Table 3.

Demographic, cancer treatment, and traditional cardiovascular risk factors in association with dyslipidemia at baseline SJLIFE evaluation among survivors without previously diagnosed dyslipidemia (n = 3406)a,b

CharacteristicLDL cholesterol >160 (n = 149)
Non-HDL cholesterol  >190 (n = 197)
Low HDL cholesterol (men <40, women <50) (n = 1026)
Total triglycerides >150 (n = 587)
No. (%)OR (95% CI)No. (%)OR (95% CI)No. (%)OR (95% CI)No. (%)OR (95% CI)
Age at diagnosis, y1.0 (0.9, 1.0)
 35 and older, male, or 45 and older, female61 (9.9)2.7 (1.9 to 3.8)83 (13.5)2.6 (1.9 to 3.6)188 (30.6)0.7 (0.5 to 0.9)199 (32.4)2.3 (1.8 to 2.9)
 35 and younger, male, or 45 and younger, female88 (3.2)1.0114 (4.1)1.0838 (30.0)1.0388 (13.9)1.0
Race and ethnicity
 Black15 (2.7)0.7 (0.4 to 1.2)18 (3.2)0.6 (0.3 to 0.9)136 (24.0)0.5 (0.4 to 0.7)41 (7.2)0.3 (0.2 to 0.4)
 Non-Black134 (4.7)1.0179 (6.3)1.0890 (31.4)1.0546 (19.0)1.0
 Hispanic
 Non-Hispanic
Clinical characteristics 
 Hypertension (grade 2-4)60 (10.9)1.3 (0.9 to 1.9)222 (40.4)1.3 (1.0 to 1.7)161 (29.3)1.5 (1.1 to 1.9)
 No hypertension137 (4.8)1.0804 (28.1)1.0426 (14.9)1.0
 Diabetes (grade 2-4)19 (14.2)1.6 (0.9 to 2.8)71 (53.0)2.1 (1.4 to 3.2)49 (36.6)1.9 (1.2 to 2.8)
 No diabetes178 (5.4)1.0955 (29.2)1.0538 (16.4)1.0
 History of hypothyroidism111 (35.5)1.2 (0.9 to 1.6)
 No history of hypothyroidism915 (29.6)1.0
 Chronic kidney disease (grade 1-4)11 (14.3)2.1 (1.0 to 4.3)22 (28.6)0.7 (0.3 to 1.1)25 (32.5)1.8 (1.0 to 3.1)
 No chronic kidney disease186 (5.6)1.01004 (30.2)1.0562 (16.9)1.0
 Family history of prematurec atherosclerotic disease159 (39.3)1.4 (1.1 to 1.8)
 No family history of premature coronary heart disease867 (28.9)1.0
 BMI ≥ 3071 (6.7)1.8 (1.3 to 2.5)99 (9.3)2.1 (1.6 to 2.9)524 (49.2)3.5 (2.9 to 4.1)279 (26.2)2.3 (1.9 to 2.8)
 BMI < 3078 (3.3)1.098 (4.2)1.0502 (21.5)1.0308 (13.2)1.0
 History of smoking64 (6.3)1.7 (1.2 to 2.4)86 (8.5)1.8 (1.4 to 2.5)341 (33.6)1.5 (1.2 to 1.8)229 (22.5)1.6 (1.3 to 2.0)
 No history of smoking85 (3.6)1.0111 (4.6)1.0685 (28.7)1.0358 (15.0)1.0
 Sedentary lifestyled546 (35.8)1.5 (1.3 to 1.8)288 (18.9)1.1 (0.9 to 1.4)
 Nonsedentary lifestyle454 (25.5)1.0284 (15.9)1.0
 Healthy eatinge752 (29.3)0.9 (0.7 to 1.1)
 Nonhealthy eating231 (32.5)1.0
 Risky drinkingf306 (25.3)0.7 (0.6 to 0.8)
