Low prevalence of ideal cardiovascular health in Peru.
Low prevalence of ideal cardiovascular health in Peru.
复制标题
DOI：
10.1136/heartjnl-2017-312255
复制
发表时间：
2018-08
期刊：
影响因子：
--
通讯作者：
CRONICAS Cohort Study group
中科院分区：
文献类型：
--
作者：
Benziger CP;Zavala-Loayza JA;Bernabe-Ortiz A;Gilman RH;Checkley W;Smeeth L;Malaga G;Miranda JJ;CRONICAS Cohort Study group
秘鲁社会人口学特征的理想心血管健康(ICH)的流行率及其相关因素尚不为人所知。美国心脏协会的ICH评分包括3个理想健康因素(血压、未经治疗的总胆固醇和葡萄糖)和4个理想健康行为(吸烟、体重指数、高体力活动以及水果和蔬菜消费)。我有5到7个理想的健康指标。使用了来自慢性病卓越中心的基线数据，这是一项在4个秘鲁环境中对35岁的≥成年人进行的前瞻性队列研究(n=3058)。没有人符合所有7项脑血管意外指标，而322人(10.5%)有≤1 指标。空腹血糖是最常见的健康因素(72%)。总体而言，与35-44岁年龄组相比，55-年龄组的脑出血患病率较低(患病率为0.54，95% 可信区间为0.40-0.74，P<；0.001)。与社会经济地位最低的三分位数的人相比，在调整了性别、年龄和教育因素后，中等和最高三分位数的人患脑出血的可能性较小(P<；0.001)。脑出血患病率较低。这是在资源匮乏的情况下非物质文化遗产因素和行为流行程度的基准。
The prevalence of and factors associated with ideal cardiovascular health (ICH) by sociodemographic characteristics in Peru is not well known. The American Heart Association’s ICH score comprised 3 ideal health factors (blood pressure, untreated total cholesterol and glucose) and 4 ideal health behaviours (smoking, body mass index, high physical activity and fruit and vegetable consumption). ICH was having 5 to 7 of the ideal health metrics. Baseline data from the Center of Excellence in Chronic Diseases, a prospective cohort study in adults aged ≥35 years in 4 Peruvian settings, was used (n=3058). No one met all 7 of ICH metrics while 322 (10.5%) had ≤1 metric. Fasting plasma glucose was the most prevalent health factor (72%). Overall, compared with ages 35–44 years, the 55–64 years age group was associated with a lower prevalence of ICH (prevalence ratio 0.54, 95% CI 0.40 to 0.74, P<0.001). Compared with those in the lowest tertile of socioeconomic status, those in the middle and highest tertiles were less likely to have ICH after adjusting for sex, age and education (P<0.001). There is a low prevalence of ICH. This is a benchmark for the prevalence of ICH factors and behaviours in a resource-poor setting.