American Heart Association's life simple 7 and the risk of atrial fibrillation in the PREDIMED study cohort

Díaz-Gutiérrez, Jesús; Martínez-González, Miguel Ángel, 1957-; Alonso, Álvaro; Toledo, Estefania; Salas Salvadó, Jordi; Sorlí, José Vicente; Ros, Emilio; Fitó Colomer, Montserrat; Estruch, Ramón; Arós, Fernando; Fiol, Miquel; Lapetra, José; Gómez-Gracia, Enrique; Serra Majem, Lluís; Pintó Sala, Xavier; Portolés, Olga; Babio, Nancy; Castañer, Olga; Ruiz-Canela, Miguel

doi:http://dx.doi.org/10.1016/j.numecd.2023.02.004

American Heart Association's life simple 7 and the risk of atrial fibrillation in the PREDIMED study cohort

Citation

Díaz-Gutiérrez J, Martínez-González MÁ, Alonso A, Toledo E, Salas-Salvadó J, Sorlí JV, et al. American Heart Association's life simple 7 and the risk of atrial fibrillation in the PREDIMED study cohort. Nutr Metab Cardiovasc Dis. 2023 Jun;33(6):1144-8. DOI: 10.1016/j.numecd.2023.02.004

Abstract

Background and aims: The American Heart Association proposed 7 ideal cardiovascular health metrics (Life's Simple 7 [LS7]) namely, not smoking, body mass index <25 kg/m2, healthy diet, moderate physical activity ≥150 min/week, total blood cholesterol <200 mg/dL, blood pressure <120/80 mmHg and fasting blood glucose <100 mg/dL. Our objective was to assess the association between these LS7 metrics and the incidence of atrial fibrillation (AF). Methods and results: A total of 6,479 participants of the PREDIMED study were included. We calculated the participants' baseline LS7 index ranging 0-7 points to categorize them according to their adherence to these LS7 health metrics. Multivariable Cox regression models were used to estimate Hazard Ratios (HR) and their 95% Confidence Intervals (95% CI). After a median follow-up of 4.8 years, we identified 250 incident cases of AF. After adjusting for potential confounders, adherence to LS7 index was not associated with the incidence of AF (adjusted HR 0.90 [95% CI: 0.56-1.45] for highest vs. lowest LS7 categories). Body mass index <25 kg/m2 was the only health metric individually associated with a lower risk of AF (HR 0.36 [95% CI: 0.16-0.78]). Conclusions: In a high cardiovascular risk Spanish population, adherence to American Heart Association's LS7 metrics was not associated with the risk of incident AF. Clinical trials number: ISRCTN35739639.