S 8. Do you smoke a t the present tim e? Yes □ No □ (If yes to question 8 answ er A and B; if no, answ er C )_______________________________________________________________________________ ____ A. W hat is the average num ber o f cigarettes , cig ars a n d /o r pipefulls— you smoke per day? B. H ave you stopped a t any tim e between 1968 an d now? Yes □ N oD If yes, how long did you s to p ? ----------------------------------C. Did you smoke regularly an y tim e between 1968 and now? YesD N oD If no, go on to question 9. I f yes, how long?________How m an y cigarettes___ _ cigars___ _ pipefulls____did you smoke per day? D R IN K IN G H A B IT S 9. Do you drink alcoholic beverages a t th e present time? A a n d B: if no, answ er C) A. P lease check th e am ounts you usually drink. Beer Y esD ' N o D (Ify es to question 9, answ er _______ ________ Wine Liquor D Occasional bottle D Occasional glass other than for religious use D Occasional glass D 1 to 3 bottles per day D Daily, but lesa than 'h bottle D 3 to 6 shots per day D over 3 bottles per day D Over V4 bottle per day D over 6 shots per day B. H ad you stopped drinking a t an y tim e between 1968 an d now? Yes D N oD If no, go on to question 10. I f yes, for how long a period did you stop?_______________________ C. Did you drink regularly a t any tim e between 1968an d now? Y esD N oD Ifn o ,g o o n to q u estio n 10. If yes, for how long a period did you d rin k ?______________________ How m uch? (Please check the am ounts.) B eer Wine Liquor D Occasional bottle D Occasional glass o ther than for religious use D Occasional glass D 1 to 3 bottles per dsy D Daily, but less than Vi bottle D 3 to 6 shots per day D over 3 bottles per day D Over Vi bottle per day ______________________ D over 6 shots per day H E R E D IT A R Y H IST O R Y 10. A s o f 1968, th e individuals listed were still alive. Will you please bring th is inform ation up-to-date. RELATIONSHIP Ace If Livlno Ailment. If any Age at Death If Deceased Cause of Death A. F ath e r’s occupation (when w orking)__________________________________________ M E D IC A L H IS T O R Y 11. In 1968 you indicated you h ad th e following conditions. Will you please bring this inform ation up-to-date. Make any correction or addition in the d a ta we listed below. Aliment High B lood P re ssu re Angina Pectoris .stroke (C erehrsl T hrom bosis) H e e d A ttack (C oronary Throm bosis) R h eum atic H eart D isease C ancer D iabetes T u b ercu lo sis IJIcer Liver Ailment Arthral* flo u t O th er Age a t Onset Are you still troubled with this condition? Yes No n □ n n □ D n n n □ n □ n D D D D D D D D D D D D D Are you taking medication or treatm ent for it? No Yes D D D D D D D D D D D D D D D D D D D D □ D D D D D 119 Serial No. FOURTH FOLLOW -UP O F THE LONGEVITY AND MORBIDITY O F MALE GRADUATES OF MICHIGAN STATE UNIVERSITY N am e of A lum nus___________________________________________________ n» t» S treet_________________________________C ity_________________________ S ta te ____________ Social Security Number !____________________ P E R S O N A L IN FO R M A T IO N 1. Have there been any changes in your m arital status since 1976 (our previous follow-up)? Yes □ No □ (If yes to question 1, answ er A; if no, move on to question 2) A. P le a s e F .yplain 2. Present w eight lbs. Have you lost 15 lbs. or more since 1976? O C C U P A T IO N A L IN FO R M A T IO N 3. Are you presently working (job or self employed)? (If no, answ er A; if yes, move on to question 4) Yes □ Yes □ No □ Yes □ No □ No □ A. Have you had a job or been self employed at any time since 1976? (If no, answer A: if