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Association Between Modifiable Lifestyle Factors and Incident Cardiac Conduction Disease
Jiwen Zhong1, Rui Tang2, Liuxin Li3
1Zhuhai People's Hospital (Zhuhai Clinical Medical College of Jinan University), Zhuhai, Guangdong, China.
Insights
Excessive alcohol intake, prolonged sedentary time, and long sleep duration increase cardiac conduction disease (CCD) risk. Adopting a healthy lifestyle is key for CCD prevention.
Area of Science:
- Cardiology
- Preventive Medicine
- Epidemiology
Background:
- Modifiable lifestyle factors and their impact on cardiac conduction disease (CCD) remain understudied.
- Understanding these associations is crucial for developing effective prevention strategies.
Purpose of the Study:
- To prospectively investigate the relationship between modifiable lifestyle factors and the incidence of cardiac conduction disease (CCD).
Main Methods:
- Prospective cohort study involving 89,377 participants aged 18-90, free of CCD at baseline.
- Assessment of lifestyle factors including alcohol consumption, physical activity, sedentary behavior, and sleep duration.
- Analysis of both baseline and long-term lifestyle patterns in relation to incident CCD.
Main Results:
- Over 1.2 million person-years of follow-up identified 3,723 cases of CCD.
- Baseline excessive alcohol consumption (≥5 drinks/day), high sedentary behavior (≥4 hours/day), and long sleep duration (≥9 hours/day) were associated with increased adjusted Hazard Ratios (HRs) for CCD.
- Chronic adherence to these unhealthy lifestyle factors demonstrated significantly higher adjusted HRs for incident CCD, with values ranging from 1.67 to 2.16.
Conclusions:
- Excessive alcohol consumption, high sedentary behavior, and prolonged sleep duration are linked to elevated risks of developing cardiac conduction disease (CCD).
- These findings underscore the importance of a low-risk lifestyle in the primary prevention of CCD.
Background:
The associations between modifiable lifestyles and cardiac conduction disease (CCD) are poorly studied.
Objectives:
This study aimed to prospectively assess the association between modifiable lifestyle factors and incident CCD.
Methods:
A total of 89,377 participants (aged 18-90 years) free of CCD at baseline were enrolled in the Kailuan cohort. Lifestyle factors, including smoking, alcohol consumption, physical activity, sedentary behavior, and nighttime sleep duration, were collected to test the relations of both baseline and long-term lifestyle factors with incident CCD.
Results:
During 1,226,634.1 person-years of follow-up (median: 14.1 years; Q1-Q3: 13.8-14.2 years), 3,723 CCD cases (3.04 per 1,000 person-years; 95% CI: 2.94-3.13 person-years) were identified. Compared with the participants who had healthy lifestyles at baseline, the adjusted HRs for participants who consumed alcohol ≥5 drinks per day, had sedentary behavior ≥4 hours per day, and had night sleep ≥9 hours per day were 1.16 (95% CI: 1.04-1.32), 1.12 (95% CI: 1.03-1.22), and 1.32 (95% CI: 1.02-1.68), respectively. Furthermore, compared with the participants adhered to long-term healthy lifestyles, the adjusted HRs for participants who chronically consumed alcohol ≥5 drinks per day, had sedentary behavior ≥4 hours per day, and had night sleep ≥9 hours per day were 2.16 (95% CI: 1.68-2.79), 1.77 (95% CI: 1.50-2.09), and 1.67 (95% CI: 1.25-2.24), respectively.
Conclusions:
The study revealed excessive alcohol consumption, high sedentary behavior, and longer sleep duration were associated with higher risks of CCD in adults. The findings supported the beneficial impact of a low-risk lifestyle on the primary prevention of CCD.
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