Favorable Cardiovascular Risk Profile in Middle Age and Health-Related Quality of Life in Older Age

Daviglus, Martha L.; Liu, Kiang; Pirzada, Amber; Yan, Lijing L.; Garside, Daniel B.; Feinglass, Joseph; Guralnik, Jack M.; Greenland, Philip; Stamler, Jeremiah

doi:10.1001/archinte.163.20.2460

Cited by 115 publications

(94 citation statements)

References 44 publications

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“…The United States is advantaged in that CVD risk factor improvements and heart and stroke mortality declines continued despite increases in BMI (37, 38). Daviglus et al (16) showed that improved CVD risk factor profiles in middle age were related to improved quality of life in elderly persons. Other recent analyses found that the obesity-related metabolic syndrome was not strongly predictive of CVD risks and renal dysfunction, suggesting that current BMI may not be the best predictor of health effects but instead perhaps whether BMI was raised earlier in life and stayed raised for a long (several decades) period of time (4).…”

Section: Cvd and Diabetesmentioning

confidence: 99%

Recent Declines in Chronic Disability in the Elderly U.S. Population: Risk Factors and Future Dynamics

Mantón

2008

Annu. Rev. Public Health

168

103

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As U.S. life expectancy has increased, questions arise as to how the quality of health and functioning in the elderly population has changed. Data from the 1982-2004 National Long-Term Care Survey (NLTCS) suggested that chronic disability prevalence above age 65 declined at an increasing rate with a 2.2% per annum rate of decline from 1999 to 2004 (71). Inflation-adjusted per capita Medicare expenditure rates in nondisabled persons also declined, 0.9% per annum from 1982 to 2004, which suggests that declines in disability were driven by improving health-not by increases in per capita health expenditures. Declines in disability prevalence were found in other U.S. national health surveys. Analyses of U.S. Civil War veterans suggest recent disability declines were continuations of declines in both chronic disease and disability occurring over the past century due to improved nutrition, sanitation, and education. Concerns exist about whether disability declines will continue because of recent increases in obesity prevalence.

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Section: Cvd and Diabetesmentioning

confidence: 99%

Recent Declines in Chronic Disability in the Elderly U.S. Population: Risk Factors and Future Dynamics

Mantón

2008

Annu. Rev. Public Health

168

103

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“…After 26 years of follow-up, quality of life was substantially and progressively lower among participants of the Chicago Heart Association Detection Project in Industry Study with a greater number of CVD risk factors at baseline. 19 A recent study by Liu et al 16 presented a comparison of coronary heart disease event rates and risk factor prevalence in the Chinese Multiprovincial Cohort Study (CMCS) and the Framingham Heart Study. Ten-year coronary heart disease event rates for men and women enrolled in the CMCS were 1.5% and 0.6%, respectively.…”

Section: Circulation August 2 2005mentioning

confidence: 99%

Prevalence of Cardiovascular Disease Risk Factor Clustering Among the Adult Population of China

et al. 2005

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“…1 Large-scale prospective cohort studies of non-Hispanic/ Latino young adult and middle-aged men and women with decades of follow-up have demonstrated multiple beneficial outcomes associated with favorable levels of all major CVD risk factors (ie, low risk [LR]). [2][3][4][5][6][7] LR status in young adulthood or middle age is associated with markedly lower age-specific CVD and total mortality rates, higher life expectancies, lower health care costs, and better quality of life at older ages. [2][3][4][5][6][7] The importance of population-wide LR status to overcome the CVD epidemic is now widely accepted, with LR status forming the basis of the ideal cardiovascular health construct described in the American Heart Association (AHA) 2020 Impact Goal.…”

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confidence: 99%

Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation: The Hispanic Community Health Study/Study of Latinos

Daviglus

Pirzada

Durazo‐Arvizu

et al. 2016

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Background Favorable levels of all readily measurable major cardiovascular disease risk factors (ie, low risk [ LR ]) are associated with lower risks of cardiovascular disease morbidity and mortality. Data are not available on LR prevalence among Hispanic/Latino adults of diverse ethnic backgrounds. This study aimed to describe the prevalence of a low cardiovascular disease risk profile among Hispanic/Latino adults in the United States and to examine cross‐sectional associations of LR with measures of acculturation. Methods and Results The multicenter, prospective, population‐based Hispanic Community Health Study/Study of Latinos examined 16 415 men and women aged 18 to 74 years at baseline (2008–2011) with diverse Hispanic/Latino backgrounds. Analyses involved 14 757 adults (mean age 41.3 years; 60.6% women). LR was defined using national guidelines for favorable levels of serum cholesterol, blood pressure, and body mass index and by not having diabetes mellitus and not currently smoking. Age‐adjusted LR prevalence was low (8.4% overall; 5.1% for men, 11.2% for women) and varied by background (4.2% in men of Mexican heritage versus 15.0% in women of Cuban heritage). Lower acculturation (assessed using proxy measures) was significantly associated with higher odds of a LR profile among women only: Age‐adjusted odds ratios of having LR were 1.64 (95% CI 1.24–2.17) for foreign‐born versus US ‐born women and 1.96 (95% CI 1.49–2.58) for women residing in the United States <10 versus ≥10 years. Conclusions Among diverse US Hispanic/Latino adults, the prevalence of a LR profile is low. Lower acculturation is associated with higher odds of a LR profile among women but not men. Comprehensive public health strategies are needed to improve the cardiovascular health of US Hispanic/Latino adults.

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Favorable Cardiovascular Risk Profile in Middle Age and Health-Related Quality of Life in Older Age

Abstract: Favorable cardiovascular risk profile in middle age is associated with better quality of life and lower risk of diseases in older age. Moreover, the fewer the risk factors, the higher the quality of life.

Cited by 115 publications

References 44 publications

Recent Declines in Chronic Disability in the Elderly U.S. Population: Risk Factors and Future Dynamics

Recent Declines in Chronic Disability in the Elderly U.S. Population: Risk Factors and Future Dynamics

Prevalence of Cardiovascular Disease Risk Factor Clustering Among the Adult Population of China

Prevalence of Low Cardiovascular Risk Profile Among Diverse Hispanic/Latino Adults in the United States by Age, Sex, and Level of Acculturation: The Hispanic Community Health Study/Study of Latinos

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