Low Prevalence of AHA-Defined Ideal Cardiovascular Health Factors: A Study of Urban Indian Men and Women

Gupta, Balkishan; Gupta, Rajeev; Sharma, Krishna Kumar; Gupta, Arvind; Mahanta, Tulika Goswami; Deedwania, Prakash

doi:10.1016/j.gheart.2014.09.004

Cited by 20 publications

(22 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, among the 7 national cohorts included in this study (Figure 4), the Bosnia/Herzegovina cohort had the lowest ideal CVH (6-7 metrics) (2%), closely followed by the US cohort (3%). 25,33,[46][47][48]52,53 As observed in US studies, the poorest metric in other national surveys was diet, except for Luxembourgian and Korean surveys, which did not use the AHA 2020 estimation for ideal healthy diet. 25,48 Across all the national surveys, the United States had the lowest prevalence of ideal diet, cholesterol level, and BMI and the highest prevalence of only ideal smoking (ie, nonsmokers for at least 1 year).…”

Section: Discussionmentioning

confidence: 93%

“…It appears that the low frequency of ideal CVH is particularly dire in developing countries. Four studies 46,50,52,54 included in this review were 1 9 9 3 X a n t h a k is , conducted in cohorts residing in developing nations (India, Iran, Bosnia/Herzegovina, and Ecuador). Only 4% and 2% of participants in studies conducted, respectively, in Ecuador and Bosnia/Herzegovina achieved 6 or more of ideal CVH metrics, whereas in the Iranian study, this figure was less than 1%.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

A Systematic Review of the Prevalence and Outcomes of Ideal Cardiovascular Health in US and Non-US Populations

Younus

Aneni

Spatz

et al. 2016

Mayo Clinic Proceedings

219

153

View full text Add to dashboard Cite

Several population-based studies have examined the prevalence and trends of the American Heart Association's ideal cardiovascular health (CVH) metrics as well as its association with cardiovascular disease (CVD)-related morbidity and mortality and with non-CVD outcomes. However, no efforts have been made to aggregate these studies. Accordingly, we conducted a systematic review to synthesize available data on the distribution and outcomes associated with ideal CVH metrics in both US and non-US populations. We conducted a systematic search of relevant studies in the MEDLINE and CINAHL databases, as well as the Cochrane Register of Controlled Trials (CENTRAL). Search terms used included "life's simple 7", "AHA 2020" and "ideal cardiovascular health". We included articles published in English Language from January 1, 2010, to July 31, 2015. Of the 14 US cohorts, the prevalence of 6 to 7 ideal CVH metrics ranged from as low as 0.5% in a population of African Americans to 12% in workers in a South Florida health care organization. Outside the United States, the lowest prevalence was found in an Iranian study (0.3%) and the highest was found in a large Chinese corporation (15%). All 6 mortality studies reported a graded inverse association between the increasing number of ideal CVH metrics and the all-cause and CVD-related mortality risk. A similar relationship between ideal CVH metrics and incident cardiovascular events was found in 12 of 13 studies. Finally, an increasing number of ideal CVH metrics was associated with a lower prevalence and incidence of non-CVD outcomes such as cancer, depression, and cognitive impairment. The distribution of ideal CVH metrics in US and non-US populations is similar, with low proportions of persons achieving 6 or more ideal CVH metrics. Considering the strong association of CVH metrics with both CVD and non-CVD outcomes, a coordinated global effort for improving CVH should be considered a priority.

show abstract

Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 99%

A Systematic Review of the Prevalence and Outcomes of Ideal Cardiovascular Health in US and Non-US Populations

Younus

Aneni

Spatz

et al. 2016

Mayo Clinic Proceedings

219

153

View full text Add to dashboard Cite

show abstract

“…The prevalence measures inadequately capture the population who have rapidly deteriorating cardiovascular health and have not yet developed the CVDs. Therefore, indices such as ideal cardiometabolic metrics have come out recently that include other determinants such as diets and lifestyle factors,8 and capture the population with less than an ideal cardiovascular health and urge an immediate intervention at the population level using counselling, lifestyle advice and pharmacotherapy. The present study shows a low prevalence of ideal cardiovascular health factors among the semiurban subjects, and that prevalence of meeting all seven cardiovascular health metrics was extremely low.…”

