[Association of a healthy lifestyle index with cardiovascular risk factors in Chileans adults]

Rev Med Chil. 2018 Dec;146(12):1405-1414. doi: 10.4067/s0034-98872018001201405.
[Article in Spanish]

Abstract

Background: Healthy lifestyles are associated with a better metabolic and cardiovascular health profile.

Aim: To investigate the association between a lifestyle score and cardiovascular risk in Chilean adults.

Material and methods: A healthy lifestyle score was derived for 2,774 participants in the Chilean National Health Survey 2009-2010 and based on seven modifiable behaviors (salt intake, fruit and vegetable intake, alcohol consumption, sleep duration, smoking, physical activity and sedentary behaviors). A high score represented a healthier lifestyle whereas a low score represents an unhealthy lifestyle. The association between the lifestyle score and cardiovascular risk factors (obesity, hypertension, diabetes, dyslipidemia and metabolic syndrome), was explored using logistic regression models.

Results: One quartile increment in the healthy lifestyle score was associated with a lower risk for obesity (Odds ratio (OR): 0.82 [95% confidence intervals (CI): 0.75 to 0.90], p < 0.01), central obesity (OR: 0.88 [95% CI: 0.81 to 0.96], p < 0.01), diabetes (OR: 0.84 [95% CI: 0.75 to 0.95], p < 0.04) and dyslipidemia (OR: 0.90 [95% CI: 0.83 to 0.98], p = 0.01). These results were independent of major confounding factors.

Conclusions: The adherence to a healthy lifestyle is associated with lower cardiovascular risk.

MeSH terms

  • Aged
  • Cardiovascular Diseases / epidemiology*
  • Cardiovascular Diseases / etiology
  • Chile / epidemiology
  • Female
  • Healthy Lifestyle*
  • Humans
  • Male
  • Metabolic Syndrome / epidemiology*
  • Middle Aged
  • Motor Activity
  • Obesity / epidemiology*
  • Risk Factors
  • Socioeconomic Factors