Association between modifiable lifestyle and the prevalence of atrial fibrillation in a Chinese population: Based on the cardiovascular health score

Yang, Yanzong; Chen, Yue; Gao, Lianjun; Yin, Xiaomeng; Li, Huihua; Qiu, Jing; Wang, Youxin; Zhou, Yong; Xia, Yunlong

doi:10.1002/clc.22771

Cited by 17 publications

(17 citation statements)

References 36 publications

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“…Higher numbers of ideal CVH factors have been associated with a reduced risk of coronary artery calcification and pulse wave velocity, some well‐established risk predictors in the development of CVD. Furthermore, the vigorous role of ideal CVH protecting against the incidence of acute myocardial infarction, heart failure, atrial fibrillation, and hypertension has been recognized. This convincing evidence indicated that ideal CVH, as described in the AHA 2020 Impact Goal, protects populations from mortality.…”

Section: Discussionmentioning

confidence: 99%

Association between ideal cardiovascular health metrics and risk of cardiovascular events or mortality: A meta‐analysis of prospective studies

Guo

Zhang

2017

Clinical Cardiology

114

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Background Observational studies evaluating the relationship between ideal cardiovascular health (CVH) metrics and risk of cardiovascular (CV) events and mortality yielded inconsistent results. Hypothesis Improvement in CVH metrics can result in substantial reductions in the risk of cardiovascular disease (CVD), stroke, and mortality. Methods We examined associations between ideal CVH metrics and CV events and mortality by conducting a meta‐analysis of data from prospective cohort studies identified by searching PubMed and Web of Science from their inception to February 2017 and reviewing the reference lists of the retrieved articles. Results Thirteen prospective studies involving a total of 193 126 cohort members were included in this meta‐analysis. When comparing the most to the least category of ideal CVH metrics, the overall relative risks (RRs) were 0.54 (95% confidence interval [CI]: 0.41‐0.69) for all‐cause mortality, 0.30 (95% CI: 0.18‐0.51) for CV mortality, 0.22 (95% CI: 0.11‐0.42) for CVD, and 0.33 (95% CI: 0.20‐0.55) for stroke, respectively. A linear dose–response relationship was seen in all‐cause and CV mortality. The risk decreased by 11% and 19% for each increase in ideal CVH metrics. For the analyses of ideal health status in relation to all‐cause and CV mortality, significant results were obtained from smoking, diet, physical activity, plasma glucose levels, and blood pressure. Conclusions Ideal CVH status, or even 1 point increase in CVH metrics, can result in substantial reductions in the risk of CVD, stroke, and mortality. Improving metrics of smoking, diet, physical activity, plasma glucose levels, and blood pressure will achieve the highest benefits.

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Section: Discussionmentioning

confidence: 99%

Association between ideal cardiovascular health metrics and risk of cardiovascular events or mortality: A meta‐analysis of prospective studies

Guo

Zhang

2017

Clinical Cardiology

114

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“…The AHA position statement recommends that individuals and populations meet specific criteria for 7 health metrics, collectively known as the AHA Life's Simple 7 (LS7), to be classified as having ideal CVH . Researchers have established an association between ideal CVH and a decrease in the risk for CVD, non‐CVD, and all‐cause mortality, in addition to lower healthcare costs, improvement in cognitive functioning, and higher quality of life…”

Section: Introductionmentioning

confidence: 99%

“…2 The AHA position statement recommends that individuals and populations meet specific criteria for 7 health metrics, collectively known as the AHA Life's Simple 7 (LS7), to be classified as having ideal CVH. 1 Researchers have established an association between ideal CVH and a decrease in the risk for CVD, [3][4][5] non-CVD, 6 and all-cause mortality, 7 in addition to lower healthcare costs, 8 improvement in cognitive functioning, 9 and higher quality of life. 10 Epidemiological studies identify self-rated health (SRH) as a simple, subjective measure of health status that consistently predicts morbidity and mortality in different populations even after adjusting for sociodemographic characteristics and risk factors for chronic diseases.…”

Section: Introductionmentioning

confidence: 99%

Is self‐rated health associated with ideal cardiovascular health? The Multi‐Ethnic Study of Atherosclerosis

