Relationship between healthy lifestyle behaviours and all-cause mortality and cardiovascular disease mortality among the population in Central China

LI Chenhui; WANG Chunqi; ZHANG Xingyi; HUANG Tianshu; ZHAO Dongyuan; ZHAO Yun; CHEN Xianhua; ZHU Mengyao; ZOU Haili; LI Xi; ZHONG Hui

doi:10.16462/j.cnki.zhjbkz.2025.04.006

Volume 29 Issue 4

Apr. 2025

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Article Navigation > CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION > 2025 > 29(4): 406-413

LI Chenhui, WANG Chunqi, ZHANG Xingyi, HUANG Tianshu, ZHAO Dongyuan, ZHAO Yun, CHEN Xianhua, ZHU Mengyao, ZOU Haili, LI Xi, ZHONG Hui. Relationship between healthy lifestyle behaviours and all-cause mortality and cardiovascular disease mortality among the population in Central China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(4): 406-413. doi: 10.16462/j.cnki.zhjbkz.2025.04.006

Citation:

LI Chenhui, WANG Chunqi, ZHANG Xingyi, HUANG Tianshu, ZHAO Dongyuan, ZHAO Yun, CHEN Xianhua, ZHU Mengyao, ZOU Haili, LI Xi, ZHONG Hui. Relationship between healthy lifestyle behaviours and all-cause mortality and cardiovascular disease mortality among the population in Central China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(4): 406-413. doi: 10.16462/j.cnki.zhjbkz.2025.04.006

Citation:

LI Chenhui, WANG Chunqi, ZHANG Xingyi, HUANG Tianshu, ZHAO Dongyuan, ZHAO Yun, CHEN Xianhua, ZHU Mengyao, ZOU Haili, LI Xi, ZHONG Hui. Relationship between healthy lifestyle behaviours and all-cause mortality and cardiovascular disease mortality among the population in Central China[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2025, 29(4): 406-413. doi: 10.16462/j.cnki.zhjbkz.2025.04.006

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Relationship between healthy lifestyle behaviours and all-cause mortality and cardiovascular disease mortality among the population in Central China

doi: 10.16462/j.cnki.zhjbkz.2025.04.006

1.
Central-China Branch of National Center for Cardiovascular Diseases Biobank, Henan Cardiovascular Disease Center Biobank, Fuwai Central-China Cardiovascular Hospital, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou 450046, China
2.
Chinese Academy of Medical Sciences, Peking Union Medical College, National Center for Cardiovascular Diseases, Cardiovascular Biobank Resource Center FuWai Hospital, National Clinical Research Center for Cardiovascular Diseases, Key Laboratory of Clinical Research on Cardiovascular Drugs of National Health and Wellness Commission of China, State Key Laboratory of Cardiovascular Disease, Beijing 102308, China

Funds:

Chinese Academy of Medical Sciences Medical and Health Science and Technology Innovation Project 2021-CXGC06

More Information

Corresponding author: ZHONG Hui, E-mail: zhonghui@fuwai.com
Received Date: 2024-05-23
Rev Recd Date: 2024-12-02
Publish Date: 2025-04-10

Abstract

Abstract

Objective To explore the relationship between the state of adherence, associated factors, and the correlation with cardiovascular and all-cause mortality of four healthy lifestyle behaviours in Central China. Methods This study was conducted on individuals agedbetween 35 and 75 from 24 project sites in Central China who were part of the early screening and comprehensive intervention program for cardiovascular disease high-risk (abbreviation high risk screening program) populations from September 2015 to November 2019. Four healthy lifestyle behaviours were investigated, including non-smoking, none or moderate alcohol use, sufficient leisure time physical activity, and healthy diet. Multivariate logistic regression analysis was used to explore the correlation between population characteristics and healthy lifestyles. The association between healthy lifestyles and all-cause and cardiovascular mortality was analyzed utilizing a multivariate Cox proportional hazards regression model. Results Among 117 158 participants, 72.8% were non-smokers, 95.6% had none or moderate alcohol use, 25.0% had sufficient leisure time physical activity, 8.8% had healthy diet, and only 2.7% had all the four healthy lifestyle behaviours. Adherence rate was lower than known for North China (4.66%). Multifactorial Cox regression analyses correcting for sex, age, occupation, educational level, household income, marital status, social health insurance, and residential history showed that those who adhered to adequate physical activity during a median follow-up of 1.6 years had lower all-cause mortality (HR=0.83, 95% CI: 0.72-0.96) and cardiovascular mortality (HR=0.62, 95% CI: 0.48-0.79). Those with annual incomes >50 000 yuan had low rates of adherence to none or moderate alcohol use (OR=0.82, 95% CI: 0.72-0.94) and healthy diet (OR=0.63, 95% CI: 0.58-0.69) compared to those with lower incomes. Conclusions Adherence to healthy lifestyle behaviours in Central China is far from ideal. It is clear that the greater the variety of adherence to a healthy lifestyle, the lower the corresponding risk of all-cause mortality or cardiovascular mortality.With regional characteristics, there is a negative correlation between adherence to none or moderate alcohol use and healthy diet among people with higher income levels.Targeted health promotion strategies to this region are urgently needed.
- Healthy lifestyle behaviours,
- Cardiovascular disease,
- Mortality,
- Health promotion

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References(25)

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