Lifestyle-Related Factors and Total Mortality in a Mediterranean Prospective Cohort
Introduction: Lifestyle-related habits have a strong influence on morbidity and mortality world- wide. This study investigates the association between a multidimensional healthy lifestyle score and all-cause mortality risk, including in the score some less-studied lifestyle-related factors. M...
| Main Authors: | , , , , , |
|---|---|
| Format: | info:eu-repo/semantics/article |
| Language: | eng |
| Published: |
Elsevier
2024
|
| Subjects: | |
| Online Access: | https://hdl.handle.net/10171/68877 |
| _version_ | 1793400094021648384 |
|---|---|
| author | Ruiz-Estigarribia, L. (Liz) Martinez-Gonzalez, M.A. (Miguel Ángel) Diaz-Gutierrez, J. (Jesús) Gea, A. (Alfredo) Rico-Campà, A. (Anais) Bes-Rastrollo, M. (Maira) |
| author_facet | Ruiz-Estigarribia, L. (Liz) Martinez-Gonzalez, M.A. (Miguel Ángel) Diaz-Gutierrez, J. (Jesús) Gea, A. (Alfredo) Rico-Campà, A. (Anais) Bes-Rastrollo, M. (Maira) |
| author_sort | Ruiz-Estigarribia, L. (Liz) |
| collection | DSpace |
| description | Introduction: Lifestyle-related habits have a strong influence on morbidity and mortality world-
wide. This study investigates the association between a multidimensional healthy lifestyle score and
all-cause mortality risk, including in the score some less-studied lifestyle-related factors.
Methods: Participants (n=20,094) of the Seguimiento Universidad de Navarra cohort were fol-
lowed up from 1999 to 2018. The analysis was conducted in 2019. A 10-point healthy lifestyle score
previously associated with a lower risk of major cardiovascular events was applied, assigning 1 point
to each of the following items: never smoking, moderate-to-high physical activity, moderate-to-high
Mediterranean diet adherence, healthy BMI, moderate alcohol consumption, avoidance of binge
drinking, low TV exposure, short afternoon nap, time spent with friends, and working ≥40 hours
per week.
Results: During a median follow-up of 10.8 years, 407 deaths were documented. In the multivari-
able adjusted analysis, the highest category of adherence to the score (7−10 points) showed a 60%
lower risk of all-cause mortality than the lowest category (0−3 points) (hazard ratio=0.40, 95%
CI=0.27, 0.60, p<0.001 for trend). In analyses of the healthy lifestyle score as a continuous variable,
for each additional point in the score, a 18% relatively lower risk of all-cause mortality was observed
(adjusted hazard ratio=0.82, 95% CI=0.76, 0.88).
Conclusions: Adherence to a healthy lifestyle score, including some less-studied lifestyle-related
factors, was longitudinally associated with a substantially lower mortality rate in a Mediterranean
cohort. Comprehensive health promotion should be a public health priority.
Am J Prev Med 2020;59(2):e59−e67. © 2020 American Journal of Preventive Medicine. Published by Elsevier Inc.
All rights reserved. |
| format | info:eu-repo/semantics/article |
| id | oai:dadun.unav.edu:10171-68877 |
| institution | Universidad de Navarra |
| language | eng |
| publishDate | 2024 |
| publisher | Elsevier |
| record_format | dspace |
| spelling | oai:dadun.unav.edu:10171-688772024-02-12T06:07:45Z Lifestyle-Related Factors and Total Mortality in a Mediterranean Prospective Cohort Ruiz-Estigarribia, L. (Liz) Martinez-Gonzalez, M.A. (Miguel Ángel) Diaz-Gutierrez, J. (Jesús) Gea, A. (Alfredo) Rico-Campà, A. (Anais) Bes-Rastrollo, M. (Maira) Materias Investigacion::Ciencias de la Salud::Medicina preventiva Lifestyle-Related Factors Lifestyle-related habits Mediterranean Total Mortality Morbidity Mortality Healthy lifestyle Introduction: Lifestyle-related habits have a strong influence on morbidity and mortality world- wide. This study investigates the association between a multidimensional healthy lifestyle score and all-cause mortality risk, including in the score some less-studied lifestyle-related factors. Methods: Participants (n=20,094) of the Seguimiento Universidad