Adherence to Healthy Lifestyle and Cardiovascular Diseases in the Chinese Population

Adherence to a combination of healthy lifestyle factors has been related to a considerable reduction of cardiovascular risk in white populations; however, little is known whether such associations persist in nonwhite populations like the Asian population. This study aimed to examine the associations...

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Vydané v:	Journal of the American College of Cardiology Ročník 69; číslo 9; s. 1116 - 1125
Hlavní autori:	Lv, Jun, Yu, Canqing, Guo, Yu, Bian, Zheng, Yang, Ling, Chen, Yiping, Tang, Xuefeng, Zhang, Weiyuan, Qian, Yijian, Huang, Yuelong, Wang, Xiaoping, Chen, Junshi, Chen, Zhengming, Qi, Lu, Li, Liming
Médium:	Journal Article
Jazyk:	English
Vydavateľské údaje:	United States 07.03.2017
Predmet:	Adult Aged Asian People - psychology Cardiovascular Diseases - ethnology Cardiovascular Diseases - prevention & control China Cohort Studies Female Health Behavior Healthy Lifestyle Humans Male Middle Aged Patient Compliance China cohort studies health behavior cardiovascular diseases lifestyle
ISSN:	1558-3597
On-line prístup:	Zistit podrobnosti o prístupe
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Abstract	Adherence to a combination of healthy lifestyle factors has been related to a considerable reduction of cardiovascular risk in white populations; however, little is known whether such associations persist in nonwhite populations like the Asian population. This study aimed to examine the associations of a combination of modifiable, healthy lifestyle factors with the risks of ischemic cardiovascular diseases and estimate the proportion of diseases that could potentially be prevented by adherence to these healthy lifestyle patterns. This study examined the associations of 6 lifestyle factors with ischemic heart disease and ischemic stroke (IS) in the China Kadoorie Biobank of 461,211 participants 30 to 79 years of age who did not have cardiovascular diseases, cancer, or diabetes at baseline. Low-risk lifestyle factors were defined as nonsmoking status or having stopped smoking for reasons other than illness, alcohol consumption of <30 g/day, a median or higher level of physical activity, a diet rich in vegetables and fruits and limited in red meat, a body mass index of 18.5 to 23.9 kg/m , and a waist-to-hip ratio <0.90 for men and <0.85 for women. During a median of 7.2 years (3.3 million person-years) of follow-up, this study documented 3,331 incident major coronary events (MCE) and 19,348 incident ISs. In multivariable-adjusted analyses, current nonsmoking status, light to moderate alcohol consumption, high physical activity, a diet rich in vegetables and fruits and limited in red meat, and low adiposity were independently associated with reduced risks of MCE and IS. Compared with participants without any low-risk factors, the hazard ratio for participants with ≥4 low-risk factors was 0.42 (95% confidence interval: 0.34 to 0.52) for MCE and 0.61 (95% confidence interval: 0.56 to 0.66) for IS. Approximately 67.9% (95% confidence interval: 46.5% to 81.9%) of the MCE and 39.1% (95% confidence interval: 26.4% to 50.4%) of the IS cases were attributable to poor adherence to healthy lifestyle. Adherence to healthy lifestyle may substantially lower the burden of cardiovascular diseases in Chinese.
AbstractList	BACKGROUNDAdherence to a combination of healthy lifestyle factors has been related to a considerable reduction of cardiovascular risk in white populations; however, little is known whether such associations persist in nonwhite populations like the Asian population.OBJECTIVESThis study aimed to examine the associations of a combination of modifiable, healthy lifestyle factors with the risks of ischemic cardiovascular diseases and estimate the proportion of diseases that could potentially be prevented by adherence to these healthy lifestyle patterns.METHODSThis study examined the associations of 6 lifestyle factors with ischemic heart disease and ischemic stroke (IS) in the China Kadoorie Biobank of 461,211 participants 30 to 79 years of age who did not have cardiovascular diseases, cancer, or diabetes at baseline. Low-risk lifestyle factors were defined as nonsmoking status or having stopped smoking for reasons other than illness, alcohol consumption of <30 g/day, a median or higher level of physical activity, a diet rich in vegetables and fruits and limited in red meat, a body mass index of 18.5 to 23.9 kg/m2, and a waist-to-hip ratio <0.90 for men and <0.85 for women.RESULTSDuring a median of 7.2 years (3.3 million person-years) of