yes, more on to question 4) 4. Is this the same job you reported on the 1976 questionnaire? Yes □ No □ (If yes, move on to question 5; if no, answ er the following questions A through J. A. W hat kind of work (for example, engineer, teacher, doctor)__________________________________ B. About how much time on th e job is spent sitting? Practically all □ More th a n h a lf □ About h a lf □ A lm ost none □ C. About how much time on th e job is spent walking? Practically all □ More th a n h a lf □ About h a lf □ Almost none □ Yes □ No □ D. Do you ever walk to or from work? If yes, how far do you walk? Blocks Miles How m any tim es a year___________________ Do you ever bicycle to and from work? Yes □ No □ If yes, how far do you cycle (both ways)? Blocks Miles Number of tim es per y e a r_____________________________________________ E. W hat type of transportation do you use to an d from your job (check all th a t apply)? Subway □ Bus □ C ar □ Bicycle □ W alking □ Others (Please describe)_____________________ F. How often do you have to lift heavy w eights or carry heavy th in g s on the job? Frequently □ Sometimes □ Very infrequently (or never) □ G. How m any hours a week do you work on your job? (Hours per week) H. How much tension in youT job? G reat deal □ Some □ Very little □ None □ I. Any responsibility for supervising other workers on the job? Yob □ N oD (If yes, answ er 1; if no, move on to J) 1. About how m any on the average do you supervise?________ J. When did you sta rt on th is job? Year_________ L E IS U R E TIM E A C T IV IT IE S 5. How m any hours a m onth do you do the following activities and which m onths? (lis t num ber of hours involved in each activity under the month(s) you participate. Leave blank where not involved.) 120 ACTIVITY Fiihing - bank, boat, ica Fishing - wading Archery, target Badminton _ _ _ _ _ _ _ Baseball • hard, soft Basketball Bicycling - pleasure Tobagganing, sledding _ Bowling, including lawn Canoeing or rowing Jogging Curling. Fencing Gardening Lawn mowing • riding Lawn mowing • power m ow er. Lawn mowing - hand mower Snow shoveling Golf • walking Golf - power c a r t ___________ Handball, including paddleball, racket and squash Walking • back packing Walking • cross c o untry______ Walking • mountain climbing Walking - pleasure Home workshop (carpentry) Horseback riding ■ _______ Horseshoe pitching Hunting • bow and gun Sailing - ice and water Judo, Including karate__ Paddle tennis Rowing, skulling Shuffleboard (not hand) Skating • ice, roller-------Skiing • downhill Skiing • cross country Skiing - water Snow shoeing. Dancing - ballroom Dancing • square Swimming • pleasure Swimming - exercise Table tennis Tennis - singles Tennis • doubles Volleyball__________ Walght lifting Calisthenics - home Calisthenics - Health C lu b . Others: * ii a < s 4 4 * 3 o x o 6. I f you have been routinely exercising under a home exercise plan or H ealth Club plan (commercial, Y.M.C.A., A thletic Club, etc.) answ er the following questions: A. Number o f hours per m onth .which m onths (circle): Jan ., Feb., Mar., Apr., May, June, July, Aug., Sept., Oct., Nov., Dec. B. W hat type of exercises?