Association of Trajectory of Cardiovascular Health Score and Incident Cardiovascular Disease

Wu, Shouling; An, Shuai; Li, Weijuan; Lichtenstein, Alice H.; Gao, Jingsheng; Kris-Etherton, Penny M.; Wu, Yuntao; Jin, Cheng; Huang, Shue; Hu, Frank B.; Gao, Xiang

doi:10.1001/jamanetworkopen.2019.4758

Cited by 154 publications

(115 citation statements)

References 30 publications

(136 reference statements)

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“…The Kailuan study (registration number: ChiCTR-TNC-1100148) is a prospective community-based cohort study that was performed in the community of Kailuan in the industrial city of Tangshan [ 16 , 17 ]. The Ethics Committees of the Kailuan General Hospital confirmed that the study followed the guidelines of the Helsinki Declaration and approved it.…”

Section: Methodsmentioning

confidence: 99%

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Estimated pulse wave velocity and cardiovascular events in Chinese

Gao

Huang

et al. 2020

International Journal of Cardiology Hypertension

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Section: Methodsmentioning

confidence: 99%

“…Information about death was collected from vital statistics offices, with the death certificates reviewed by the study clinicians (S.W., Y.W.) [ 16 , 17 ].…”

Section: Methodsmentioning

confidence: 99%

Estimated pulse wave velocity and cardiovascular events in Chinese

Gao

Huang

et al. 2020

International Journal of Cardiology Hypertension

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“…17The food frequency questionnaire was administered along with other assessments during the face-to-face interview. (14) For each food item, participants were asked to provide information regarding the frequency (never, daily, weekly, or monthly) and quantity (liangs, 1 liang =50g) of their consumption.…”

Section: Assessment Of Egg Consumption and Other Dietary Componentsmentioning

confidence: 99%

“…Participants recruited in the study were followed via biennial face-to-face physical examination, anthropometry, laboratory assessment and annual comprehensive surveillance of medical records and death certi cates, as detailed previously. (10,14,15) BaPWV measurement was introduced into the testing routine in 2010 for a sub-cohort of the Kailuan study, as described previously. (10,16) Dietary data were collected in 2014 (baseline for the current analysis), and 8,638 participants had completed dietary information and two baPWV assessments at and after the baseline.…”

Section: Study Populationmentioning

confidence: 99%

Association between egg consumption and arterial stiffness: a longitudinal study

Huang

Zhang

et al. 2021

Preprint

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Background Inconsistent associations between egg consumption and cardiovascular disease (CVD) risk have been observed in previous studies. This study aims to longitudinally investigate the association between egg consumption and altered risk of arterial stiffness, a major pre-clinical pathogenic change of CVD, which was assessed by brachial-ankle pulse wave velocity (baPWV). Methods A total of 7,315 Chinese participants from the Kailuan Study, free of CVD and cancer were included in this study. Egg consumption was assessed by a semi-quantitative validated food frequency questionnaire in 2014. baPWV was repeatedly measured at baseline and during follow-up (mean follow-up: 3.41 years). General linear regression was used to calculate means of baPWV change rate across different egg consumption groups, adjusting for age, sex, baseline baPWV, healthy eating index, total energy, social-economic status, blood pressure, obesity, smoking, lipid profiles, and fasting glucose concentrations. Results Compared to the annual baPWV change rate in participants with 0-1.9 eggs/wk (adjusted mean: 35.9 ± 11.2 cm/s/y), those consuming 3-3.9 eggs/wk (adjusted mean: 0.2 ± 11.4 cm/s/y) had the lowest increase in baPWV during follow-up (P-difference = 0.002). Individuals with low (0-1.9 eggs/wk) vs. high (5 + eggs /wk) egg intake showed similar changes in baPWV. Conclusions In this large-scale longitudinal analysis, we did not find a significant difference in arterial stiffness, as assessed by baPWV level, between low and high egg consumption groups. However, moderate egg consumption (3-3.9 eggs/wk) appeared to have beneficial effects on arterial stiffness.

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“…Baseline measurement of ideal CVH and the longitudinal maintenance of CVH were both significant associated with CVD progression in general population [24,25]. However, it should be noticed the prevalence of ideal cardiovascular health metrics was systematic different in secondary prevention [26].…”

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confidence: 93%

Effect of Lifestyle Changes after Percutaneous Coronary Intervention on Revascularization

Wang

Xian

Chen

et al. 2020

BioMed Research International

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Objective. Whether optimal cardiovascular health metrics may reduce the risk of cardiovascular events in secondary prevention is uncertain. The study was conducted to evaluate the influence of lifestyle changes on clinical outcomes among the subjects underwent percutaneous coronary intervention (PCI). Methods. The study group consists of 17,099 consecutive PCI patients. We recorded data on subject lifestyle behavior changes after their procedure. Patients were categorized as ideal, intermediate, or poor CV health according to a modified Life’s Simple 7 score (on body mass, smoking, physical activity, diet, cholesterol, blood pressure, and glucose). Multivariable COX regression was used to evaluate the association between CV health and revascularization event. We also tested the impact of cumulative cardiovascular health score on reoccurrence of cardiovascular event. Results. During a 3-year median follow-up, 1,583 revascularization events were identified. The observed revascularization rate was 8.0%, 9.3%, and 10.6% in the group of patients with optimal (a modified Life’s Simple 7 score of 11–14), average (score = 9 or 10), or inadequate (less or equal than 8) CV health, respectively. After multivariable analysis, the adjusted hazard ratios were 0.83 (95% CI: 0.73–0.94) and 0.89 (95% CI: 0.79–0.99) for patients with optimal and average lifestyle changes comparing with the inadequate tertile (P for trend = 0.003). In addition, each unit increase in above metrics was associated with a decrease risk of revascularization (HR, 0.96; 95% confidence interval, 0.93–0.98; P<0.001). Conclusion. Ideal CV health related to lower incidence of cardiovascular events, even after the percutaneous coronary intervention. Revascularization can be reduced by lifestyle changes. The cardiovascular health metrics could be extrapolated to secondary prevention and need for further validation.

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Association of Trajectory of Cardiovascular Health Score and Incident Cardiovascular Disease

Cited by 154 publications

References 30 publications

Estimated pulse wave velocity and cardiovascular events in Chinese

Estimated pulse wave velocity and cardiovascular events in Chinese

Association between egg consumption and arterial stiffness: a longitudinal study

Effect of Lifestyle Changes after Percutaneous Coronary Intervention on Revascularization

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