Changes in Cardiovascular Health in the United States, 2003-2011.
Changes in Cardiovascular Health in the United States, 2003-2011.
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DOI：
10.1161/jaha.114.001650
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发表时间：
2015-09-22
影响因子：
5.4
通讯作者：
Frisbee SJ
中科院分区：
文献类型：
--
作者：
Pilkerton CS;Singh SS;Bias TK;Frisbee SJ
心血管疾病是美国的主要死亡原因，因此改善心血管健康是一项关键的人口健康目标。作为实现这一目标的努力的一部分，美国心脏协会开发了第一个综合心血管健康指数（CVHI）。我们的目的是调查2003年至2011年美国各州CVHI的变化。使用2003年至2011年（奇数年）的行为风险因素监测系统数据检查CVHI。总CVHI从2003年的3.73±0.01降至2009年的3.65±0.01。2003年至2009年，大多数州（88%）的CVHI下降，而“差”CVHI的患病率上升。在CVHI组分中，观察到血糖的“理想”发生率最高，其次是吸烟，而观察到体力活动和饮食的“理想”发生率最低。在2003年至2009年期间，“理想”吸烟和饮食状况的流行率增加，而“理想”血压，胆固醇，血糖，体重指数和身体活动状况的流行率下降。我们观察到2009年和2011年之间的统计学显著差异，超出了2003-2009年趋势的范围，我们假设这部分归因于与行为风险因素监测系统方法学变化相关的样本人口统计学特征的差异。总体而言，CVHI下降，最有可能是由于“理想”血压、体重指数和胆固醇状态下降，而这可能源于“理想”体力活动和饮食状态的低流行率。这些发现可用于为改善心血管健康的州特定战略和目标提供信息。
Cardiovascular disease is the leading cause of death in the United States, making improving cardiovascular health a key population health goal. As part of efforts to achieve this, the American Heart Association has developed the first comprehensive cardiovascular health index (CVHI). Our objective was to investigate the changes in CVHI in US states from 2003 to 2011. CVHI was examined using Behavioral Risk Factor Surveillance System data between 2003 and 2011 (odd-numbered years). Total CVHI decreased from 3.73±0.01 in 2003 to 3.65±0.01 in 2009. The majority of states (88%) experienced a decline in CVHI and an increase in the prevalence of “poor” CVHI between 2003 and 2009. Among CVHI components, the highest prevalence of “ideal” was observed for blood glucose followed by smoking, whereas the lowest prevalence of “ideal” was observed for physical activity and diet. Between 2003 and 2009, prevalence of “ideal” smoking and diet status increased, while “ideal” prevalence of blood pressure, cholesterol, blood glucose, body mass index, and physical activity status decreased. We observed statistically significant differences between 2009 and 2011, outside the scope of the 2003–2009 trend, which we hypothesize are partially attributable to differences in sample demographic characteristics related to changes in Behavioral Risk Factor Surveillance System methodology. Overall, CVHI decreased, most likely due to decreases in “ideal” blood pressure, body mass index, and cholesterol status, which may stem from low prevalence of “ideal” physical activity and diet status. These findings can be used to inform state-specific strategies and targets to improve cardiovascular health.