 No risky drinking720 (32.8)1.0
Treatment factors 
 Cranial RT68 (7.3)2.1 (1.5 to 3.1)87 (9.3)2.2 (1.6 to 3.0)342 (36.7)1.3 (1.1 to 1.6)209 (22.5)1.4 (1.1 to 1.7)
 No cranial RT81 (3.3)1.0110 (4.4)1.0684 (27.6)1.0378 (15.3)1.0
 Chest RT
 No chest RT
 Abdominal RT42 (7.2)1.4 (0.9 to 2.0)115 (19.7)1.3 (1.0 to 1.7)
 No abdominal RT155 (5.5)1.0472 (16.7)1.0
 Total body irradiation for hematopoietic cell transplantation2 (2.7)1.2 (0.3 to 4.2)13 (17.6)6.7 (3.5 to 13.0)34 (46.0)2.9 (1.7 to 4.7)38 (51.4)9.9 (6.0 to 16.3)
 No total body irradiation for hematopoietic cell transplantation147 (4.4)1.0184 (5.5)1.0992 (29.8)1.0549 (16.5)1.0
 Glucocorticoid80 (5.2)1.0 (0.7 to 1.5)98 (6.4)0.9 (0.6 to 1.3)508 (33.0)0.9 (0.8 to 1.3)297 (19.3)1.2 (1.0 to 1.6)
 No glucocorticoid69 (3.7)1.099 (5.3)1.0518 (27.8)1.0290 (15.5)1.0
 Asparaginase361 (34.3)1.2 (0.9 to 1.6)
 No asparaginase665 (28.3)1.0
 Platinum11 (2.5)0.8 (0.4 to 1.4)14 (3.2)0.7 (0.4 to 1.2)118 (27.1)1.1 (0.8 to 1.4)64 (14.7)1.2 (0.9 to 1.7)
 No platinum138 (4.7)1.0183 (6.2)1.0908 (30.6)1.0523 (17.6)1.0
 Anthracycline82 (4.2)1.1 (0.8 to 1.6)104 (5.3)1.0 (0.8 to 1.4)583 (29.9)1.0 (0.8 to 1.2)320 (16.4)1.0 (0.8 to 1.2)
 No anthracycline67 (4.6)1.093 (6.4)1.0443 (30.4)1.0267 (18.3)1.0
CharacteristicLDL cholesterol >160 (n = 149)
Non-HDL cholesterol  >190 (n = 197)
Low HDL cholesterol (men <40, women <50) (n = 1026)
Total triglycerides >150 (n = 587)
No. (%)OR (95% CI)No. (%)OR (95% CI)No. (%)OR (95% CI)No. (%)OR (95% CI)
Age at diagnosis, y1.0 (0.9, 1.0)
 35 and older, male, or 45 and older, female61 (9.9)2.7 (1.9 to 3.8)83 (13.5)2.6 (1.9 to 3.6)188 (30.6)0.7 (0.5 to 0.9)199 (32.4)2.3 (1.8 to 2.9)
 35 and younger, male, or 45 and younger, female88 (3.2)1.0114 (4.1)1.0838 (30.0)1.0388 (13.9)1.0
Race and ethnicity
 Black15 (2.7)0.7 (0.4 to 1.2)18 (3.2)0.6 (0.3 to 0.9)136 (24.0)0.5 (0.4 to 0.7)41 (7.2)0.3 (0.2 to 0.4)
 Non-Black134 (4.7)1.0179 (6.3)1.0890 (31.4)1.0546 (19.0)1.0
 Hispanic
 Non-Hispanic
Clinical characteristics 
 Hypertension (grade 2-4)60 (10.9)1.3 (0.9 to 1.9)222 (40.4)1.3 (1.0 to 1.7)161 (29.3)1.5 (1.1 to 1.9)
 No hypertension137 (4.8)1.0804 (28.1)1.0426 (14.9)1.0
 Diabetes (grade 2-4)19 (14.2)1.6 (0.9 to 2.8)71 (53.0)2.1 (1.4 to 3.2)49 (36.6)1.9 (1.2 to 2.8)
 No diabetes178 (5.4)1.0955 (29.2)1.0538 (16.4)1.0
