Table 4.

Association between components of the ACS guidelines score and mortality in women

All-cause mortalityCVD mortalityCancer mortality
nRR (95% CI)aPtrendbnRR (95% CI)aPtrendbnRR (95% CI)aPtrendb
BMI, kg/m2
 (0) ≥30 at 1 or both time points (referent)1,3601.00 (-)4631.00 (-)4691.00 (-)
 (1) Other combinations2,3870.74 (0.69–0.79)6980.62 (0.55–0.70)9370.86 (0.77–0.96)
 (2) 18.5–24.9 in 1982 and 19922,8660.66 (0.62–0.71)<0.00018010.53 (0.48–0.60)<0.000111500.78 (0.70–0.87)<0.0001
Recreational physical activity, MET-h/wk
 (0) <8.75 (referent)3,8491.00 (-)12091.00 (-)13931.00 (-)
 (1) 8.75–<17.51,2830.83 (0.78–0.89)3480.72 (0.64–0.81)5470.97 (0.88–1.08)
 (2) 17.5+1,4810.88 (0.82–0.93)<0.00014050.78 (0.69–0.87)<0.00016160.99 (0.89–1.09)0.7
Alcohol intake, drinks/d
 (0) >1 (referent)7031.00 (-)1771.00 (-)3291.00 (-)
 (1) Nondrinker3,6211.27 (1.17–1.39)11701.44 (1.22–1.70)12241.01 (0.89–1.15)
 (2) Drinker of ≤12,2890.99 (0.91–1.08)<0.00016150.99 (0.84–1.17)0.000310030.97 (0.86–1.11)0.5
Healthy diet score
 (0) <3 (referent)1,3981.00 (-)4101.00 (-)5551.00 (-)
 (1) 3–<62,1710.91 (0.85–0.98)6340.88 (0.78–1.00)7980.86 (0.77–0.96)
 (2) 6+3,0440.85 (0.79–0.90)<0.00019180.84 (0.74–0.95)0.00512030.87 (0.79–0.97)0.03
  • aRelative risk and 95%CI. Multivariate model adjusted for age, smoking status [never, years since quitting (≤5, >5–10, >10–15, >15–20, >20–25, >25, unknown], education (less than high school/high school graduate/some college or trade school/college graduate), and all other risk factors included in the table.

  • bP value for trend calculated by assigning an ordinal value to each category and modeling as a continuous variable.