Status of cardiovascular health in US adults: prevalence estimates from the National Health and Nutrition Examination Surveys (NHANES) 2003-2008.
Status of cardiovascular health in US adults: prevalence estimates from the National Health and Nutrition Examination Surveys (NHANES) 2003-2008.
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DOI：
10.1161/circulationaha.111.035733
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发表时间：
2012-01-03
期刊：
影响因子：
37.8
通讯作者：
Lloyd-Jones DM
中科院分区：
文献类型：
--
作者：
Shay CM;Ning H;Allen NB;Carnethon MR;Chiuve SE;Greenlund KJ;Daviglus ML;Lloyd-Jones DM
美国心脏协会2020年战略影响目标定义了一个新概念“心血管（CV）健康”；然而，目前根据年龄、性别和种族/民族对美国成年人心血管健康状况的患病率估计尚未公布。我们纳入了 2003-2008 年国家健康和营养检查调查中的 14,515 名成年人（≥20 岁）。参与者按青年（20-39 岁）、中年（40-64 岁）和老年（65 岁以上）进行分层。 CV健康行为（饮食、体力活动、体重指数、吸烟）和CV健康因素（血压、总胆固醇、空腹血糖、吸烟）被定义为差、中等或理想。不到 1% 的成年人在所有 7 个指标上都表现出理想的 CV 健康状况。对于心血管健康行为，各组中不吸烟最普遍（范围：60.2-90.4%），而理想健康饮食得分最不普遍（范围：0.2-2.6%）。与中老年人相比，年轻人的理想体重指数（范围：36.5-45.3%）和理想体力活动水平（范围：50.2-58.8%）的患病率较高。与青壮年相比，老年人的理想总胆固醇（范围：23.7-36.2%）、血压（范围：11.9-16.3%）和空腹血糖（范围：31.2-42.9%）较低。不良心血管健康因素的患病率青年最低，中老年人较高。按年龄和性别划分的患病率估计值在不同种族/族裔群体中是一致的。这些对 CV 健康患病率的估计代表了一个起点，可以在此基础上监测和比较美国成年人群中促进 CV 健康和预防 CV 疾病的努力的有效性。
The American Heart Association's 2020 Strategic Impact Goals define a new concept, “cardiovascular (CV) health”; however, current prevalence estimates of the status of CV health in U.S. adults according to age, sex and race/ethnicity have not been published. We included 14,515 adults (≥20 years) from the 2003-2008 National Health and Nutrition Examination Surveys. Participants were stratified by young (20-39 years), middle (40-64 years), and older ages (65+ years). CV health behaviors (diet, physical activity, body mass index, smoking) and CV health factors (blood pressure, total cholesterol, fasting blood glucose, smoking) were defined as poor, intermediate, or ideal. Less than 1% of adults exhibited ideal CV health for all 7 metrics. For CV health behaviors, non-smoking was most prevalent (range:60.2-90.4%) while ideal Healthy Diet Score was least prevalent (range:0.2-2.6%) across groups. Prevalence of ideal BMI (range:36.5-45.3%) and ideal physical activity levels (range:50.2-58.8%) were higher in young adults compared to middle or older ages. Ideal total cholesterol (range:23.7-36.2%), blood pressure (range:11.9-16.3%) and fasting blood glucose (range:31.2-42.9%) were lower in older adults compared with young and middle age adults.Prevalence of poor CV health factors was lowest in young age but higher at middle and older ages. Prevalence estimates by age and sex were consistent across race/ethnic groups. These prevalence estimates of CV health represent a starting point from which effectiveness of efforts to promote CV health and prevent CV disease can be monitored and compared in U.S. adult populations.