Association between lifestyle and incident risk of cardiovascular diseases in Chinese middle-aged and older adults: a review based on Dongfeng-Tongji Cohort

ZHANG Hai-qing; WU Tang-chun; ZHANG Xiao-min

doi:10.16462/j.cnki.zhjbkz.2021.03.005

Volume 25 Issue 3

Mar. 2021

Turn off MathJax

Article Contents

Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2021 > 25(3): 271-275, 283

ZHANG Hai-qing, WU Tang-chun, ZHANG Xiao-min. Association between lifestyle and incident risk of cardiovascular diseases in Chinese middle-aged and older adults: a review based on Dongfeng-Tongji Cohort[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 271-275, 283. doi: 10.16462/j.cnki.zhjbkz.2021.03.005

Citation:

ZHANG Hai-qing, WU Tang-chun, ZHANG Xiao-min. Association between lifestyle and incident risk of cardiovascular diseases in Chinese middle-aged and older adults: a review based on Dongfeng-Tongji Cohort[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 271-275, 283. doi: 10.16462/j.cnki.zhjbkz.2021.03.005

Citation:

ZHANG Hai-qing, WU Tang-chun, ZHANG Xiao-min. Association between lifestyle and incident risk of cardiovascular diseases in Chinese middle-aged and older adults: a review based on Dongfeng-Tongji Cohort[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2021, 25(3): 271-275, 283. doi: 10.16462/j.cnki.zhjbkz.2021.03.005

PDF( 846 KB)

Association between lifestyle and incident risk of cardiovascular diseases in Chinese middle-aged and older adults: a review based on Dongfeng-Tongji Cohort

doi: 10.16462/j.cnki.zhjbkz.2021.03.005

Department of Occupational and Environmental Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China

Funds:

National Key Research and Development Program of China 2016YFC0900800

National Natural Scientific Foundation of China 81973128

More Information

Corresponding author: WU Tang-chun, E-mail: wut@mails.tjmu.edu.cn; ZHANG Xiao-min, E-mail: mingxz117@163.com
Received Date: 2021-01-11
Rev Recd Date: 2021-02-23
Publish Date: 2021-03-10

Abstract

Abstract

Chronic diseases including cardiovascular disease (CVD) are becoming more and more serious due to accelerated aging in China. How to reduce the occurrence of CVD has been the primary problem of public health. The association between multiple lifestyles and CVD has been systematically explored based on the Dongfeng-Tongji cohort, which focused on the health of middle-aged and older people. The baseline survey was completed in 2008-2010 and followed-up was executed over 10 years until December 2018. Results showed that single or multiple healthy lifestyles could decrease the risk of CVD. For example, moderate alcohol each time had a 24% reduced risk of coronary heart disease (CHD) than those who never drink. Regular consumption of green tea was associated with an 11% lower risk of CHD compared with no green tea consumption. The risk of CVD could be reduced by 18% when the amount of physical activity was up to 3-5 times of WHO recommended value. Adherence to ≥4 healthy lifestyles had a 39% reduced risk of CVD. The risk of CVD and CHD subsequently decreased by 26% and 20%, respectively, with an improvement to ≥4 healthy lifestyles from 2 during a 5- year period. In contrast, poor lifestyles could increase the risk of CVD. Longer sleep duration was linked with a 33% and 23% increased CHD and stroke, respectively. Napping duration >90 minutes was associated with a 25% elevated risk of both CHD and stroke, respectively. The risk of CVD and CHD increased by 76% and 68%; the risk of stroke increased by 1.54 fold when ≥4 healthy lifestyles were reduced to ≤1. These findings suggest that adherence to multiple healthy lifestyles can reduce the risk of CVD in middle-aged and older adults to a certain extent, providing a theoretical footstone for the formulation of public health policies.
- Healthy lifestyle,
- Cardiovascular diseases,
- Dongfeng-Tongji cohort,
- Middle-aged and older adults

FullText(HTML)

References(26)

