The Influence of Lifestyle Modifications on Cardiovascular Outcomes in Older Adults: Findings from a Cross-Sectional Study

<b>Background:</b> Cardiovascular disease (CVD) is a leading cause of morbidity and mortality among older adults. Lifestyle modifications, including diet, physical activity, and smoking cessation, are key to reducing cardiovascular risk. This study examines the combined effects of these...

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Main Authors: Mohammed Almutairi, Ashwaq A. Almutairi, Abdulaziz M. Alodhialah
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Life
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Online Access:https://www.mdpi.com/2075-1729/15/1/87
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author Mohammed Almutairi
Ashwaq A. Almutairi
Abdulaziz M. Alodhialah
author_facet Mohammed Almutairi
Ashwaq A. Almutairi
Abdulaziz M. Alodhialah
author_sort Mohammed Almutairi
collection DOAJ
description <b>Background:</b> Cardiovascular disease (CVD) is a leading cause of morbidity and mortality among older adults. Lifestyle modifications, including diet, physical activity, and smoking cessation, are key to reducing cardiovascular risk. This study examines the combined effects of these behaviors on cardiovascular outcomes and their mediating mechanisms. <b>Methods:</b> A cross-sectional study was conducted among older adults (aged ≥ 60 years) in Riyadh, Saudi Arabia. Data on dietary quality, physical activity, and smoking status were collected using validated questionnaires. Cardiovascular outcomes, including low-density lipoprotein cholesterol (LDL), systolic blood pressure (SBP), and body mass index (BMI), were measured. A composite cardiovascular risk score was computed. Path analysis was employed to assess direct and indirect effects of lifestyle factors on cardiovascular outcomes. <b>Results:</b> Participants adhering to a healthy diet, engaging in regular physical activity, and avoiding smoking had significantly lower composite cardiovascular risk scores. Non-smoking status showed the strongest direct effect (β = −0.20, <i>p</i> = 0.006), while dietary quality and physical activity exhibited significant indirect effects mediated by LDL, SBP, and BMI. Combined adherence to multiple healthy behaviors resulted in the greatest reductions in cardiovascular risk. The path analysis highlighted dietary quality and physical activity as critical mediators of cardiovascular health improvements. <b>Conclusions:</b> Lifestyle modifications significantly reduce cardiovascular risk in older adults, with cumulative benefits observed for combined adherence to healthy behaviors. These findings emphasize the importance of comprehensive lifestyle interventions targeting diet, physical activity, and smoking cessation to promote cardiovascular health in aging populations.
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spelling doaj-art-4efce4c856ed449c86a87803e9f7a0342025-01-24T13:38:44ZengMDPI AGLife2075-17292025-01-011518710.3390/life15010087The Influence of Lifestyle Modifications on Cardiovascular Outcomes in Older Adults: Findings from a Cross-Sectional StudyMohammed Almutairi0Ashwaq A. Almutairi1Abdulaziz M. Alodhialah2Department of Medical Surgical Nursing, College of Nursing, King Saud University, Riyadh 11451, Saudi ArabiaSchool of Nursing & Midwifery, Monash University, Melbourne, VIC 3004, AustraliaDepartment of Medical Surgical Nursing, College of Nursing, King Saud University, Riyadh 11451, Saudi Arabia<b>Background:</b> Cardiovascular disease (CVD) is a leading cause of morbidity and mortality among older adults. Lifestyle modifications, including diet, physical activity, and smoking cessation, are key to reducing cardiovascular risk. This study examines the combined effects of these behaviors on cardiovascular outcomes and their mediating mechanisms. <b>Methods:</b> A cross-sectional study was conducted among older adults (aged ≥ 60 years) in Riyadh, Saudi Arabia. Data on dietary quality, physical activity, and smoking status were collected using validated questionnaires. Cardiovascular outcomes, including low-density lipoprotein cholesterol (LDL), systolic blood pressure (SBP), and body mass index (BMI), were measured. A composite cardiovascular risk score was computed. Path analysis was employed to assess direct and indirect effects of lifestyle factors on cardiovascular outcomes. <b>Results:</b> Participants adhering to a healthy diet, engaging in regular physical activity, and avoiding smoking had significantly lower composite cardiovascular risk scores. Non-smoking status showed the strongest direct effect (β = −0.20, <i>p</i> = 0.006), while dietary quality and physical activity exhibited significant indirect effects mediated by LDL, SBP, and BMI. Combined adherence to multiple healthy behaviors resulted in the greatest reductions in cardiovascular risk. The path analysis highlighted dietary quality and physical activity as critical mediators of cardiovascular health improvements. <b>Conclusions:</b> Lifestyle modifications significantly reduce cardiovascular risk in older adults, with cumulative benefits observed for combined adherence to healthy behaviors. These findings emphasize the importance of comprehensive lifestyle interventions targeting diet, physical activity, and smoking cessation to promote cardiovascular health in aging populations.https://www.mdpi.com/2075-1729/15/1/87cardiovascular diseasedietlifestyle modificationolder adultsphysical activitysmoking cessation
spellingShingle Mohammed Almutairi
Ashwaq A. Almutairi
Abdulaziz M. Alodhialah
The Influence of Lifestyle Modifications on Cardiovascular Outcomes in Older Adults: Findings from a Cross-Sectional Study
Life
cardiovascular disease
diet
lifestyle modification
older adults
physical activity
smoking cessation
title The Influence of Lifestyle Modifications on Cardiovascular Outcomes in Older Adults: Findings from a Cross-Sectional Study
title_full The Influence of Lifestyle Modifications on Cardiovascular Outcomes in Older Adults: Findings from a Cross-Sectional Study
title_fullStr The Influence of Lifestyle Modifications on Cardiovascular Outcomes in Older Adults: Findings from a Cross-Sectional Study
title_full_unstemmed The Influence of Lifestyle Modifications on Cardiovascular Outcomes in Older Adults: Findings from a Cross-Sectional Study
title_short The Influence of Lifestyle Modifications on Cardiovascular Outcomes in Older Adults: Findings from a Cross-Sectional Study
title_sort influence of lifestyle modifications on cardiovascular outcomes in older adults findings from a cross sectional study
topic cardiovascular disease
diet
lifestyle modification
older adults
physical activity
smoking cessation
url https://www.mdpi.com/2075-1729/15/1/87
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