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Combined lifestyle factors and cardiovascular disease mortality in Chinese men and women: the Singapore Chinese
Andrew O Odegaard1, Woon-Puay Koh, Myron D Gross
1MPH, University of Minnesota, School of Public Health, Division of Epidemiology and Community Health, 1300 S 2nd St, Ste 300, Minneapolis MN, 55454, USA. odeg0025@umn.edu
Circulation
|November 23, 2011
Summary
Adopting more healthy lifestyle habits, including diet, exercise, and not smoking, significantly lowers the risk of cardiovascular disease (CVD) mortality. This protective effect was observed across diverse health statuses in Chinese adults.
Area of Science:
- Public Health
- Epidemiology
- Cardiovascular Disease Research
Background:
- Lifestyle factors are known determinants of cardiovascular disease (CVD) risk.
- Limited research exists on the combined impact of lifestyle factors on CVD mortality, particularly in Asian populations.
Purpose of the Study:
- To investigate the association between combined lifestyle factors and CVD mortality.
- To assess the impact of multiple healthy habits on cardiovascular and cerebrovascular disease mortality in Chinese adults.
Main Methods:
- A cohort of 50,466 Chinese men and women aged 45-74 in Singapore was followed from 1993-1998 to 2009.
- Six lifestyle factors (diet, physical activity, alcohol, sleep, smoking, BMI) were assessed and combined.
- Hazard ratios for CVD mortality were calculated based on the number of protective lifestyle factors.
Main Results:
- Each individual lifestyle factor was independently linked to CVD mortality.
- A dose-response relationship was observed: more protective factors correlated with lower CVD mortality rates.
- Individuals with 5-6 protective factors had a 76% lower risk of CVD mortality compared to those with none.
Conclusions:
- Adherence to a greater number of protective lifestyle factors is associated with significantly reduced risk of overall CVD, coronary heart disease, and cerebrovascular disease mortality.
- These findings highlight the importance of comprehensive lifestyle modification for cardiovascular health in Chinese populations.
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