Health characteristics and predicted 10-year risk for a first atherosclerotic cardiovascular disease (ASCVD) event using the Pooled Cohort Risk Equations among US adults who are free of cardiovascular disease.
BACKGROUND
No study has used the recently developed Pooled Cohort Equations to examine the associations of various health behaviors and health characteristics on 10-year risk of a first atherosclerotic cardiovascular disease (ASCVD) event.


METHODS
Data from the 2003-2006 National Health and Nutrition Examination Survey were used. 10-year risk of a first ASCVD event was assessed from the Pooled Cohort Equations. Physical activity was assessed via accelerometry; weight status was assessed via measured body mass index; smoking was assessed via cotinine levels; and dietary behavior was calculated from the healthy eating index.


RESULTS
After adjustments, and compared to those with 0 positive health characteristics, those with 1, 2, 3, and 4 health characteristics, respectively, had a 87% (OR=0.13, p<0.001), 95% (OR=0.05, p<0.001), 95% (OR=0.05, p<0.001), and 96% (OR=0.04, p=0.001) reduced odds of being at an elevated risk for a first ASCVD event in the next 10 years.


CONCLUSIONS
A dose-response association was observed between number of positive health characteristics and the 10-year risk of a first ASCVD event.
Center for Health Behavior Research, School of Applied Sciences, Department of Health, Exercise Science and Recreation Management, The University of Mississippi, United States. Electronic address: pdloprin@olemiss.edu.
Paul D
PD
Loprinzi
School of Applied Sciences, Department of Health, Exercise Science and Recreation Management, The University of Mississippi, United States. Electronic address: pdloprin@olemiss.edu.
Allison
A
Nooe
D061725:Accelerometry; D000328:Adult; D000368:Aged; D050197:Atherosclerosis / Q000453:epidemiology* / Q000503:physiopathology; D015992:Body Mass Index; D015331:Cohort Studies; D003367:Cotinine / Q000378:metabolism; D004032:Diet; D005247:Feeding Behavior; D005260:Female; D015438:Health Behavior; D006801:Humans; D008297:Male; D008875:Middle Aged; D009043:Motor Activity; D012306:Risk; D012907:Smoking / Q000453:epidemiology / Q000503:physiopathology; D014481:United States / Q000453:epidemiology
D003367:Cotinine
Cardiovascular disease; Epidemiology; Health behavior