Re: 5 lifestyle changes that almost reduce you risk of heart disease almost 90 %

On Jan 14, 7:11 pm, Jeff <kidsdoc2...@xxxxxxxxxxx> wrote:


However, a little further research show that Environmental Nutrition is
not a peer-reveiwed journal, but rather, a newsletter.


I do want to say I think doing the things mentioned are really good
things to do and will improve both the quantity and quality of life.

However, despite this, I trust neither the numbers nor the source.


Jeff you skepticism about this study a confounds me . It was published
in (Circulation. 2006;114:160-167.)

Healthy Lifestyle Factors in the Primary Prevention of Coronary Heart
Disease Among Men
Benefits Among Users and Nonusers of Lipid-Lowering and
Antihypertensive Medications
Stephanie E. Chiuve, ScD; Marjorie L. McCullough, RD, ScD; Frank M.
Sacks, MD; Eric B. Rimm, ScD
From the Departments of Nutrition (S.E.C., F.M.S., E.B.R.) and
Epidemiology (E.B.R.), Harvard School of Public Health, Boston, Mass;
the Cardiovascular Division (F.M.S.) and Channing Laboratory (F.M.S.,
E.B.R.), the Department of Medicine, Brigham and Women's Hospital and
Harvard Medical School, Boston, Mass; and the Epidemiology and
Surveillance Research Department, American Cancer Society, Atlanta, Ga
(M.L.M.).



Methods and Results-- We prospectively monitored 42 847 men in the
Health Professionals Follow-up Study, 40 to 75 years of age and free
of disease in 1986. Lifestyle factors were updated through self-
reported questionnaires. Low risk was defined as (1) absence of
smoking, (2) body mass index <25 kg/m2, (3) moderate-to-vigorous
activity 30 min/d, (4) moderate alcohol consumption (5 to 30 g/d), and
(5) the top 40% of the distribution for a healthy diet score. Over 16
years, we documented 2183 incident cases of CHD (nonfatal myocardial
infarction and fatal CHD). In multivariate-adjusted Cox proportional
hazards models, men who were at low risk for 5 lifestyle factors had a
lower risk of CHD (relative risk: 0.13; 95% confidence interval [CI]:
0.09, 0.19) compared with men who were at low risk for no lifestyle
factors. Sixty-two percent (95% CI: 49%, 74%) of coronary events in
this cohort may have been prevented with better adherence to these 5
healthy lifestyle practices. Among men taking medication for
hypertension or hypercholesterolemia, 57% (95% CI: 32%, 79%) of all
coronary events may have been prevented with a low-risk lifestyle.
Compared with men who did not make lifestyle changes during follow-up,
those who adopted 2 additional low-risk lifestyle factors had a 27%
(95% CI: 7%, 43%) lower risk of CHD.

Conclusions-- A majority of CHD events among US men may be preventable
through adherence to healthy lifestyle practices, even among those
taking medications for hypertension or hypercholesterolemia. "

Seems like a creditable source to me.

Thanks Vince
.