Ideal cardiovascular health behaviors and factors prevent the development of hypertension in prehypertensive subjects

Gao, Jingsheng; Sun, Hui; Xin, Li; Gao, Ming; Zhao, He; Qi, Yanhong; Wang, Yanxiu; Liu, Ying; Li, Jinfeng; Zhu, Ying; Zhao, Yong; Wang, Wen; Ma, Lei; Wu, Shouling

doi:10.3109/10641963.2015.1047938

Cited by 21 publications

(17 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…has demonstrated that the cardiovascular health awareness program (CHAP) is associated with a reduction in systolic and diastolic blood pressure [ 19 ]. Our recent study also proves that ideal cardiovascular health behaviors and factors play a prevent role on the development of hypertension [ 20 ]. However, the knowledge about the impact and association of the dynamic changes of health metrics on the future development of new-onset hypertension are still limited currently.…”

Section: Introductionmentioning

confidence: 62%

“…Being exhaustively studied, hypertension has been found highly prevalent in older age and male[ 27 – 32 ].Studies in recent years have also proved that people with a better baseline level of CHS have a strong and inverse association with risk of cardiovascular diseases and blood pressure level[ 3 , 20 , 33 ]. In our study, the change of cardiovascular health scores is significantly associated with the morbidity of new-onset hypertension.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Changes in Cardiovascular Health Status and the Risk of New-Onset Hypertension in Kailuan Cohort Study

Gao¹,

Liu²,

Wang³

et al. 2016

PLoS ONE

Self Cite

View full text Add to dashboard Cite

American Heart Association cardiovascular health metrics are intimately related to cardiovascular diseases. Acting as a key independent risk factor for high morbidity and mortality of cardiovascular diseases, hypertension and its relationship between health status get urgent attention. While the influence of individual health status changes and the future risk of new-onset hypertension is rarely understood, the present study applied this construct to assess the changes of cardiovascular health status and the morbidity of hypertension in Kailuan cohort study in north China. The Cardiovascular Health Score (CHS) was evaluated by the follow-ups of 2006–2007, 2008–2009, 2010–2011 and 2012–2013. The study population (n = 19381) was divided into 5 groups based on the changes in their CHS score between the first two follow-ups (△CHS) of 2006–2007 and 2008–2009 (≤-2, -1, 0, 1, ≥2). The morbidity of hypertension was collected during 2010–2011 and 2012–2013 follow-ups. Data analysis showed that during a median follow-up of 3.79±0.96 years, morbidity of hypertension had a graded relationship with △CHS. As △CHS scored from low to high, the standardized morbidity of hypertension for all participants were 81.40, 75.47, 68.37, 71.43 and 83.13 per 1000 person-year, respectively. An increased △CHS score of 1 was associated with a 10% decrease in the future risk of new-onset hypertension(HR: 0.90, 95% CI: 0.88–0.92). In conclusion, there was a strong inverse relationship between the incidence of new-onset hypertension and elevation of cardiovascular health metrics. Population-wide prevention, especially the promotion of lifestyle improvements, is critical to reducing the morbidity of new-onset hypertension.

show abstract

Section: Introductionmentioning

confidence: 62%

Section: Discussionmentioning

confidence: 99%

Changes in Cardiovascular Health Status and the Risk of New-Onset Hypertension in Kailuan Cohort Study

Gao¹,

Liu²,

Wang³

et al. 2016

PLoS ONE

Self Cite

View full text Add to dashboard Cite

show abstract

“…Similar beneficial effects of achieving an above-average ideal CVH were also observed among participants in the REGARDS study [38]. Moreover, ideal CVH has been associated with various measures of subclinical CVD, including arterial stiffness, [39–41] carotid atherosclerosis, [14–16] and coronary artery calcium, [42–44] as well as cardiovascular risk factors such as diabetes, [12] hypertension, [45] and depression [46]. While these results provide strong evidence for a protective effect of achieving ideal CVH on CVD and related conditions, previous investigations did not include American Indians, a minority group suffering from high rates of CVD, diabetes, and other risk factors.…”