 History of hypothyroidism111 (35.5)1.2 (0.9 to 1.6)
 No history of hypothyroidism915 (29.6)1.0
 Chronic kidney disease (grade 1-4)11 (14.3)2.1 (1.0 to 4.3)22 (28.6)0.7 (0.3 to 1.1)25 (32.5)1.8 (1.0 to 3.1)
 No chronic kidney disease186 (5.6)1.01004 (30.2)1.0562 (16.9)1.0
 Family history of prematurec atherosclerotic disease159 (39.3)1.4 (1.1 to 1.8)
 No family history of premature coronary heart disease867 (28.9)1.0
 BMI ≥ 3071 (6.7)1.8 (1.3 to 2.5)99 (9.3)2.1 (1.6 to 2.9)524 (49.2)3.5 (2.9 to 4.1)279 (26.2)2.3 (1.9 to 2.8)
 BMI < 3078 (3.3)1.098 (4.2)1.0502 (21.5)1.0308 (13.2)1.0
 History of smoking64 (6.3)1.7 (1.2 to 2.4)86 (8.5)1.8 (1.4 to 2.5)341 (33.6)1.5 (1.2 to 1.8)229 (22.5)1.6 (1.3 to 2.0)
 No history of smoking85 (3.6)1.0111 (4.6)1.0685 (28.7)1.0358 (15.0)1.0
 Sedentary lifestyled546 (35.8)1.5 (1.3 to 1.8)288 (18.9)1.1 (0.9 to 1.4)
 Nonsedentary lifestyle454 (25.5)1.0284 (15.9)1.0
 Healthy eatinge752 (29.3)0.9 (0.7 to 1.1)
 Nonhealthy eating231 (32.5)1.0
 Risky drinkingf306 (25.3)0.7 (0.6 to 0.8)
 No risky drinking720 (32.8)1.0
Treatment factors 
 Cranial RT68 (7.3)2.1 (1.5 to 3.1)87 (9.3)2.2 (1.6 to 3.0)342 (36.7)1.3 (1.1 to 1.6)209 (22.5)1.4 (1.1 to 1.7)
 No cranial RT81 (3.3)1.0110 (4.4)1.0684 (27.6)1.0378 (15.3)1.0
 Chest RT
 No chest RT
 Abdominal RT42 (7.2)1.4 (0.9 to 2.0)115 (19.7)1.3 (1.0 to 1.7)
 No abdominal RT155 (5.5)1.0472 (16.7)1.0
 Total body irradiation for hematopoietic cell transplantation2 (2.7)1.2 (0.3 to 4.2)13 (17.6)6.7 (3.5 to 13.0)34 (46.0)2.9 (1.7 to 4.7)38 (51.4)9.9 (6.0 to 16.3)
 No total body irradiation for hematopoietic cell transplantation147 (4.4)1.0184 (5.5)1.0992 (29.8)1.0549 (16.5)1.0
 Glucocorticoid80 (5.2)1.0 (0.7 to 1.5)98 (6.4)0.9 (0.6 to 1.3)508 (33.0)0.9 (0.8 to 1.3)297 (19.3)1.2 (1.0 to 1.6)
 No glucocorticoid69 (3.7)1.099 (5.3)1.0518 (27.8)1.0290 (15.5)1.0
 Asparaginase361 (34.3)1.2 (0.9 to 1.6)
 No asparaginase665 (28.3)1.0
 Platinum11 (2.5)0.8 (0.4 to 1.4)14 (3.2)0.7 (0.4 to 1.2)118 (27.1)1.1 (0.8 to 1.4)64 (14.7)1.2 (0.9 to 1.7)
 No platinum138 (4.7)1.0183 (6.2)1.0908 (30.6)1.0523 (17.6)1.0
 Anthracycline82 (4.2)1.1 (0.8 to 1.6)104 (5.3)1.0 (0.8 to 1.4)583 (29.9)1.0 (0.8 to 1.2)320 (16.4)1.0 (0.8 to 1.2)
 No anthracycline67 (4.6)1.093 (6.4)1.0443 (30.4)1.0267 (18.3)1.0
a

