Abstract
Introduction: To know the healthy lifestyles (HL) in adults and the relationship with cardiovascular risk . Patients and methods: Cross-sectional study to estimate CVR, alcohol and tobacco consumption, adherence to meiterranean diet, Physical activity and sedentary time. Results: SCORE (4.17±6.10), with Framingham (11.80±13.00) and heart age was 2.98±10.13 years younger than chronological age. 50.1% did not drink, 82.0% did not smoke, 25.3% adhered to the Mediterranean diet, 49.7% performed more than 26 hours/week of physical activity, 41.7% walked more than 10,000 steps/day, 51.3% were less than 142 hours/week sitting and 40.5% had 3 or more HL. The CVR SCORE showed positive association with: alcohol (B=0.018), hours/sitting (B=0.078), and negative with: hours/physical activity (B=-0.077), steps/day (B=-0.009) and HL number (B=-0.516). The CVR with Framingham showed positive association with: alcohol (B=0.047), tobacco (B=0.118), hours/sitting (B=0.139), and negative with MEDAS SCORE (B=-0.614), hours/physical activity (B=-0.136) and HL number (B=-1.707). The CVR estimated with heart age showed positive association with: smoking (B=0.145) and hours/sitting (B=0.105), and negative with hours/physical activity (B=-0.103), with the number of steps per day (B=-0.023) and HL number (B=-1.137). Conclusion: The consumption of alcohol, tobacco and sitting time show positive association, the number of HL adherence to the Mediterranean diet and physical activity negative association with the CVR.
References
Claas SA, Arnett DK. The Role of Healthy Lifestyle in the Primordial Prevention of Cardiovascular Disease. Curr Cardiol Rep. 2016;18:56.
Conroy RM, Pyörälä K, Fitzgerald AP, Sans S, Menotti A, De Backer G, et al. Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project. Eur Heart J. 2003;24:987-1003.
D'Agostino RB, Sr., Vasan RS, Pencina MJ, Wolf PA, Cobain M, Massaro JM, et al. General cardiovascular risk profile for use in primary care: the Framingham Heart Study. Circulation. 2008;117:743-53.
Gooding HC, Ning H, Gillman MW, Shay C, Allen N, Goff DC, Jr., et al. Application of a Lifestyle-Based Tool to Estimate Premature Cardiovascular Disease Events in Young Adults: The Coronary Artery Risk Development in Young Adults (CARDIA) Study. JAMA Intern Med. 2017;177:1354-60.
Sotos-Prieto M, Mattei J, Cook NR, Hu FB, Willett WC, Chiuve SE, et al. Association Between a 20-Year Cardiovascular Disease Risk Score Based on Modifiable Lifestyles and Total and Cause-Specific Mortality Among US Men and Women. J Am Heart Assoc. 2018;7:e010052.
Global age-sex-specific fertility, mortality, healthy life expectancy (HALE), and population estimates in 204 countries and territories, 1950-2019: a comprehensive demographic analysis for the Global Burden of Disease Study 2019. Lancet. 2020;396:1160-203.
Krittanawong C, Isath A, Rosenson RS, Khawaja M, Wang Z, Fogg SE, et al. Alcohol Consumption and Cardiovascular Health. Am J Med. 2022;135:1213-30.e3.
Roerecke M. Alcohol's Impact on the Cardiovascular System. Nutrients. 2021;13.
Pérez-Ríos M, Schiaffino A, Montes A, Fernández E, López MJ, Martínez-Sánchez JM, et al. Smoking-Attributable mortality in Spain in 2016. Arch Bronconeumol. 2020;56:559-63.
Minué-Lorenzo C, Olano-Espinosa E. Tobacco consumption, the forgotten factor in the calculation and approach of cardiovascular risk. Med Clin (Barc). 2019;152:154-8.
van Oort S, Beulens JWJ, van Ballegooijen AJ, Grobbee DE, Larsson SC. Association of Cardiovascular Risk Factors and Lifestyle Behaviors With Hypertension: A Mendelian Randomization Study. Hypertension. 2020;76:1971-9.
Delgado-Lista J, Perez-Martinez P, Garcia-Rios A, Perez-Caballero AI, Perez-Jimenez F, Lopez-Miranda J. Mediterranean Diet and Cardiovascular Risk: Beyond Traditional Risk Factors. Crit Rev Food Sci Nutr. 2016;56:788-801.
