Association Between Modifiable Lifestyle Factors and Incident Cardiac Conduction Disease.

Jiwen Zhong, Rui Tang, Liuxin Li, Wei Zheng, Shuohua Chen, Jun Feng, Jingli Qu, Xi Wang, Yu Yin, Yu Yuan, Shouling Wu
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Abstract

Background: The associations between modifiable lifestyles and cardiac conduction disease (CCD) are poorly studied.

Objectives: The study aimed to prospectively assess the association between modifiable lifestyle factors and incident CCD.

Methods: A total of 89,377 participants (aged 18-90 years) free of CCD at baseline were enrolled in the Kailuan cohort. Lifestyle factors, including smoking, alcohol consumption, physical activity, sedentary behavior, and nighttime sleep duration, were collected to test the relations of both baseline and long-term lifestyle factors with incident CCD.

Results: During 1,226,634.1 person-years of follow-up (median: 14.1 years; Q1-Q3: 13.8-14.2 years), 3,723 CCD cases (3.04 per 1,000 person-years; 95% CI: 2.94-3.13 person-years) were identified. Compared with the participants who had healthy lifestyles at baseline, the adjusted HRs for participants who consumed alcohol ≥5 drinks per day, had sedentary behavior ≥4 hours per day, and had night sleep ≥9 hours per day were 1.16 (95% CI: 1.04-1.32), 1.12 (95% CI: 1.03-1.22), and 1.32 (95% CI: 1.02-1.68), respectively. Furthermore, compared with the participants adhered to long-term healthy lifestyles, the adjusted HRs for participants who chronically consumed alcohol ≥5 drinks per day, had sedentary behavior ≥4 hours per day, and had night sleep ≥9 hours per day were 2.16 (95% CI: 1.68-2.79), 1.77 (95% CI: 1.50-2.09), and 1.67 (95% CI: 1.25-2.24), respectively.

Conclusions: The study revealed excessive alcohol consumption, high sedentary behavior, and longer sleep duration were associated with higher risks of CCD in adults. The findings supported the beneficial impact of a low-risk lifestyle on the primary prevention of CCD.

可改变的生活方式因素与心脏传导疾病的关系
背景:可改变的生活方式与心传导疾病(CCD)之间的关系研究甚少。目的:本研究旨在前瞻性评估可改变的生活方式因素与CCD发生之间的关系。方法:共有89,377名基线时无CCD的参与者(18-90岁)被纳入开滦队列。收集生活方式因素,包括吸烟、饮酒、体力活动、久坐行为和夜间睡眠时间,以检验基线和长期生活方式因素与CCD事件的关系。结果:随访1226634.1人年(中位数:14.1年;Q1-Q3: 13.8-14.2年),3723例CCD病例(3.04 / 1000人年;95% CI: 2.94-3.13人年)。与基线时生活方式健康的参与者相比,每天饮酒≥5杯、每天久坐行为≥4小时、每晚睡眠≥9小时的参与者调整后的hr分别为1.16 (95% CI: 1.04-1.32)、1.12 (95% CI: 1.03-1.22)和1.32 (95% CI: 1.02-1.68)。此外,与坚持长期健康生活方式的参与者相比,长期饮酒≥5杯/天、久坐行为≥4小时/天、夜间睡眠≥9小时/天的参与者的调整hr分别为2.16 (95% CI: 1.68-2.79)、1.77 (95% CI: 1.50-2.09)和1.67 (95% CI: 1.25-2.24)。结论:该研究表明,过量饮酒、久坐行为和较长的睡眠时间与成年人患CCD的风险增加有关。研究结果支持低风险生活方式对CCD一级预防的有益影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
JACC. Asia
JACC. Asia Cardiology and Cardiovascular Medicine
CiteScore
4.00
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