85,545 名澳大利亚老年人的饮食质量和体育锻炼与心血管疾病和死亡率的关系:一项纵向研究。

IF 9.7 1区 医学 Q1 HOSPITALITY, LEISURE, SPORT & TOURISM
Journal of Sport and Health Science Pub Date : 2024-11-01 Epub Date: 2024-05-28 DOI:10.1016/j.jshs.2024.05.011
Ding Ding, Joe Van Buskirk, Stephanie Partridge, Philip Clare, Edward Giovannucci, Adrian Bauman, Nicole Freene, Robyn Gallagher, Binh Nguyen
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引用次数: 0

摘要

背景:优质饮食和积极的生活方式都是预防心血管疾病(CVD)的重要基石。然而,尽管这两种行为对代谢健康有着相互关联的影响,但却很少被联合考虑,尤其是在心血管疾病预防方面。我们研究了饮食和体育锻炼与心血管疾病住院率、心血管疾病死亡率和全因死亡率的独立、交互和联合关系:年龄在 45-74 岁之间、无心血管疾病的澳大利亚参与者(n = 85,545)在基线(2006-2009 年)和随访(2012-2015 年)时报告了体育锻炼、饮食以及社会人口学和生活方式特征,数据与住院和死亡登记(心血管疾病住院和全因死亡率为 2019 年 3 月 31 日,心血管疾病死亡率为 2017 年 12 月 8 日)相连。饮食质量根据是否符合饮食建议分为低、中和高。体力活动的操作方法是:(a) 根据指南进行总的中强度体力活动 (MVPA);(b) MVPA 的构成是剧烈强度体力活动 (VPA) 与总 MVPA 之比。我们使用了一个左截断的特定原因 Cox 比例危险模型,并使用了随时间变化的协变量:在中位 10.7 年的随访期间,6581 名参与者因心血管疾病入院,6586 人死于各种原因(其中 879 人在 9.3 年中死于心血管疾病)。与低质量饮食相比,高质量饮食导致的全因死亡风险降低了 17%,最高 MVPA 类别(与最低 MVPA 类别相比)导致的心血管疾病和全因死亡风险分别降低了 44% 和 48%。饮食与体力活动之间的乘法交互作用不显著。在所有结果中,风险最低的组合涉及高质量饮食和最高 MVPA 类别。考虑到总的 MVPA,一些 VPA 与进一步降低心血管疾病住院风险和全因死亡率有关:结论:为了预防心血管疾病和延年益寿,人们应该坚持健康饮食和积极的生活方式,并在可能的情况下加入一些 VPA。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The association of diet quality and physical activity with cardiovascular disease and mortality in 85,545 older Australians: A longitudinal study.

The association of diet quality and physical activity with cardiovascular disease and mortality in 85,545 older Australians: A longitudinal study.

Background: A quality diet and an active lifestyle are both important cornerstones of cardiovascular disease (CVD) prevention. However, despite their interlinked effects on metabolic health, the 2 behaviors are rarely considered jointly, particularly within the context of CVD prevention. We examined the independent, interactive, and joint associations of diet and physical activity with CVD hospitalization, CVD mortality, and all-cause mortality.

Methods: CVD-free Australian participants aged 45-74 years (n = 85,545) reported physical activity, diet, sociodemographic, and lifestyle characteristics at baseline (2006-2009) and follow-up (2012-2015), and data were linked to hospitalization and death registries (03/31/2019 for CVD hospitalization and all-cause mortality and 12/08/2017 for CVD mortality). Diet quality was categorized as low, medium, and high based on meeting dietary recommendations. Physical activity was operationalized as (a) total moderate-to-vigorous physical activity (MVPA) as per guidelines, and (b) the composition of MVPA as the ratio of vigorous-intensity physical activity (VPA) to total MVPA. We used a left-truncated cause-specific Cox proportional hazards model using time-varying covariates.

Results: During a median of 10.7 years of follow-up, 6576 participants were admitted to the hospital for CVD and 6581 died from all causes (876 from CVD during 9.3 years). A high-quality diet was associated with a 17% lower risk of all-cause mortality than a low-quality diet, and the highest MVPA category (compared with the lowest) was associated with a 44% and 48% lower risk of CVD and all-cause mortality, respectively. Multiplicative interactions between diet and physical activity were non-significant. For all outcomes, the lowest risk combinations involved a high-quality diet and the highest MVPA categories. Accounting for total MVPA, some VPA was associated with further risk reduction of CVD hospitalization and all-cause mortality.

Conclusion: For CVD prevention and longevity, one should adhere to both a healthy diet and an active lifestyle and incorporate some VPA when possible.

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来源期刊
CiteScore
18.30
自引率
1.70%
发文量
101
审稿时长
22 weeks
期刊介绍: The Journal of Sport and Health Science (JSHS) is an international, multidisciplinary journal that aims to advance the fields of sport, exercise, physical activity, and health sciences. Published by Elsevier B.V. on behalf of Shanghai University of Sport, JSHS is dedicated to promoting original and impactful research, as well as topical reviews, editorials, opinions, and commentary papers. With a focus on physical and mental health, injury and disease prevention, traditional Chinese exercise, and human performance, JSHS offers a platform for scholars and researchers to share their findings and contribute to the advancement of these fields. Our journal is peer-reviewed, ensuring that all published works meet the highest academic standards. Supported by a carefully selected international editorial board, JSHS upholds impeccable integrity and provides an efficient publication platform. We invite submissions from scholars and researchers worldwide, and we are committed to disseminating insightful and influential research in the field of sport and health science.
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