American Heart Association's life simple 7 and the risk of atrial fibrillation in the PREDIMED study cohort

Background and aims: The American Heart Association proposed 7 ideal cardiovascular health metrics (Life's Simple 7 [LS7]) namely, not smoking, body mass index <25 kg/m2, healthy diet, moderate physical activity ≥150 min/week, total blood cholesterol <200 mg/dL, blood pressure <120/80...

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Detalles Bibliográficos
Autores: Díaz-Gutiérrez, Jesús, Martínez-González, Miguel Ángel, 1957-, Alonso, Alvaro, Toledo Atucha, Estefanía, Salas Salvadó, Jordi, Sorlí, José V., Ros Rahola, Emilio, Fitó Colomer, Montserrat, Estruch Riba, Ramon, Arós, Fernando, Fiol Sala, Miguel, Lapetra, José, Gomez-Gracia, Enrique, Serra Majem, Lluís, Pintó Sala, Xavier, Portoles, Olga, Babio, Nancy, Castañer, Olga, Ruiz Canela, Miguel
Tipo de recurso: artículo
Estado:Versión aceptada para publicación
Fecha de publicación:2023
País:España
Institución:Varias* (Consorci de Biblioteques Universitáries de Catalunya, Centre de Serveis Científics i Acadèmics de Catalunya)
Repositorio:Recercat. Dipósit de la Recerca de Catalunya
OAI Identifier:oai:recercat.cat:2445/207810
Acceso en línea:https://hdl.handle.net/2445/207810
Access Level:acceso abierto
Palabra clave:Fibril·lació auricular
Malalties cardiovasculars
Nutrició
Atrial fibrillation
Cardiovascular diseases
Nutrition
Descripción
Sumario:Background and aims: The American Heart Association proposed 7 ideal cardiovascular health metrics (Life's Simple 7 [LS7]) namely, not smoking, body mass index <25 kg/m2, healthy diet, moderate physical activity ≥150 min/week, total blood cholesterol <200 mg/dL, blood pressure <120/80 mmHg and fasting blood glucose <100 mg/dL. Our objective was to assess the association between these LS7 metrics and the incidence of atrial fibrillation (AF).<strong>Methods and results: </strong>A total of 6,479 participants of the PREDIMED study were included. We calculated the participants' baseline LS7 index ranging 0-7 points to categorize them according to their adherence to these LS7 health metrics. Multivariable Cox regression models were used to estimate Hazard Ratios (HR) and their 95% Confidence Intervals (95% CI). After a median follow-up of 4.8 years, we identified 250 incident cases of AF. After adjusting for potential confounders, adherence to LS7 index was not associated with the incidence of AF (adjusted HR 0.90 [95% CI: 0.56-1.45] for highest vs. lowest LS7 categories). Body mass index <25 kg/m2 was the only health metric individually associated with a lower risk of AF (HR 0.36 [95% CI: 0.16-0.78]). Conclusions: In a high cardiovascular risk Spanish population, adherence to American Heart Association's LS7 metrics was not associated with the risk of incident AF.

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