follow-up, this study documented 3,331 incident major coronary events (MCE) and 19,348 incident ISs. In multivariable-adjusted analyses, current nonsmoking status, light to moderate alcohol consumption, high physical activity, a diet rich in vegetables and fruits and limited in red meat, and low adiposity were independently associated with reduced risks of MCE and IS. Compared with participants without any low-risk factors, the hazard ratio for participants with ≥4 low-risk factors was 0.42 (95% confidence interval: 0.34 to 0.52) for MCE and 0.61 (95% confidence interval: 0.56 to 0.66) for IS. Approximately 67.9% (95% confidence interval: 46.5% to 81.9%) of the MCE and 39.1% (95% confidence interval: 26.4% to 50.4%) of the IS cases were attributable to poor adherence to healthy lifestyle.CONCLUSIONSAdherence to healthy lifestyle may substantially lower the burden of cardiovascular diseases in Chinese. Adherence to a combination of healthy lifestyle factors has been related to a considerable reduction of cardiovascular risk in white populations; however, little is known whether such associations persist in nonwhite populations like the Asian population. This study aimed to examine the associations of a combination of modifiable, healthy lifestyle factors with the risks of ischemic cardiovascular diseases and estimate the proportion of diseases that could potentially be prevented by adherence to these healthy lifestyle patterns. This study examined the associations of 6 lifestyle factors with ischemic heart disease and ischemic stroke (IS) in the China Kadoorie Biobank of 461,211 participants 30 to 79 years of age who did not have cardiovascular diseases, cancer, or diabetes at baseline. Low-risk lifestyle factors were defined as nonsmoking status or having stopped smoking for reasons other than illness, alcohol consumption of <30 g/day, a median or higher level of physical activity, a diet rich in vegetables and fruits and limited in red meat, a body mass index of 18.5 to 23.9 kg/m , and a waist-to-hip ratio <0.90 for men and <0.85 for women. During a median of 7.2 years (3.3 million person-years) of follow-up, this study documented 3,331 incident major coronary events (MCE) and 19,348 incident ISs. In multivariable-adjusted analyses, current nonsmoking status, light to moderate alcohol consumption, high physical activity, a diet rich in vegetables and fruits and limited in red meat, and low adiposity were independently associated with reduced risks of MCE and IS. Compared with participants without any low-risk factors, the hazard ratio for participants with ≥4 low-risk factors was 0.42 (95% confidence interval: 0.34 to 0.52) for MCE and 0.61 (95% confidence interval: 0.56 to 0.66) for IS. Approximately 67.9% (95% confidence interval: 46.5% to 81.9%) of the MCE and 39.1% (95% confidence interval: 26.4% to 50.4%) of the IS cases were attributable to poor adherence to healthy lifestyle. Adherence to healthy lifestyle may substantially lower the burden of cardiovascular diseases in Chinese.
Author	Qi, Lu Guo, Yu Li, Liming Qian, Yijian Zhang, Weiyuan Lv, Jun Tang, Xuefeng Yu, Canqing Chen, Yiping Huang, Yuelong Chen, Junshi Yang, Ling Bian, Zheng Wang, Xiaoping Chen, Zhengming
Author_xml	– sequence: 1 givenname: Jun surname: Lv fullname: Lv, Jun organization: Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China; Peking University Institute of Environmental Medicine, Beijing, China – sequence: 2 givenname: Canqing surname: Yu fullname: Yu, Canqing organization: Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China – sequence: 3 givenname: Yu surname: Guo fullname: Guo, Yu organization: Chinese Academy of Medical Sciences, Beijing, China – sequence: 4 givenname: Zheng surname: Bian fullname: Bian, Zheng organization: Chinese Academy of Medical Sciences, Beijing, China – sequence: 5 givenname: Ling surname: Yang fullname: Yang, Ling organization: Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom – sequence: 6 givenname: Yiping surname: Chen fullname: Chen, Yiping organization: Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom – sequence: 7 givenname: Xuefeng surname: Tang fullname: Tang, Xuefeng organization: Sichuan Center for Disease Control and Prevention, Chengdu, Sichuan, China – sequence: 8 givenname: Weiyuan surname: Zhang fullname: Zhang, Weiyuan organization: Liuzhou Center for Disease Control and Prevention, Liuzhou, Guangxi, China – sequence: 9 givenname: Yijian surname: Qian fullname: Qian, Yijian organization: Tongxiang Center for Disease Control and Prevention, Tongxiang, Zhejiang, China – sequence: 10 givenname: Yuelong surname: Huang