RSS-Feed abonnieren
DOI: 10.1055/s-0038-1633971
Effective Prevention of Carotid Artery Atherosclerosis by Following this Motto for Healthy Habits: “Give Up One, Reduce Two, and Increase Three”
Publikationsverlauf
Publikationsdatum:
05. Februar 2018 (online)
Summary
Objectives: Lifestyle has a major influence on the development and progression of atherosclerosis. Our motto for healthy habits is “give up one, reduce two, and increase three”. The one thing that is to be given up is smoking. The two things that are to be reduced are intake of food and alcohol. The three things that are to be increased are exercise, rest and enjoyable activities. We assessed correlation between these six-health habits and plaque score indicating degree of atherosclerosis in the carotid artery.
Methods: Subjects were divided into unfavorable (practicing zero to three habits) and optimal (practicing four to six habits) healthy habits groups.
Results: Plaque score was significantly higher in the unfavorable group (7.6 ± 5.8) than in the optimal group (4.9 ± 4.2) (P<0.001).
Conclusions: The healthy habits that significantly contributed to prevention of atherosclerosis were quitting smoking and increasing rest and enjoyable activities.
-
References
- 1 Arntzenius A, Kromhout D, Barth J. et al. Diet, lipoproteins, and the progression of coronary atherosclerosis. New England Journal of Medicine 1985; 312: 805-11.
- 2 Ornish D, Brown S, Scherwitz L. et al. Can lifestyle changes reverse coronary heart disease? The Lifestyle Heart Trial. Lancet 1990; 336: 129-33.
- 3 Schuler G, Hambrecht R, Schlierf G. et al. Regular physical exercise and low-fat diet: effects on progression of coronary artery disease. Circulation 1992; 86: 1-11.
- 4 Watts G, Lewis B, Brunt J. et al. Effects of coronary artery disease of lipid-lowering diet, or diet plus cholestyramine, in the St Thomas’ Atherosclerosis Regression Study (STARS). Lancet 1992; 339: 563-9.
- 5 Pignoli P, Tremoli E, Poli A. et al. Intimal plus medial thickness of the arterial wall: A direct measurement with ultrasound imaging. Circulation 1986; 74: 1399-406.
- 6 Salonen R, Salonen J. Determinants of carotid intima-media thickness: A population-based ultrasonography study in Eastern Finnish men. Journal of Internal Medicine 1991; 229: 225-31.
- 7 Bots M, Hofman A, Grobbee D. Common carotid intima-media thickness and lower extremity arterial atherosclerosis: the Rotterdam Study. Arterioscler Thromb 1994; 14: 1885-91.
- 8 Wada T, Fukumoto T, Fujishiro K. Ultrasonic correlates of common carotid atherosclerosis in patients with coronary artery disease. Angiology 2002; 53: 177-83.
- 9 O’Leary D, Polak J, Kronmal R. et al. Carotid-artery intima and media thickness as a risk factor for myocardial infarction and stroke in older adults. New England Journal of Medicine 1999; 340: 14-22.
- 10 Chambless L, Folsom A, Clegg L. et al. Carotid wall thickness is predictive of incident of clinical stroke: the Atherosclerosis Risk in Communities (ARIC) Study. Am J Epidemiol 2000; 151: 479-87.
- 11 Wada T, Fukumoto T, Joki M. et al. The correlation of healthy habits “ichi-mu, ni-shou and san-ta” with BMI, waist circumference and body fat rate. Himan Kenkyu (J Jpn Soc for Study of Obesity) 2003; 9: 348-52.
- 12 Handa N, Matsumoto M, Maeda H. et al. Ultrasonic evaluation of early corotid atherosclerosis. Stroke 1990; 21: 1567-72.
- 13 Schiffin E. Reactivity of small blood vessels in hypertension: relationship with structural changes. Hypertension 1992: 19 Supplement.
- 14 Adams M, Nakagomi A, Keech A. et al. Carotid intima-media thickness is only weakly correlated with extent and severity of coronary disease. Circulation 1995; 92: 2127-34.
- 15 Homma S, Hirose N, Ishida H. et al. Carotid plaque and intima-media thickness assessed by B-mode ultrasonography in subjects ranging from young adults to centenarians. Stroke 2001; 32: 830-5.
