Environmental and behavioural determinants of cardiovascular health

Żórawik, Aleksandra; Hajdusianek, Wojciech; Gać, Paweł; Poręba, Rafał

doi:10.5114/jhi.2022.116483

Cited by 1 publication

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“…Therefore, cardiovascular health is very important to public health. We can define cardiovascular health not only as a lack of disease but also as an estimation of the probability of the occurrence of CVDs in the future, which we can assess by evaluating particular risk factors [4][5][6][7][8][9][10]. In our research, to study cardiovascular health, we decided to use the Life's Simple 7 scale, which was designed by the American Heart Association [11][12][13].…”

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confidence: 99%

Stiffness and Elasticity of Aorta Assessed Using Computed Tomography Angiography as a Marker of Cardiovascular Health—A Cross-Sectional Study

Hajdusianek,

Żórawik,

Macek

et al. 2024

JCM

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Cardiovascular (CV) health can be measured using the American Health Association’s Life’s Simple 7 scale (ALS7). Aortic stiffness (AoS) and elasticity (AoE) can be assessed using various methods, e.g., computed tomography (CT). To measure AoE, we use aortic strain and distensibility (AoD). The aim of this study was to examine the relationship between ALS7, AoS, and AoE. The study group (SG) was composed of 96 patients (mean age 70.41 ± 8.32 years) with a BMI of 25.58 ± 3.12 kg/m2; 28.1% were smokers, 54.2% had hypertension, 11.4% had diabetes, and 67.7% had hypercholesterolemia. The SG was further divided into three subgroups (optimal (ALS7-H), intermediate (ALS7-I), and inadequate (ALS7-L)) based on the ALS7. The AoS and AoE were assessed in each of them. We found that the ALS7-I and ALS7-H had significantly lower AoS values compared to the ALS7-L (AoS: 3.50 ± 0.53 and 4.10 ± 0.70 vs. 4.57 ± 1.03, respectively). The opposite relationship was observed for AoE measured with AoD in the ALS7-H vs. ALS7-L (AoD: 0.23 ± 0.14 vs. 0.11 ± 0.09 cm2/dyn). AoS correlated (r = 0.61) with systolic blood pressure (BP). In our regression model, higher scores on the ALS7 in BP, smoking, and BMI were independent protective factors against greater AoS. Higher ALS7 scores in BP, smoking, BMI, and physical activity were protective factors against lesser aortic strain. Higher scores in ALS7 for BP and smoking were protective factors against lesser AoD. We conclude that better cardiovascular health expressed via higher scores obtained on the ALS7 is associated with lower AoS and higher AoE on CT.

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