A pooled, individual-level analysis sampling from communities across the US revealed that prevention of hypertension, obesity, and diabetes by ages 45 years and 55 years may substantially prolong heart failure-free survival, decrease heart failure-related morbidity. For participants at age 45 years, over 516,537 person-years of follow-up, 1,677 incident heart failure events occurred. Men and women without hypertension, obesity, and diabetes, compared to those with all 3, had 73% to 85% lower risks of incident heart failure. Men and women without hypertension, obesity, or diabetes at age 45 years lived on average 34.7 years and 38.0 years without incident heart failure, and they lived on average an additional 3 years to 15 years longer free of heart failure than those with 1, 2, or 3 risk factors. Similar trends were seen when stratified by race and at index age 55 years. Source: http://heartfailure.onlinejacc.org/
由美国社区汇集的个体水平分析显示，预防45岁和55岁时高血压，肥胖和糖尿病可大大延长无心衰存活率，降低心衰相关的发病率。对年龄45岁的参与者超过516,537人年的随访，发生1,677例心衰。无高血压，肥胖和糖尿病者与有所有3个（危险因素）者相比，发生心衰的风险降低73％至85％。45岁时无高血压，肥胖或糖尿病者平均生存34.7至38.0年，而未发生心衰，他们比有1，2或3个危险因素者无心衰寿命平均延长3至15年。以种族和年龄55岁时划分有类似的趋势。来源：http://heartfailure.onlinejacc.org/