------------------------------------------------------------------------------------------------------D IE T R E C A L L 7. List the things you ate and d ran k yesterday (this should preferably be a week day). When possible, give the specific nam e o f th e item, e.g., Fresca or Coca Cola, rath er th an soft drink; McDonald’s hamburger; whole milk, skim milk, h a lf an d half, rath e r th a n ju st milk. Indicate the am ount you ate or drank in terms of cups (200 ml), tablespoons, teaspoons, ounces, num bers an d approxim ate size, e.g., sm all, large, medium for fruits, vegetables, etc. You m ay lis t m eats either in ounces or size of pieces: one ham burger p atty (3” diam eter x 1” thick) weighs 3 oz.; a n average serving o f steak (3” x 3" x V4”) w eighs 3 oz. Be sure to include everything you ate or d rank yesterday—candy, liquor, coffee (list su g ar and cream, if used), popcorn, potato chips, etc., as well as your regular m eals. To help you estim ate sizes, a rule is marked off on the edge of th is page. Morning Snacks Breakfast Item Amount or Size Lunch Item Amount or Size Afternoon Snacks Amount or Size Dinner Item Item Item Amount or Size Evening Snacks Amount or Size Item Amount or Size A. Check date of diet record: Sun. □ Mon. □ Tues. □ Wed. □ Thurs. □ Fri. □ Sat. □ B. Did yesterday’s m eals include an y special or unusual event, e.g., party, birthday, anniversary, picnic, etc.? Yes □ No □ 1. If yes, w hat w as i t ? _________________________________________________ C. Does th e above represent your usual day ’s food intake? Yea □ No □ 1. I f no, how did it differ from your usual intake?______________________________________________ D. Check the column which indicates the approxim ate frequency w ith which you consume each food. Food Whole milk Cream or halt and half Ice cream (not ice milk) Cheese (other than cottage) Butter Margarine Sour cream Salad dressings (not low calorie) Eggs Gravy Fat around meat Pork Veal French-fried potatoes Fried meat, fried potatoes, etc. Other deep-fat fried foods Dally Weekly Never Food Fish Beef Cream or custard pies Cream puddings Sugar: in coffee, tea, etc. Sugar: on cereal Sugar: on fruits, vegetables Frosted cakes, brownies, sweet rolls, etc. Soft drinks (other than low or non-calorie) Honey Jelly, jam, preserves, marmalade Syrups (on pancakes, waflles, etc.) Molasses Sweetened fruit iuices. svruos. etc. Dally Weekly Never 122 E. Do you drink coffee? Yea □ No □ (If yes, answ er questionA; if no, go on to question 8) A. W hat is th e average num ber of cups per day? 1-3 □ 4-6 □ 7-9 □ more □ SM O K IN G H A B IT S 8. Do you smoke a t th e present time? Yes □ N o □ (If yea to question 8 answ er A and B; if no, answ er C ) A. W hat is th e average num ber of cigarettes cig ars a n d /o r pipefulls__you smoke per day? B. Have you stopped at any tim e between 1976 and now? Yes □ N oD I f yes, how long did you s to p ? _______________________ C. Did you smoke regularly any time between 1976 and now? YesD N oD If no, go on to question 9. If yes, how long?________How m any cigarettes___ , cigars___ _ pipefulls___ did you smoke per day? D R IN K IN G H A B IT S 9. Do you drink alcoholic beverages a t th e present time? A a n d B: if no, answ er C) Yes □ No □ (If yes to question 9, answer A. Please check the amounts you usually drink. Beer □ Occasional bottle □ 1 to 3 bottles p er day □ over 3 bottles per day Wine □ Occasional glass other than for religious use O Dally, but less than 'A bottle □ Over Vi bottle per day Liquor D Occasional glass D 3 to 6 shots per day D over 6 shots per day B. Had you stopped drinking at any time between 1 9 7 6 and now? Yes□ NoD question 10. If yes, for how long a period did you stop?______________________ If no, go on to C. Did you drink regularly a t any tim e between 1976 and now? Y esD N oD Ifno.goontoquestion 10. I f yes, for how long a period did you d rin k ?