| Title: | Well-Being and Cardiovascular Health: Insights From the UK Biobank Study. |
| Journal: | Journal of the American Heart Association |
| Published: | 18 Sep 2024 |
| Pubmed: | https://pubmed.ncbi.nlm.nih.gov/39291465/ |
| DOI: | https://doi.org/10.1161/jaha.124.035225 |
Publication 13462
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Abstract
BACKGROUND: Cardiovascular diseases (CVDs) are a leading global health concern. Emerging evidence suggests a potential protective role of well-being in reducing CVD risk.</p>
METHODS AND RESULTS: We conducted a cohort analysis using the UK Biobank data set, encompassing 121 317 participants. We assessed the well-being of participants using a well-being index derived from baseline questionnaires. Well-being categories were derived by latent class analysis using general happiness and satisfaction with family, friendships, health, and finance situations. The relationship between well-being and 4 major CVDs was analyzed using Cox proportional hazards models and Mendelian randomization. The study also examined the impacts of well-being on lifestyle factors and inflammatory markers, and its mediating role in the well-being-CVD relationship. Higher well-being was associated with a significantly reduced risk of various CVDs. Latent class analysis identified 4 distinct well-being groups (low, variable, moderate-to-high, and high satisfaction), with higher satisfaction levels generally associated with lower risk of CVDs. Mendelian randomization suggested potential causal relationships between well-being and reduced risk of CVDs. Participants with greater well-being demonstrated healthier behaviors and lower levels of inflammatory markers. Mediation analysis indicated that lifestyle and inflammatory markers partially mediated the relationship between well-being and CVDs.</p>
CONCLUSIONS: This study demonstrates a robust inverse association between well-being and the risks of CVDs, suggesting that enhancing well-being may be a viable strategy for CVD prevention. The role of lifestyle factors and inflammation as a mediator provides insight into possible biological pathways linking psychological states and cardiovascular health.</p>
19 Keywords
- Adult
- Aged
- Biological Specimen Banks
- Cardiovascular Diseases
- Female
- Happiness
- Health Status
- Heart Disease Risk Factors
- Humans
- Life Style
- Male
- Mendelian Randomization Analysis
- Middle Aged
- Personal Satisfaction
- Protective Factors
- Risk Assessment
- Risk Factors
- UK Biobank
- United Kingdom
8 Authors
- Jinghui Zhong
- Pan Zhang
- Yiran Dong
- Yingjie Xu
- Hongmei Huang
- Ruidong Ye
- Xinfeng Liu
- Wen Sun
1 Application
| Application ID | Title |
|---|---|
| 106487 | Association of Serum Markers, Lifestyle, and Health Outcomes: Exploring Risk Factors for Cardiovascular and Cerebrovascular Diseases and Mortality |
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