Table 3.
All-cause and cardiovascular disease (CVD) mortality risk according to healthy lifestyle in older adults stratified by medication category in older adults.
n | All-cause mortality HR (95%CI) | CVD mortality HR (95%CI) | |||||
---|---|---|---|---|---|---|---|
Cases | Model 1 | Model 2 | Cases | Model 1 | Model 2 | ||
With 0–1 medications | |||||||
Unfavorable lifestyle | 147 | 93 | 1 (Reference) | 1 (Reference) | 43 | 1 (Reference) | 1 (Reference) |
Intermediate lifestyle | 794 | 267 | 0.63 (0.45–0.89) | 0.63 (0.45–0.88) | 72 | 0.41 (0.25–0.67) | 0.42 (0.26–0.70) |
Favorable lifestyle | 354 | 92 | 0.55 (0.37–0.80) | 0.56 (0.38–0.83) | 22 | 0.34 (0.18–0.63) | 0.39 (0.20–0.74) |
P for trend | 0.002 | 0.005 | <0.001 | 0.001 | |||
Per 1-healthy lifestyle increase | 0.85 (0.76–0.94) | 0.85 (0.76–0.95) | 0.71 (0.59–0.86) | 0.73 (0.60–0.89) | |||
With 2–4 medications | |||||||
Unfavorable lifestyle | 304 | 207 | 1 (Reference) | 1 (Reference) | 81 | 1 (Reference) | 1 (Reference) |
Intermediate lifestyle | 1031 | 478 | 0.59 (0.49–0.71) | 0.62 (0.51–0.75) | 175 | 0.57 (0.39–0.82) | 0.57 (0.40–0.83) |
Favorable lifestyle | 452 | 157 | 0.43 (0.34–0.54) | 0.45 (0.35–0.58) | 60 | 0.46 (0.29–0.74) | 0.47 (0.30–0.75) |
P for trend | <0.001 | <0.001 | <0.001 | <0.001 | |||
Per 1-healthy lifestyle increase | 0.78 (0.73–0.83) | 0.79 (0.74–0.85) | 0.77 (0.68–0.86) | 0.78 (0.69–0.88) | |||
With ≥5 medications | |||||||
Unfavorable lifestyle | 214 | 159 | 1 (Reference) | 1 (Reference) | 71 | 1 (Reference) | 1 (Reference) |
Intermediate lifestyle | 483 | 282 | 0.52 (0.41–0.64) | 0.53 (0.42–0.66) | 127 | 0.57 (0.41–0.80) | 0.63 (0.44–0.91) |
Favorable lifestyle | 146 | 77 | 0.46 (0.35–0.61) | 0.46 (0.34–0.63) | 24 | 0.36 (0.22–0.57) | 0.40 (0.24–0.67) |
P for trend | <0.001 | <0.001 | <0.001 | 0.002 | |||
Per 1-healthy lifestyle increase | 0.80 (0.74–0.87) | 0.80 (0.74–0.87) | 0.78 (0.69–0.88) | 0.81 (0.70–0.92) |
Model 1 adjusted for sex and age.
Model 2 adjusted as in model 1 and for educational attainment, body mass index, waist circumference, systolic blood pressure, hypercholesterolemia, Mini-Mental State Examination, agility limitations, mobility limitations, chronic lung disease, CVD, cancer, diabetes mellitus, and depression.