000079064 001__ 79064
000079064 005__ 20230126102833.0
000079064 0247_ $$2doi$$a10.1016/j.jacl.2018.03.081
000079064 0248_ $$2sideral$$a105820
000079064 037__ $$aART-2018-105820
000079064 041__ $$aeng
000079064 100__ $$0(orcid)0000-0001-6650-8294$$aUzhova, I.$$uUniversidad de Zaragoza
000079064 245__ $$aThe additive effect of adherence to multiple healthy lifestyles on subclinical atherosclerosis: Insights from the AWHS
000079064 260__ $$c2018
000079064 5060_ $$aAccess copy available to the general public$$fUnrestricted
000079064 5203_ $$aBackground: Public health strategies targeting multiple healthy behaviors, rather than individual factors, have been proposed as more efficient strategies to promote cardiovascular health. However, the additive effect of multiple targets on primary prevention has not been fully characterized. Objective: To examine how adherence to multiple healthy behaviors is associated with the presence of subclinical atherosclerosis, a measure of early cardiovascular disease.
Methods: Analysis of a baseline data from 1798 middle-aged men from the Aragon Workers Health Study conducted between 2009 and 2010. Healthy behaviors were defined according to American Heart Association recommendations, aligned with Spanish Nutritional recommendations and included moderate alcohol consumption, smoking abstinence, no abdominal adiposity, decreased sedentarism, and adherence to Alternate Mediterranean Dietary Index. Presence of coronary artery calcium and plaques in femoral and carotid was quantified by a 16-slice computed tomography scanner and 2D ultrasound.
Results: Moderate alcohol consumption, as well as adherence to Mediterranean diet is independently associated with a 6% lower risk of having subclinical atherosclerosis. Smoking abstinence is associated with a 11% lower risk of subclinical atherosclerosis. Those who follow 3 lifestyle behaviors (Mediterranean diet, nonsmoking, and moderate alcohol intake) have 18% lower odds of presenting subclinical atherosclerosis compared with those who do not follow these protective lifestyle habits.
Conclusion: Adoption of multiple healthy lifestyle behaviors early in life could be a key strategy to tackle the onset of atherosclerosis and reduce cardiovascular disease burden.
000079064 536__ $$9info:eu-repo/grantAgreement/ES/ISCIII/FIS/PI11-00403
000079064 540__ $$9info:eu-repo/semantics/openAccess$$aby-nc-nd$$uhttp://creativecommons.org/licenses/by-nc-nd/3.0/es/
000079064 590__ $$a3.581$$b2018
000079064 591__ $$aPHARMACOLOGY & PHARMACY$$b68 / 266 = 0.256$$c2018$$dQ2$$eT1
000079064 592__ $$a1.467$$b2018
000079064 593__ $$aCardiology and Cardiovascular Medicine$$c2018$$dQ1
000079064 593__ $$aNutrition and Dietetics$$c2018$$dQ1
000079064 593__ $$aInternal Medicine$$c2018$$dQ1
000079064 593__ $$aEndocrinology, Diabetes and Metabolism$$c2018$$dQ1
000079064 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/acceptedVersion
000079064 700__ $$aMateo-Gallego, R.
000079064 700__ $$0(orcid)0000-0003-0604-5042$$aMoreno-Franco, B.$$uUniversidad de Zaragoza
000079064 700__ $$aMolina-Montes, E.
000079064 700__ $$aLeon-Latre, M.$$uUniversidad de Zaragoza
000079064 700__ $$0(orcid)0000-0002-9887-2629$$aCasasnovas Lenguas, J.A.$$uUniversidad de Zaragoza
000079064 700__ $$0(orcid)0000-0001-7043-0952$$aCiveira, F.$$uUniversidad de Zaragoza
000079064 700__ $$aPeñalvo, J.L.
000079064 7102_ $$11006$$2255$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Enfermería
000079064 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000079064 7102_ $$11008$$2615$$aUniversidad de Zaragoza$$bDpto. Microb.Med.Pr.,Sal.Públ.$$cÁrea Medic.Prevent.Salud Públ.
000079064 773__ $$g12, 3 (2018), 615-625$$pJournal of Clinical Lipidology$$tJournal of Clinical Lipidology$$x1933-2874
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000079064 951__ $$a2023-01-26-09:51:54
000079064 980__ $$aARTICLE