Section: Discussionmentioning

confidence: 99%

Low levels of ideal cardiovascular health in a semi-urban population of Western Nepal: a population-based, cross-sectional study

et al. 2019

View full text Add to dashboard Cite

BackgroundThe aim of this study was to assess the status of cardiovascular health among a semi-urban population of Nepal, and determine factors associated with ideal cardiovascular health.MethodsA population-based, cross-sectional study using a systematic random sample was conducted among 2310 adults aged ≥ 25 years in a semi-urban area of the Pokhara Metropolitan City previously named Lekthnath in Nepal. The ideal, intermediate and poor cardiovascular health were defined as the presence of 6–7, 4–5 or 1–3 health metrics, among a list of 7 health behaviours and healthfactors, namely smoking, body mass index, physical activity, fruits and vegetables intakes, harmful alcohol consumption, blood pressure, and fasting blood glucose. We used univariate and multivariate Poisson regression models adjusting for sex, age groups, ethnicity, educational level and socioeconomic status, and calculated the prevalence ratios with 95% CIs.ResultsOnly 14.3 % of the participants had ideal cardiovascular health, whereas 67.0% and 18.7% of the participants had intermediate and poor cardiovascular health, respectively. Age groups 45–54 years (prevalence ratio 0.88, 95% CI: 0.83 to 0.94, p<0.001) and 55–64 years (prevalence ratio 0.84, 95% CI: 0.79 to 0.90, p<0.001) were significantly associated with low prevalence of ideal cardiovascular health compared with the age group 35–44 years. Ethnic groups, including Janajati (prevalence ratio 0.89, 95% CI: 0.85 to 0.93, p<0.001) and Dalit (prevalence ratio 0.9, 95% CI: 0.84 to 0.95, p=0.001), were significantly associated with low prevalence of ideal cardiovascular health.ConclusionsPrevalence of ideal cardiovascular health is low in the semi-urban population in Nepal. Concerted efforts are needed to develop a population-based intervention to improve cardiovascular health in Nepal.

show abstract

“…The prevalence of MetS is soaring high among the Indian population due to change in lifestyle and social habits 19 . Cardiovascular risk factors of MetS are well researched.…”

Section: Introduction: Metabolic Syndrome (Mets)mentioning

confidence: 99%

Untitled

2019

IJPSR

View full text Add to dashboard Cite

Background: The association between metabolic syndrome and cognitive impairment is not well established. The aim of the present study was to estimate the prevalence of cognitive impairment in adults with metabolic syndrome (MetS). Methods: Cross-sectional observational study conducted in patients with metabolic syndrome (n=185). All patients were subjected to written informed consent, anthropometric measurements, neuropsychological assessments using Mini-Mental State Examination (MMSE). MetS was diagnosed using the definition by the National Cholesterol Education Program-Third Adult Treatment Plan. The main outcome measure was cognitive impairment (<24 on the MMSE scale). Mean, standard deviation and students ttest were used to carry out the analyses. Results: The prevalence of cognitive impairment in MetS patients was 24%. Patients age ranged between 20-75 years and 45% (n= 83) of them were female. MMSE scores were lower in female patients compared to male, however, the difference was not significant (p=0.06). College graduates had significantly higher MMSE scores than patients with just a high school education (p<0.05). Patients with high levels of triglycerides had significantly lower MMSE scores compared to those with borderline high triglycerides (p=0.02). Conclusion: MetS is associated with cognitive impairment, and further longitudinal studies are required to understand the risk of cognitive impairment especially in the elderly population. QUICK RESPONSE CODE

show abstract

Low Prevalence of AHA-Defined Ideal Cardiovascular Health Factors: A Study of Urban Indian Men and Women

Abstract: Good cardiovascular health factors-physical activity, healthy diet, and desirable body mass index, blood pressure, and glucose levels-are low in urban Asian Indians.

Cited by 20 publications

References 24 publications

A Systematic Review of the Prevalence and Outcomes of Ideal Cardiovascular Health in US and Non-US Populations

A Systematic Review of the Prevalence and Outcomes of Ideal Cardiovascular Health in US and Non-US Populations

Low levels of ideal cardiovascular health in a semi-urban population of Western Nepal: a population-based, cross-sectional study

Untitled

Contact Info

Product

Resources

About