Literature DB >> 26336197

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

Sangeeta Lachman1, Ron Jg Peters1, Marleen Ah Lentjes2, Angela A Mulligan2, Robert N Luben2, Nicholas J Wareham3, Kay-Tee Khaw2, S Matthijs Boekholdt4.   

Abstract

BACKGROUND: 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.
DESIGN: Prospective cohort study.
METHODS: 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. RESULTS AND
CONCLUSION: 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 stroke of 0.16 (95% CI 0.02-1.37, P = 0.09) and for cardiovascular disease of 0.07 (95% CI 0.02-0.23, P < 0.001), compared to people in the lowest (i.e. unhealthiest) category (score 0-2). The overall cardiovascular health score was strongly and inversely associated with risk of coronary heart disease, stroke and cardiovascular disease. Our data suggest that even small improvements in modifiable risk factors may lead to substantial reductions in the risks of cardiovascular events. © The European Society of Cardiology 2015.

Entities:  

Keywords:  Health metrics; cardiovascular diseases; primary prevention; risk factors

Mesh：

Substances：

Year:  2015        PMID： 26336197      PMCID： PMC6215703          DOI： 10.1177/2047487315602015

Source DB:  PubMed          Journal:  Eur J Prev Cardiol        ISSN： 2047-4873            Impact factor:   7.804


  17 in total

1.  EPIC-Norfolk: study design and characteristics of the cohort. European Prospective Investigation of Cancer.

Authors:  N Day; S Oakes; R Luben; K T Khaw; S Bingham; A Welch; N Wareham
Journal:  Br J Cancer       Date:  1999-07       Impact factor: 7.640

2.  Community prevalence of ideal cardiovascular health, by the American Heart Association definition, and relationship with cardiovascular disease incidence.

Authors:  Aaron R Folsom; Hiroshi Yatsuya; Jennifer A Nettleton; Pamela L Lutsey; Mary Cushman; Wayne D Rosamond
Journal:  J Am Coll Cardiol       Date:  2011-04-19       Impact factor: 24.094

3.  2013 AHA/ACC guideline on lifestyle management to reduce cardiovascular risk: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines.

Authors:  Robert H Eckel; John M Jakicic; Jamy D Ard; Janet M de Jesus; Nancy Houston Miller; Van S Hubbard; I-Min Lee; Alice H Lichtenstein; Catherine M Loria; Barbara E Millen; Cathy A Nonas; Frank M Sacks; Sidney C Smith; Laura P Svetkey; Thomas A Wadden; Susan Z Yanovski; Karima A Kendall; Laura C Morgan; Michael G Trisolini; George Velasco; Janusz Wnek; Jeffrey L Anderson; Jonathan L Halperin; Nancy M Albert; Biykem Bozkurt; Ralph G Brindis; Lesley H Curtis; David DeMets; Judith S Hochman; Richard J Kovacs; E Magnus Ohman; Susan J Pressler; Frank W Sellke; Win-Kuang Shen; Sidney C Smith; Gordon F Tomaselli
Journal:  Circulation       Date:  2013-11-12       Impact factor: 29.690

4.  Comparison of three different dietary scores in relation to 10-year mortality in elderly European subjects: the HALE project.

Authors:  K T B Knoops; L C Groot de; F Fidanza; A Alberti-Fidanza; D Kromhout; W A van Staveren
Journal:  Eur J Clin Nutr       Date:  2006-01-18       Impact factor: 4.016

Review 5.  Defining and setting national goals for cardiovascular health promotion and disease reduction: the American Heart Association's strategic Impact Goal through 2020 and beyond.

Authors:  Donald M Lloyd-Jones; Yuling Hong; Darwin Labarthe; Dariush Mozaffarian; Lawrence J Appel; Linda Van Horn; Kurt Greenlund; Stephen Daniels; Graham Nichol; Gordon F Tomaselli; Donna K Arnett; Gregg C Fonarow; P Michael Ho; Michael S Lauer; Frederick A Masoudi; Rose Marie Robertson; Véronique Roger; Lee H Schwamm; Paul Sorlie; Clyde W Yancy; Wayne D Rosamond
Journal:  Circulation       Date:  2010-01-20       Impact factor: 29.690

6.  Validity and repeatability of a simple index derived from the short physical activity questionnaire used in the European Prospective Investigation into Cancer and Nutrition (EPIC) study.

Authors:  Nicholas J Wareham; Rupert W Jakes; Kirsten L Rennie; Jantine Schuit; Jo Mitchell; Susie Hennings; Nicholas E Day
Journal:  Public Health Nutr       Date:  2003-06       Impact factor: 4.022

7.  Cardiovascular prevention guidelines in daily practice: a comparison of EUROASPIRE I, II, and III surveys in eight European countries.

