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Association of an evolutionary-concordance lifestyle pattern score with incident CVD among Black and White men and women.
- Source :
- British Journal of Nutrition; 4/28/2023, Vol. 129 Issue 8, p1405-1414, 10p
- Publication Year :
- 2023
-
Abstract
- Dietary and lifestyle evolutionary discordance is hypothesised to play a role in the aetiology of CVD, including CHD and stroke. We aimed to investigate associations of a previously reported, total (dietary plus lifestyle) evolutionary-concordance (EC) pattern score with incident CVD, CHD and stroke. We used multivariable Cox proportional hazards regression to investigate associations of the EC score with CVD, CHD and stroke incidence among USA Black and White men and women ≥45 years old in the prospective REasons for Geographic and Racial Differences in Stroke study (2003–2017). The EC score comprised seven equally weighted components: a previously reported dietary EC score (using Block 98 FFQ data) and six lifestyle characteristics (alcohol intake, physical activity, sedentary behaviour, waist circumference, smoking history and social network size). A higher score indicates a more evolutionary-concordant dietary/lifestyle pattern. Of the 15 467 participants in the analytic cohort without a CVD diagnosis at baseline, 1563 were diagnosed with CVD (967 with CHD and 596 with stroke) during follow-up (median 11·0 years). Among participants in the highest relative to the lowest EC score quintile, the multivariable-adjusted hazards ratios and their 95 % CI for CVD, CHD and stroke were, respectively, 0·73 (0·62, 0·86; P <subscript>trend</subscript> < 0·001), 0·72 (0·59, 0·89; P <subscript>trend</subscript> < 0·001) and 0·76 (0·59, 0·98; P <subscript>trend</subscript> = 0·01). The results were similar by sex and race. Our findings support that a more evolutionary-concordant diet and lifestyle pattern may be associated with lower risk of CVD, CHD and stroke. [ABSTRACT FROM AUTHOR]
- Subjects :
- CORONARY heart disease risk factors
STROKE risk factors
LIFESTYLES
CARDIOVASCULAR diseases risk factors
SEDENTARY lifestyles
CONFIDENCE intervals
SOCIAL networks
DIET
RACE
RISK assessment
PHYSICAL activity
SEX distribution
ALCOHOL drinking
DESCRIPTIVE statistics
WAIST circumference
RESEARCH funding
WHITE people
SMOKING
AFRICAN Americans
PROPORTIONAL hazards models
LONGITUDINAL method
Subjects
Details
- Language :
- English
- ISSN :
- 00071145
- Volume :
- 129
- Issue :
- 8
- Database :
- Complementary Index
- Journal :
- British Journal of Nutrition
- Publication Type :
- Academic Journal
- Accession number :
- 162515014
- Full Text :
- https://doi.org/10.1017/S0007114522002549