The elastic-net regularization technique was used, adjusting for all variables in rows of this table as well as for cardiovascular outcome occurrence before SJLIFE evaluation. Variables not improving model accuracy were not selected in the each of models. BMI = body mass index; CHD = coronary heart disease; CI = confidence interval; HDL = high-density lipoprotein; LDL = low-density lipoprotein; OR = odds ratio; RT = radiotherapy; SJLIFE = St. Jude Lifetime Cohort Study.

b

Bold font indicates statistically significant results.

c

First-degree male relative with CHD before age 55 years; first-degree female relative with CHD before age 65 years.

d

Rarely or never physical activity.

e

National Health and Nutrition Examination Survey Healthy Eating Index > 50.8.

f

>3 drinks per day or >7 per week (females), >4 drinks per day or >14 per week (males).

Table 3.

Demographic, cancer treatment, and traditional cardiovascular risk factors in association with dyslipidemia at baseline SJLIFE evaluation among survivors without previously diagnosed dyslipidemia (n = 3406)a,b

CharacteristicLDL cholesterol >160 (n = 149)
Non-HDL cholesterol  >190 (n = 197)
Low HDL cholesterol (men <40, women <50) (n = 1026)
Total triglycerides >150 (n = 587)
No. (%)OR (95% CI)No. (%)OR (95% CI)No. (%)OR (95% CI)No. (%)OR (95% CI)
Age at diagnosis, y1.0 (0.9, 1.0)
 35 and older, male, or 45 and older, female61 (9.9)2.7 (1.9 to 3.8)83 (13.5)2.6 (1.9 to 3.6)188 (30.6)0.7 (0.5 to 0.9)199 (32.4)2.3 (1.8 to 2.9)
 35 and younger, male, or 45 and younger, female88 (3.2)1.0114 (4.1)1.0838 (30.0)1.0388 (13.9)1.0
Race and ethnicity
 Black15 (2.7)0.7 (0.4 to 1.2)18 (3.2)0.6 (0.3 to 0.9)136 (24.0)0.5 (0.4 to 0.7)41 (7.2)0.3 (0.2 to 0.4)
 Non-Black134 (4.7)1.0179 (6.3)1.0890 (31.4)1.0546 (19.0)1.0
 Hispanic
 Non-Hispanic
Clinical characteristics 
 Hypertension (grade 2-4)60 (10.9)1.3 (0.9 to 1.9)222 (40.4)1.3 (1.0 to 1.7)161 (29.3)1.5 (1.1 to 1.9)
 No hypertension137 (4.8)1.0804 (28.1)1.0426 (14.9)1.0
 Diabetes (grade 2-4)19 (14.2)1.6 (0.9 to 2.8)71 (53.0)2.1 (1.4 to 3.2)49 (36.6)1.9 (1.2 to 2.8)
 No diabetes178 (5.4)1.0955 (29.2)1.0538 (16.4)1.0
 History of hypothyroidism111 (35.5)1.2 (0.9 to 1.6)
 No history of hypothyroidism915 (29.6)1.0
 Chronic kidney disease (grade 1-4)11 (14.3)2.1 (1.0 to 4.3)22 (28.6)0.7 (0.3 to 1.1)25 (32.5)1.8 (1.0 to 3.1)
 No chronic kidney disease186 (5.6)1.01004 (30.2)1.0562 (16.9)1.0
 Family history of prematurec atherosclerotic disease159 (39.3)1.4 (1.1 to 1.8)
 No family history of premature coronary heart disease867 (28.9)1.0
 BMI ≥ 3071 (6.7)1.8 (1.3 to 2.5)99 (9.3)2.1 (1.6 to 2.9)524 (49.2)3.5 (2.9 to 4.1)279 (26.2)2.3 (1.9 to 2.8)
 BMI < 3078 (3.3)1.098 (4.2)1.0502 (21.5)1.0308 (13.2)1.0
 History of smoking64 (6.3)1.7 (1.2 to 2.4)86 (8.5)1.8 (1.4 to 2.5)341 (33.6)1.5 (1.2 to 1.8)229 (22.5)1.6 (1.3 to 2.0)