Willett W, Rockström J, Loken B, Springmann M, Lang T, Vermeulen S, et al. Food in the Anthropocene: the EAT-Lancet Commission on healthy diets from sustainable food systems. Lancet. 2019;393:447-92.
Papadaki A, Nolen-Doerr E, Mantzoros CS. The Effect of the Mediterranean Diet on Metabolic Health: A Systematic Review and Meta-Analysis of Controlled Trials in Adults. Nutrients. 2020;12.
Martínez-González MA, Gea A, Ruiz-Canela M. The Mediterranean Diet and Cardiovascular Health. Circ Res. 2019;124:779-98.
Estruch R, Ros E, Salas-Salvadó J, Covas MI, Corella D, Arós F, et al. Primary prevention of cardiovascular disease with a Mediterranean diet. N Engl J Med. 2013;368:1279-90.
Delgado-Lista J, Alcala-Diaz JF, Torres-Peña JD, Quintana-Navarro GM, Fuentes F, Garcia-Rios A, et al. Long-term secondary prevention of cardiovascular disease with a Mediterranean diet and a low-fat diet (CORDIOPREV): a randomised controlled trial. Lancet. 2022;399:1876-85.
Lavie CJ, Ozemek C, Carbone S, Katzmarzyk PT, Blair SN. Sedentary Behavior, Exercise, and Cardiovascular Health. Circ Res. 2019;124:799-815.
Guthold R, Stevens GA, Riley LM, Bull FC. Global trends in insufficient physical activity among adolescents: a pooled analysis of 298 population-based surveys with 1·6 million participants. Lancet Child Adolesc Health. 2020;4:23-35.
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54:1451-62.
Gomez-Marcos MA, Martinez-Salgado C, Gonzalez-Sarmiento R, Hernandez-Rivas JM, Sanchez-Fernandez PL, Recio-Rodriguez JI, et al. Association between different risk factors and vascular accelerated ageing (EVA study): study protocol for a cross-sectional, descriptive observational study. BMJ Open. 2016;6:e011031.
Appiah D, Capistrant BD. Cardiovascular Disease Risk Assessment in the United States and Low- and Middle-Income Countries Using Predicted Heart/Vascular Age. Sci Rep. 2017;7:16673.
Sanidad Md. Límites de Consumo de Bajo Riesgo de Alcohol. Actualización del Riesgo Relacionado con los Niveles de Consumo de Alcohol, el Patrón de Consumo y el Tipo de Bebida. Ministerio de Sanidad Madrid, Spain; 2020.
The World Health Organization MONICA Project (monitoring trends and determinants in cardiovascular disease): a major international collaboration. WHO MONICA Project Principal Investigators. J Clin Epidemiol. 1988;41:105-14.
Schröder H, Fitó M, Estruch R, Martínez-González MA, Corella D, Salas-Salvadó J, et al. A short screener is valid for assessing Mediterranean diet adherence among older Spanish men and women. J Nutr. 2011;141:1140-5.
Melanson EL, Jr., Freedson PS. Validity of the Computer Science and Applications, Inc. (CSA) activity monitor. Med Sci Sports Exerc. 1995;27:934-40.
Williams B, Mancia G, Spiering W, Agabiti Rosei E, Azizi M, Burnier M, et al. 2018 ESC/ESH Guidelines for the management of arterial hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension: The Task Force for the management of arterial hypertension of the European Society of Cardiology and the European Society of Hypertension. J Hypertens. 2018;36:1953-2041.
World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Jama. 2013;310:2191-4.
Caparello G, Galluccio A, Giordano C, Lofaro D, Barone I, Morelli C, et al. Adherence to the Mediterranean diet pattern among university staff: a cross-sectional web-based epidemiological study in Southern Italy. Int J Food Sci Nutr. 2020;71:581-92.
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Copyright (c) 2024 Leticia Gómez-Marcos, David Gonzalez-Falcón, Marta Gómez-Sánchez, Emiliano Rodriguez-Sanchez, Olaya Tamallo-Morales, Cristina Lugones-Sánchez, Susana Gonzalez-Sanchez; Moises Diaz; Manuel A Gomez-Marcos