Ideal cardiovascular health and risk of cardiovascular events in the EPIC-Norfolk prospective population study

European Journal of Preventive Cardiology
Sangeeta LachmanS Matthijs Boekholdt

Abstract

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. Prospective cohort study. 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. 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 < 0.001), for s...Continue Reading

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Citations

Jan 5, 2016·European Heart Journal·M John ChapmanUlf Landmesser
Jan 23, 2016·Revista Española De Cardiología·Almudena Castro CondeManuel Abeytua
Oct 25, 2016·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·Itamar S SantosIsabela M Benseñor
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Apr 19, 2018·Internal and Emergency Medicine·Benjamin van NieuwenhuizenCharles Agyemang
Apr 7, 2020·Atherosclerosis·Christoph J BinderArnold von Eckardstein
Feb 25, 2021·European Journal of Preventive Cardiology·James M MuchiraLaura L Hayman
Apr 24, 2021·European Journal of Preventive Cardiology·Nzechukwu M IsiozorJari A Laukkanen
Jun 25, 2021·Nutrition, Metabolism, and Cardiovascular Diseases : NMCD·Anxin WangYongjun Wang
Aug 24, 2021·Journal of the American Heart Association·Jonathan J Ruiz-RamieMark A Sarzynski
Oct 24, 2021·Preventive Medicine·Nzechukwu M IsiozorJari A Laukkanen

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