 No history of smoking85 (3.6)1.0111 (4.6)1.0685 (28.7)1.0358 (15.0)1.0
 Sedentary lifestyled546 (35.8)1.5 (1.3 to 1.8)288 (18.9)1.1 (0.9 to 1.4)
 Nonsedentary lifestyle454 (25.5)1.0284 (15.9)1.0
 Healthy eatinge752 (29.3)0.9 (0.7 to 1.1)
 Nonhealthy eating231 (32.5)1.0
 Risky drinkingf306 (25.3)0.7 (0.6 to 0.8)
 No risky drinking720 (32.8)1.0
Treatment factors 
 Cranial RT68 (7.3)2.1 (1.5 to 3.1)87 (9.3)2.2 (1.6 to 3.0)342 (36.7)1.3 (1.1 to 1.6)209 (22.5)1.4 (1.1 to 1.7)
 No cranial RT81 (3.3)1.0110 (4.4)1.0684 (27.6)1.0378 (15.3)1.0
 Chest RT
 No chest RT
 Abdominal RT42 (7.2)1.4 (0.9 to 2.0)115 (19.7)1.3 (1.0 to 1.7)
 No abdominal RT155 (5.5)1.0472 (16.7)1.0
 Total body irradiation for hematopoietic cell transplantation2 (2.7)1.2 (0.3 to 4.2)13 (17.6)6.7 (3.5 to 13.0)34 (46.0)2.9 (1.7 to 4.7)38 (51.4)9.9 (6.0 to 16.3)
 No total body irradiation for hematopoietic cell transplantation147 (4.4)1.0184 (5.5)1.0992 (29.8)1.0549 (16.5)1.0
 Glucocorticoid80 (5.2)1.0 (0.7 to 1.5)98 (6.4)0.9 (0.6 to 1.3)508 (33.0)0.9 (0.8 to 1.3)297 (19.3)1.2 (1.0 to 1.6)
 No glucocorticoid69 (3.7)1.099 (5.3)1.0518 (27.8)1.0290 (15.5)1.0
 Asparaginase361 (34.3)1.2 (0.9 to 1.6)
 No asparaginase665 (28.3)1.0
 Platinum11 (2.5)0.8 (0.4 to 1.4)14 (3.2)0.7 (0.4 to 1.2)118 (27.1)1.1 (0.8 to 1.4)64 (14.7)1.2 (0.9 to 1.7)
 No platinum138 (4.7)1.0183 (6.2)1.0908 (30.6)1.0523 (17.6)1.0
 Anthracycline82 (4.2)1.1 (0.8 to 1.6)104 (5.3)1.0 (0.8 to 1.4)583 (29.9)1.0 (0.8 to 1.2)320 (16.4)1.0 (0.8 to 1.2)
 No anthracycline67 (4.6)1.093 (6.4)1.0443 (30.4)1.0267 (18.3)1.0
CharacteristicLDL cholesterol >160 (n = 149)
Non-HDL cholesterol  >190 (n = 197)
Low HDL cholesterol (men <40, women <50) (n = 1026)
Total triglycerides >150 (n = 587)
No. (%)OR (95% CI)No. (%)OR (95% CI)No. (%)OR (95% CI)No. (%)OR (95% CI)
Age at diagnosis, y1.0 (0.9, 1.0)
 35 and older, male, or 45 and older, female61 (9.9)2.7 (1.9 to 3.8)83 (13.5)2.6 (1.9 to 3.6)188 (30.6)0.7 (0.5 to 0.9)199 (32.4)2.3 (1.8 to 2.9)
 35 and younger, male, or 45 and younger, female88 (3.2)1.0114 (4.1)1.0838 (30.0)1.0388 (13.9)1.0
Race and ethnicity
 Black15 (2.7)0.7 (0.4 to 1.2)18 (3.2)0.6 (0.3 to 0.9)136 (24.0)0.5 (0.4 to 0.7)41 (7.2)0.3 (0.2 to 0.4)
 Non-Black134 (4.7)1.0179 (6.3)1.0890 (31.4)1.0546 (19.0)1.0
 Hispanic
 Non-Hispanic
Clinical characteristics 
 Hypertension (grade 2-4)60 (10.9)1.3 (0.9 to 1.9)222 (40.4)1.3 (1.0 to 1.7)161 (29.3)1.5 (1.1 to 1.9)
 No hypertension137 (4.8)1.0804 (28.1)1.0426 (14.9)1.0
 Diabetes (grade 2-4)19 (14.2)1.6 (0.9 to 2.8)71 (53.0)2.1 (1.4 to 3.2)49 (36.6)1.9 (1.2 to 2.8)
 No diabetes178 (5.4)1.0955 (29.2)1.0538 (16.4)1.0
 History of hypothyroidism111 (35.5)1.2 (0.9 to 1.6)
 No history of hypothyroidism915 (29.6)1.0
 Chronic kidney disease (grade 1-4)11 (14.3)2.1 (1.0 to 4.3)22 (28.6)0.7 (0.3 to 1.1)25 (32.5)1.8 (1.0 to 3.1)
 No chronic kidney disease186 (5.6)1.01004 (30.2)1.0562 (16.9)1.0