Authors:  Kornelia Kotseva; David Wood; Guy De Backer; Dirk De Bacquer; Kalevi Pyörälä; Ulrich Keil
Journal:  Lancet       Date:  2009-03-14       Impact factor: 79.321

8.  The challenge of cardiovascular prevention in primary care: implications of a European observational study in 8928 patients at different risk levels.

Authors:  Sabine Ludt; Michel Wensing; Stephen M Campbell; Dominik Ose; Jan van Lieshout; Justine Rochon; Lorenz Uhlmann; Joachim Szecsenyi
Journal:  Eur J Prev Cardiol       Date:  2012-09-21       Impact factor: 7.804

9.  Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010.

Authors:  Rafael Lozano; Mohsen Naghavi; Kyle Foreman; Stephen Lim; Kenji Shibuya; Victor Aboyans; Jerry Abraham; Timothy Adair; Rakesh Aggarwal; Stephanie Y Ahn; Miriam Alvarado; H Ross Anderson; Laurie M Anderson; Kathryn G Andrews; Charles Atkinson; Larry M Baddour; Suzanne Barker-Collo; David H Bartels; Michelle L Bell; Emelia J Benjamin; Derrick Bennett; Kavi Bhalla; Boris Bikbov; Aref Bin Abdulhak; Gretchen Birbeck; Fiona Blyth; Ian Bolliger; Soufiane Boufous; Chiara Bucello; Michael Burch; Peter Burney; Jonathan Carapetis; Honglei Chen; David Chou; Sumeet S Chugh; Luc E Coffeng; Steven D Colan; Samantha Colquhoun; K Ellicott Colson; John Condon; Myles D Connor; Leslie T Cooper; Matthew Corriere; Monica Cortinovis; Karen Courville de Vaccaro; William Couser; Benjamin C Cowie; Michael H Criqui; Marita Cross; Kaustubh C Dabhadkar; Nabila Dahodwala; Diego De Leo; Louisa Degenhardt; Allyne Delossantos; Julie Denenberg; Don C Des Jarlais; Samath D Dharmaratne; E Ray Dorsey; Tim Driscoll; Herbert Duber; Beth Ebel; Patricia J Erwin; Patricia Espindola; Majid Ezzati; Valery Feigin; Abraham D Flaxman; Mohammad H Forouzanfar; Francis Gerry R Fowkes; Richard Franklin; Marlene Fransen; Michael K Freeman; Sherine E Gabriel; Emmanuela Gakidou; Flavio Gaspari; Richard F Gillum; Diego Gonzalez-Medina; Yara A Halasa; Diana Haring; James E Harrison; Rasmus Havmoeller; Roderick J Hay; Bruno Hoen; Peter J Hotez; Damian Hoy; Kathryn H Jacobsen; Spencer L James; Rashmi Jasrasaria; Sudha Jayaraman; Nicole Johns; Ganesan Karthikeyan; Nicholas Kassebaum; Andre Keren; Jon-Paul Khoo; Lisa Marie Knowlton; Olive Kobusingye; Adofo Koranteng; Rita Krishnamurthi; Michael Lipnick; Steven E Lipshultz; Summer Lockett Ohno; Jacqueline Mabweijano; Michael F MacIntyre; Leslie Mallinger; Lyn March; Guy B Marks; Robin Marks; Akira Matsumori; Richard Matzopoulos; Bongani M Mayosi; John H McAnulty; Mary M McDermott; John McGrath; George A Mensah; Tony R Merriman; Catherine Michaud; Matthew Miller; Ted R Miller; Charles Mock; Ana Olga Mocumbi; Ali A Mokdad; Andrew Moran; Kim Mulholland; M Nathan Nair; Luigi Naldi; K M Venkat Narayan; Kiumarss Nasseri; Paul Norman; Martin O'Donnell; Saad B Omer; Katrina Ortblad; Richard Osborne; Doruk Ozgediz; Bishnu Pahari; Jeyaraj Durai Pandian; Andrea Panozo Rivero; Rogelio Perez Padilla; Fernando Perez-Ruiz; Norberto Perico; David Phillips; Kelsey Pierce; C Arden Pope; Esteban Porrini; Farshad Pourmalek; Murugesan Raju; Dharani Ranganathan; Jürgen T Rehm; David B Rein; Guiseppe Remuzzi; Frederick P Rivara; Thomas Roberts; Felipe Rodriguez De León; Lisa C Rosenfeld; Lesley Rushton; Ralph L Sacco; Joshua A Salomon; Uchechukwu Sampson; Ella Sanman; David C Schwebel; Maria Segui-Gomez; Donald S Shepard; David Singh; Jessica Singleton; Karen Sliwa; Emma Smith; Andrew Steer; Jennifer A Taylor; Bernadette Thomas; Imad M Tleyjeh; Jeffrey A Towbin; Thomas Truelsen; Eduardo A Undurraga; N Venketasubramanian; Lakshmi Vijayakumar; Theo Vos; Gregory R Wagner; Mengru Wang; Wenzhi Wang; Kerrianne Watt; Martin A Weinstock; Robert Weintraub; James D Wilkinson; Anthony D Woolf; Sarah Wulf; Pon-Hsiu Yeh; Paul Yip; Azadeh Zabetian; Zhi-Jie Zheng; Alan D Lopez; Christopher J L Murray; Mohammad A AlMazroa; Ziad A Memish
Journal:  Lancet       Date:  2012-12-15       Impact factor: 79.321

10.  Comparison of the EPIC Physical Activity Questionnaire with combined heart rate and movement sensing in a nationally representative sample of older British adults.

