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Healthy lifestyle factors associated with reduced cardiometabolic risk

  • L. Shi (a1), J. A. Morrison (a2), J. Wiecha (a1), M. Horton (a1) and L. L. Hayman (a1)...
Abstract

Minimal data are available regarding the cumulative effects of healthy lifestyle behaviours on cardiometabolic risk. The objective of the present study was to examine a combination of healthy lifestyle behaviours associated with cardiometabolic risk reduction. The analysis was based on a cross-sectional study of 1454 participants from the population-based Lipid Research Clinic's Princeton Follow-up Study. The healthy lifestyle factors included fruit and vegetable intake ≥ 5 servings/d, meat intake ≤ 2 servings/d, never smoking, consuming 2–6 alcoholic drinks/week, television (TV) viewing time ≤ 2 h/d and moderate to vigorous physical activity ≥ 4 h/week. The combination of healthy lifestyle behaviours was strongly and negatively associated with the presence of cardiometabolic risk, as well as with a composite cardiometabolic risk score after adjustment for race, age, generation and sex. With each additional healthy lifestyle factor, cardiometabolic risk decreased by 31 % (OR 0·69; 95 % CI 0·61, 0·78). A higher healthy lifestyle score was associated with a lower prevalence of cardiometabolic risk (P for trend < 0·001). Compared with individuals having 0–1 healthy lifestyle behaviours, those with 5 or 6 healthy lifestyle behaviours had a 70 % lower prevalence of cardiometabolic risk (OR 0·30; 95 % CI 0·13, 0·67). Healthy lifestyle behaviours including sufficient fruit and vegetable intake, less meat intake, less TV viewing time, abstinence from smoking, modest alcohol intake and regular exercise are associated with reduced cardiometabolic risk.

