Impact of Healthy Lifestyle in Patients With Familial Hypercholesterolemia.
JACC Asia
; 3(1): 152-160, 2023 Feb.
Article
en En
| MEDLINE
| ID: mdl-36873758
ABSTRACT
Background:
Pathogenic mutations are associated with poor outcomes in patients with familial hypercholesterolemia (FH). However, data on the effects of a healthy lifestyle on FH phenotypes are limited.Objectives:
The authors investigated the interaction between a healthy lifestyle and FH mutation with prognosis in patients with FH.Methods:
We investigated the associations of the interaction between genotypes and lifestyle, with the occurrence of major adverse cardiac events (MACE), such as cardiovascular-related mortality, myocardial infarction, unstable angina, and coronary artery revascularization, in patients with FH. We assessed their lifestyle based on 4 questionnaires (healthy dietary pattern, regular exercise, not smoking, and absence of obesity). The Cox proportional hazards model was used to assess the risk for MACE.Results:
The median follow-up duration was 12.6 (IQR 9.5-17.9) years. During the follow-up duration, 179 MACE were observed. Independent of classic risk factors, FH mutation and lifestyle score were significantly associated with MACE (HR 2.73; 95% CI 1.03-4.43; P = 0.02; and HR 0.69, 95% CI 0.40-0.98, P = 0.033, respectively). The estimated risk of coronary artery disease by 75 years of age varied according to lifestyle, ranging from 21.0% among noncarriers with a favorable lifestyle to 32.1% among noncarriers with an unfavorable lifestyle and ranging from 29.0% among carriers with a favorable lifestyle to 55.4% among carriers with an unfavorable lifestyle.Conclusions:
A healthy lifestyle was associated with reduced risk for MACE among patients with FH with or without genetic diagnosis.
Texto completo:
1
Colección:
01-internacional
Tipo de estudio:
Prognostic_studies
/
Risk_factors_studies
Idioma:
En
Revista:
JACC Asia
Año:
2023
Tipo del documento:
Article
País de afiliación:
Japón