Ideal cardiovascular health score at the ELSA-Brasil baseline and its association with sociodemographic characteristics

Machado, Lucas Bastos Marcondes; Silva, Bianca; Garcia, Ana P.; Oliveira, Renata A.M.; Barreto, Sandhi Maria; Fonseca, Maria de Jesus Mendes da; Lotufo, Paulo A

doi:10.1016/j.ijcard.2017.12.037

Cited by 42 publications

(49 citation statements)

References 38 publications

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“…However, when prevalences are compared by age groups, those for participants 65 years or older were similar (Venezuelans:, 14.0%; 95% CI: 11.9 to 16.0; and Peruvians: 12.1%; 95% CI: 10 to 14.6 [4]). The proportion of subjects that met the 7 criteria (0.1%) was similar to those observed in Peru (0%) [4]; Brazil (<0.1%) [5]; and Argentina, Chile, and Uruguay (0.1%) [6]. Comparing our results with reports in other regions: In the Czech Republic, in 2,160 subjects, ages 25 to 64 years, 19.0% had criteria for ideal CVH (5 to 7 points) [15]-nearly one-half of that observed in our report.…”

Section: Discussionsupporting

confidence: 74%

“…The prevalence of ideal CHS in this report was 3-fold of that observed in Peru (12.7%) [4] and 4-fold of that observed in Brazil (7.8%) [5], using the same criteria. A relevant difference was that the Peruvian and Brazilian studies included subjects who were 35 years or older, excluding the youngest participants who had a higher prevalence of ideal CHS; this limits the comparability among studies.…”

Section: Discussionsupporting

confidence: 68%

“…Population cardiovascular health status using the AHA-CHS has been recently evaluated in Latin America. The prevalence of ideal cardiovascular health (CHS ¼ 5 to 7 points) was 12.7% in 3,058 adults ages !35 years, who were randomly selected from 4 Peruvian settings [4], and 7.8% in 13,356 Brazilian adults ages 35 to 74 years [5]. In a sample of 5,458 subjects, ages 35 to 75 years from 4 cities in Argentina, Chile, and Uruguay, only 0.1% met the 7 criteria to define ideal cardiovascular health [6].…”

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confidence: 99%

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Cardiovascular Health in a National Sample of Venezuelan Subjects Assessed According to the AHA Score: The EVESCAM

González-Rivas¹,

Mechanick

Ugel

et al. 2019

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Background: Cardiovascular health status of the Venezuelan population has not been evaluated. The American Heart Association recommends the Cardiovascular Health Score (CHS) to assess cardiovascular health. Objectives: This study sought to determine the prevalence of CHS categories in a nationally representative sample of Venezuelan adults. Methods: EVESCAM (Venezuelan Study of Cardio-Metabolic Health) was a national population-based, crosssectional, randomized cluster sampling study performed from July 1, 2014 to January 31, 2017, which assessed 3,454 adults, age !20 years, with a response rate of 77.3%. The American Heart Association's CHS evaluates 4 behaviors (smoking, body mass index, physical activity, and diet) and 3 risk factors (total cholesterol, blood pressure, and blood glucose), assigning 1 point to those meting an ideal behavior or factor or 0 points if are not. Subjects were categorized as having ideal (5 to 7 points), intermediate (3 to 4), or poor (<3) cardiovascular health. Weighted prevalence by age, sex, and regions are presented.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionsupporting

confidence: 68%

mentioning

confidence: 99%

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Cardiovascular Health in a National Sample of Venezuelan Subjects Assessed According to the AHA Score: The EVESCAM

González-Rivas¹,

Mechanick

Ugel

et al. 2019

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“…Each ICH metric was categorized as ideal according to the following criteria: (i) systolic blood pressure < 120 mmHg and diastolic blood pressure < 80 mmHg in the absence of antihypertensive medication; (ii) fasting plasma glucose < 100 mg/dL in the absence of hypoglycemic medication; (iii) total cholesterol < 200 mg/dL in the absence of lipid‐lowering medication; (iv) no smoking history or quit smoking> 2 years; (v) body mass index < 25 kg/m 2 ; (vi) ideal physical activity defined as ≥ 75 min/week of vigorous physical activity, or ≥ 150 min/week of moderate physical activity, or a combination of both; and (vii) a healthy diet score: 4 to 5 adequate components according to the AHA recommendation criteria . We made some adaptations for smoking and the healthy diet score.…”

