Adherence
Combining four or more healthy lifestyle factors (walking pace ≥2 mph, leisure activity ≥845 kcal/week, no current smoking, modest alcohol intake, and BMI <30 kg/m2) is associated with a 45% lower risk of incident heart failure compared to having zero or one such factor.
To significantly reduce your risk of heart failure as you age, aim to adopt at least four of these five habits: walk at a brisk pace (≥2 mph), engage in moderate leisure activity (≥845 kcal/week), quit smoking, drink alcohol in moderation (≥1 drink/week), and maintain a BMI under 30. You don't need to be perfect; even two or three of these factors offer substantial protection.
Participants with ≥4 healthy lifestyle factors had a 45% (HR: 0.55; 95% CI: 0.42 to 0.74) lower risk of HF.
Why this rating
Large prospective cohort with long follow-up and rigorous HF adjudication.
Source
Contribution of Major Lifestyle Risk Factors for Incident Heart Failure in Older Adults
Liana C. Del Gobbo et al. · JACC Heart Failure · 2015
DOI 10.1016/j.jchf.2015.02.009
More from this paper
- In older adults, higher walking pace (>3 mph) and greater leisure-time physical activity (>845 kcal/week) are independently associated with a significantly lower risk of incident heart failure, whereas high-intensity exercise intensity and walking distance are not.Good
- Overall dietary patterns (AHEI, DASH, AHA 2020, Biologic) are not associated with the risk of incident heart failure in older adults, although higher sodium intake is associated with an increased risk.Good
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