Lifestyle and cardiovascular risk in working young adults : insights from a nationwide Spanish cohort
(2024) In Revista espanola de cardiologia 77(10). p.821-831- Abstract
Introduction and objectives: This study aimed to describe the cardiovascular risk profile of working young adults from Spain and its association with lifestyle. Methods: Participants (18-30 years) were recruited from a nationwide cohort of economically active adults insured by a large occupational risk prevention company, with data obtained from routine medical assessments. The participants were categorized as having an “unhealthy” cardiovascular risk profile based on the presence of prediabetes/diabetes, prehypertension/hypertension, or hypercholesterolemia, or a “healthy” profile if these conditions were completely absent. The association with lifestyle factors (weight, physical activity, sleeping characteristics, alcohol consumption,... (More)
Introduction and objectives: This study aimed to describe the cardiovascular risk profile of working young adults from Spain and its association with lifestyle. Methods: Participants (18-30 years) were recruited from a nationwide cohort of economically active adults insured by a large occupational risk prevention company, with data obtained from routine medical assessments. The participants were categorized as having an “unhealthy” cardiovascular risk profile based on the presence of prediabetes/diabetes, prehypertension/hypertension, or hypercholesterolemia, or a “healthy” profile if these conditions were completely absent. The association with lifestyle factors (weight, physical activity, sleeping characteristics, alcohol consumption, smoking) was assessed. Results: A total of 78 421 young adults (27 ± 2 years, 36% female) were evaluated at baseline. The “unhealthy” cardiovascular risk profile was prevalent (18%) and inversely associated (OR, 0.64; 95%CI, 0.57-0.80) with an optimal lifestyle (normal weight, regular physical activity, no drinking/smoking, and good sleep). The latter condition was found in only 3.5% of the participants. On the other hand, prospective analyses in 44 776 participants (median follow-up = 2 [range 2-5] years) showed that 2.0% transitioned from a “healthy” to an “unhealthy” profile. Being physically active (OR, 0.95; 95%CI, 0.81-0.99) and having a normal weight (OR, 0.61; 95%CI, 0.51-0.70) were associated with a lower likelihood of this transition. No consistent associations were found for other lifestyle factors. Conclusions: The prevalence of cardiovascular risk factors is high in economically active young Spanish adults. An unhealthy cardiovascular risk profile is inversely associated with an optimal lifestyle, but the latter is highly infrequent in this population. Full English text available from:www.revespcardiol.org/en
(Less)
- author
- Castillo-García, Adrián ; Valenzuela, Pedro L. ; Saco-Ledo, Gonzalo ; Carrera-Bastos, Pedro LU ; Ruilope, Luis M. ; Santos-Lozano, Alejandro and Lucia, Alejandro
- organization
- publishing date
- 2024-10
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Cardiovascular health, Obesity, Overweight, Physical activity, Prevention, Youth
- in
- Revista espanola de cardiologia
- volume
- 77
- issue
- 10
- pages
- 11 pages
- publisher
- Ediciones Doyma
- external identifiers
-
- pmid:38423178
- scopus:85196410046
- ISSN
- 0300-8932
- DOI
- 10.1016/j.recesp.2024.02.006
- language
- English
- LU publication?
- yes
- id
- 1a603c3b-6844-45fd-a0d4-64ed3616b197
- date added to LUP
- 2025-01-09 12:32:16
- date last changed
- 2025-07-11 03:49:20
@article{1a603c3b-6844-45fd-a0d4-64ed3616b197,
abstract = {{<p>Introduction and objectives: This study aimed to describe the cardiovascular risk profile of working young adults from Spain and its association with lifestyle. Methods: Participants (18-30 years) were recruited from a nationwide cohort of economically active adults insured by a large occupational risk prevention company, with data obtained from routine medical assessments. The participants were categorized as having an “unhealthy” cardiovascular risk profile based on the presence of prediabetes/diabetes, prehypertension/hypertension, or hypercholesterolemia, or a “healthy” profile if these conditions were completely absent. The association with lifestyle factors (weight, physical activity, sleeping characteristics, alcohol consumption, smoking) was assessed. Results: A total of 78 421 young adults (27 ± 2 years, 36% female) were evaluated at baseline. The “unhealthy” cardiovascular risk profile was prevalent (18%) and inversely associated (OR, 0.64; 95%CI, 0.57-0.80) with an optimal lifestyle (normal weight, regular physical activity, no drinking/smoking, and good sleep). The latter condition was found in only 3.5% of the participants. On the other hand, prospective analyses in 44 776 participants (median follow-up = 2 [range 2-5] years) showed that 2.0% transitioned from a “healthy” to an “unhealthy” profile. Being physically active (OR, 0.95; 95%CI, 0.81-0.99) and having a normal weight (OR, 0.61; 95%CI, 0.51-0.70) were associated with a lower likelihood of this transition. No consistent associations were found for other lifestyle factors. Conclusions: The prevalence of cardiovascular risk factors is high in economically active young Spanish adults. An unhealthy cardiovascular risk profile is inversely associated with an optimal lifestyle, but the latter is highly infrequent in this population. Full English text available from:www.revespcardiol.org/en</p>}},
author = {{Castillo-García, Adrián and Valenzuela, Pedro L. and Saco-Ledo, Gonzalo and Carrera-Bastos, Pedro and Ruilope, Luis M. and Santos-Lozano, Alejandro and Lucia, Alejandro}},
issn = {{0300-8932}},
keywords = {{Cardiovascular health; Obesity; Overweight; Physical activity; Prevention; Youth}},
language = {{eng}},
number = {{10}},
pages = {{821--831}},
publisher = {{Ediciones Doyma}},
series = {{Revista espanola de cardiologia}},
title = {{Lifestyle and cardiovascular risk in working young adults : insights from a nationwide Spanish cohort}},
url = {{http://dx.doi.org/10.1016/j.recesp.2024.02.006}},
doi = {{10.1016/j.recesp.2024.02.006}},
volume = {{77}},
year = {{2024}},
}