Ana María Leiva1, Fanny Petermann-Rocha2, María Adela Martínez-Sanguinetti3, Claudia Troncoso-Pantoja4, Yeny Concha5, Alex Garrido-Méndez6, Ximena Díaz-Martínez7, Fabián Lanuza-Rilling8, Natalia Ulloa9, Miquel Martorell10, Cristian Álvarez11, Carlos Celis-Morales12. 1. Instituto de Anatomía, Histología y Patología, Facultad de Medicina, Universidad Austral de Chile, Valdivia, Chile. 2. Institute of Health and Wellbeing, University of Glasgow, Glasgow, United Kingdom. 3. Instituto de Farmacia, Facultad de Ciencias, Universidad Austral de Chile, Valdivia, Chile. 4. Facultad de Medicina, Universidad Católica de la Santísima Concepción, Concepción, Chile. 5. Escuela de Kinesiología, Facultad de Salud, Universidad Santo Tomás, Chile. 6. Escuela de Educación Física, Universidad San Sebastián, Concepción, Chile. 7. Departamento de Ciencias de la Educación, Facultad de Educación y Humanidades, Universidad del Biobío, Chillán, Chile. 8. Departamento de Pediatría y Cirugía Infantil, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile. 9. Centro de Vida Saludable, Universidad de Concepción, Concepción, Chile. 10. Departamento de Nutrición y Dietética, Facultad de Farmacia, Universidad de Concepción, Concepción, Chile. 11. Grupo de investigación de área prioritaria Calidad de Vida y Bienestar Humano, Departamento de Ciencias de la Actividad Física, Universidad de Los Lagos, Osorno, Chile. 12. BHF Glasgow Cardiovascular Research Centre, Institute of Cardiovascular and Medical Science, University of Glasgow, Glasgow, United Kingdom.
Abstract
BACKGROUND: Healthy lifestyles are associated with a better metabolic and cardiovascular health profile. AIM: To investigate the association between a lifestyle score and cardiovascular risk in Chilean adults. MATERIAL AND METHODS: A healthy lifestyle score was derived for 2,774 participants in the Chilean National Health Survey 2009-2010 and based on seven modifiable behaviors (salt intake, fruit and vegetable intake, alcohol consumption, sleep duration, smoking, physical activity and sedentary behaviors). A high score represented a healthier lifestyle whereas a low score represents an unhealthy lifestyle. The association between the lifestyle score and cardiovascular risk factors (obesity, hypertension, diabetes, dyslipidemia and metabolic syndrome), was explored using logistic regression models. RESULTS: One quartile increment in the healthy lifestyle score was associated with a lower risk for obesity (Odds ratio (OR): 0.82 [95% confidence intervals (CI): 0.75 to 0.90], p < 0.01), central obesity (OR: 0.88 [95% CI: 0.81 to 0.96], p < 0.01), diabetes (OR: 0.84 [95% CI: 0.75 to 0.95], p < 0.04) and dyslipidemia (OR: 0.90 [95% CI: 0.83 to 0.98], p = 0.01). These results were independent of major confounding factors. CONCLUSIONS: The adherence to a healthy lifestyle is associated with lower cardiovascular risk.
BACKGROUND: Healthy lifestyles are associated with a better metabolic and cardiovascular health profile. AIM: To investigate the association between a lifestyle score and cardiovascular risk in Chilean adults. MATERIAL AND METHODS: A healthy lifestyle score was derived for 2,774 participants in the Chilean National Health Survey 2009-2010 and based on seven modifiable behaviors (salt intake, fruit and vegetable intake, alcohol consumption, sleep duration, smoking, physical activity and sedentary behaviors). A high score represented a healthier lifestyle whereas a low score represents an unhealthy lifestyle. The association between the lifestyle score and cardiovascular risk factors (obesity, hypertension, diabetes, dyslipidemia and metabolic syndrome), was explored using logistic regression models. RESULTS: One quartile increment in the healthy lifestyle score was associated with a lower risk for obesity (Odds ratio (OR): 0.82 [95% confidence intervals (CI): 0.75 to 0.90], p < 0.01), central obesity (OR: 0.88 [95% CI: 0.81 to 0.96], p < 0.01), diabetes (OR: 0.84 [95% CI: 0.75 to 0.95], p < 0.04) and dyslipidemia (OR: 0.90 [95% CI: 0.83 to 0.98], p = 0.01). These results were independent of major confounding factors. CONCLUSIONS: The adherence to a healthy lifestyle is associated with lower cardiovascular risk.