_________ How much? (Please check th e am ounts.) Baer Wine Liquor D Occasional bottle D Occasional glass other than for religious use □ 1 to 3 bottles per day □ Dally, but less than 'A bottle D over 3 bottles per day O Over 'A bottle per day______________________ H E R E D IT A R Y H IS T O R Y 10. As of 1976, the individuals listed w ere still alive. W ill you please bring RELATIONSHIP Aoe If Llvlno Ailment, if any D Occasional glass D 3 to 6 shots per day D over 6 shots per day this inform ation up-to-date. Age a t Death f Deceased Cause of Death A. F ather’s occupation (when working)_______________________________________________ — — M E D IC A L H IS T O R Y 11. In 1976 you indicated you had the following conditions. Will you please bring this information up-to-date. Make any correction or addition in the data we listed below.________________________ Ailment High Blood Pressure Angina Pectoris Stroke (Cerebral Thrombosis) Heart Attack (Coronary Thrombosis) Rheumatic Heart Disease Cancer Diabetes Tuberculosis Ulcer Liver Ailment Arthritis Qout Other Age at Onset Are you still troubled with this condition? No Yes D D D D D D D D D D D D D D D D D D D D D D D D D D Are you taking medication or treatm ent for 117 No Yes D D D D D □ D D D D D D D D D D D D D D D D D D D D APPENDIX B CALORIC EXPENDITURE STANDARDS FOR THE MICHIGAN STATE UNIVERSITY LONGEVITY STUDY ACTIVITIES ** Caloric Standards for the Michigan State University Longevity Study Activities 1. Fishing (bank, boat, Ice)...............020 kcal/mln/lb 2. Fishing (wading)....................... 028 kcal/mln/lb 3. Archery................................029 kcal/min/lb 4. Badminton.............................. 040 kcal/mln/lb 5. Baseball (hard,soft)................... 031 kcal/mln/lb 6. Basketball............................. 043 kcal/mln/lb 7. Bicycle (pleasure, 5mph)*..............029 kcal/min/lb 8. Tobagganlng (sled) 025 kcal/mln/lb 9. Bowling .029 kcal/mln/lb 10. Canoeing (rowing,leisure)*.............. 020 kcal/mln/lb 11. Jogging*............................... 074 kcal/min/lb 12. Curling................................ 020 kcal/mln/lb 13. Fencing................................ 033 kcal/mln/lb 14. Gardening .039 kcal/min/lb 15. Lawnmowing (riding) 017 kcal/mln/lb 16. Lawn mowing (power mower)* 051 kcal/mln/lb 17. 055 kcal/mln/lb Lawn mowing (hand mower)* 18. Snow shoveling 039 kcal/mln/lb 19. 039 kcal/mln/lb Golf (walking)* 123 124 20. Golf (power cart)...................... 020 kcal/mln lb 21. Handball 080 kcal/mln/lb 22. Walking (backpackIng)* 050 kcal/mln/lb 23. Walking (cross country)*............... 044 kcal/mln/lb 24. Walking (mountain climbing)* 055 kcal/mln/lb 25. Walking (pleasure)*.................... 036 kcal/mln/lb 26. Home workshop (carpentry).............. 023 kcal/mln/lb 27. Horseback riding (trotting) .045 kcal/mln/lb 28. Horseshoe pitching..................... 023 kcal/mln/lb 29. Hunting (bow and gun).................. 040 kcal/mln/lb 30. Sailing (Ice and water)................ 020 kcal/mln/lb 31. Judo...................................089 kcal/mln/lb 32. Paddle tennis.......................... 033 kcal/mln/lb 33. Rowing (sculling)*..................... 029 kcal/mln/lb 34. Shuffleboard 020 kcal/mln/lb 35. Skating (Ice, roller)*................. 038 kcal/mln/lb 36. Skiing (downhill)...................... 064 kcal/mtn/lb 37. Skiing (cross country)*................ 080 kcal/min/lb 38. Skiing (water)......................... 052 kcal/mln/lb 39. Snowshoelng (2.3 mph)*................. 060 kcal/mln/lb 40. Dancing (ballroom)* .029 kcal/mln/lb 41. Dancing (square)*...................... 045 kcal/mln/lb 42. Swimming (pleasure)*................... 045 kcal/mln/lb 43. Swimming (exercise)*................... 058 kcal/mln/lb 44. Table tennis........................... 031 kcal/mln/lb 45. Tennis (singles)....................... 