References

[1]	中国心血管健康与疾病报告编写组. 中国心血管健康与疾病报告2019概要[J]. 中国循环杂志, 2020, 35(9): 833-854. DOI: 10.3969/j.issn.1000-3614.2020.09.001. The writing committee of the report on cardiovascular health and diseases in China. Report on cardiovascular health and diseases in China 2019: an updated summary[J]. Chin Circul J, 2020, 35(9): 833-854. DOI: 10.3969/j.issn.1000-3614.2020.09.001.
[2]	Chang AY, Skirbekk VF, Tyrovolas S, et al. Measuring population ageing: an analysis of the Global Burden of Disease Study 2017[J]. Lancet Public Health, 2019, 4(3): 159-167. DOI: 10.1016/s2468-2667(19)30019-2.
[3]	胡盛寿, 高润霖, 刘力生, 等. 《中国心血管病报告2018》概要[J]. 中国循环杂志, 2019, 34(3): 209-220. DOI: 10.3969/j.issn.1000-3614.2019.03.001. Hu SS, Gao RL, Liu LS, et al. Summary of the 2018 report on cardiovascular diseases in China[J]. Chin Circul J, 2019, 34(3): 209-220. DOI: 10.3969/j.issn.1000-3614.2019.03.001.
[4]	Lv J, Yu C, Guo Y, et al. Adherence to healthy lifestyle and cardiovascular diseases in the Chinese population[J]. J Am Coll Cardiol, 2017, 69(9): 1116-1125. DOI: 10.1016/j.jacc.2016.11.076.
[5]	Liu G, Li Y, Hu Y, et al. Influence of lifestyle on incident cardiovascular disease and mortality in patients with diabetes mellitus[J]. J Am Coll Cardiol, 2018, 71(25): 2867-2876. DOI: 10.1016/j.jacc.2018.04.027.
[6]	Chomistek AK, Chiuve SE, Eliassen AH, et al. Healthy lifestyle in the primordial prevention of cardiovascular disease among young women[J]. J Am Coll Cardiol, 2015, 65(1): 43-51. DOI: 10.1016/j.jacc.2014.10.024.
[7]	Wang F, Zhu J, Yao P, et al. Cohort profile: the Dongfeng-Tongji cohort study of retired workers[J]. Int J Epidemiol, 2013, 42(3): 731-740. DOI: 10.1093/ije/dys053.
[8]	何美安, 张策, 朱江, 等. 东风-同济队列研究: 研究方法及调查对象基线和第一次随访特征[J]. 中华流行病学杂志, 2016, 37(4): 480-485. DOI: 10.3760/cma.j.issn.0254-6450.2016.04.008. He MA, Zhang C, Zhu J, et al. Dongfeng-Tongji cohort: methodology of the survey and the characteristics of baseline and initial population of follow-up program[J]. Chin J Epidemiol, 2016, 37(4): 480-485. DOI: 10.3760/cma.j.issn.0254-6450.2016.04.008.
[9]	Chen Z, Peto R, Zhou M, et al. Contrasting male and female trends in tobacco-attributed mortality in China: evidence from successive nationwide prospective cohort studies[J]. Lancet, 2015, 386(10002): 1447-1456. DOI: 10.1016/s0140-6736(15)00340-2.
[10]	Hackshaw A, Morris JK, Boniface S, et al. Low cigarette consumption and risk of coronary heart disease and stroke: meta-analysis of 141 cohort studies in 55 study reports[J]. BMJ, 2018, 360: j5855. DOI: 10.1136/bmj.j5855.
[11]	雷文慧, 何诗琪, 王豪, 等. 中老年男性吸烟状况与心血管疾病发生风险的关联性[J]. 中华疾病控制杂志, 2019, 23(7): 774-779. DOI:10. 16462/j.cnki. zhjbkz. 2019. 07. 007. Lei WH, He SQ, Wang H, et al. Association of smoking status with incident cardiovascular disease in the middle-aged and older male populations[J]. Chin J Dis Control Prev, 2019, 23(7): 774-779. DOI:10. 16462/j.cnki. zhjbkz. 2019. 07. 007.
[12]	Xi B, Veeranki SP, Zhao M, et al. Relationship of alcohol consumption to all-cause, cardiovascular, and cancer-related mortality in U.S. adults[J]. J Am Coll Cardiol, 2017, 70(8): 913-922. DOI: 10.1016/j.jacc.2017.06.054.
