Evidence map›Paper›PMID 33107078›Full record

ArticleJournal of internal medicine2021

Cardiovascular risk factors and lifestyle behaviours in relation to longevity: a Mendelian randomization study.

S van Oort, J W J Beulens, A J van Ballegooijen, S Burgess, S C Larsson

Open access · hybridAbstract read
In one paragraph

Article in Journal of internal medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 5 pooled it
6.7field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

34 citing papers in PubMed, 5 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
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  6. Article
  7. Longevity.Clinical medicine & research · 2026
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  8. Assessing the causal impact of leisure-time physical activity and screen time on lifespan: a Mendelian randomization study.European review of aging and physical activity : official journal of the European Group for Research into Elderly and Physical Activity · 2026
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

S van OortDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-0756-2730
J W J BeulensDepartment of Epidemiology and Data Science, Amsterdam Public Health Research Institute and Amsterdam Cardiovascular Sciences Research Institute, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.
A J van BallegooijenDepartment of Epidemiology and Data Science, Amsterdam Public Health Research Institute and Amsterdam Cardiovascular Sciences Research Institute, Amsterdam University Medical Centers, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands.ORCID 0000-0002-6400-6765
S BurgessMRC Biostatistics Unit, University of Cambridge, Cambridge, UK.
S C LarssonDepartment of Surgical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0003-0118-0341
Uppsala University · SEAmsterdam University Medical Centers · NLUniversity Medical Center Utrecht · NLUniversity of Cambridge · GB

Funding

Medical Research Council MC_UU_00002/7Wellcome Trust 204623/Z/16/Z
6 · The paper itself

Abstract

backgroundThe American Heart Association introduced the Life's Simple 7 initiative to improve cardiovascular health by modifying cardiovascular risk factors and lifestyle behaviours. It is unclear whether these risk factors are causally associated with longevity.

objectivesThis study aimed to investigate causal associations of Life's Simple 7 modifiable risk factors, as well as sleep and education, with longevity using the two-sample Mendelian randomization design.

methodsInstrumental variables for the modifiable risk factors were obtained from large-scale genome-wide association studies. Data on longevity beyond the 90

resultsRisk factors associated with a lower odds of longevity included the following: genetic liability to type 2 diabetes (OR 0.88; 95% CI: 0.84;0.92), genetically predicted systolic and diastolic blood pressure (per 1-mmHg increase: 0.96; 0.94;0.97 and 0.95; 0.93;0.97), body mass index (per 1-SD increase: 0.80; 0.74;0.86), low-density lipoprotein cholesterol (per 1-SD increase: 0.75; 0.65;0.86) and smoking initiation (0.75; 0.66;0.85). Genetically increased high-density lipoprotein cholesterol (per 1-SD increase: 1.23; 1.08;1.41) and educational level (per 1-SD increase: 1.64; 1.45;1.86) were associated with a higher odds of longevity. Fasting glucose and other lifestyle factors were not significantly associated with longevity.

conclusionMost of the Life's Simple 7 modifiable risk factors are causally related to longevity. Prevention strategies should focus on modifying these risk factors and reducing education inequalities to improve cardiovascular health and longevity.

Indexed as

Life StyleMendelian Randomization AnalysisAmerican Heart AssociationBiomarkersCardiovascular DiseasesEducational StatusFemaleGenetic Predisposition to DiseaseHeart Disease Risk FactorsHumansLongevityMaleMeta-Analysis as TopicSleepUnited StatesBiomarkerscardiovascular risk factorsinstrumental variable analysislifestylelongevityMendelian randomization

Identifiers

PMID33107078
PMCPMC7894570
OpenAlexW3092282866

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.