050 kcal/mln/lb 125 46. Tennis (doubles) 045 kcal/mln/lb 47. Volleyball............................. 022 kcal/mln/lb 48. Weight lifting......................... 049 kcal/mln/lb 49. Calisthenics (home)*................... 033 kcal/mln/lb 50. Calisthenics (health club)*............ 040 kcal/mln/lb * ** Activities utilized In the aerobic caloric expenditure calculations. Standards computed from the work of Passmore and Durnln (46). APPENDIX C STATISTICAL ANALYSES 126 Com Ini11'-' 'rf N 1558.5 .24946 +7 256 NO TEST STATISTIC DF SIGNIF 1216.7 T= 2.5471 493 .19363 +7 F= 1.2884 255.238 239 PROBUST MEAN>2NU !DATA)* .0112 .0239 .9945 Two-vanple t-tasts VARIABLE ATHLETE YES 24. MEAN UEEK84 VAR 2ND (DATA)- .9516 127 Comm and 7STUDENT V=62 S«V2 C = V 9 3 3 * V 7 3 : 1*2 Two-sample t-tests VARIABLE CASES«PICK21*DXSTAT:DEAD»ALIVE ATHLETE YES 62. MEAN BRTHYR2 VAR (TOTAL*5 456) N 907.32 50.001 239 NO TEST STATISTIC DF 906.94 56.545 216 .5719 T° .56565 453 F* 1.1309 215r238 .1772 P R O S (1ST MEAN>2ND SDATA)1 .7130 SIGNIF Command 7STUDENT V*=62 S-V73.C*5* Two-sample t-tests VARIABLE CASES«PICK21*DXSTATJDEAD»ALIVE DXSTAT DEAD 62. MEAN BRTHYR2 VAR (TOTAL*5 456) N 902.82 64.807 131 ALIVE 908.88 37.850 324 TEST STATISTIC DF SIGNIF T=-8.6663 453 .0000 F» 1.7122 130.323 .0001 PR0B ( 1 S T MEAN<2ND !D A TA)551.0000 128 Univariate 1-way ANOVA CASES=TQDATASYES ANALYSIS OF VARIANCE OF 62.BRTHYR2 SOURCE DF SUM OF SQRS UITHIN TOTAL 2 491 493 ETA* .2538 1798.2 26126. 27924. ETA-SQR* .0644 U76CAT N MEAN LE500 T01999 GE2000 168 204 122 GRAND 494 F - S T A T I S T I C SIGNIF 899.12 16.898 .0000 53.209 (RANDOM EFFECTS STATISTICS) VARIANCE STD DEV 904.43 908.08 908.93 75.277 46.319 34,310 8.6762 6.8058 5.8574 907.05 56.640 7.5260 Twoway Cross-Tabulation N= TOTAL* COLX MEAN SQR (VAR COMP* 5.2460 / 73. DXSTAT N= 494 OUT O F 495 ZVAR AMONG* 8.97) CASES=TGDATA:YES*DXSTAT:DEADrALI VE 31.M76CAT MISS L E500 T01999 GE2000 456 481 25 156 188 112 DEAD COLX 131 28.7 1 62 39.7 40 21.3 29 25.9 ALIVE COLX 325 71.3 24 94 60.3 148 78.7 83 74.1 TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE . STATISTIC 14.544 14.783 SIGNIF .0007 .0006 DF* 2 N* 456 CRAMER'S PHI* CONTINGENCY COEFF* .1801 .1772 129 Univariate 1-uav ANOVA CASES-TODATAJYEStATHLETESYES ANALYSIS OF VARIANCE OF 62.BRTHYR2 SOURCE DF SUN OF SORS BETWEEN UXTHIN TOTAL ETA- .2812 2 253 255 1056.9 12309. 13366. ETA-SQR- .0791 N« 256 OUT OF 256 MEAN SOR 520.43 10.B61 .0000 48.653 (RANDOM EFFECTS STATISTICS) (VAR COMP- 5.7071 VARIANCE STD DEV 904.38 907.97 909.49 73.106 44.561 28.809 8.5502 6.6754 5.3674 907.32 52.416 7.2399 W76CAT N MEAN LESOO T01999 GE2000 77 106 73 GRAND 256 F-STATISTIC SIGNIF ZVAR tAMONG- 10.50) Coaaand TANOVA V-62 S-» C-V2811*V212 Univariate 1-uav ANOVA CASES-TODATA:YESKATHLETE *NO ANALYSIS OF VARIANCE OF 62.BRTHYR2 SOURCE DF SUM OF SORS BETUEEN WITHIN TOTAL ETA- .2290 2 235 237 ETA-SQR- .0524 W76CAT N MEAN LE500 T01999 GE2000 91 98 49 904.48 908.19 908.10 GRAND 761.33 13757. 14518. 238 906.76 N- 238 OUT OF 239 MEAN SQR F-STATISTIC SIGNIF 380.67 6.5029 .0018 58.538 (RANDOM EFFECTS STATISTICS) (VAR COMP- 4.2173 VARIANCE STD DEV 77.941 48.673 42,094 8.8284 6.9766 6.4880 61.257 7.8267 ZVAR AMONG- 6.72) 130 Unlvarlata 1-uav ANOVA CASES-TQDATAJYES ANALYSIS OF VARIANCE OF 401.MLKG SOURCE DF SUN OF SORS BETWEEN WITHIN TOTAL ETA* .0598 SONAT 3 459 462 .27757 +8 .82809410 .83107410 ETA-SQR* .0036 N NEAN ENDO ME SO ECTO BALANC 66 297 39 61 4302.1 3862.0 3478.1 4367.4 BRAND 463 3959-0 N- 463 OUT OF SOS NEAN SOR F-STATISTIC SIGNIF .99191 47 .549(30 .6485 .18041 48 318>62 C=« Least Seuares Regression CASES=TGDATAJYES*DXSTAT!DEAD.ALI VE ANALYSIS OF VARIANCE