[13]	Ronksley PE, Brien SE, Turner BJ, et al. Association of alcohol consumption with selected cardiovascular disease outcomes: a systematic review and meta-analysis[J]. BMJ, 2011, 342: d671. DOI: 10.1136/bmj.d671.
[14]	Di Castelnuovo A, Costanzo S, Bagnardi V, et al. Alcohol dosing and total mortality in men and women: an updated meta-analysis of 34 prospective studies[J]. Arch Intern Med, 2006, 166(22): 2437-2445. DOI: 10.1001/archinte.166.22.2437.
[15]	Collaborators GA. Alcohol use and burden for 195 countries and territories, 1990-2016: a systematic analysis for the Global Burden of Disease Study 2016[J]. Lancet, 2018, 392(10152): 1015-1035. DOI: 10.1016/s0140-6736(18)31310-2.
[16]	张一枝. 中老年男性饮酒模式与冠心病、2型糖尿病发生风险关联的前瞻性研究[D]. 武汉: 华中科技大学, 2017. Zhang YZ. Association of drinking pattern with incident risk of coronary heart disease, type 2 diabetes mellitus in the middle-aged and elderly Chinese men: results from the Dongfeng-Tongji cohort[D]. Wuhan: Huazhong University of Science and Technology, 2017.
[17]	Tian C, Huang Q, Yang L, et al. Green tea consumption is associated with reduced incident CHD and improved CHD-related biomarkers in the Dongfeng-Tongji cohort[J]. Sci Rep, 2016, 6(1): 24353. DOI: 10.1038/srep24353.
[18]	Lin H, Sardana M, Zhang Y, et al. Association of habitual physical activity with cardiovascular disease risk[J]. Circ Res, 2020, 127(10): 1253-1260. DOI: 10.1161/circresaha.120.317578.
[19]	Liu Q, Liu FC, Huang KY, et al. Beneficial effects of moderate to vigorous physical activity on cardiovascular disease among Chinese adults[J]. J Geriatr Cardiol, 2020, 17(2): 85-95. DOI: 10.11909/j.issn.1671-5411.2020.02.001.
[20]	Ekelund U, Steene-Johannessen J, Brown WJ, et al. Does physical activity attenuate, or even eliminate, the detrimental association of sitting time with mortality? A harmonised meta-analysis of data from more than 1 million men and women[J]. Lancet, 2016, 388(10051): 1302-1310. DOI: 10.1016/s0140-6736(16)30370-1.
[21]	Daghlas I, Dashti HS, Lane J, et al. Sleep duration and myocardial infarction[J]. J Am Coll Cardiol, 2019, 74(10): 1304-1314. DOI: 10.1016/j.jacc.2019.07.022.
[22]	Wang C, Bangdiwala SI, Rangarajan S, et al. Association of estimated sleep duration and naps with mortality and cardiovascular events: a study of 116 632 people from 21 countries[J]. Eur Heart J, 2019, 40(20): 1620-1629. DOI: 10.1093/eurheartj/ehy695.
[23]	Yang LL, Yang HD, He MA, et al. Longer sleep duration and midday napping are associated with a higher risk of CHD incidence in middle-aged and older Chinese: the Dongfeng-Tongji Cohort Study[J]. Sleep, 2016, 39(3): 645-652. DOI: PIIsp-00311-1510.5665/sleep.5544.
[24]	Zhou L, Yu K, Yang L, et al. Sleep duration, midday napping, and sleep quality and incident stroke : the Dongfeng-Tongji cohort[J]. Neurology, 2020, 94(4): 345-356. DOI: 10.1212/wnl.0000000000008739.
[25]	Said MA, Verweij N, van der Harst P. Associations of combined genetic and lifestyle risks with incident cardiovascular disease and diabetes in the UK Biobank Study[J]. JAMA cardiology, 2018, 3(8): 693-702. DOI: 10.1001/jamacardio.2018.1717.
[26]	Jain P, Suemoto CK, Rexrode K, et al. Hypothetical lifestyle strategies in middle-aged women and the long-term risk of stroke[J]. Stroke, 2020, 51(5): 1381-1387. DOI: 10.1161/strokeaha.119.026761.