OBJECTIVE: To examine the contribution of lifestyle behaviours to the socioeconomic gradient in all-cause mortality, and fatal and non-fatal cardiovascular events. METHOD: 10,600 men aged 50-59 years examined in 1991-1994 in Northern Ireland (NI) and France and followed annually for deaths and cardiovascular events for 10 years. Baseline smoking habit, physical activity, and fruit, vegetable, and alcohol consumption were assessed. RESULTS: All lifestyle behaviours showed marked socioeconomic gradients for most indicators in NI and France, with the exception of percentage of alcohol consumers in NI and frequency of alcohol consumption in NI and France. At 10 years, there were 544 deaths from any cause and 440 fatal and non-fatal cardiovascular events. After adjustment for country and age, socioeconomic gradients were further adjusted for lifestyle behaviours. For total mortality, the median residual contribution of lifestyle behaviours was 28% and for cardiovascular incidence, 41%. When cardiovascular risk factors were considered in conjunction with lifestyle behaviours these percentages increased to 38% and 67% respectively. CONCLUSION: Lifestyle behaviours contribute to the gradient in mortality and cardiovascular incidence between socioeconomic groups, particularly for cardiovascular incidence, but a substantial proportion of these differentials was not explained by lifestyle behaviours and cardiovascular risk factors.
OBJECTIVE: To examine the contribution of lifestyle behaviours to the socioeconomic gradient in all-cause mortality, and fatal and non-fatal cardiovascular events. METHOD: 10,600 men aged 50-59 years examined in 1991-1994 in Northern Ireland (NI) and France and followed annually for deaths and cardiovascular events for 10 years. Baseline smoking habit, physical activity, and fruit, vegetable, and alcohol consumption were assessed. RESULTS: All lifestyle behaviours showed marked socioeconomic gradients for most indicators in NI and France, with the exception of percentage of alcohol consumers in NI and frequency of alcohol consumption in NI and France. At 10 years, there were 544 deaths from any cause and 440 fatal and non-fatal cardiovascular events. After adjustment for country and age, socioeconomic gradients were further adjusted for lifestyle behaviours. For total mortality, the median residual contribution of lifestyle behaviours was 28% and for cardiovascular incidence, 41%. When cardiovascular risk factors were considered in conjunction with lifestyle behaviours these percentages increased to 38% and 67% respectively. CONCLUSION: Lifestyle behaviours contribute to the gradient in mortality and cardiovascular incidence between socioeconomic groups, particularly for cardiovascular incidence, but a substantial proportion of these differentials was not explained by lifestyle behaviours and cardiovascular risk factors.
Authors: Gareth J McKay; Natalie Lyner; Gerry J Linden; Frank Kee; Marie Moitry; Katia Biasch; Philippe Amouyel; Jean Dallongeville; Vanina Bongard; Jean Ferrières; K Fred Gey; Chris C Patterson; Jayne V Woodside Journal: Eur J Nutr Date: 2020-12-23 Impact factor: 5.614
Authors: Klaas H J Ultee; Elke K M Tjeertes; Frederico Bastos Gonçalves; Ellen V Rouwet; Anton G M Hoofwijk; Robert Jan Stolker; Hence J M Verhagen; Sanne E Hoeks Journal: PLoS One Date: 2018-01-22 Impact factor: 3.240
Authors: Silvia Stringhini; Brenda Spencer; Pedro Marques-Vidal; Gerard Waeber; Peter Vollenweider; Fred Paccaud; Pascal Bovet Journal: PLoS One Date: 2012-11-13 Impact factor: 3.240
Authors: K M Appleton; J V Woodside; D Arveiler; B Haas; P Amouyel; M Montaye; J Ferrieres; J B Ruidavets; J W G Yarnell; F Kee; A Evans; A Bingham; P Ducimetiere; C C Patterson Journal: Ann Behav Med Date: 2016-08