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. Author manuscript; available in PMC: 2021 Dec 8.
Published in final edited form as: J Am Coll Cardiol. 2020 Nov 9;76(23):2695–2707. doi: 10.1016/j.jacc.2020.10.002

Central Illustration. Implications of Cardiovascular Health at Age 18 to 30 Years for Incident Premature Cardiovascular Disease Over >30 Years.

Central Illustration.

In the bar graph (top), unadjusted cardiovascular disease (CVD) incidence rates were very low among individuals with high baseline cardiovascular health (CVH) in all sociodemographic subgroups. In the forest plot (bottom left), after adjustment for field center, sex, age, race, and total education, categorically moderate (vs low) CVH was associated with 58% lower hazard for CVD, and high (vs low) CVH was associated with 86% lower hazard for CVD. The population attributable fraction (bottom right) of CVD was 63% for moderate/low (vs high) baseline CVH. Findings were similar across sociodemographic subgroups. CVD was defined as in Figure 1. Edu, education; HR, hazard ratio; HS, high school; yrs, years.