A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort
Background and aims: A healthy lifestyle is essential to prevent cardiovascular disease (CVD). However, beyond dietary habits, there is a scarcity of studies comprehensively assessing the typical traditional Mediterranean lifestyle with a multi-dimensional index. We assessed the association betwe...
| Main Authors: | , , , , , , , |
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| Format: | info:eu-repo/semantics/article |
| Language: | eng |
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Elsevier
2022
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| Subjects: | |
| Online Access: | https://hdl.handle.net/10171/63413 |
| _version_ | 1793400087859167232 |
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| author | Mata-Fernández, A. (Arantxa) Hershey-de-la-Cruz, M.S. (María Soledad) Pastrana-Delgado, J. (Juan) Sotos-Prieto, M. (Mercedes) Ruiz-Canela, M. (Miguel) Kales, S.N. (Stefanos N.) Martinez-Gonzalez, M.A. (Miguel Ángel) Fernandez-Montero, A. (Alejandro) |
| author_facet | Mata-Fernández, A. (Arantxa) Hershey-de-la-Cruz, M.S. (María Soledad) Pastrana-Delgado, J. (Juan) Sotos-Prieto, M. (Mercedes) Ruiz-Canela, M. (Miguel) Kales, S.N. (Stefanos N.) Martinez-Gonzalez, M.A. (Miguel Ángel) Fernandez-Montero, A. (Alejandro) |
| author_sort | Mata-Fernández, A. (Arantxa) |
| collection | DSpace |
| description | Background and aims: A healthy lifestyle is essential to prevent cardiovascular disease
(CVD). However, beyond dietary habits, there is a scarcity of studies comprehensively assessing
the typical traditional Mediterranean lifestyle with a multi-dimensional index. We assessed the
association between the Mediterranean lifestyle (measured with the MEDLIFE index including
diet, physical activity, and other lifestyle factors) and the incidence of CVD.
Methods and results: The “Seguimiento Universidad de Navarra” (SUN) project is a prospective,
dynamic and multipurpose cohort of Spanish university graduates. We calculated a MEDLIFE
score, composed of 28 items on food consumption, dietary habits, physical activity, rest, social
habits, and conviviality, for 18,631 participants by assigning 1 point for each typical Mediterra-
nean lifestyle factor achieved, for a theoretically possible final score ranging from 0 to 28 points.
During an average follow-up of 11.5 years, 172 CVD cases (myocardial infarction, stroke or cardio-
vascular death) were observed. An inverse association between the MEDLIFE score and the risk of
primary cardiovascular events was observed, with multivariable-adjusted hazard ratio
(HR) Z 0.50; (95% confidence interval, 0.31e0.81) for the highest MEDLIFE scores (14e23 points)
compared to the lowest scores (0e9 points), p (trend) Z 0.004.
Conclusion: A higher level of adherence to the Mediterranean lifestyle was significantly associ-
ated with a lower risk of CVD in a Spanish cohort. Public health strategies should promote the
Mediterranean lifestyle to preserve cardiovascular health. |
| format | info:eu-repo/semantics/article |
| id | oai:dadun.unav.edu:10171-63413 |
| institution | Universidad de Navarra |
| language | eng |
| publishDate | 2022 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-634132022-06-29T09:41:40Z A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort Mata-Fernández, A. (Arantxa) Hershey-de-la-Cruz, M.S. (María Soledad) Pastrana-Delgado, J. (Juan) Sotos-Prieto, M. (Mercedes) Ruiz-Canela, M. (Miguel) Kales, S.N. (Stefanos N.) Martinez-Gonzalez, M.A. (Miguel Ángel) Fernandez-Montero, A. (Alejandro) Cardiovascular risk Lifestyle MEDLIFE index Mediterranean lifestyle SUN cohort Background and aims: A healthy lifestyle is essential to prevent cardiovascular disease (CVD). However, beyond dietary habits, there is a scarcity of studies comprehensively assessing the typical traditional Mediterranean lifestyle with a multi-dimensional index. We assessed the association between the Mediterranean lifestyle (measured with the MEDLIFE index including diet, physical activity, and other lifestyle factors) and the incidence of CVD. Methods and results: The “Seguimiento Universidad de Navarra” (SUN) project is a prospective, dynamic and multipurpose cohort of Spanish university graduates. We calculated a MEDLIFE score, composed of 28 items on food consumption, dietary habits, physical activity, rest, social habits, and conviviality, for 18,631 participants by assigning 1 point for each typical Mediterra- nean lifestyle factor achieved, for a theoretically possible final score ranging from 0 to 28 points. During an average follow-up of 11.5 years, 172 CVD cases (myocardial infarction, stroke or cardio- vascular death) were observed. An inverse association between the MEDLIFE score and the risk of primary cardiovascular events was observed, with multivariable-adjusted hazard ratio (HR) Z 0.50; (95% confidence interval, 0.31e0.81) for the highest MEDLIFE scores (14e23 points) compared to the lowest scores (0e9 points), p (trend) Z 0.004. Conclusion: A higher level of adherence to the Mediterranean lifestyle was significantly associ- ated with a lower risk of CVD in a Spanish cohort. Public health strategies should promote the Mediterranean lifestyle to preserve cardiovascular health. 2022-04-25T10:27:33Z 2022-04-25T10:27:33Z 2021 info:eu-repo/semantics/article https://hdl.handle.net/10171/63413 eng info:eu-repo/semantics/openAccess application/pdf Elsevier |
| spellingShingle | Cardiovascular risk Lifestyle MEDLIFE index Mediterranean lifestyle SUN cohort Mata-Fernández, A. (Arantxa) Hershey-de-la-Cruz, M.S. (María Soledad) Pastrana-Delgado, J. (Juan) Sotos-Prieto, M. (Mercedes) Ruiz-Canela, M. (Miguel) Kales, S.N. (Stefanos N.) Martinez-Gonzalez, M.A. (Miguel Ángel) Fernandez-Montero, A. (Alejandro) A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort |
| title | A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort |
| title_full | A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort |
| title_fullStr | A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort |
| title_full_unstemmed | A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort |
| title_short | A Mediterranean lifestyle reduces the risk of cardiovascular disease in the “Seguimiento Universidad de Navarra” (SUN) cohort |
| title_sort | mediterranean lifestyle reduces the risk of cardiovascular disease in the “seguimiento universidad de navarra” (sun) cohort |
| topic | Cardiovascular risk Lifestyle MEDLIFE index Mediterranean lifestyle SUN cohort |
| url | https://hdl.handle.net/10171/63413 |
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