Section: Methodsmentioning

confidence: 99%

Association between ideal cardiovascular health and depression incidence: a longitudinal analysis of ELSA‐Brasil

Brunoni

Szlejf

Suemoto

et al. 2019

Acta Psychiatr Scand

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IM. Association between ideal cardiovascular health and depression incidence: a longitudinal analysis of ELSA-Brasil.Objective: We investigated whether ideal cardiovascular health (ICH), a metric proposed by the American Heart Association, predicts depression development. Methods: Cohort analysis from the Brazilian Longitudinal Study of Adult Health (ELSA-Brasil). Adults with no current depression and other common mental disorders, cardiovascular diseases, and antidepressant drug use at baseline had their ICH (composite score of smoking, dietary habits, body mass index, blood pressure, fasting glucose, cholesterol, and physical activity) assessed and classified into poor, intermediate, and optimal. Depression was assessed using the Clinical Interview Schedule-Revised (CIS-R). Poisson regression models, adjusted for sociodemographic factors and alcohol consumption, were employed. Stratified analyses were performed for age and sex. Results: We included 9214 participants (mean age 52 AE 9 years, 48.6% women). Overall depression incidence at 3.8-year follow-up was 1.5%. Intermediate and poor ICH significantly increased the risk rate (RR) of developing depression (2.48 [95%CI 1.06-5.78] and 3 [1.28-7.03], respectively) at a 3.8-year follow-up. Higher ICH scores decreased the rate of depression development (RR = 0.84 [0.73-0.96] per metric). Stratified analyses were significant for women and adults < 55 years old. Conclusions: Poor cardiovascular health tripled depression risk at follow-up in otherwise healthy adults. Ameliorating cardiovascular health might decrease depression risk development. Significant outcomes• Poor cardiovascular health predicts depression incidence in subjects free of mental and cardiovascular disorders.• These effects are more pronounced in women and in subjects younger than 55 years old. • Decreasing cardiovascular risk can impact in both clinical and mental outcomes. Limitations• The follow-up period was relatively small (3.8 years).• Other common mental disorders were not examined. 552

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“…Body mass index (BMI) was defined as weight (kilograms) divided by squared height (meters). Physical activity levels were obtained using the leisure and commuting domains of the International Physical Activity Questionnaire-IPAQ [30]-and defined as ideal (≥75 min/week of vigorous physical activity, or ≥150 min/week of moderate physical activity or ≥150 min/week of moderate + vigorous physical activity); intermediate (1-149 min/week of moderate + vigorous activity); or poor (no moderate + vigorous physical activity); as adopted in other analyses [31].…”

Section: Study Populationmentioning

confidence: 99%

Green Spaces, Land Cover, Street Trees and Hypertension in the Megacity of São Paulo

Moreira

Polizel

Santos

et al. 2020

IJERPH

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Proximity to green spaces has been shown to be beneficial to several cardiovascular outcomes in urban spaces. Few studies, however, have analyzed the relationship between these outcomes and green space or land cover uses in low–medium income megacities, where the consequences of rapid and inordinate urbanization impose several health hazards. This study used a subgroup of the dataset from The Brazilian Longitudinal Study of Adult Health ELSA-BRASIL (n = 3418) to identify the correlation between the medical diagnosis of hypertension and green spaces in the megacity of São Paulo. Land cover classification was performed based on the random forest algorithm using geometrically corrected aerial photography (orthophoto). Three different indicators of exposure to green spaces were used: number of street trees, land cover and number of parks within 1 km. We used logistic regression models to obtain the association of the metrics exposure and health outcomes. The number of street trees in the regional governments (OR = 0.937 and number of parks within 1 km (OR = 0.876) were inversely associated with a diagnosis of hypertension. Sixty-three percent of the population had no parks within 1 km of their residence. Our data indicate the need to encourage large-scale street tree planting and increase the number of qualified parks in megacities.

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Ideal cardiovascular health score at the ELSA-Brasil baseline and its association with sociodemographic characteristics

Cited by 42 publications

References 38 publications

Cardiovascular Health in a National Sample of Venezuelan Subjects Assessed According to the AHA Score: The EVESCAM

Cardiovascular Health in a National Sample of Venezuelan Subjects Assessed According to the AHA Score: The EVESCAM

Association between ideal cardiovascular health and depression incidence: a longitudinal analysis of ELSA‐Brasil

Green Spaces, Land Cover, Street Trees and Hypertension in the Megacity of São Paulo

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