Relationship between the ideal cardiovascular health behaviors and factors and newonset heart failure / 中华心血管病杂志
Chinese Journal of Cardiology
; (12): 905-911, 2021.
Article
ي Zh
| WPRIM
| ID: wpr-941375
المكتبة المسؤولة:
WPRO
ABSTRACT
Objective:
To explore the relationship between the ideal cardiovascular health behaviors and factors and newonset heart failure.Methods:
It was a prospective cohort study. People who attended the 2006-2007 physical examination of Kailuan Group Company and with complete data of cardiovascular behaviors and related factors were eligible for this study. A total of 95 167 participants who were free of valvular heart diseases, congenital heart diseases and a prior history of heart failure were included. Basic cardiovascular health score (CHS) of each participant was calculated. Participants were divided into 3 groups according to CHS. Group 1CHS<8 (n=26 640), Group 28≤CHS<10 (n=35 230), Group3CHS≥10 (n=33 297). The general clinical data and laboratory test results were collected. The outcome was defined as the first occurrence of heart failure at the end of followup(December 31, 2016). Cox regression model was used to determine the association between baseline CHS and the risk of newonset heart failure.Results:
After a median followup of 10.3 years, the incidence of newonset heart failure in the group of CHS<8,8≤CHS<10,CHS≥10 were 2.7%(729/26 640), 1.8%(651/35 230) and 1.1%(360/33 297),respectively. After adjustment for age, sex, history of myocardial infarction, history of atrial fibrillation, income, alcohol consumption, education and the use of antihypertensive, cholesterol-lowering, glucose-lowering medications, compared with the group of CHS<8, the Cox regression model showed that HRs of the group of 8≤CHS<10 and CHS≥10 were 0.68 (95%CI 0.61-0.75), 0.49 (95%CI 0.43-0.55), respectively. Cox regression analysis after removing each single cardiovascular behavior or factor showed that the HR value range ability was as followssystolic blood pressure(HR=0.78,95%CI 0.74-0.82), body mass index(HR=0.78,95%CI 0.74-0.82), fasting blood glucose (HR=0.77,95%CI 0.73-0.81), total cholesterol(HR=0.76,95%CI 0.72-0.80), physical exercise(HR=0.72,95%CI 0.69-0.76), smoking(HR=0.75,95%CI 0.71-0.79) and salt intake(HR=0.73,95%CI 0.69-0.77).Conclusion:
CHS is negatively associated with the risk of newonset heart failure, and there is a dose-response relationship between the two indexes.
النص الكامل:
1
الفهرس:
WPRIM
الموضوع الرئيسي:
Blood Pressure
/
Cardiovascular Diseases
/
Health Behavior
/
Prospective Studies
/
Risk Factors
/
Heart Failure
نوع الدراسة:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
المحددات:
Humans
اللغة:
Zh
مجلة:
Chinese Journal of Cardiology
السنة:
2021
نوع:
Article