Section: Discussionmentioning

confidence: 61%

Leukocyte telomere length and ideal cardiovascular health in American Indians: the Strong Heart Family Study

et al. 2016

View full text Add to dashboard Cite

Telomere length, a marker of biological aging, has been associated with cardiovascular disease (CVD) and its risk factors. Ideal cardiovascular health (CVH), defined by the American Heart Association (AHA), has also been associated with a reduced risk of CVD, but the relationship between telomere length and ideal CVH is unclear. We measured leukocyte telomere length (LTL) by qPCR in 2568 American Indians in the Strong Heart Family Study (SHFS). All participants were free of overt CVD at enrollment (2001–2003). CVH indices included four behavioral factors (smoking, physical activity, diet, BMI) and three health factors (blood pressure, cholesterol, fasting glucose). Each index was categorized as poor, intermediate, or ideal according to the AHA’s guideline. CVH was further categorized into below average (0–1), average (2–3) and above average (≥4) based on the total number of ideal indices. Results showed that, 29, 50 and 21 % of study participants had below average, average, and above average CVH, respectively. Participants with above average CVH had significantly longer LTL than those with below average CVH (β = 0.034, P = 0.042) after adjusting for age, sex, education level, marital status, processed meat consumption, alcohol consumption, and study site. Compared to the U.S. general population, American Indians achieved lower rates for five out of the seven ideal CVH metrics, including smoking, BMI, physical activity, diet, and blood pressure. Achieving four or more ideal CVH metrics was significantly associated with longer LTL. This finding suggests that achieving an ideal CVH may prevent or delay CVD, probably through promoting healthy aging.

show abstract

“…Previous studies have indicated the inverse association between the number of ICH metrics and the risks of hypertension 9,10 , type 2 diabetes mellitus 11,12 , CVDevents (stroke, heart failure, myocardial infarction, and fatal coronary disease) [13][14][15][16][17][18][19][20] , CVD mortality 21,22 , all-cause mortality 10,23 and concer 24,25 . However, most of the previous studies were conducted in western countries and Chinese urban areas [26][27][28] , much fewer in Chinese rural areas, which may not completely re ect the characteristics of Chinese rural population.…”

Section: Introductionmentioning

confidence: 99%

Gender-specific Prevalence and Influencing Factors of Ideal Cardiovascular Health in Chinese Rural Population: The Henan Rural Cohort Study

Liu

Luo

et al. 2020

Preprint

View full text Add to dashboard Cite

Abstract Background: The American Heart Association define a new concept of ideal cardiovascular health (ICH), which was widely used. However, the prevalence of ICH according to the definition of Chinese rural population is unclear. The study aimed to estimate prevalence and influencing factors of ICH in rural areas of China.Methods: This study included 35081 participants (13711 men and 21370 women)aged 18 to 79 years from “the Henan Rural Cohort study”. The cardiovascular health (CVH) metrics, the ICH scores, the ideal health behaviors (IHB) scores and ideal health factors (IHF)scores were evaluated in Chinese rural adults. Each CVH metrics divided into ideal and non-ideal including diet, physical activity, smoking, BMI, blood pressure, total cholesterol and fasting plasma glucose. The influencing factors of ideal CVH (ICH scores≥5), ideal HB (IHB scores>3) and ideal HF (IHF scores>3) were explored by logistic regression analysis.Results: The age-standardized mean scores of the ICH was 4.30(3.62 in men and4.69 in women). Prevalence of ICH metrics about ideal physical activity was the highest (91.37%), while about ideal diet was lowest (0.48%).The age-standardized prevalence of population who with 7 scores of ICH was 0.10% (0.07% in men and 0.11% in women). The age-standardized prevalence of Ideal CVH (ICH scores≥5) was 48.86% (28.26% in men and 60.70% in women). The age-standardized prevalence of 4 of IHB scores and 4 of IHF scores were 0.16% (0.17% in men and 0.16% in women) and 33.26% (10.06% in men and 46.60% in women), respectively. Further, apart from IHB scores, age had an inverse relationship with the ICH scores and IHF scores in total populations and women. Much older, men, low family income, current drinking and abdominal obesity were independently associated with ICH in Chinese rural adults.Conclusions: The percentage of ideal cardiovascular health is extremely low in rural China. There is an increasing need for primordial prevention of unhealthy lifestyles and monitoring high risk factors to promote cardiovascular health in rural China.Clinical Trial Registration The Henan Rural Cohort Study has been registered at Chinese Clinical Trial Register (Registration number: ChiCTR-OOC-15006699). Date of registration: 2015-07-06.http://www.chictr.org.cn/showproj.aspx?proj=11375

show abstract

Ideal cardiovascular health behaviors and factors prevent the development of hypertension in prehypertensive subjects

Abstract: Ideal cardiovascular health behaviors and factors are protective factors to prevent the progression from prehypertension to hypertension.

Cited by 21 publications

References 17 publications

Changes in Cardiovascular Health Status and the Risk of New-Onset Hypertension in Kailuan Cohort Study

Changes in Cardiovascular Health Status and the Risk of New-Onset Hypertension in Kailuan Cohort Study

Leukocyte telomere length and ideal cardiovascular health in American Indians: the Strong Heart Family Study

Gender-specific Prevalence and Influencing Factors of Ideal Cardiovascular Health in Chinese Rural Population: The Henan Rural Cohort Study

Contact Info

Product

Resources

About