Cardiovascular health status in Chinese adults in urban areas: Analysis of the Chinese Health Examination Database 2010

Wu, Haiyun; Sun, Zhonghua; Cao, Dong-Ping; Wu, Liu­xin; Zeng, Qiang

doi:10.1016/j.ijcard.2012.09.235

Cited by 39 publications

(44 citation statements)

References 18 publications

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“…The prevalence of meeting all seven LSS has also been shown to be low in a variety of predominantly non-Hispanic white populations ranging from 0% to 1% only 23–26 . Studies in Chinese populations also show low prevalence of meeting all 7 LSS (0.1% to 1.5%) 27–29 .…”

Section: Discussionmentioning

confidence: 99%

Prevalence and changes over time of ideal cardiovascular health metrics among African–Americans: The Jackson Heart Study

Djoussé

Petrone

Blackshear

et al. 2015

Preventive Medicine

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Objectives To assess the prevalence and changes over time of ideal Life’s Simple Seven (LSS) in African-Americans. Methods Prospective cohort of 5301 African-Americans from the Jackson Heart Study (JHS) from 2000 to 2013. Each of the LSS metrics was categorized as poor, intermediate, or ideal. Results Among men, the prevalence of having 0, 1, 2, 3, 4, 5, 6, and 7 ideal LSS was 3.3%, 23.0%, 33.5%, 24.7%, 11.6%, 3.6%, 0.3%, and 0%, respectively. Corresponding values for women were 1.7%, 26.3%, 33.1%, 22.8%, 11.9%, 3.7%, 0.6%, and 0%. Prevalence of ideal diet was 0.9%. The proportions of those meeting LSS ideal recommendations for cholesterol and fasting glucose declined from the first through third JHS visits across all age groups, whereas prevalence of ideal BMI declined only in participants <40 years at a given visit. Prevalence of ideal blood pressure did not change over time and being ideal on physical activity improved from the first [18.3% (95% CI: 17.3% to 19.3%)] to third visit [24.8% (95% CI: 23.3% to 26.3%)]. Conclusions Our data show a low prevalence of ideal LSS (especially diet, physical activity, and obesity) in the JHS and a slight improvement in adherence to physical activity recommendations over time.

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Section: Discussionmentioning

confidence: 99%

Prevalence and changes over time of ideal cardiovascular health metrics among African–Americans: The Jackson Heart Study

Djoussé

Petrone

Blackshear

et al. 2015

Preventive Medicine

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“…Moreover, some previous studies have shown that there is a significant association between the low prevalence of ideal cardiovascular health metrics and incidence of CVD among adults, and meeting a greater number of ideal cardiovascular health metrics is associated with a significantly low risk for CVD [13, 19]. With the low prevalence of healthy factors and lifestyles, it can be expected that CVD will continue to increase in the near future if there is no intervention [20, 21], so it’s urgently required to develop comprehensive population-based interventions to achieve greater number of ideal cardiovascular health metrics.…”

Section: Discussionmentioning

confidence: 99%

Ideal cardiovascular health status and its association with socioeconomic factors in Chinese adults in Shandong, China

Ren

Guo

et al. 2016

BMC Public Health

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BackgroundCardiovascular disease (CVD) is the leading cause of morbidity and mortality in the world. In 2010, a goal released by the American Heart Association (AHA) Committee focused on the primary reduction in cardiovascular risk.MethodsData collected from 7683 men and 7667 women aged 18–69 years were analyzed. The distribution of ideal cardiovascular health metrics based on 7 cardiovascular disease risk factors or health behaviors in according to the definition of AHA was evaluated among the subjects. The association of the socioeconomic factors on the prevalence of meeting 5 or more ideal cardiovascular health metrics was estimated by logistic regression analysis, and a chi-square test for categorical variables and the general linear model (GLM) procedure for continuous variables were used to compare differences in prevalence and in means among genders.ResultsSeven of 15350 participants (0.05 %) met all 7 cardiovascular health metrics. The women had a higher proportion of meeting 5 or more ideal health metrics compared with men (32.67 VS.14.27 %). The subjects with a higher education and income level had a higher proportion of meeting 5 or more ideal health metrics than the subjects with a lower education and income level. A comparison between subjects with meeting 5 or more ideal cardiovascular health metrics with subjects meeting 4 or fewer ideal cardiovascular health metrics reveals that adjusted odds ratio [OR, 95 % confidence intervals (95 % CI)] was 1.42 (0.95, 2.21) in men and 2.59 (1.74, 3.87) in women for higher education and income, respectively.ConclusionsThe prevalence of meeting all 7 cardiovascular health metrics was low in the adult population. Women, young subjects, and those with higher levels of education or income tend to have a greater number of the ideal cardiovascular health metrics. Higher socioeconomic status was associated with an increasing prevalence of meeting 5 or more cardiovascular health metrics in women but not in men. It’s urgent to develop comprehensive population-based interventions to improve the cardiovascular risk factors in Shandong Province in China.

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“…Considerando a análise agregada dos indicadores, resultados de estudos internacionais que aplicaram o escore proposto pela American Heart Association também mostraram prevalên-cias muito baixas, com diferenças entres os sexos 22,23,24,34,35,36 . Diferentemente dos resultados encontrados em populações americanas 23,35 , em nosso estudo o cenário foi desfavorável às mulheres, marcado pelo pior desempenho no índice de fatores comportamentais, porém os homens apresentaram pior desempenho no ín-dice de fatores biológicos.…”

Section: Discussionunclassified

Avaliação dos fatores de risco cardiovasculares em uma população rural brasileira

et al. 2014

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Trata-se de um estudo transversal que avaliou indicadores de saúde cardiovascular em 863 indivíduos adultos residentes em comunidades rurais do Vale do Jequitinhonha, Minas Gerais, Brasil. Foram avaliados sete fatores, quatro comportamentais (dieta, atividade física, tabagismo e peso corporal) e três biológicos (colesterol total, glicemia em jejum e pressão arterial), classificados em níveis ideal, intermediário e ruim. Considerando os fatores comportamentais os homens tiveram melhor desempenho (p = 0,01), sendo observado um maior número de homens com 2 e 3 fatores em níveis ideais (48,5 e 25,8%, respectivamente), em detrimento das mulheres (44,2 e 19,8%, respectivamente) (p = 0,01). Por outro lado, as mulheres apresentaram maior número de fatores biológicos em níveis ideais (19,1%) quando comparadas com os homens (7,9%) (p < 0,001). Somente três (0,4%) participantes apresentaram os sete fatores na categoria ideal. A prevalência dos indicadores em nível ideal foi muito baixa, demonstrando a urgência de estratégias visando melhorar a saúde cardiovascular desta população.

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Cardiovascular health status in Chinese adults in urban areas: Analysis of the Chinese Health Examination Database 2010

Abstract: About two-thirds of the adult Chinese urban population has "poor" cardiovascular health. Comprehensive individual and population-based interventions must be developed to improve cardiovascular health status in China.

Cited by 39 publications

References 18 publications

Prevalence and changes over time of ideal cardiovascular health metrics among African–Americans: The Jackson Heart Study

Prevalence and changes over time of ideal cardiovascular health metrics among African–Americans: The Jackson Heart Study

Ideal cardiovascular health status and its association with socioeconomic factors in Chinese adults in Shandong, China

Avaliação dos fatores de risco cardiovasculares em uma população rural brasileira

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