fullname: Huang, Yuelong organization: Hunan Center for Disease Control and Prevention, Changsha, Hunan, China – sequence: 11 givenname: Xiaoping surname: Wang fullname: Wang, Xiaoping organization: Maiji Center for Disease Control and Prevention, Tianshui, Gansu, China – sequence: 12 givenname: Junshi surname: Chen fullname: Chen, Junshi organization: China National Center for Food Safety Risk Assessment, Beijing, China – sequence: 13 givenname: Zhengming surname: Chen fullname: Chen, Zhengming organization: Clinical Trial Service Unit and Epidemiological Studies Unit (CTSU), Nuffield Department of Population Health, University of Oxford, Oxford, United Kingdom – sequence: 14 givenname: Lu surname: Qi fullname: Qi, Lu email: lqi1@tulane.edu organization: Department of Epidemiology, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana; Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts. Electronic address: lqi1@tulane.edu – sequence: 15 givenname: Liming surname: Li fullname: Li, Liming email: lmlee@vip.163.com organization: Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center, Beijing, China; Chinese Academy of Medical Sciences, Beijing, China. Electronic address: lmlee@vip.163.com
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/28254173$$D View this record in MEDLINE/PubMed
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ContentType	Journal Article
Contributor	Wang, Hongmei Zang, Yajing Hou, Can Fu, Zhenwang Yin, Jiyuan Du, Huaidong Hacker, Alex Wang, Yanjun Yang, Xiaoming Chen, Yiping Iona, Andri Liu, Jingchao Millwood, Iona Gao, Ruin Dou, Meiling Mei, Winnie Weng, Min Lv, Jun Lu, Yan Liu, Yong-Mei Wang, Junzheng Cheng, Liang Zhang, Jun Tang, Aiyu Zhou, Haiyan Du, Ran Ran Zheng, Xiangyang Ni, Chuanming Nie, Qunhua Yang, Liqiu Pei, Pei Boxall, Ruth Zhou, Jinyi Avery, Daniel Jin, Jianrong Li, Yilei Li, Huimei Schmidt, Dan Wang, Xiaohuan Pang, Zeng Hang Peto, Richard Sohoni, Rajani Kurmi, Om Xu, Qinai Mu, Huaiyi Yu, Bo Han, Bingyang Yang, Ling He, Hui Chen, Zhengming Hu, Yihe Kartsonaki, Christiana Tan, Yunlong Zhang, Shuo Li, Liming Turnbull, Iain Kong, Ling Zhang, Hua Chen, Ge Hou, Wei Bennett, Derrick Radhakrishnan, Jayakrishnan Sansome, Sam Bian, Zheng Wang, Shoji Qu, Shuzhen Ryder, Paul Lin, Kuang Sherliker, Paul Clarke, Robert Gilbert, Simon Collins, Rory Zhou, Xue Hu, Ximin Lancaster, Garry McDonnell, John Rafiq, Sajjad Holmes, Michael Lewington, Sarah Chang, Yumei Yu, Caning Tao, Ran Wang, Shanqing Fu, Yan Li, Yanjie J
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Yanjun – sequence: 87 givenname: Ming surname: Wu fullname: Wu, Ming – sequence: 88 givenname: Jinyi surname: Zhou fullname: Zhou, Jinyi – sequence: 89 givenname: Ran surname: Tao fullname: Tao, Ran – sequence: 90 givenname: Jie surname: Yang fullname: Yang, Jie – sequence: 91 givenname: Chuanming surname: Ni fullname: Ni, Chuanming – sequence: 92 givenname: Jun surname: Zhang fullname: Zhang, Jun – sequence: 93 givenname: Yihe surname: Hu fullname: Hu, Yihe – sequence: 94 givenname: Yan surname: Lu fullname: Lu, Yan – sequence: 95 givenname: Liangcai surname: Ma fullname: Ma, Liangcai – sequence: 96 givenname: Aiyu surname: Tang fullname: Tang, Aiyu – sequence: 97 givenname: Shuo surname: Zhang fullname: Zhang, Shuo – sequence: 98 givenname: Jianrong surname: Jin fullname: Jin, Jianrong – sequence: 99 givenname: Jingchao surname: Liu fullname: Liu, Jingchao
Copyright	Copyright © 2017 The Authors. Published by Elsevier Inc. All rights reserved.
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References	28797365 - J Am Coll Cardiol. 2017 Aug 15;70(7):910-911. doi: 10.1016/j.jacc.2017.05.069. 28254174 - J Am Coll Cardiol. 2017 Mar 7;69(9):1126-1128. doi: 10.1016/j.jacc.2016.12.019. 28797364 - J Am Coll Cardiol. 2017 Aug 15;70(7):910. doi: 10.1016/j.jacc.2017.04.071.
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Snippet	Adherence to a combination of healthy lifestyle factors has been related to a considerable reduction of cardiovascular risk in white populations; however,... BACKGROUNDAdherence to a combination of healthy lifestyle factors has been related to a considerable reduction of cardiovascular risk in white populations;...
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SubjectTerms	Adult Aged Asian People - psychology Cardiovascular Diseases - ethnology Cardiovascular Diseases - prevention & control China Cohort Studies Female Health Behavior Healthy Lifestyle Humans Male Middle Aged Patient Compliance
Title	Adherence to Healthy Lifestyle and Cardiovascular Diseases in the Chinese Population
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