 Family history of prematurec atherosclerotic disease159 (39.3)1.4 (1.1 to 1.8)
 No family history of premature coronary heart disease867 (28.9)1.0
 BMI ≥ 3071 (6.7)1.8 (1.3 to 2.5)99 (9.3)2.1 (1.6 to 2.9)524 (49.2)3.5 (2.9 to 4.1)279 (26.2)2.3 (1.9 to 2.8)
 BMI < 3078 (3.3)1.098 (4.2)1.0502 (21.5)1.0308 (13.2)1.0
 History of smoking64 (6.3)1.7 (1.2 to 2.4)86 (8.5)1.8 (1.4 to 2.5)341 (33.6)1.5 (1.2 to 1.8)229 (22.5)1.6 (1.3 to 2.0)
 No history of smoking85 (3.6)1.0111 (4.6)1.0685 (28.7)1.0358 (15.0)1.0
 Sedentary lifestyled546 (35.8)1.5 (1.3 to 1.8)288 (18.9)1.1 (0.9 to 1.4)
 Nonsedentary lifestyle454 (25.5)1.0284 (15.9)1.0
 Healthy eatinge752 (29.3)0.9 (0.7 to 1.1)
 Nonhealthy eating231 (32.5)1.0
 Risky drinkingf306 (25.3)0.7 (0.6 to 0.8)
 No risky drinking720 (32.8)1.0
Treatment factors 
 Cranial RT68 (7.3)2.1 (1.5 to 3.1)87 (9.3)2.2 (1.6 to 3.0)342 (36.7)1.3 (1.1 to 1.6)209 (22.5)1.4 (1.1 to 1.7)
 No cranial RT81 (3.3)1.0110 (4.4)1.0684 (27.6)1.0378 (15.3)1.0
 Chest RT
 No chest RT
 Abdominal RT42 (7.2)1.4 (0.9 to 2.0)115 (19.7)1.3 (1.0 to 1.7)
 No abdominal RT155 (5.5)1.0472 (16.7)1.0
 Total body irradiation for hematopoietic cell transplantation2 (2.7)1.2 (0.3 to 4.2)13 (17.6)6.7 (3.5 to 13.0)34 (46.0)2.9 (1.7 to 4.7)38 (51.4)9.9 (6.0 to 16.3)
 No total body irradiation for hematopoietic cell transplantation147 (4.4)1.0184 (5.5)1.0992 (29.8)1.0549 (16.5)1.0
 Glucocorticoid80 (5.2)1.0 (0.7 to 1.5)98 (6.4)0.9 (0.6 to 1.3)508 (33.0)0.9 (0.8 to 1.3)297 (19.3)1.2 (1.0 to 1.6)
 No glucocorticoid69 (3.7)1.099 (5.3)1.0518 (27.8)1.0290 (15.5)1.0
 Asparaginase361 (34.3)1.2 (0.9 to 1.6)
 No asparaginase665 (28.3)1.0
 Platinum11 (2.5)0.8 (0.4 to 1.4)14 (3.2)0.7 (0.4 to 1.2)118 (27.1)1.1 (0.8 to 1.4)64 (14.7)1.2 (0.9 to 1.7)
 No platinum138 (4.7)1.0183 (6.2)1.0908 (30.6)1.0523 (17.6)1.0
 Anthracycline82 (4.2)1.1 (0.8 to 1.6)104 (5.3)1.0 (0.8 to 1.4)583 (29.9)1.0 (0.8 to 1.2)320 (16.4)1.0 (0.8 to 1.2)
 No anthracycline67 (4.6)1.093 (6.4)1.0443 (30.4)1.0267 (18.3)1.0
a

The elastic-net regularization technique was used, adjusting for all variables in rows of this table as well as for cardiovascular outcome occurrence before SJLIFE evaluation. Variables not improving model accuracy were not selected in the each of models. BMI = body mass index; CHD = coronary heart disease; CI = confidence interval; HDL = high-density lipoprotein; LDL = low-density lipoprotein; OR = odds ratio; RT = radiotherapy; SJLIFE = St. Jude Lifetime Cohort Study.

b

Bold font indicates statistically significant results.

c

First-degree male relative with CHD before age 55 years; first-degree female relative with CHD before age 65 years.

d

Rarely or never physical activity.

e

National Health and Nutrition Examination Survey Healthy Eating Index > 50.8.

f

>3 drinks per day or >7 per week (females), >4 drinks per day or >14 per week (males).

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