Physical activity frequency on the 10-Year Acute Coronary Syndrome (ACS) prognosis; the interaction with cardiovascular disease history and diabetes mellitus: The GREECS observational study Academic Article uri icon


  • The association between physical activity, diabetes mellitus (DM), and long-term acute coronary syndrome (ACS) prognosis was evaluated. The GREECS study included 2,172 consecutive ACS patients from six Greek hospitals (2003–2004). In 2013–2014, a 10-year follow up was performed with 1,918 patients. Physical activity was categorized in never, rarely (monthly basis), 1–2 and ≥ 3 times/week. Multi-adjusted analysis revealed that 1–2 and ≥ 3 times/week vs. no physical activity had a protective effect on ACS incidence (OR = 0.63 95% CI 0.38, 1.05) and (OR = 0.63 95% CI 0.40, 0.99) respectively, only in patients without prior baseline CVD event. In a subgroup analysis, with DM as strata in these patients, engagement in physical activity (i.e., 1–2 times/week) had a significant protective effect among patients with diabetes (OR = 0.51, 95% CI 0.27, 0.96, p = .037). These findings revealed the beneficial role of exercise in secondary ACS prevention, even in DM patients. Public health-oriented policies should incorporate regular physical activity as a key protective factor in disease prognosis.


  • Papataxiarchis, Evangelos
  • Panagiotakos, Demosthenes B
  • Notara, Venetia
  • Kouvari, Matina
  • Kogias, Yannis
  • Stravopodis, Petros
  • Papanagnou, George
  • Zombolos, Spyros
  • Mantas, Yannis
  • Pitsavos, Christos

publication date

  • 2016