Revista Española de Cardiología (English Edition) Revista Española de Cardiología (English Edition)
Rev Esp Cardiol. 2018;71:1001-9 - Vol. 71 Num.12 DOI: 10.1016/j.rec.2017.10.038

Association Between a Healthy Lifestyle Score and the Risk of Cardiovascular Disease in the SUN Cohort

Jesús Díaz-Gutiérrez a, Miguel Ruiz-Canela a,b,c, Alfredo Gea a,b,c, Alejandro Fernández-Montero c,d, Miguel Ángel Martínez-González a,b,c,e,

a Departamento de Medicina Preventiva y Salud Pública, Facultad de Medicina, Universidad de Navarra, Pamplona, Navarra, Spain
b CIBER Fisiopatología de la Obesidad y Nutrición, Instituto de Salud Carlos III, Madrid, Spain
c Instituto de Investigación Sanitaria de Navarra (IdiSNA), Pamplona, Navarra, Spain
d Departamento de Medicina del Trabajo, Clínica Universidad de Navarra, Pamplona, Navarra, Spain
e Departamento de Nutrición, Harvard TH Chan School of Public Health, Boston, Massachusetts, United States

Refers to

Free articleKeys to a Long and Healthy Life
Ramón Estruch, Emilio Sacanella
Rev Esp Cardiol. 2018;71:993-5
Full text - PDF

Keywords

Cohort. Healthy lifestyle score. Cardiovascular disease.

Abstract

Introduction and objectives

A healthy lifestyle (HLS) is essential to attaining optimal cardiovascular health. Our objective was to assess the association between a HLS score and the incidence of hard cardiovascular disease (CVD) events.

Methods

The SUN project is a dynamic, prospective, multipurpose cohort of Spanish university graduates with a retention proportion of 92%. In 19 336 participants, we calculated a HLS score ranging from 0 to 10 points: never smoking, physical activity (> 20 METs-h/wk), Mediterranean diet adherence (≥ 4/8 points), low body mass index (≤ 22), moderate alcohol intake (women, 0.1-5 g/d; men, 0.1-10 g/d), low television exposure (≤ 2 h/d), no binge drinking (≤ 5 alcoholic drinks anytime), taking a short afternoon nap (< 30 min/d), meeting up with friends > 1 h/d and working > 40 h/wk.

Results

After a median follow-up of 10.4 years, we identified 140 incident cases of CVD. After adjustment for potential confounders, the highest category of HLS score adherence (7-10 points) showed a significant 78% relative reduction in the risk of primary CVD compared with the lowest category (0-3 points) (adjusted HR, 0.22; 95%CI, 0.11-0.46). Each healthy habit was individually associated with a lower risk of CVD.

Conclusions

A HLS score including several simple healthy habits was associated with a lower risk of developing primary CVD. This index may be useful to reinforce CVD prevention without the need to include traditional risk factors.

1885-5857/© 2018 Sociedad Española de Cardiología. Published by Elsevier España, S.L.U. All rights reserved

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