OF 7 3 . DXSTAT SOURCE DF REGRESSION ERROR TOTAL 3 476 479 MULT R= .38941 N= 480 OUT OF 481 SUN SORS MEAN SQR F-STAT SIGNIF 14.512 81.188 95.700 4.8372 .17056 28.360 .0000 T-STAT SIGNIF 2.4557 -7.3211 .49707 -1 -1.7273 .46518 -1 .56002 .27012 -2 8.0472 .0848 .5757 .0000 R-SQR= .15164 SE= .41299 VARIABLE PARTIAL COEFF CONSTANT 317.DUM176 318.DUM276 62.BRTHYR2 -.07893 .02566 .34605 -17.978 -.85860 -1 .26051 -1 .21737 -1 STD ERROR .0000 132 C o n in a n d TRE8RESSI0N V«73»317»31B»62»2 C-V282 1 * V 7 3 J 1.2 Least Sauares R e g r e s s i o n CASES=TQDATAS Y E S * D X S T A T 2DEAD.ALIVE ANALYSIS OF VARIANCE OF 73.DXSTAT DF SOURCE 4 475 479 REBRESSION ERROR TOTAL MULT R« .38952 N= 480 OUT OF 481 SUM SQRS MEAN SQR F-STAT SIGNIF 14.520 81.180 95.700 3.6300 .17091 21.240 .0000 T-STAT SIGNIF -7.3170 -1 -1.7386 .54878 -1 -2 8.0399 .22032 -1 .0000 .0828 .5834 .0000 .8257 R-SOR= .15172 SE=' .41341 VARIABLE PARTIAL COEFF CONSTANT 317.DUM176 318.DUM276 62.BRTHYR2 2. ATHLETE -.07952 .02517 .34610 .01011 -17.992 -.86883 .25580 .21739 .83682 STD ERROR -1 -1 -1 -2 2.4589 .49972 .46613 .27039 .37981 133 Co m iim I ▼REGRESSION BYSTRATA V-21.62 S-V7311'2 O * ■ Least Sauaras Rearession <1> DXSTAT1DEAD ANALYSIS OF VARIANCE OF 21.UEEK76 SOURCE REGRESSION ERROR TOTAL MULT R» .32682 CASES-TQDATA!YES N« 131 OUT OF 132 DF SUN SORS MEAN SOR F-STAT SIGNIF 1 .33943 90 129 .20385 99 130 .31779 99 .33943 98 .22004 97 15.426 .0001 T-STAT SIGNIF -3.0430 3.9276 .0002 .0001 R-SQR- .10681 SE- 1483.4 VARIABLE PARTIAL COEFF CONSTANT 62.BRTHYR2 .32682 -56085. 63.474 Laast Sauaras Rasrassion STD ERROR 14591. 16.161 <2> DXSTATSALIVE ANALYSIS OF VARIANCE OF 21.UEEK76 CASES-TODATA:YES N- 324 OUT OF 349 SOURCE DF: SUM SORS MEAN SOR F-STAT SIGNIF REGRESSION ERROR TOTAL 1 .30044 97 322 .69551 99 323 .69851 9? .30044 9 7 .21600 97 1.3910 .7 3 9 1 MULT R- .06558 R-SOR- .00430 S£- 1469.7 VARIABLE PARTIAL COEFF CONSTANT 62.BRTHYR2 .06558 -12787. 15.676 STD ERROR 12081. 13.292 T-STAT SIONir -1.05R4 1.1794 .2906 .2391 134 Twowaw Cross-Tabulation 201. HBP76 CASES-TQDATASYES 31.U76CAT HISS LE500 T01999 6E2000 376 522 19 122 158 96 MISS COLZ 119 8 46 47 26 (1) COLZ 85 22.6 4 27 22.1 32 20.3 26 27.1 (2) COLZ 291 77.4 15 95 77.9 126 79.7 70 72.9 TOTALCOLZ TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE STATISTIC SIGNIF 1.582S 1.6156 .4533 .4458 DF- 2 N- 376 CRAMER'S PHICONTINGENCY COEFF= .0656 .0654 ORDINAL MEASURES nnnnMAU-ifPliqkai nAMHA KENDALL'S TAU-B - -.0768 tSTANDARD ERROR "t. 103£j -.0371 (STANDARD ERROR -.0239) Coasand TTUOUAY V-31»201 C-V28:i*V251 O-QOLUMNZ.ORDINAL.TESTS Tuouav Cross-Tabulation 201. HBP76 NTOTALCOLZ CASES-TODATAJYESBATHLETE:YES 31.U76CAT HISS LE500 T01999 GE2000 '199 273 13 60 84 55 MISS COLZ 57 4 17 22 18 (1) COLZ 53 26.6 3 16 26.7 19 22.6 18 32.7 (2) COLZ 146 73.4 10 .44 73.3 65 77.4 37 67.3 TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE STATISTIC 1.7179 1'.7381 SIGNIF DF- 2 N- 199 .4236 CRAMER'S PHI.4194 CONTINGENCY COEFF= ORDINAL MEASURES GOODMAN-KRUSKAL GAMMA KENDALL'S TAU-B - -.0902 (STANDARD ERROR -.1348) -.0462 (STANDARD ERROR -.0349) .0935 .0931 135 Command 7TW0UIAY V=31r425 0 = C 0 L 2 »TESTS C«* Twowaa Cross-Tabulation 425. CVD76 CASES=TQIiATAS YES 31.U76CAT MISS LE500 T01999 GE2000 N= 376 TOTAL® COL% 522 19 122 158 96 MISS COLZ 119 a 46 47 26 YES COLZ 144 38.3 4 48 39.3 53 33.5 43 44.8 NO COLZ 232 61.7 15 74 60.7 105 66.5 53 55.2 TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE STATISTIC 3.2763 3.2805 SIGNIF .1943 .1939 DF= 2 N= 376 CRAMER'S PHI= CONTINGENCY COEFF® .0934 .0930 Twouav Cross-Tabulation 201. HBP76 CASES=TQDATA1YES4ATHLETESNO 31.U76CAT MISS LE500 T01999 GE2000 