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Corresponding author
*Corresponding author: L. Shi, fax +1 617 287 7527, email ling.shi@umb.edu
References
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1Brunzell, J, Davidson, M, Furberg, C, et al. (2008) Lipoprotein management in patients with cardiometabolic risk: consensus statement from the American Diabetes Association and the American College of Cardiology Foundation. Diabetes Care 31, 811822.
2Ford, E (2005) Prevalence of the metabolic syndrome defined by the International Diabetes Federation among adults in the U.S. Diabetes Care 28, 27452749.
3Cook, S, Auinger, P, Li, C, et al. (2008) Metabolic syndrome rates in United States adolescents, from the National Health and Nutrition Examination Survey, 1999–2002. J Pediatr 152, 165170.
4Expert Panel on Detection E, and Treatment of High Blood Cholesterol in Adults. Executive summary of the third report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III). (2001) JAMA 285, 24862497.
5Gami, A, Witt, B, Howard, D, et al. (2007) Metabolic syndrome and risk of incident cardiovascular events and death: a systematic review and meta-analysis of longitudinal studies. J Am Coll Cardiol 49, 403414.
6Wannamethee, S, Shaper, A, Lennon, L, et al. (2005) Metabolic syndrome vs Framingham Risk Score for prediction of coronary heart disease, stroke, and type 2 diabetes mellitus. Arch Intern Med 165, 26442650.
7Hu, F & Willett, W (2002) Optimal diets for prevention of coronary heart disease. JAMA 288, 25692578.
8Katzmarzyk, P, Church, T, Craig, C, et al. (2009) Sitting time and mortality from all causes, cardiovascular disease, and cancer. Med Sci Sports Exerc 41, 9981005.
9Manson, J, Greenland, P, LaCroix, A, et al. (2002) Walking compared with vigorous exercise for the prevention of cardiovascular events in women. N Engl J Med 347, 716725.
10Dunstan, D, Barr, E, Healy, G, et al. (2010) Television viewing time and mortality. The Australian Diabetes, Obesity and Lifestyle Study (AusDiab). Circulation 121, 384391.
11Rugulies, R (2002) Depression as a predictor for coronary heart disease a review and meta-analysis. Am J Prev Med 23, 5161.
12Wassertheil-Smoller, S, Shumaker, S & Ockene, J (2004) Depression and cardiovascular sequelae in postmenopausal women. Arch Intern Med 164, 289298.
13Mitchell, G, Hwang, S, Vasan, R, et al. (2010) Arterial stiffness and cardiovascular events. The Framingham Heart Study. Circulation 121, 505511.
14Tamura, U, Tanaka, T, Okamura, T, et al. (2010) Changes in weight, cardiovascular risk factors and estimated risk of coronary heart disease following smoking cessation in Japanese male workers: HIPOP-OHP Study. J Atheroscler Thromb 17, 1220.
15Kawano, Y (2010) Physio-pathological effects of alcohol on the cardiovascular system: its role in hypertension and cardiovascular disease. Hypertens Res 33, 181191.
16Stampfer, M, Hu, F, Manson, J, et al. (2000) Primary prevention of coronary heart disease in women through diet and lifestyle. N Engl J Med 343, 1622.
17Djoussé, L, Driver, JA & Gaziano, JM (2009) Relation between modifiable lifestyle factors and lifetime risk of heart failure. JAMA 302, 394400.
18Forman, JP, Stampfer, MJ & Curhan, GC (2009) Diet and lifestyle risk factors associated with incident hypertension in women. JAMA 302, 401411.
19Tyroler, HA (1980) Epidemiology of plasma high-density lipoprotein cholesterol levels. The Lipid Research Clinics Program Prevalence Study. Introduction. Circulation 62, IV1IV3.
20Morrison, J, Kelly, K & Horvitz, R (1982) Parent–offspring and sibling lipid and lipoprotein associations during and after sharing of household environments: the Princeton School District Family Study. Metabolism 31, 158164.
21Friedman, LA, Morrison, JA, Daniels, SR, et al. (2006) Sensitivity and specificity of pediatric lipid determinations for adult lipid status: findings from the Princeton Lipid Research Clinics Prevalence Program Follow-up Study. Pediatrics 118, 165172.
22Paffenbarger, R, Wing, A & Hyde, R (1978) Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol 108, 161175.
23Pereira, M, FitzGerald, S, Gregg, E, et al. (1997) A collection of physical activity questionnaires for health-related research: Paffenbarger physical activity questionnaire. Med Sci Sports Exerc 29, 8388.
24Ainsworth, B, Leon, A, Richardson, M, et al. (1993) Accuracy of the college alumnus physical activity questionnaire. J Clin Epidemiol 46, 14031411.
25Laskarzewski, P, Morrison, J & Mellies, M (1980) Relationships of measurements of body mass to plasma lipoproteins in schoolchildren and adults. Am J Epidemiol 111, 395406.
26US Department of Agriculture (2003) The Food Guide Pyramid. http://www.nal.usda.gov/fnic/Fpyr/pmap.htm.
27Grundy, S, Cleeman, J & Daniels, S (2005) Diagnosis and management of the metabolic syndrome: an American Heart Association/National Heart, Lung, and Blood Institute Scientific Statement. Circulation 112, 27352752.
28Alberti, K, Zimmet, P & Shaw, J (2005) The metabolic syndrome – a new worldwide definition. Lancet 366, 10591062.
29Lloyd-Jones, DM, Hong, Y, Labarthe, D, et al. (2010) Defining and setting national goals for cardiovascular health promotion and disease reduction: The American Heart Association's strategic impact goal through 2020 and beyond. Circulation 121, 586613.
30Chiuve, SE, McCullough, ML, Sacks, FM, et al. (2006) Healthy lifestyle factors in the primary prevention of coronary heart disease among men. Circulation 114, 160167.
31Sofi, F, Gori, A, Marcucci, R, et al. (2007) Adherence to a healthful life attenuates lipid parameters among a healthy Italian population. Nutr Metab Cardiovasc Dis 17, 642648.
32Mangoni, A, Sherwood, R & Swift, C (2002) Folic acid enhances endothelial function and reduces blood pressure in smokers: a randomized controlled trial. J Intern Med 252, 497503.
33van Dijk, R, Rauwerda, J, Steyn, M, et al. (2001) Long-term homocysteine-lowering treatment with folic acid plus pyridoxine is associated with decreased blood pressure but not with improved brachial artery endothelium-dependent vasodilation or carotid artery stiffness: a 2-year, randomized, placebo-controlled trial. Arterioscler Thromb Vasc Biol 21, 20722079.
34Moore, L, Singer, M & Bradlee, M (2005) Intake of fruits, vegetables, and dairy products in early childhood and subsequent blood pressure change. Epidemiology 16, 411.
35Liu, S, Manson, J & Stampfer, M (2000) A prospective study of whole-grain intake and risk of type 2 diabetes mellitus in US women. Am J Public Health 90, 14091415.
36Yusuf, S, Hawken, S, Ounpuu, S, et al. (2004) Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): case–control study. Lancet 364, 937952.
37Wilson, PWF, Agostino, RBD, Parise, H, et al. (2005) Metabolic syndrome as a precursor of cardiovascular disease and type 2 diabetes mellitus. Circulation 112, 30663072.
38Rimm, E, Ascherio, A, Giovannucci, E, et al. (1996) Vegetable, fruit, and cereal fiber intake and risk of coronary heart disease among men. JAMA 175, 447451.
39Rastogi, T, Reddy, K, Vaz, M, et al. (2004) Diet and risk of ischemic heart disease in India. Am J Clin Nutr 79, 582592.
40Heyward, V (2006) Advanced Fitness Assessment and Exercise Prescription, 5th ed.Champaign, IL: Human Kinetics.
41Leenders, N, Sherman, W, Nagaraja, H, et al. (2001) Evaluation of methods to assess physical activity in free-living conditions. Med Sci Sports Exerc 33, 12331240.
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British Journal of Nutrition
  • ISSN: 0007-1145
  • EISSN: 1475-2662
  • URL: /core/journals/british-journal-of-nutrition
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