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Ideal cardiovascular health and risk of cardiovascular events in the EPIC-Norfolk prospective population study
- Source :
- European journal of preventive cardiology, 23(9), 986-994. SAGE Publications Ltd
- Publication Year :
- 2016
- Publisher :
- Oxford University Press (OUP), 2016.
-
Abstract
- BACKGROUND: The American Heart Association has prioritised seven cardiovascular health metrics to reduce the cardiovascular burden, including: body mass index, healthy diet, physical activity, smoking status, blood pressure, glycated haemoglobin A1c and total cholesterol. The aim of the current study was to assess the association between the American Heart Association-defined health metrics and the risk of cardiovascular events in the EPIC-Norfolk prospective study. DESIGN: Prospective cohort study. METHODS: An overall cardiovascular health score was calculated based on the number of health metrics including ideal, intermediate or poor. Cox proportional hazards models were used to describe the association of the seven metrics separately and the overall health score with risk of coronary heart disease, stroke and cardiovascular disease. A total of 10,043 participants was included in the analysis (follow-up 1993-2008). For all individual health metrics a more ideal status was associated with a lower risk of cardiovascular events. RESULTS AND CONCLUSION: As for the overall cardiovascular health score, those in the highest (i.e. healthiest) category (score 12-14) had an adjusted hazard ratio for coronary heart disease of 0.07 (95% confidence interval (CI) 0.02-0.29, P
- Subjects :
- Male
Time Factors
Epidemiology
Cardiovascular health
Health Status
primary prevention
Physical activity
Blood Pressure
Health metrics
030204 cardiovascular system & hematology
EPIC
Risk Assessment
Article
Body Mass Index
03 medical and health sciences
0302 clinical medicine
Risk Factors
Environmental health
Medicine
Humans
030212 general & internal medicine
Prospective Studies
Exercise
Life Style
Aged
Proportional Hazards Models
Glycated Hemoglobin
Framingham Risk Score
business.industry
Smoking
Middle Aged
Healthy diet
Prognosis
cardiovascular diseases
Blood pressure
Cholesterol
England
Population study
Female
Smoking Cessation
Diet, Healthy
Cardiology and Cardiovascular Medicine
business
Body mass index
Risk Reduction Behavior
Biomarkers
Subjects
Details
- Language :
- English
- ISSN :
- 20474881
- Database :
- OpenAIRE
- Journal :
- European journal of preventive cardiology, 23(9), 986-994. SAGE Publications Ltd
- Accession number :
- edsair.doi.dedup.....8fea0963a57bee019af932840dded9b2