Lifestyle Factors and Cardiovascular Risk
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Abstract
Cardiovascular risk reflects an interaction among behavior, biological measures, inherited susceptibility and the social environment. This narrative review examines tobacco exposure, diet, physical activity, sleep, alcohol use and psychosocial conditions, and explains how they relate to blood pressure, lipids, glucose and body weight. It synthesizes World Health Organization guidance, the American Heart Association’s Life’s Essential 8 framework and the multicountry INTERHEART case-control study. A chart reproduces selected adjusted odds ratios from INTERHEART, with their distinct comparison groups stated; these associations are neither individualized risk estimates nor proof of causal effects. Tables summarize pathways and practical assessment measures. Evidence supports a combined approach that helps people avoid tobacco, eat a healthier dietary pattern, move regularly and maintain healthy sleep while monitoring clinical risk factors. Individual choices depend on access, income, work, environment and health status; prevention therefore also requires supportive systems and appropriate clinical care [1–5].
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References
[1] World Health Organization. (2025). Cardiovascular diseases (CVDs). https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)
[2] Lloyd-Jones, D. M., et al. (2022). Life’s Essential 8: Updating and Enhancing the American Heart Association’s Construct of Cardiovascular Health. Circulation, 146(5), e18–e43. https://doi.org/10.1161/CIR.0000000000001078
[3] Yusuf, S., et al. (2004). Effect of potentially modifiable risk factors associated with myocardial infarction in 52 countries (the INTERHEART study): Case-control study. The Lancet, 364(9438), 937–952. https://doi.org/10.1016/S0140-6736(04)17018-9
[4] Lichtenstein, A. H., et al. (2021). 2021 Dietary Guidance to Improve Cardiovascular Health: A Scientific Statement From the American Heart Association. Circulation. https://doi.org/10.1161/CIR.0000000000001031
[5] Bull, F. C., et al. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British Journal of Sports Medicine, 54, 1451–1462. https://doi.org/10.1136/bjsports-2020-102955