Overall Cardiovascular Health Is Associated with All-Cause and Cardiovascular Disease Mortality among Older Community-Dwelling Men and Women

Yichen Jin, Toshiko Tanaka, Stefania Bandinelli, Luigi Ferrucci, Sameera A. Talegawkar

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: The objective of this study was to assess the associations between cardiovascular health and all-cause and cardiovascular disease mortality among community-dwelling elderly. Method: Secondary data analysis was performed using data collected as part of the InCHIANTI cohort procedures and included 928 participants (55% female) aged 65 years and older. Overall cardiovascular health was assessed using seven health behaviors and factors, scored 0 to 14, with higher scores indicating better cardiovascular health, modeled categorically as tertiles. Vitality status was ascertained using registry information. Cox proportional hazards models were used to examine the associations between cardiovascular health and all-cause and cardiovascular disease mortality. Results: After an average follow-up of 9.1 years, better overall cardiovascular health (highest tertile) was inversely associated with all-cause (hazard ratio [HR] = 0.68, 95% confidence interval [CI] = [0.51, 0.92]) and cardiovascular disease mortality (HR = 0.61, 95% CI = [0.38, 0.97]) compared with the lowest tertile. Discussion: Cardiovascular health, even in the elderly, is inversely associated with mortality.

Original languageEnglish (US)
Pages (from-to)437-453
Number of pages17
JournalJournal of Aging and Health
Volume29
Issue number3
DOIs
StatePublished - Apr 1 2017

Keywords

  • InCHIANTI study
  • cardiovascular health
  • elderly
  • mortality

ASJC Scopus subject areas

  • Health(social science)
  • Sociology and Political Science
  • Life-span and Life-course Studies

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