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Combined Healthy Lifestyle Factors Are More Beneficial in Reducing Cardiovascular Disease in Younger Adults: a Meta-analysis of Prospective Cohort Studies by Tsai, Ming-Chieh; Lee, Chun-Chuan; Liu, Sung-Chen; Tseng, Po-Jung; Chien, Kuo-Liong is a Biochemistry, Genetics and Molecular Biology article available to read on EtoBox.

## Abstract To determine the association between combined lifestyle factors, including healthy diet, moderate alcohol consumption, non-smoking, physical activity, and optimal weight, and cardiovascular disease (CVD) risk among younger and older adults. We conducted a literature search using PubMed, EMBASE, Cochrane Library, and EBSCO databases up to November 30, 2019 and performed dose–response analysis, subgroup analysis and meta-regression with odds ratios and 95% confidence intervals (CIs). Twenty cohort studies involving 1,090,261 participants with 46,288 cardiovascular events and mean follow-up duration of 12.33 years were included. Compared with the group with the lowest number of healthy lifestyle factors, the group with the highest number had lower CVD risk [pooled hazard ratio, 0.37 (95% CI 0.31–0.43)]. With age as an effect modifier, the lifetime risk of CVD was 0.31 (95% CI 0.24–0.41) at age 37.1–49.9 years, 0.36 (95% CI 0.30–0.45) at age 50.0–59.9 years and 0.49 (95% CI 0.38–0.63) at age 60.0–72.9 years. The hazard ratio of CVD significantly increased from 37.1 to 72.9 years of age [slope in multivariate meta-regression: 0.01 (95% CI < 0.001–0.03; p = 0.042)]. Younger a

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Author
Tsai, Ming-Chieh; Lee, Chun-Chuan; Liu, Sung-Chen; Tseng, Po-Jung; Chien, Kuo-Liong
Publisher
Springer Science and Business Media LLC; London: Nature Publishing Group; [London]: Springer Nature; Nature Publishing Group; Society for Mining, Metallurgy and Exploration Inc.; Research Square; Springer Nature; Island Press (ISSN 2045-2322)
Published
2020
Language
EN
Field
Biochemistry, Genetics and Molecular Biology (Life Sciences)