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Contribution of Major Lifestyle Risk Factors for Incident Heart Failure in Older Adults: The Cardiovascular Health Study.

Del Gobbo LC, Kalantarian S, Imamura F, Lemaitre R, Siscovick DS, Psaty BM, Mozaffarian D - JACC Heart Fail (2015)

Bottom Line: No dietary pattern was associated with developing HF (p > 0.05).Modest alcohol intake, maintaining a body mass index <30 kg/m(2), and not smoking were also independently associated with a lower risk of HF.Among older U.S. adults, physical activity, modest alcohol intake, avoiding obesity, and not smoking, but not dietary patterns, were associated with a lower risk of HF.

View Article: PubMed Central - PubMed

Affiliation: Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts. Electronic address: Liana.Del_Gobbo@tufts.edu.

No MeSH data available.


Related in: MedlinePlus

Risk of Incident HF According to Number of Low-Risk Lifestyle Factors in Older Adults (n = 4,490)Low-risk lifestyle factors included walking pace ≥2 mph, leisure activity ≥850 kcal/week, no current smoking, ≥1 drink/week of alcohol, and a body mass index <30 kg/m2. Risk estimates were adjusted for age (years), sex (male vs. female), race (Caucasian vs. non-Caucasian), enrollment site (4 clinics), education (less than high school, high school, more than high school), annual income (<$25,000, $25,000 to $49,999, >$50,000). HF = heart failure; RR = risk ratio.
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fig1: Risk of Incident HF According to Number of Low-Risk Lifestyle Factors in Older Adults (n = 4,490)Low-risk lifestyle factors included walking pace ≥2 mph, leisure activity ≥850 kcal/week, no current smoking, ≥1 drink/week of alcohol, and a body mass index <30 kg/m2. Risk estimates were adjusted for age (years), sex (male vs. female), race (Caucasian vs. non-Caucasian), enrollment site (4 clinics), education (less than high school, high school, more than high school), annual income (<$25,000, $25,000 to $49,999, >$50,000). HF = heart failure; RR = risk ratio.

Mentions: After multivariable adjustment, smoking, modest alcohol intake, BMI, and waist circumference were each independently associated with incident HF, with 37%, 30%, 37%, and 20% lower risk among older adults in the lowest risk groups, respectively (Online Table 3). Because BMI was more strongly associated with HF than waist circumference, BMI (low risk group <30 kg/m2) was evaluated with other low-risk lifestyle factors (≥2 mph walking pace, leisure activity ≥845 kcal/week, no current smoking, ≥1 alcohol drink/week) to assess combined associations with incident HF. Compared with individuals with 0 or 1 low-risk lifestyle factors, participants had lower risk of HF if they had 2 (HR: 0.78; 95% CI: 0.62 to 0.97), 3 (HR: 0.64; 95% CI: 0.52 to 0.80), 4 (HR: 0.56; 0.44 to 0.70), or 5 (HR: 0.55; 95% CI: 0.42 to 0.74) low-risk lifestyle factors (Figure 1).


Contribution of Major Lifestyle Risk Factors for Incident Heart Failure in Older Adults: The Cardiovascular Health Study.

Del Gobbo LC, Kalantarian S, Imamura F, Lemaitre R, Siscovick DS, Psaty BM, Mozaffarian D - JACC Heart Fail (2015)

Risk of Incident HF According to Number of Low-Risk Lifestyle Factors in Older Adults (n = 4,490)Low-risk lifestyle factors included walking pace ≥2 mph, leisure activity ≥850 kcal/week, no current smoking, ≥1 drink/week of alcohol, and a body mass index <30 kg/m2. Risk estimates were adjusted for age (years), sex (male vs. female), race (Caucasian vs. non-Caucasian), enrollment site (4 clinics), education (less than high school, high school, more than high school), annual income (<$25,000, $25,000 to $49,999, >$50,000). HF = heart failure; RR = risk ratio.
© Copyright Policy
Related In: Results  -  Collection

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fig1: Risk of Incident HF According to Number of Low-Risk Lifestyle Factors in Older Adults (n = 4,490)Low-risk lifestyle factors included walking pace ≥2 mph, leisure activity ≥850 kcal/week, no current smoking, ≥1 drink/week of alcohol, and a body mass index <30 kg/m2. Risk estimates were adjusted for age (years), sex (male vs. female), race (Caucasian vs. non-Caucasian), enrollment site (4 clinics), education (less than high school, high school, more than high school), annual income (<$25,000, $25,000 to $49,999, >$50,000). HF = heart failure; RR = risk ratio.
Mentions: After multivariable adjustment, smoking, modest alcohol intake, BMI, and waist circumference were each independently associated with incident HF, with 37%, 30%, 37%, and 20% lower risk among older adults in the lowest risk groups, respectively (Online Table 3). Because BMI was more strongly associated with HF than waist circumference, BMI (low risk group <30 kg/m2) was evaluated with other low-risk lifestyle factors (≥2 mph walking pace, leisure activity ≥845 kcal/week, no current smoking, ≥1 alcohol drink/week) to assess combined associations with incident HF. Compared with individuals with 0 or 1 low-risk lifestyle factors, participants had lower risk of HF if they had 2 (HR: 0.78; 95% CI: 0.62 to 0.97), 3 (HR: 0.64; 95% CI: 0.52 to 0.80), 4 (HR: 0.56; 0.44 to 0.70), or 5 (HR: 0.55; 95% CI: 0.42 to 0.74) low-risk lifestyle factors (Figure 1).

Bottom Line: No dietary pattern was associated with developing HF (p > 0.05).Modest alcohol intake, maintaining a body mass index <30 kg/m(2), and not smoking were also independently associated with a lower risk of HF.Among older U.S. adults, physical activity, modest alcohol intake, avoiding obesity, and not smoking, but not dietary patterns, were associated with a lower risk of HF.

View Article: PubMed Central - PubMed

Affiliation: Department of Nutrition, Harvard School of Public Health, Boston, Massachusetts. Electronic address: Liana.Del_Gobbo@tufts.edu.

No MeSH data available.


Related in: MedlinePlus