Ideal cardiovascular health is associatedwith self-rated health status. The Polish Norwegian Study (PONS)

Ideal cardiovascular health is associatedwith self-rated health status. The Polish Norwegian Study (PONS)
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DOI:
10.1016/j.ijcard.2016.12.060
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发表时间:
2017-03-01
影响因子:
3.5
通讯作者:
Zatonski, Witold A.
Zatonski, Witold A.
中科院分区:
医学2区
文献类型:
--
作者:
Manczuk, Marta;Vaidean, Georgeta;Zatonski, Witold A.

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Background: The concept of ideal cardiovascular health emphasizes a more integrative definition of health to include protective biological factors and behaviors but it has not been investigated in relation to individuals' perspectives on their own health.Methods: We used cross-sectional data of 10,687 participants, age 45-64 years, free of cardiovascular diseases. Ideal cardiovascular health was defined according to the American Heart Association criteria (7 metrics assessed at 3 levels: ideal, intermediate, and poor). A single-item of self-rated health (SRH) was recorded on a scale from 1 to 10. We adjusted for age, sex, education, place of residence, alcohol intake, chronic diseases and depression score in general linear and Poisson regression models.Results: The study participants met an average of two ideal cardiovascular factors and rated their health around a mean (SD) of 6.8 (1.4). The mean number of ideal metrics met and the total cardiovascular health score displayed a graded association with increasing SRH ratings. Examining prevalence ratios, compared to participants with a lower SRH, those with a SRH >= 7 were more likely to be physically active (PR 1.79, 95% CI 1.30-2.45), more likely to have an optimal BMI (PR 1.24, 95% CI 1.16-1.33) and more likely to have their blood pressure controlled (PR 1.24, 95% CI 1.12-1.38).Conclusions: The prevalence of ideal cardiovascular behaviors and factors is low in the community. The association between ideal cardiovascular health and self-rated health suggests potential opportunity to motivate and deliver health promotion interventions. (C) 2016 Elsevier Ireland Ltd. All rights reserved.