Community prevalence of ideal cardiovascular health, by the American Heart Association definition, and relationship with cardiovascular disease incidence.
Community prevalence of ideal cardiovascular health, by the American Heart Association definition, and relationship with cardiovascular disease incidence.
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DOI：
10.1016/j.jacc.2010.11.041
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发表时间：
2011-04-19
影响因子：
24
通讯作者：
Rosamond, Wayne D.
中科院分区：
文献类型：
--
作者：
Folsom, Aaron R.;Yatsuya, Hiroshi;Nettleton, Jennifer A.;Lutsey, Pamela L.;Cushman, Mary;Rosamond, Wayne D.
评估理想心血管健康状况的患病率及其与心血管疾病（CVD）的关系。美国心脏协会委员会最近制定了一个目标，到2020年将美国人的心血管健康改善20%。该委员会根据七个心血管疾病风险因素或健康行为，为成人和儿童制定了“理想”、“中等”或“差”心血管健康的定义。我们使用来自社区动脉粥样硬化风险（ARIC）研究队列的数据，年龄在45-64岁之间，以估计1987-89年理想心血管健康的患病率和相应的CVD发病率。CVD事件包括卒中、心力衰竭、心肌梗死或致死性冠状动脉疾病。在12,744名最初没有心血管疾病的参与者中，只有0.1%的人心血管健康状况理想，17.4%的人心血管健康状况中等，82.5%的人心血管健康状况较差。截至2007年，CVD发病率与理想、中等和较差类别以及存在的理想健康指标数量呈分级关系：与零理想健康指标（37.1/1000人-年）相比，具有6个理想健康指标（3.9/1000人-年）的发病率高十分之一。在这个以社区为基础的样本中，1987年至1989年，很少有成年人拥有AHA新定义的理想心血管健康。然而，那些心血管健康水平最好的人发生的事件相对较少。显然，为了实现AHA到2020年将心血管健康改善20%的目标，我们需要在人口和个人层面上加倍全国性的初级预防工作。
To estimate the prevalence of ideal cardiovascular health and its relation to incident cardiovascular disease (CVD). An American Heart Association committee recently set a goal to improve the cardiovascular heath of Americans by 20% by 2020. The committee developed definitions of “ideal,” “intermediate,” or “poor” cardiovascular health for adults and children based on seven CVD risk factors or health behaviors. We used data from the Atherosclerosis Risk in Communities (ARIC) Study cohort, aged 45–64 years, to estimate the prevalence of ideal cardiovascular health in 1987–89 and the corresponding incidence rates of CVD. Incident CVD comprised stroke, heart failure, myocardial infarction, or fatal coronary disease. Among 12,744 participants initially free of CVD, only 0.1% had ideal cardiovascular health, 17.4% had intermediate cardiovascular health, and 82.5% had poor cardiovascular health. CVD incidence rates through 2007 showed a graded relation with the ideal, intermediate, and poor categories and with the number of ideal health metrics present: rates were one tenth as high in those with six ideal health metrics (3.9 per 1,000 person-years) compared with zero ideal health metrics (37.1 per 1,000 person-years). In this community-based sample, few adults in 1987–9 had ideal cardiovascular health by the new AHA definition. Those who had the best levels of cardiovascular health nevertheless sustained relatively few events. Clearly, to achieve the AHA goal of improving cardiovascular health by 20% by 2020, we will need to redouble nationwide primordial prevention efforts at the population and individual levels.
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影响因子：
37.8
作者：
Lloyd-Jones, DM;Larson, MG;Levy, D
通讯作者：
Levy, D
影响因子：
8.3
作者：
Rosamond, WD;Folsom, AR;Shahar, E
通讯作者：
Shahar, E
影响因子：
8.3
作者：
Seshadri, S;Beiser, A;Wolf, PA
通讯作者：
Wolf, PA
影响因子：
37.8
作者：
Lloyd-Jones, DM;Leip, EP;Levy, D
通讯作者：
Levy, D
影响因子：
5
作者：
WILLETT, WC;SAMPSON, L;SPEIZER, FE
通讯作者：
SPEIZER, FE