Study on the association between healthy lifestyles of 230 000 people in North China and cardiovascular and all-cause mortality
Methods A study was conducted on individuals aged between 35 and 75 from 62 project sites in North China who were part of the early screening and comprehensive intervention program for cardiovascular disease high-risk populations from 2015 to 2021.This study investigated four healthy lifestyle behaviors:non-smoking,no or moderate alcohol consumption,sufficient physical activity,and a healthy diet.The survival status of the study participants was obtained through passive follow-up.Multivariate logistic regression analysis was used to explore the correlation between population characteristics and healthy lifestyles.The association between healthy lifestyles and all-cause and cardiovascular mortality was analyzed utilizing a multivariate Cox proportional hazards regression model.Results Among the 228 876 study participants,178 178 individuals(77.85％)followed non-smoking,211 997(92.63％)followed none or moderate alcohol use,70 391(30.76％)followed sufficient physical activity,and 37 780(16.51％)followed a healthy diet.Only 10 669(4.66％)participants adhered to all four healthy lifestyle factors.Women,elderly,non-migrant workers,high-income or highly educated individuals,or those with a history of cardiovascular diseases were more likely to adhere to a greater number of healthy lifestyle behaviors(P＜0.01).After a median follow-up of 3.55 years and adjusting for multiple variables,it was found that individuals who adhered to non-smoking and sufficient physical activity had lower cardiovascular and all-cause mortality risks.As the number of healthy lifestyle behaviors increased,there was a decreasing trend in the risk of cardiovascular mortality and all-cause mortality.The population with all four healthy lifestyle behaviors had a lower cardiovascular mortality risk(HR=0.39,95％CI:0.22-0.69)and an all-cause mortality risk(HR=0.59,95％CI:0.43-0.80).Conclusions Although the adherence to healthy lifestyle behaviors in North China is better than in other areas of China,it has not yet reached an ideal state.Health education and targeted health promotion strategies should be implemented to improve adherence to these factors,which can effectively enhance the health status of the population in North China and reduce the burden of diseases.
Healthy lifestyleCardiovascular diseaseMortalityHealth promotionRegional distributionNorth China
NETL
NSTL
万方数据
