Relationship Between The Ideal Cardiovascular Behaviors And Factors And Incidence Of Hypertension

Objectives To expore the relationship between the ideal cardiovascular behaviors andfactors and hypertension incidenceMethods Prospective cohort study In our study52,133workers who had participated inthe2006.07～2007.10Kailuan health examination without history of cerebral infractionand myocardial infarction and hypertension and without data incomplete wererecruited. All workers were observed the occurrence of hypertension. According to theAHA definition of ideal cardiovascular health behaviors and factors，referring to MarkD. Huffman’s research methods, integrated seven cardiovascular health behaviors andhealth factors to establish scoring system, based on this system, we carried out stratifiedanalysis and the cumulative incidence of hypertension in different groups were calculatewith life table method, and compared by Log-rank test; Cox proportional hazardsregression was used to calculated hazard rations and95%confidence intervals forbaseline behaviors and factors.Results1After average43.56months follow-up, the cumulative incidence ofhypertension according0~1,2,3,4,5~7ideal cardiovascular health behaviors and factorswere65.72%,59.14%,54.59%,50.24%,34.22%.2The cumulative incidence ofhypertension according0~4,4~9,10~14scores of ideal cardiovascular health behaviorsand factors were75.22%,59.70%,42.69%.3Cox proportional hazards model showedthat adjusting for age，education level and family history of hypertension who had2,3,4,5~7ideal cardiovascular behaviors and factors were0.75,0.7,0.63,0.37timesrespectively, compared with who had0~1ideal behaviors, and those were0.82,0.50,0.72,0.36times in women,0.77,0.77,0.65,0.45times in men. Cox proportional hazardsmodel showed that adjusting for age， education level and family history ofhypertension who were4~9,10~14scores of ideal cardiovascular behaviors and factorswere times respectively, compared with who had0~1ideal behaviors, and it was0.61,0.35times, those were0.61and0.31times in men, and increasing with scores, theincidence of hypertension reduced in women.Conclusions The incidence of hypertension and risk was reduced with the increasing ofideal cardiovascular health behaviors and factors.