Abstract
No study has used the recently developed Pooled Cohort Equations to examine the associations of various health behaviors and health characteristics on 10-year risk of a first atherosclerotic cardiovascular disease (ASCVD) event. Data from the 2003-2006 National Health and Nutrition Examination Survey were used. 10-year risk of a first ASCVD event was assessed from the Pooled Cohort Equations. Physical activity was assessed via accelerometry; weight status was assessed via measured body mass index; smoking was assessed via cotinine levels; and dietary behavior was calculated from the healthy eating index. After adjustments, and compared to those with 0 positive health characteristics, those with 1, 2, 3, and 4 health characteristics, respectively, had a 87% (OR=0.13, p<0.001), 95% (OR=0.05, p<0.001), 95% (OR=0.05, p<0.001), and 96% (OR=0.04, p=0.001) reduced odds of being at an elevated risk for a first ASCVD event in the next 10 years. A dose-response association was observed between number of positive health characteristics and the 10-year risk of a first ASCVD event.
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