Osibogun

Ogunmoroti²,

Spatz

et al. 2018

Clinical Cardiology

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“…A total of 27 studies 12,27,29,30,35,36,42,63,69,84,85,91,105,113,[143][144][145][146][147][148][149][150][151][152][153][154][155] were included in our study and Table 3.3 listed the results of associations between number of ideal metrics and CVD related outcomes. In all studies, persons with higher numbers of ideal CVH metrics had a lower risk of overall CVD mortality, 27,30,35,84,113,143,144,146 incidence, 12,29,69,113,143,150 and prevalence 151 than did those with fewer ideal CVH metrics.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…A few studies also indicated that the greatest number of the ideal CVH metrics could eliminate 84% of myocardial infarction incidence, 143 64% of intracranial artery stenosis (ICAS) prevalence, 145 83%-85% of HF incidence, 91, 147 50% of AF incidence, 154 and 56% of AF prevalence 153 compared to those with fewest number of the ideal CVH metrics.…”

Section: Number Of Ideal Cvh Metrics and Cvd Riskmentioning

confidence: 99%

Cardiovascular health status and its associations with cardiovascular disease and ischemic heart disease prevalence in Australian adults

Yang

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BackgroundCardiovascular disease (CVD) and ischemic heart disease (IHD) are two major health burdens. It has been suggested that the improvement of modifiable lifestyle factors could substantially reduce the CVD and IHD risk. To define and monitor the cardiovascular health (CVH) status in the general population, the American Heart Association has outlined seven modifiable lifestyle-related factors [smoking, body mass index (BMI), physical activity, dietary pattern, total cholesterol (TC), blood pressure (BP), and fasting plasma glucose (FPG)] and they were also called Life's Simple 7. A number of studies have measured the CVH status and explored its association with CVD/IHD risk.However, very few studies have used Life's Simple 7 in Australian adults. MethodsFirstly, we conducted two systematic reviews to estimate the CVH status and explore the association between the CVH status and CVD/IHD related events in adults worldwide. We searched PubMed, Embase, and the Cochrane Central Register of Controlled Trials and relevant articles published between 2010 and 2018.Secondly, we used the core sample of the 2011-2012 Australian Health Survey and included 7499 adults (≥ 18 years) with available TC and FPG tests. We estimated the proportions of ideal status for the seven CVH metrics and the prevalence of overall poor (having 0-2 ideal CVH metrics) and ideal (having 5-7 ideal CVH metrics) CVH status in the overall Australians and sex/age subpopulations. In addition, we explored the associations between the ideal status of individual metrics, using Poisson regression analysis and population attributable fractions, and overall CVH status, using logistic regression analysis, on the CVD and IHD prevalence in the overall Australians and sex/age subpopulations. ResultsThe first systematic review indicated that FPG has the highest proportion of ideal status (69.1%) whereas the dietary pattern has the lowest (12.1%) for adults worldwide. 32.2% and 19.6% of adults have overall poor and ideal CVH status. Compared to males and older adults (≥ 60 years), females and younger adults (< 60 years) have lower proportions of the overall poor CVH status and higher proportions of ideal status for most CVH metrics and the overall ideal CVH status. The CVH status has improved over study time and there may exist regional variations in CVH status. The second systematic review suggested that a higher number of ideal CVH metrics was associated with a IV Publications included in this thesis 1. Peng Y, Cao S, Yao Z, Wang Z. Prevalence of the cardiovascular health status in adults: a systematic review and meta-analysis. Nutrition, Metabolism and Cardiovascular Diseases 2018; VIII

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Association between modifiable lifestyle and the prevalence of atrial fibrillation in a Chinese population: Based on the cardiovascular health score

Abstract: Ideal health behavior and factors are associated with lower prevalence of AF in a community-based population. Improving healthy behavior and these factors may be beneficial to decrease the prevalence of AF.

Cited by 17 publications

References 36 publications

Association between ideal cardiovascular health metrics and risk of cardiovascular events or mortality: A meta‐analysis of prospective studies

Association between ideal cardiovascular health metrics and risk of cardiovascular events or mortality: A meta‐analysis of prospective studies

Is self‐rated health associated with ideal cardiovascular health? The Multi‐Ethnic Study of Atherosclerosis

Cardiovascular health status and its associations with cardiovascular disease and ischemic heart disease prevalence in Australian adults

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