Prevention & lipidsCohort study

Low cardiovascular risk in early midlife and quality of life in old age: a life-long follow-up study in men

Eur J Prev CardiolPublished

  • Prospective cohort study
  • life-long follow-up
  • 2524 men [93.8%] died by 31 January 2025

Authors' conclusion

Low cardiovascular risk in early midlife was associated with greater longevity, less frailty, better quality of life, and higher levels of happiness and well-being in old age.

Study context

Population
Healthy men born 1919–1934, low-risk factors (non-smoking, BMI < 25 kg/m², SBP < 140 mmHg, total cholesterol < 6.0 mmol/L, one-hour post-load glucose < 9.0 mmol/L) measured at mean age 42 years907 assessed at age 79
Participants
2,690 men
Exposure
Number of low-risk factors in early midlife
  • 0 factorsn = 59reference
  • 1 factorn = 422
  • 2 factorsn = 855
  • 3 factorsn = 832
  • 4 factorsn = 417
  • 5 factorsn = 105

Main finding

As reported in the abstract

Reaching age 90 years, by number of midlife low-risk factors · mortality follow-up through 31 January 2025

Proportion reaching 90 years increased with number of low-risk factors

P < 0.001

Observational data: associations, not effects.

Further findings

Frailty, happiness, psychological wellbeing at mean age 79 · mean age 79 years

Frailty

P = 0.013

Happiness 5 factors 8.0 · 0 factors 7.5 · P = 0.053

Psychological wellbeing

P = 0.03

  • Frailty, happiness, psychological wellbeing at mean age 79: n = 907, response rate 63%

Frailty, happiness, psychological wellbeing at mean age 79 · mean age 79 years

Better health-related quality of life (HRQoL) in several domains with five factors

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Low cardiovascular risk in early midlife and quality of life in old age: a life-long follow-up study in men. Eur J Prev Cardiol. Published 27 August 2026. doi:10.1093/eurjpc/zwag429

Summarised from the published abstract; every number is checked against it