de Oliveira Arão Belitardo, Mota Jorge, Woldeamanuel Yohannes Woubishet, Pereira Larissa Karen, Oliveira Lucas Ananias de Mello E Silva, Peres Mario Fernando Prieto, Goulart Alessandra C
Center for Clinical and Epidemiological Research, Hospital Universitário, Universidade de São Paulo, Sao Paulo, Brazil.
Faculdade de Desporto, Universidade Do Porto, Porto, Portugal.
Am J Lifestyle Med. 2025 Jun 5:15598276251348170. doi: 10.1177/15598276251348170.
We aimed to estimate the prevalence of cardiovascular diseases (CVDs) and cardiometabolic diseases (CMB) in Brazil, and their relationship with a healthy lifestyle score based on the six pillars of lifestyle medicine proposed by the American College of Lifestyle Medicine. Data were derived from the 2019 Brazilian National Health Survey, a nationwide cross-sectional study. The prevalence of CVDs/CMB was based on medical-endorsed, self-reported diagnoses and weighted for sample strata. A healthy lifestyle score (0-14 points; the higher the score, the better) incorporates physical activity, diet, sleep, mental health, risky substance use, and social connections. Among 88,531 adults included in the analysis (mean age: 47.1 years; 52.9% female), the weighted prevalence of CVDs/CMB ranged from 1.9% (stroke) to 25.9% (hypertension). Weighted Poisson regression models, adjusted for age, sex, socioeconomic status, and geographic disparities, showed an inverse linear relationship between lifestyle score and CVDs/CMB prevalence. Participants in the highest lifestyle score quartile exhibited lower prevalence for heart diseases [0.48 (95% CI: 0.43, 0.53)], stroke [0.35 (95% CI: 0.29, 0.43)], hypertension [0.85 (95% CI: 0.80, 0.90)], diabetes [0.80 (95% CI: 0.70, 0.91)], dyslipidemia [0.73 (95% CI: 0.66, 0.80)], and obesity [0.81 (95% CI: 0.74, 0.88)], compared to the lowest quartile ( < 0.001 for all). Higher scores on the six pillars of lifestyle medicine are associated with a lower prevalence of major CVDs/CMB in Brazil.
我们旨在评估巴西心血管疾病（CVD）和心脏代谢疾病（CMB）的患病率，以及它们与基于美国生活方式医学学院提出的生活方式医学六大支柱的健康生活方式评分之间的关系。数据来自2019年巴西全国健康调查，这是一项全国性的横断面研究。CVD/CMB的患病率基于医学认可的自我报告诊断，并对样本分层进行加权。健康生活方式评分（0 - 14分；分数越高越好）包括身体活动、饮食、睡眠、心理健康、危险物质使用和社会联系。在纳入分析的88531名成年人中（平均年龄：47.1岁；52.9%为女性），CVD/CMB的加权患病率从1.9%（中风）到25.9%（高血压）不等。经年龄、性别、社会经济地位和地理差异调整的加权泊松回归模型显示，生活方式评分与CVD/CMB患病率之间存在负线性关系。生活方式评分最高的四分位数参与者的心脏病患病率[0.48（95%置信区间：0.43，0.53）]、中风患病率[0.35（95%置信区间：0.29，0.43）]、高血压患病率[0.85（95%置信区间：0.80，0.90）]、糖尿病患病率[0.80（95%置信区间：0.70，0.91）]、血脂异常患病率[0.73（95%置信区间：0.66，0.80）]和肥胖患病率[0.81（95%置信区间：0.74，0.88）]均低于最低四分位数（所有比较均P<0.001）。在巴西，生活方式医学六大支柱的得分越高，主要CVD/CMB的患病率越低。
