Healthy lifestyle in older adults and life expectancy with and without heart failure

Abstract

Several lifestyle factors have been linked to risk for heart failure (HF) and premature mortality. The aim of this study was to estimate the impact of a healthy lifestyle on life expectancy with and without HF among men and women from a general population. This study was performed among 6113 participants (mean age 65.8 ± 9.7 years; 58.9% women) from the Rotterdam Study, a large prospective population-based cohort study. A continuous lifestyle score was created based on five lifestyle factors: smoking status, alcohol consumption, diet quality, physical activity and weight status (assessed 1995–2008). The lifestyle score was categorized into three levels: unhealthy (reference), intermediate and healthy. Gompertz regression and multistate life tables were used to estimate the effects of lifestyle on life expectancy with and without HF in men and women separately at ages 45, 65 and 85 years (follow-up until 2016). During an average follow-up of 11.3 years, 699 incident HF events and 2146 deaths occurred. At the age of 45 years, men in the healthy lifestyle category had a 4.4 (95% CI: 4.1–4.7) years longer total life expectancy than men in the unhealthy lifestyle category, and a 4.8 (95% CI: 4.4–5.1) years longer life expectancy free of HF. Among women, the difference in total life-expectancy at the age of 45 years was 3.4 (95% CI: 3.2–3.5) years and was 3.4 (95% CI: 3.3–3.6) years longer for life expectancy without HF. This effect persisted also at older ages. An overall healthy lifestyle can have a positive impact on total life expectancy and life expectancy free of HF.

Cardiovascular health and life expectancy with and without cardiovascular disease in the middle-aged and elderly Chinese population

“…Another study conducted in the U.S. indicated that adherence to 5 low-risk lifestyle factors could prolong life expectancy at age 50 years by 12.2 and 14.0 years for male and female adults, respectively [ 10 ]. More relevant, the Rotterdam Study, investigating the effects of lifestyle on life expectancy with and without heart failure, concluded that a healthy overall lifestyle was associated with a longer total life expectancy and years lived without heart failure [ 20 ]. Our findings were generally consistent with the above-mentioned studies, and we further provided more comprehensive evidence that a high CVH may improve not only total life expectancy but also life years without CVD.…”

“…The MSLT was adopted to evaluate the associations of CVH status with the total life expectancy and the number of years that participants could expect to live with and without CVD, respectively. Detailed descriptions of MSLT have been presented previously [ 19 , 20 ]. In simple terms, the MSLT is a time-inhomogeneous, finite-space, continuous-time Markov model, which characterizes population movement over time in a finite, discrete and mutually exclusive state space as a Markov process.…”

Assessment of Dietary and Lifestyle Quality among the Romanian Population in the Post-Pandemic Period

“…An analysis of the factors involved in the life span highlights an involvement percentage of approximately 25% of the genetic influence, while the environment and the lifestyle exert 75%. As a result, lifestyle and eating habits are essential for life quality and longevity [51][52][53][54], simultaneously influenced by the emotional state (Figure 1). croplastics, pesticides, or heavy metals.…”

“…An analysis of the factors involved in the life span highlights an involvement percentage of approximately 25% of the genetic influence, while the environment and the lifestyle exert 75%. As a result, lifestyle and eating habits are essential for life quality and longevity [51][52][53][54], simultaneously influenced by the emotional state (Figure 1). According to the data published in 2020 related to Romania s health profile, life expectancy, which increased after 2000, was seriously affected by the COVID-19 pandemic, falling far below the European Union (EU) average.…”

Gamification in Health Care Management: Systematic Review of the Literature and Research Agenda

“…Its application, which is closely linked to innovation, is currently being carried out in very diverse contexts, such as education (Behl et al, 2022; Murillo-Zamorano et al, 2020), human resources (Murawski, 2021), tourism (Shi et al, 2022) and e-government (Contreras-Espinosa & Blanco-M, 2022). In the health field, gamification can be an effective tool to make people more committed to and responsible in their decisions such as, for example, the case of the patient adhering more easily and continuously over time to the treatments prescribed by the medical practitioner, as well as to promote the acquisition of new health behaviors and habits (Uechi et al, 2018), which is essential to increasing life expectancy (Limpens et al, 2022; Sun et al, 2021). In this sense, gamification has been used to promote physical activity (Koivisto & Hamari, 2019), to improve nutrition (Kurtzman et al, 2018), to promote adherence to medication (Abdul Rahim & Thomas, 2017), and to encourage hand hygiene (Lapao et al, 2015).…”