- 16 Tell G, Polak J, Ward B. et al. Relationship of smoking with carotid artery wall thickness and stenosis in older adults: the Cardiovascular Health Study. Circulation 1994; 90: 2905-8.
- 17 Hubert H, Feinleib M, McNamura P. et al. Obesity as an independent risk factor for cardiovascular disease: a 26-year follow-up of participants in the Framingham Heart Study. Circulation 1983; 67: 968-77.
- 18 Manson J, Colditz G, Stampfer J. et al. A prospective study of obesity and risk of coronary heart disease in women. New England Journal of Medicine 1990; 322: 882-9.
- 19 Sjöström L, Storong J. Risk factors and atherosclerotic lesions: A review of autopsy studies. Arteriosclerosis 1983; 3: 183-198.
- 20 Solberg L, Storong J. Risk factors and atherosclerotic lesions. A review of autopsy studies. Arteriosclerosis 1983; 3: 183-98.
- 21 Hodgson J, Wahlqvist M, Balazs N. et al. Coronary arteriosclerosis in relation to body fatness and its distribution. Int J Obese Relat Metab Disord 1994; 18: 41-6.
- 22 Alexande J. Obesity and coronary heart disease. In. Alpert M, Alexande J. editors. The Heart and Lung in Obesity. New York: Futura Publishing Company; 1988: 213-38.
- 23 Kiechi S, Willeit J, Egger G. et al. Alcohol consumption and carotid atherosclerosis: evidence of dose-dependent atherogenic and antiatherogenic effects: results from the Bruneck Study. Stroke 1994; 25: 1593-8.
- 24 Demirovic J, Nabulsi A, Folsom A. et al. Alcohol consumption and ultrasonographically assessed carotid artery wall thickness and distensibility: the Atherosclerosis Risk in Communities (ARIC) Study Investigators. Circulation 1993; 88: 2787-93.
- 25 Leon A, Connett J, Group MR. Physical activity and 10.5 year mortality in the Multiple Risk Factor Intervention Trial (MRFIT). Int J Epidemiol 1991; 20: 690-7.
- 26 Lakka T, Venäläinen J, Rauramaa R. et al. Relation of leisure-time physical activity and cardiorespiratory fitness to the risk of acute myocardial infarction. New England Journal of Medicine 1994; 330: 1549-54.
- 27 Folsom A, Eckfeldt J, Weitzman S. et al. Relation of carotid artery wall thickness to diabetes mellitus, fasting glucose and insulin, body size, and physical activity. Stroke 1994; 25: 66-73.
- 28 Schmidt-Truksäss A, Grathwohl D, Frey I. et al. Relation of leisure-time physical activity to structural and functional properties of the common carotid artery in male subjects. Atherosclerosis 1999; 145: 107-14.
- 29 Schnall P, Landsbergis P, Baker D. Job strain and cardiovascular disease. Ann Rev Public Health 1994; 15: 381-411.
- 30 Karasek R, Baker D, Marxer F. et al. Job decision latitude, job demands, and cardiovascular disease: a prospective study of Swedish men. Am J Public Health 1981; 71: 694-705.
- 31 Karasek R, Theoell T, Schwarts J. et al. Job characteristics in relation to the prevalence of myocardial infarction in the US health examination survey (HES) and the health and nutrition examination study (HANES). Am J Public Health 1988; 78: 910-8.
- 32 Everson S, Lynch J, Chesney M. et al. Interaction of workplace demands and cardiovascular reactivity in progression of carotid atherosclerosis: population based study. British Medical Journal 1997; 314: 553-8.
- 33 Stevens J, Turner C, Rhodewalt F. et al. The type A behavior pattern and carotid artery athrosclerosis. Psychom Med 1984; 46: 105-13.
- 34 Matsumoto Y, Uyama O, Shimizu S. et al. Do anger and aggression affect carotid atherosclerosis?. Stroke 1993; 24: 983-6.
- 35 Barnett P, Spence D, Munuck S. et al. Psychological stress and the progression of the carotid artery disease. J Hypertens 1997; 15: 49-55.