Table 2 Estimates of cardiovascular risk according to the number of ideal cardiovascular health metrics in the RIVANA cohort (n = 3826)

 Events/person-years

53/9126

83/12594

46/11482

12/13156

 Incidence rate/10,000 person years

58.07

65.90

40.06

9.12

 Unadjusted model

1.00 (ref.)

1.14 (0.81–1.61)

0.69 (0.46–1.02)

0.16 (0.08–0.29)

< 0.001

 Sex- and age-adjusted model

1.00 (ref.)

1.12 (0.79–1.58)

0.78 (0.52–1.16)

0.31 (0.16–0.58)

< 0.001

 MV-adjusted model^b

1.00 (ref.)

1.12 (0.79–1.59)

0.79 (0.53–1.18)

0.32 (0.17–0.60)

< 0.001

  MV-adjusted model^b

0.00 (ref.)

1.44 (− 2.92, 5.80)

− 2.94 (− 7.94, 2.06)

− 14.36 (− 22.85, − 5.87)

 Events/person-years

20/9213

31/12739

11/11579

5/13175

 Incidence rate/10,000 person years

21.71

24.33

9.50

3.80

 Unadjusted model

1.00 (ref.)

1.12 (0.64–1.97)

0.44 (0.21–0.91)

0.18 (0.07–0.47)

<  0.001

 Sex- and age-adjusted model

1.00 (ref.)

1.18 (0.67–2.08)

0.52 (0.25–1.09)

0.31 (0.11–0.84)

0.004

 MV-adjusted model^b

1.00 (ref.)

1.18 (0.67–2.08)

0.53 (0.25–1.10)

0.32 (0.12–0.87)

0.006

  MV-adjusted model^b

0.00 (ref.)

3.74 (− 9.24, 16.73)

− 14.49 (− 32.66, 3.67)

− 27.79 (− 54.93, − 1.34)

 Events/person-years

23/9216

39/12751

20/11545

5/13184

 Incidence rate/10,000 person years

24.96.

30.59

17.32

37.92

 Unadjusted model

1.00 (ref.)

1.23 (0.73–2.06)

0.69 (0.38–1.26)

0.15 (0.06–0.40)

< 0.001

 Sex- and age-adjusted model

1.00 (ref.)

1.17 (0.69–1.96)

0.77 (0.42–1.40)

0.30 (0.11–0.80)

0.011

 MV-adjusted model^b

1.00 (ref.)

1.15 (0.69–1.94)

0.76 (0.41–1.39)

0.29 (0.11–0.77)

0.009

  MV-adjusted model^b

0.00 (ref.)

1.47 (− 3.92, 6.86)

− 2.87 (− 9.13, 3.39)

− 12.77 (− 23.44, − 2.10)

 Events/person-years

17/9313

27/12907

20/11642

2/13204

 Incidence rate/10,000 person years

18.26

20.92

17.18

1.51

 Unadjusted model

1.00 (ref.)

1.15 (0.63–2.11)

0.94 (0.49–1.79)

0.08 (0.02–0.36)

< 0.001

 Sex- and age-adjusted model

1.00 (ref.)

1.03 (0.56–1.90)

1.02 (0.53–1.95)

0.18 (0.04–0.77)

0.059

 MV-adjusted model^b

1.00 (ref.)

1.04 (0.57–1.92)

1.03 (0.54–1.97)

0.19 (0.04–0.80)

0.072

  MV-adjusted model^b

0.00 (ref.)

0.34 (− 4.63, 5.31)

0.25 (− 5.05, 5.55)

− 13.77 (− 26.23, − 1.,31)

 Events/person-years

94/8868

112/12409

64/11372

22/13084

 Incidence rate/10,000 person years

106.00

90.25

56.28

16.81

 Unadjusted model

1.00 (ref.)

0.85 (0.65–1.12)

0.53 (0.39–0.73)

0.16 (0.10–0.25)

< 0.001

 Sex- and age-adjusted model

1.00 (ref.)

0.85 (0.64–1.12)

0.61 (0.44–0.84)

0.30 (0.19–0.49)

< 0.001

 MV-adjusted model^b

1.00 (ref.)

0.85 (0.65–1.12)

0.61 (0.44–0.84)

0.31 (0.19–0.49)

< 0.001

  MV-adjusted model^b

0.00 (ref.)

− 2.33 (− 6.36, 1.69)

− 7.16 (− 11.94, − 2.37)

− 17.22 (− 24.84, − 9.59)