de Navarra cohort were fol- lowed up from 1999 to 2018. The analysis was conducted in 2019. A 10-point healthy lifestyle score previously associated with a lower risk of major cardiovascular events was applied, assigning 1 point to each of the following items: never smoking, moderate-to-high physical activity, moderate-to-high Mediterranean diet adherence, healthy BMI, moderate alcohol consumption, avoidance of binge drinking, low TV exposure, short afternoon nap, time spent with friends, and working ≥40 hours per week. Results: During a median follow-up of 10.8 years, 407 deaths were documented. In the multivari- able adjusted analysis, the highest category of adherence to the score (7−10 points) showed a 60% lower risk of all-cause mortality than the lowest category (0−3 points) (hazard ratio=0.40, 95% CI=0.27, 0.60, p<0.001 for trend). In analyses of the healthy lifestyle score as a continuous variable, for each additional point in the score, a 18% relatively lower risk of all-cause mortality was observed (adjusted hazard ratio=0.82, 95% CI=0.76, 0.88). Conclusions: Adherence to a healthy lifestyle score, including some less-studied lifestyle-related factors, was longitudinally associated with a substantially lower mortality rate in a Mediterranean cohort. Comprehensive health promotion should be a public health priority. Am J Prev Med 2020;59(2):e59−e67. © 2020 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. 2024-02-07T11:22:24Z 2024-02-07T11:22:24Z 2020 info:eu-repo/semantics/article https://hdl.handle.net/10171/68877 eng info:eu-repo/grantAgreement/MSC/Redes Temáticas de Investigación Cooperativa en Salud (RETICS)/RD 06/0045/0000/ES/ALIMENTACIÓN SALUDABLE EN LA PREVENCIÓN PRIMARIA DE ENFERMEDADES CRÓNICAS: LA RED PREDIMED info:eu-repo/grantAgreement/ISCIII/Proyectos de investigación en salud/PI17/01795/ES/ ESTUDIO DE LA OBESIDAD COMO FACTOR DE RIESGO DE MORTALIDAD Y SU PREVENCION MEDIANTE RECOMENDACIONES DIETETICAS: ANALISIS LONGITUDINAL DE LA COHORTE SUN info:eu-repo/semantics/closedAccess application/pdf Elsevier |
| spellingShingle | Materias Investigacion::Ciencias de la Salud::Medicina preventiva Lifestyle-Related Factors Lifestyle-related habits Mediterranean Total Mortality Morbidity Mortality Healthy lifestyle Ruiz-Estigarribia, L. (Liz) Martinez-Gonzalez, M.A. (Miguel Ángel) Diaz-Gutierrez, J. (Jesús) Gea, A. (Alfredo) Rico-Campà, A. (Anais) Bes-Rastrollo, M. (Maira) Lifestyle-Related Factors and Total Mortality in a Mediterranean Prospective Cohort |
| title | Lifestyle-Related Factors and Total Mortality in a Mediterranean Prospective Cohort |
| title_full | Lifestyle-Related Factors and Total Mortality in a Mediterranean Prospective Cohort |
| title_fullStr | Lifestyle-Related Factors and Total Mortality in a Mediterranean Prospective Cohort |
| title_full_unstemmed | Lifestyle-Related Factors and Total Mortality in a Mediterranean Prospective Cohort |
| title_short | Lifestyle-Related Factors and Total Mortality in a Mediterranean Prospective Cohort |
| title_sort | lifestyle-related factors and total mortality in a mediterranean prospective cohort |
| topic | Materias Investigacion::Ciencias de la Salud::Medicina preventiva Lifestyle-Related Factors Lifestyle-related habits Mediterranean Total Mortality Morbidity Mortality Healthy lifestyle |
| url | https://hdl.handle.net/10171/68877 |
| work_keys_str_mv | AT ruizestigarribialliz lifestylerelatedfactorsandtotalmortalityinamediterraneanprospectivecohort AT martinezgonzalezmamiguelangel lifestylerelatedfactorsandtotalmortalityinamediterraneanprospectivecohort AT diazgutierrezjjesus lifestylerelatedfactorsandtotalmortalityinamediterraneanprospectivecohort AT geaaalfredo lifestylerelatedfactorsandtotalmortalityinamediterraneanprospectivecohort AT ricocampaaanais lifestylerelatedfactorsandtotalmortalityinamediterraneanprospectivecohort AT besrastrollommaira lifestylerelatedfactorsandtotalmortalityinamediterraneanprospectivecohort |