NTOTALCOLZ 177 249 6 62 74 41 MISS COLZ 62 4 29 25 8 <1> COLZ 32 18.1 1 11 17.7 13 17.6 8 19.5 <2> COLZ 145 81.9 5 51 82.3 61 82.4 33 80.5 TESTS OF INDEPENDENCE STATISTIC SIGNIF MAXIMUM LIKELIHOOD CHI-SQUARE .73684 -1 .74687 -1 .9638 .9633 DF- 2 N- 177 CRAMER'S PHI* CONTINGENCY COEFF' .0205 .0205 ORDINAL MEASURES GOODMAN -KRUSKAL GAMMA KENDALL 'S TAU-B - - .0318 - - .0140 (STANDARD ERROR -.1630) (STANDARD ERROR -.0310) Coaaand TTUOWAY U-12S425 C-V28:i*V2:i 0=C0LUHNX.ORDINAL.TESTS Tuowaw Cross-Tabulation 425. CVD76 ' NTOTALCOLZ CASES-TQDATA1YES*ATHLETE1YES 31.W76CAT MISS LE500 T01999 GE2000 199 273 13 60 84 55 MISS COLZ 57 4 17 22 18 YES COLZ 81 40.7 3 29 48.3 27 32.1 25 45.5 NO COLZ 118 59.3 10 31 51.7 57 67.9 30 54.5 TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE STATISTIC 4.5568 4.5121 SIGNIF .1024 .1048 DF- 2 N- 199 CRAMER'S PHI* CONTINGENCY COEFF* ORDINAL MEASURES GOODMAN-KRUSKAL GAMMA KENDALL'S TAU-B - .0465 (STANDARD ERROR =.1205) * .0266 (STANDARD ERROR =.0387) .1506 .1 4 8 9 137 Command 7TU0WAY V=31*206 0=C0LX.TESTS C=* Twowaa Cross-Tabulation 206. CA76 CASES=TGDATAJYES 31.W76CAT LE500 T01999 GE2000 MISS N= TOTAL= COL% 376 522 19 122 158 96 MISS COLX 119 8 46 47 26 (1) COLX 19 5.1 1 6 4.9 8 5.1 5 5.2 <2) COLX 357 94.9 18 116 95.1 150 94.9 91 94.8 TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE Command 7TWOWAY 0 = 3 1 »221 S IGNIF .94865 -2 .94947 -2 .9953 .9953 DF= 2 N= 376 CRAMER'S PHI* CONTINGENCY COEFF= .0050 .0050 0=C0LX»TESTS C=* Tuowaa Cross-Tabulation 221. ANY76 STATISTIC CASES=TQDATA*YES 31.U76CAT MISS LE500 T01999 GE2000 N= TOTAL= COLX 376 522 19 122 158 96 MISS COLX 119 8 46 47 26 <1> COLX 303 80.6 7 106 86.9 126 79.7 71 74.0 (2) COLX 73 19.4 12 16 13.1 32 20.3 25 26.0 TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE STATISTIC 5.9723 5.8606 SIGNIF .0505 .0534 DF= 2 N= 376 CRAMER'S PHI** CONTINGENCY COEFF= .1248 .1239 138 Twowaw Cross-Tabulation 31.W76CAT HISS LESOO T01999 6E2000 NTOTALCOLZ 199 273 13 60 84 55 HISS COLZ 57 4 17 22 18 o o~ r Hv 221. ANY76 CASES-TQDATA1YESftATHLETEtYES 167 83.9 6 57 95.0 70 83.3 40 72.7 (2) COLZ 32 16.1 7 3 5.0 14 16.7 15 27.3 TESTS OF INDEPENDENCE HAXIMUH LIKELIHOOD CHI-SQUARE STATISTIC SIGNIF DF* 2 11.547 10.586 N- 199 .0031 CRAHER'S PHI* .0050 CONTINGENCY COEFF= .2306 .2247 ORDINAL HEASURES GOODHAN-KRUSKAL GAHHA XENDALL'S TAU=B * r«446 .2179 Coaaand TTUOWAY V-31.301 C*U28:i*V2:i 0*C0LUHN%rORDINAL.TESTS Twowaw Cross-Tabulation 301. HBPS4 CASES*TQDATA1YESSATHLETEIYES 31.U76CAT HISS LESOO T01999 GE2000 NTOTAL* COLZ 199 273 13 60 84 55 HISS COLZ 57 4 17 22 10 (1) COLZ 48 24.1 5 10 16.7 20 23.8 10 32.7 (2) COLZ 151 75.9 8 50 83.3 64 76.2 37 67.3 TESTS OF INDEPENDENCE HAXIHUH LIKELIHOOD CHI-SQUARE STATISTIC 4.0579 4.0518 SIGNIF .1315 .1319 DF* 2 N- 199 CRAHER'S PHI* CONTINGENCY COCFr= ORDINAL HEASURES GOODHAN-KRUSKAL GAHHA KENtrSLL'3 TAU-B * -.2711 (STANDARD ERROR *.1290) * -.1343 (STANDARD ERROR *103227 .1427 .1413 139 Command 7TU0WAY V - 3 1 r 426 O-COLX.TESTS C - V 2 8 J 1*073?2 Twowaa Cross-Tabulation 426. CVD84 CASES-TQDATAJYES*DXSTATSALIVE 31.U76CAT MISS LE500 T01999 GE2000 N= TOTALCOLX 259 349 19 72 119 68 MISS COLX 66 5 22 29 15 YES COLX 122 47.1 9 28 38.9 52 43.7 42 61.8 NO COLX 137 52.9 10 44 61.1 67 56.3 26 38.2 TESTS OF INDEPENDENCE STATISTIC MAXIMUM LIKELIHOOD CHI-SGUARE SIGNIF 8.4122 8.3704 .0149 .0152 DF= 2 N= 259 CRAMER'S PHICONTINGENCY COEFF* .1798 .1769 Command 7TWOUAY 0-31*301 O-COLX.TESTS C=* Twowaa Cross-Tabulation 301* HBP84 ' CASES-TQDATA?YES*DXSTAT?ALIOE 31.W76CAT MISS LE500 T01999 GE2000 N= TOTALCOLX 259 349 19 72 119 68 MISS COLX 66 5 22 29 15 (1) COLX 76 29.3 6 16 22.2 32 26.9 28 