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Unhealthy lifestyle, genetics and risk of cardiovascular disease and mortality in 76,958 individuals from the UK biobank cohort study

Livingstone, Katherine, Abbott, Gavin, Ward, J and Bowe, Steve 2021, Unhealthy lifestyle, genetics and risk of cardiovascular disease and mortality in 76,958 individuals from the UK biobank cohort study, Nutrients, vol. 13, no. 12, pp. 1-10, doi: 10.3390/nu13124283.

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Title Unhealthy lifestyle, genetics and risk of cardiovascular disease and mortality in 76,958 individuals from the UK biobank cohort study
Author(s) Livingstone, KatherineORCID iD for Livingstone, Katherine orcid.org/0000-0002-9682-7541
Abbott, GavinORCID iD for Abbott, Gavin orcid.org/0000-0003-4014-0705
Ward, J
Bowe, SteveORCID iD for Bowe, Steve orcid.org/0000-0003-3813-842X
Journal name Nutrients
Volume number 13
Issue number 12
Article ID 4283
Start page 1
End page 10
Total pages 10
Publisher MDPI
Place of publication Basel, Switzerland
Publication date 2021-11
ISSN 2072-6643
2072-6643
Keyword(s) BEHAVIOR
BURDEN
cardiovascular disease
DIET QUALITY
genetic risk
HEALTH
healthy lifestyle
Life Sciences & Biomedicine
mortality
myocardial infarction
Nutrition & Dietetics
Science & Technology
SCORE
stroke
Summary To examine associations of unhealthy lifestyle and genetics with risk of all-cause mortality, cardiovascular disease (CVD) mortality, myocardial infarction (MI) and stroke. We used data on 76,958 adults from the UK Biobank prospective cohort study. Favourable lifestyle included no overweight/obesity, not smoking, physical activity, not sedentary, healthy diet and adequate sleep. A Polygenic Risk Score (PRS) was derived using 300 CVD-related single nucleotide polymorphisms. Cox proportional hazard ratios (HR) were used to model effects of lifestyle and PRS on risk of CVD and all-cause mortality, stroke and MI. New CVD (n = 364) and all-cause (n = 2408) deaths, and stroke (n = 748) and MI (n = 1140) events were observed during a 7.8 year mean follow-up. An unfavourable lifestyle (0–1 healthy behaviours) was associated with higher risk of all-cause mortality (HR: 2.06; 95% CI: 1.73, 2.45), CVD mortality (HR: 2.48; 95% CI: 1.64, 3.76), MI (HR: 2.12; 95% CI: 1.65, 2.72) and stroke (HR:1.74; 95% CI: 1.25, 2.43) compared to a favourable lifestyle (≥4 healthy behaviours). PRS was associated with MI (HR: 1.35; 95% CI: 1.27, 1.43). There was evidence of a lifestyle-genetics interaction for stroke (p = 0.017). Unfavourable lifestyle behaviours predicted higher risk of all-cause mortality, CVD mortality, MI and stroke, independent of genetic risk.
Language eng
DOI 10.3390/nu13124283
Indigenous content off
Field of Research 0908 Food Sciences
1111 Nutrition and Dietetics
HERDC Research category C1 Refereed article in a scholarly journal
Free to Read? Yes
Persistent URL http://hdl.handle.net/10536/DRO/DU:30160382

Document type: Journal Article
Collections: Faculty of Health
Institute for Physical Activity and Nutrition
Open Access Collection
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.