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Appl Physiol Nutr Metab. 2019 Oct 23. doi: 10.1139/apnm-2019-0515. [Epub ahead of print]

Healthy lifestyle moderates the relationship between cardiovascular disease with blood pressure, body composition, carotid intima-media thickness, and glycated hemoglobin among adults.

Author information

1
Federal University of Santa Catarina, 28117, Research Center in Kinanthropometry and Human Performance , Trinity University Campus , Florianopolis, Brazil , 88040-900 ; tiagopersonaltrainer@gmail.com.
2
The University of Adelaide, 1066, Adelaide Medical School, Adelaide, South Australia, Australia ; david.gonzalez@adelaide.edu.au.
3
Universidade Federal de Santa Catarina, 28117, Nutrition , Campus Universitário , Florianopolis, Brazil , 88025300 ; yarafmoreno@gmail.com.
4
Federal University of Santa Catarina, Physical Education , Universidade Federal de Santa Catarina - Centro de Desportos - Departamento de Educação Física , Campus Universitário - Trindade - Caixa Postal 476 , Florianopolis, Santa Catarina, Brazil , 88040-900 ; diegoaugustoss@yahoo.com.br.

Abstract

We investigate whether the adherence to healthy lifestyle recommendations (regular physical activity, healthy diet, reduced alcohol consumption, non-smoking) moderates the relationship between cardiovascular disease (CVD) and their risk factors (obesity, diabetes, dyslipidemia and hypertension) with clinical variables among adults. Cross-sectional population-based study comprising 862 adults (39.3 ± 11.4 years, 46.4% men) from Florianópolis, Brazil. Clinical variables were systolic (SBP) and diastolic blood pressure (DBP), waist circumference (WC), body mass index (BMI), body fat (%BF), muscular strength (MS), carotid intima-media thickness (IMT), high sensitive C-reactive protein (hs-CRP), lipid and glucose metabolism markers. Multiple linear regression adjusted for confounding factors was used. Reduced IMT and HbA1c were observed in male with CVD or risk who adopted healthy lifestyle recommendations (p<0.001), and lower SBP levels were observed on female without CVD or risk (p=0.034). Female with CVD or risk who followed healthy lifestyle recommendations showed higher BMI (p=0.035). Adherence to number of healthy lifestyle recommendations moderated cardiovascular health in adults with CVD and without CVD. Novelty bullets • The adherence to healthy lifestyle recommendations moderated the relationship between IMT and HbA1c with CVD or risk factors among male. • The lower values of SBP among female without CVD or their risk factors were moderated by the adherence to healthy lifestyle recommendations.

PMID:
31644883
DOI:
10.1139/apnm-2019-0515

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