Table 1.
Age‐Adjusted Baseline Characteristics According to Quintiles of the Healthy Heart Score
Quintile 1 | Quintile 2 | Quintile 3 | Quintile 4 | Quintile 5 | |
---|---|---|---|---|---|
Nurses’ Health Study | |||||
Healthy Heart Score (20‐y risk)a | 2.1 (0.2) | 2.6 (0.1) | 3.1 (0.2) | 4.2 (0.6) | 7.3 (3.0) |
Healthy Heart Score components | |||||
Age, y | 50.0 (7.3) | 50.1 (7.3) | 50.4 (7.2) | 50.7 (7.0) | 50.0 (6.9) |
BMI, kg/m2 | 21.5 (1.8) | 23.3 (2.2) | 25.3 (2.6) | 27.4 (5.1) | 27.0 (6.4) |
Current smoker, % | 0 | 0 | 0.1 | 27.1 | 86.0 |
Fruits and vegetables, servings per d | 5.9 (2.6) | 5.5 (2.5) | 5.2 (2.6) | 5.2 (2.6) | 4.5 (2.5) |
Sugar‐sweetened beverages, servings per d | 0.2 (0.3) | 0.2 (0.4) | 0.3 (0.5) | 0.3 (0.6) | 0.4 (0.8) |
Red and processed meats, servings per d | 0.9 (0.5) | 1.1 (0.6) | 1.2 (0.7) | 1.3 (0.7) | 1.3 (0.8) |
Cereal fiber, g/d | 5.2 (2.8) | 4.5 (2.4) | 4.0 (2.0) | 3.8 (2.0) | 3.4 (1.8) |
Nuts, servings per d | 0.2 (0.3) | 0.1 (0.3) | 0.1 (0.2) | 0.1 (0.3) | 0.1 (0.2) |
Alcohol intake, g/d | 8.6 (9.3) | 6.0 (8.8) | 4.7 (8.6) | 6.7 (11.4) | 8.5 (15.7) |
Physical activity, MET‐h/wk | 4.3 (2.2) | 3.2 (2.1) | 2.7 (1.9) | 2.9 (2.1) | 2.6 (1.9) |
Energy intake, kcal | 1736 (489) | 1735 (511) | 1747 (531) | 1765 (544) | 1754 (554) |
Baseline diabetes mellitus, % | 1.2 | 1.6 | 2.5 | 4.5 | 3.9 |
Baseline hypertension, % | 13.1 | 15.9 | 21.6 | 27.9 | 25.3 |
Baseline hypercholesterolemia, % | 6.3 | 7.3 | 8.4 | 9.5 | 8.6 |
Family history of MI, % | 17.0 | 17.7 | 19.7 | 20.7 | 20.5 |
Family history of cancer, % | 15.9 | 15.4 | 15.3 | 15.5 | 14.1 |
Family history of diabetes mellitus, % | 24.7 | 27.4 | 31.7 | 32.8 | 31.9 |
Aspirin use (yes), % | 71.5 | 72.6 | 71.6 | 71.0 | 70.1 |
Multivitamin use,% | 44.2 | 39.8 | 36.6 | 35.3 | 31.7 |
Underwent physical examination for screening purposes | 63.3 | 61.5 | 59.5 | 56.9 | 53.9 |
Health Professionals’ Follow‐up Study | |||||
Healthy Heart Score (20‐y risk)† | 2.7 (0.3) | 3.3 (0.1) | 3.8 (0.2) | 4.5 (0.2) | 6.6 (3.1) |
Healthy Heart Score components | |||||
Age, y | 53.1 (9.8) | 52.5 (9.6) | 52.7 (9.5) | 52.8 (9.3) | 52.2 (8.9) |
BMI, kg/m2 | 22.5 (1.6) | 24.0 (1.4) | 25.1 (1.5) | 26.4 (1.9) | 29.2 (4.1) |
Current smoker, % | 0.4 | 0.9 | 2.8 | 9.6 | 32.7 |
Fruits and vegetables, servings per d | 5.4 (2.8) | 4.9 (2.5) | 4.6 (2.4) | 4.4 (2.4) | 4.2 (2.4) |
Sugar‐sweetened beverages, servings per d | 0.2 (0.3) | 0.3 (0.4) | 0.3 (0.5) | 0.4 (0.6) | 0.6 (0.8) |
Red and processed meats, servings per d | 0.8 (0.6) | 1.0 (0.7) | 1.2 (0.7) | 1.3 (0.8) | 1.6 (0.9) |
Cereal fiber, g/d | 7.4 (3.6) | 6.2 (3.2) | 5.6 (2.9) | 5.1 (2.6) | 4.5 (2.3) |
Nuts, servings per d | 0.8 (0.9) | 0.6 (0.7) | 0.6 (0.7) | 0.6 (0.7) | 0.5 (0.6) |
Alcohol intake, g/d | 14.0 (14.7) | 12.1 (14.1) | 11.0 (14.1) | 10.4 (14.6) | 10.0 (15.2) |
Physical activity, MET‐h/wk | 5.7 (6.1) | 3.2 (3.7) | 2.4 (3.0) | 1.8 (2.6) | 1.3 (2.2) |
Energy intake, kcal | 2076 (587) | 2037 (593) | 2044 (617) | 2065 (628) | 2145 (668) |
Baseline diabetes mellitus, % | 2.0 | 2.2 | 2.2 | 2.3 | 3.2 |
Baseline hypertension, % | 13.9 | 16.3 | 17.8 | 21.0 | 26.0 |
Baseline hypercholesterolemia, % | 11.2 | 9.6 | 10.0 | 9.7 | 11.0 |
Family history of MI, % | 32.5 | 31.5 | 31.7 | 31.6 | 32.0 |
Family history of cancer, % | 36.3 | 34.1 | 34.9 | 34.4 | 32.8 |
Family history of diabetes mellitus, % | 17.8 | 17.6 | 19.0 | 20.1 | 21.6 |
Aspirin use (yes), % | 25.4 | 25.6 | 27.1 | 27.0 | 29.7 |
Currently uses multivitamins, % | 50.2 | 45.5 | 41.4 | 39.4 | 36.9 |
Underwent physical examination for screening purposes | 53.3 | 51.9 | 50.9 | 49.8 | 42.6 |
MET indicates metabolic equivalent; MI, myocardial infarction.
Continuous variables are presented as means (SDs) and categorical values as percentages.
The formula to estimate the 20‐year risk of cardiovascular disease (percentage) based on lifestyle predictors derived includes age as a constant (50 years) and includes smoking, body mass index (BMI), physical activity, alcohol, and a composite diet score (fruits and vegetables, sugar‐sweetened beverages, red/processed meats, cereal fiber, nuts) (Figure S1).