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Sci Rep. 2020;10(1):19224.

Association between clustering of unhealthy lifestyle factors and risk of new-onset atrial fibrillation: a nationwide population-based study.

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제1저자 이소령 · 교신저자 최의근

소속 (7)
  1. Department of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea.
  2. Department of Internal Medicine, Seoul National University Hospital, 101 Daehak-ro, Jongno-gu, Seoul, 03080, Republic of Korea. choiek17@snu.ac.kr.
  3. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea. choiek17@snu.ac.kr.
  4. Statistics and Actuarial Science, Soongsil University, Seoul, Republic of Korea.
  5. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Republic of Korea.
  6. Liverpool Centre for Cardiovascular Science, University of Liverpool and Liverpool Chest & Heart Hospital, Liverpool, UK.
  7. Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.

Abstract

We aimed to investigate the association between the combination of unhealthy lifestyle and risk of AF. Subjects aged 66 years who underwent health examination from 2009 to 2015 were included. The cohort was divided into 8 groups by the combination of unhealthy lifestyle including current smoking, heavy drinking (> 30 g/day), and lack of regular exercise, and followed up for new-onset AF till December 31, 2017. Among 1,719,401 subjects, 47,334 had incident AF (5.5 per 1000 person-years) during a 5-year mean follow-up period. Lack of regular exercise was the most powerful factor to be associated with a higher risk of AF as a single factor (adjusted hazard ratio 1.11, 95% confidence interval 1.08-1.13). Amongst combinations of two unhealthy lifestyle factors, current smoking with heavy drinking, lack of regular exercise with heavy drinking, and lack of regular exercise with current smoking were associated with a 6%, 15%, and 20% higher risks of AF, respectively. A cluster of three unhealthy lifestyle components was associated with a 22% higher risk of AF. Increased numbers of unhealthy lifestyle factors were associated with a higher risk of incident AF. These findings support the promotion of a healthy lifestyle to lower the risk of new-onset AF.

Figures

Figure 1
Figure 1 Study enrollment flow. NHIC national health insurance cooperation.
Figure 2
Figure 2 Dose–response relationship between each unhealthy lifestyle factor and risk for new-onset atrial fibrillation. (A) Smoking amount. (B) Alcohol consumption frequency per week. (C) Alcohol consumption amount per each drinking session. (D) Exercise frequency per week. AF atrial fibrillation, HR hazard ratio, PY pack-year.
Figure 3
Figure 3 Distribution of unhealthy lifestyle factors.
Figure 4
Figure 4 Combination of unhealthy lifestyle factors for risk of new-onset atrial fibrillation. AF atrial fibrillation.

그림 출처: PubMed Central 공개 논문 (PMC7645499)

Conflict of interest statement

SRL, HJA, KDH, SO: none. EKC: research grant from Sanofi-Aventis, Chong Kun Dang, Daiichi-Sankyo, BMS/Pfizer, Biosense Webster, and Skylabs. GYHL: consultant for Bayer/Janssen, BMS/Pfizer, Medtronic, Boehringer Ingelheim, Novartis, Verseon and Daiichi-Sankyo. Speaker for Bayer, BMS/Pfizer, Medtronic, Boehringer Ingelheim, and Daiichi-Sankyo. No fees are received personally.

그 밖의 정보
출판 형태
Journal Article, Research Support, Non-U.S. Gov't
저널
Scientific reports · eISSN 2045-2322
전자 출판
2020-11-05
MeSH
Aged · Alcohol Drinking / adverse effects · Atrial Fibrillation / epidemiology / etiology · Exercise · Female · Humans · Incidence · Life Style* · Male · Risk · Smoking / adverse effects
참고문헌
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