41.2 <2> COLX 183 70.7 13 56 77.8 87 73.1 40 58.8 TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE STATISTIC 6.5203 6.6987 Command 7TW0WAY 0=31.306 O-COLX.TESTS C=* SIGNIF .0384 .0351 DF- 2 N- 259 CRAMER'S PHICONTINGENCY COEFF* .1608 .1588 140 427. NEUCV84 N= TOTAL* COLX 31.W76CAT MISS LESOO T01999 GE2000 171 186 15 47 84 40 YES COLX 63 36.8 6 12 25.5 29 34.5 22 55.0 NO COLX 108 63.2 9 35 74.5 55 65.5 18 45.0 TESTS OF INDEPENDENCE STATISTIC MAXIMUM LIKELIHOOD CHI-SQUARE SIGNIF B.3533 8.4457 .0133 .0147 DF= 2 N= 171 CRAMER'S PHI* CONTINGENCY COEFF* .2222 .2169 Command TTWOWAY V = 3 1.427 O-COLX.TESTS C-V28J1*V73:2 Twowaa Cross-Tabulation 427. NEUCV64 N= TOTAL* COLX CASES=TQDATAJ YESitcDXSTAT!ALIVE 31.W76CAT MISS LE500 T01999 GE2000 325 349 24 94 148 83 YES COLX 63 19.4 6 12 12.8 29 19.6 22 26.5 NO COLX 262 80.6 18 82 87.2 119 80.4 61 73.5 TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE STATISTIC 5.4038 5.3329 SIGNIF .0671 .0495 DF* 2 N= 325 CRAMER'S PHI* CONTINGENCY COEFF* .1281 .1271 141 Twowaw Cross-Tabulation 427. NEUCV84 NTOTAL= COLZ CASES-TQDATA1YES*ATMLETESNO 31.U76CAT MISS LESOO T01999 GE2000 1SS 249 9 54 70 31 MISS COLZ 84 1 37 29 18 YES COLZ 34 21.9 2 6 11.1 17 24.3 11 35.5 NO COLZ 121 78.1 7 48 88.9 53 75.7 20 64.5 . TESTS OF INDEPENDENCE MAXIMUM LIKELIHOOD CHI-SQUARE STATISTIC 7.4807 7.2437 SIGNIF .0237 .0267 DF= 2 N= 155 CRAMER'S PHI= CONTINGENCY COEFF= ORDINAL MEASURES GOOfiflAN=KRUSKAL— GAttt(A, . ■ -.41248 * -.21052 ''KENDALL 'S TAU- B (STANDARD ERROR =.1365) :STANDARD ERRG r = .0341)' • .216 .211 142 31.U76CAT MISS LE500 T01999 GE2000 “73. DXSTAT NTOTALCOLZ 456 481 25 156 188 112 DEAD COLZ 131 28.7 1 62 39.7 40 21.3 29 25.9 ALIVE COLX 329 71.3 24 94 60.3 148 78.7 83 74.1 TESTS OF INDEPENDENCE STATISTIC MAXIMUM LIKELIHOOD CHI-SQUARE SIGNIF 14*544 14.783 .0007 .0004 DF* 2 N* 456 CRAMER'S PHI* CONTINGENCY COEFF* .1801 .1772 ORDINAL MEASURES OOODMAN-KRUSKAL GAMMA KENDALL'S TAU-I » .2415 (ST6Nnapn FRAPP -.OPSm .1277 (STANDARD ERROR *.0237) Coaaand 7TU0UAY V-31,73 C-W28:i*U73J1»2*V2:1 O-COLUMNX.ORDINAL.TESTS Tuowaw Croas-Tabulat ion 73. DXSTAT CASES-TODATA BRTHCATS!1*U74CATiLESOO MINIMUM MAXIMUM MEAN 71 1.0000 2.0000 1.400S Daseriptiva Haaauras VARIABLE 73.DXSTAT <2> BRTHCATS:2*U74CAT!LESOO 73.DXSTAT MAXIMUM MEAN 47 1.0000 2.0000 1.7447 <3> BRTHCATSI3*U76CAT1LESOO 73.DXSTAT VARIABLE 73.DXSTAT VARIABLE 73.DXSTAT MAXIMUM MEAN 38 1.0000 2.0000 1.7895 <4> BRTHCATS!1*U74CAT1T01999 VARIABLE 73.DXSTAT MAXIMUM MEAN 44 1.0000 2.0000 1.5217 <3> BRTHCATS!2*U74CAT1T01999 73.DXSTAT MAXIMUM MEAN 84 1.0000 2.0000 1.3333 <4> BRTHCATS!3*U74CAT!TO1999 73.DXSTAT STD DEV MINIMUM MAXIMUM MEAN 57 1.0000 2.0000 1.929S STD DEV .25771 CASCS*TQDATA!YES1DXSTAT!DEAD.ALIVE N MINIMUM MAXIMUM MEAN 22 I.0000 2.0000 1.4344 STD DEV .49237 CASCG-TGDATA!YEStDXSTAT!DEAD.ALIVE N MINIMUM MAXIMUM MEAN 51 1.0000 2.0000 1.4043 <9> BRTHCATS!3*U74CAT!GE2000 .37492 CASES“TQDATA!YES*DXSTAT!DEAD.ALIVE N BRTHCATS!2*U76CAT!GC2000 .50505 CASES-TODATAJYES*DXSTAT!DEAD.ALIVE MINIMUM Daseriptiva Haasuras VARIABLE STD DEV N <7> BRTHCATS!1*U74CAT!GC2000 .41315 CASES*TQDATA!YES*DXSTAT!DEAD.ALIVE MINIMUM Oascriptiva Haasuras VARIABLE STD DEV N Daseriptiva Haasuras .4407S CASES“TQDATAiYES*DXSTAT!DEAD.ALIVE MINIMUM Daseriptiva Haasuras .49303 STD DEV N Daseriptiva Haaauras DEV CASES-TODATA!YES*DXSTAT!DEAD.ALIVE MINIMUM Daseriptiva Haaauras VARIABLE STD N Daseriptiva Haaauras VARIABLE CASES-TQDATA!VES*DXSTAT!DEAD.ALIVE N STD DCV .44842 CASCS-TODATA!YES*DXSTAT!DEAD.ALIVE N MINIMUM MAXIMUM MEAN 39 1.0000 2.0000 1.3710 STD DEV .33049 LIST OF REFERENCES REFERENCES 1. 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