Evidence map›Paper›PMID 40055644›Full record

ArticleBMC geriatrics2025

Association of healthy lifestyle and the incidence of atrial fibrillation in senior adults: a prospective cohort study.

Hai Deng, Yunting Mei, Chuchu Wu, Cong Gong, Zhisheng Lai, Jun Huang, Murui Zheng, Jianying Chen, Yuanling Xie, Huanying Fan and 5 more

Abstract read
In one paragraph

Article in BMC geriatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Burden and age-specific trends of atrial fibrillation/atrial flutter from 1990 to 2023: a growing challenge among younger and middle-aged adults.Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Hai Deng *Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Southern Medical University, 5/F, Ying Tung Building, No.106, Zhongshan Second Road, Guangzhou, 510080, China.
Yunting Mei *School of Public Health, Guangdong Pharmaceutical University, No. 283 Jianghai Avenue, Haizhu District, Guangzhou, 510310, China.
Chuchu Wu *School of Public Health, Guangdong Pharmaceutical University, No. 283 Jianghai Avenue, Haizhu District, Guangzhou, 510310, China.
Cong Gong *Department of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Southern Medical University, 5/F, Ying Tung Building, No.106, Zhongshan Second Road, Guangzhou, 510080, China.
Zhisheng LaiGuangzhou Yuexiu District Center for Disease Control and Prevention, Guangzhou, 510080, China.
Jun HuangDepartment of Geriatrics, Institute of Geriatrics, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Southern Medical University, Guangzhou, 510080, China.
Murui ZhengFaculty of Health Sciences, University of Macau, Macau, 999078, SAR, China.
Jianying ChenGuangzhou Zhuguang Street Community Health Service Center, Guangzhou, 510080, China.
Yuanling XieGuangzhou Baiyun Street Community Health Service Center, Guangzhou, 510080, China.
Huanying FanGuangzhou Xinzao Town Community Health Service Center, Guangzhou, 511442, China.
Xiuyi WuGuangzhou Nancun Town Community Health Service Center, Guangzhou, 511442, China.
Xueqing CaiGuangzhou Dadong Street Community Health Service Center, Guangzhou, 510080, China.
Yumei XueDepartment of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Southern Medical University, 5/F, Ying Tung Building, No.106, Zhongshan Second Road, Guangzhou, 510080, China. xymgdci@163.com.
Shulin WuDepartment of Cardiology, Guangdong Cardiovascular Institute, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Science, Southern Medical University, 5/F, Ying Tung Building, No.106, Zhongshan Second Road, Guangzhou, 510080, China. doctorwushulin@163.com.
Xudong LiuSchool of Public Health, Guangdong Pharmaceutical University, No. 283 Jianghai Avenue, Haizhu District, Guangzhou, 510310, China. xdliu.cn@hotmail.com.

Funding

Guangdong Basic and Applied Basic Research Foundation 2022A1515010686Medical Science and Technology Research Foundation of Guangdong Province A2023408Science and Technology Program of Guangzhou City 202102080404
6 · The paper itself

Abstract

backgroundLimited evidence was available on the association of the integrated effect of multidimensional lifestyle factors with AF incidence among Chinese old adults. This cohort study was to examine the effect of combined lifestyle factors on AF risk among Chinese older adults.

methodsA total of 3,253 adults aged 60 years or more from the Guangzhou Heart Study were successfully followed up. The healthy lifestyle score (HLS) was established using a weighted approach from seven dimensions of lifestyles, including diet quality, leisure-time physical activity, sleep quality, alcohol drinking, smoking, mental status, and waist-to-hip ratio. Hazard ratios (HRs) and 95% confidence intervals (95% CIs) were estimated using the Cox proportional hazard regression model.

resultsDuring a median of 31.13 months of follow-up, 76 (2.34%) new-onset of AF were observed. After adjustment for confounders, HLS was associated with a 46% (HR: 0.54, 95% CI: 0.32-0.93) reduced AF risk when comparing the high with low tertiles of weight HLS, with an exposure-response trend. Every 0.1-unit increment of HLS was associated with 49% reduced AF risk. The protective effect of HLS on AF incidence was remarkable in the young-old (HR: 0.47, 95% CI: 0.29-0.79) but not in the old-old (HR: 0.85, 95% CI: 0.29-2.48), when comparing the high with low tertiles.

conclusionThe results suggest that higher HLS was associated with lower AF incidence among Chinese old adults, and the findings highlight the need to consider multi-dimensional lifestyles when developing health promotion strategies to lower the risk of new-onset AF the risk of new-onset AF.

Indexed as

Atrial FibrillationHealthy LifestyleLife StyleAgedAged, 80 and overChinaCohort StudiesExerciseFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedProspective StudiesRisk FactorsAtrial fibrillationCohort studyGeriatric studyHealthy lifestyle

Identifiers

PMID40055644
PMCPMC11889794

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.