Authors:  Vanesa España-Romero; Rajna Golubic; Kathryn R Martin; Rebecca Hardy; Ulf Ekelund; Diana Kuh; Nicholas J Wareham; Rachel Cooper; Soren Brage
Journal:  PLoS One       Date:  2014-02-06       Impact factor: 3.240
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  18 in total

1.  Reducing exposure to cardiovascular risk factors: the legacy of prevention.

Authors:  Benoit J Arsenault; Rishi Puri
Journal:  J Thorac Dis       Date:  2016-09       Impact factor: 2.895

2.  Prevalence of Ideal Cardiovascular Health Metrics in the Million Veteran Program.

Authors:  Xuan-Mai T Nguyen; Rachel M Quaden; Sarah Wolfrum; Rebecca J Song; Joseph Q Yan; David R Gagnon; Peter W F Wilson; Kelly Cho; Christopher O'Donnell; J Michael Gaziano; Luc Djousse
Journal:  Am J Cardiol       Date:  2018-04-12       Impact factor: 2.778

Review 3.  Association between ideal cardiovascular health metrics and risk of cardiovascular events or mortality: A meta-analysis of prospective studies.

Authors:  Leilei Guo; Shangshu Zhang
Journal:  Clin Cardiol       Date:  2017-12-26       Impact factor: 2.882

4.  Life's simple 7 and calcific aortic valve stenosis incidence in apparently healthy men and women.

Authors:  Nicolas Perrot; S Matthijs Boekholdt; Patrick Mathieu; Nicholas J Wareham; Kay-Tee Khaw; Benoit J Arsenault
Journal:  Int J Cardiol       Date:  2018-07-24       Impact factor: 4.164

5.  Are Health Behaviors and Self-Rated Health Related to Cardiovascular Health and Functional Performance? Results from the Lookup 7+ Cross-Sectional Survey among Persons Aged 65+.

Authors:  H M Rempe; R Calvani; E Marzetti; A Picca; C C Sieber; E Freiberger; F Landi
Journal:  J Nutr Health Aging       Date:  2020       Impact factor: 4.075

6.  Changes in Cardiovascular Health Status and the Risk of New-Onset Hypertension in Kailuan Cohort Study.

Authors:  Fei Gao; Xiaoxue Liu; Xizhu Wang; Shouhua Chen; Jihong Shi; Ying Zhang; Shouling Wu; Jun Cai
Journal:  PLoS One       Date:  2016-07-19       Impact factor: 3.240

Review 7.  The year in cardiology 2015: prevention.

Authors:  M John Chapman; Stefan Blankenberg; Ulf Landmesser
Journal:  Eur Heart J       Date:  2016-01-03       Impact factor: 29.983

8.  Ideal Cardiovascular Health and Incident Cardiovascular Disease: Heterogeneity Across Event Subtypes and Mediating Effect of Blood Biomarkers: The PRIME Study.

Authors:  Bamba Gaye; Muriel Tafflet; Dominique Arveiler; Michèle Montaye; Aline Wagner; Jean-Bernard Ruidavets; Frank Kee; Alun Evans; Philippe Amouyel; Jean Ferrieres; Jean-Philippe Empana
Journal:  J Am Heart Assoc       Date:  2017-10-17       Impact factor: 5.501

9.  Accordance to the Dietary Approaches to Stop Hypertension diet pattern and cardiovascular disease in a British, population-based cohort.

Authors:  Nicholas R V Jones; Nita G Forouhi; Kay-Tee Khaw; Nicholas J Wareham; Pablo Monsivais
Journal:  Eur J Epidemiol       Date:  2018-01-09       Impact factor: 8.082

10.  Cardiovascular Health Metrics of 87,160 Couples: Analysis of a Nationwide Epidemiological Database.

Authors:  Hidehiro Kaneko; Hidetaka Itoh; Haruki Yotsumoto; Hiroyuki Kiriyama; Tatsuya Kamon; Katsuhito Fujiu; Kojiro Morita; Kosuke Kashiwabara; Nobuaki Michihata; Taisuke Jo; Hiroyuki Morita; Hideo Yasunaga; Issei Komuro
Journal:  J Atheroscler Thromb       Date:  2020-08-28       Impact factor: 4.928
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