Low prevalence of ideal cardiovascular health in Peru

Benziger, Catherine P.; Zavala-Loayza, José A.; Bernabé‐Ortiz, Antonio; Gilman, Robert H.; Checkley, William; Smeeth, Liam; Málaga, Germán

doi:10.1136/heartjnl-2017-312255

Cited by 48 publications

(58 citation statements)

References 30 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Consistent with previous studies, cardiovascular health was significantly associated with lower age groups7 and female gender,7 31 each having higher proportion of ideal cardiovascular metrics in our study. Similarly, we found people with Janajati and Dalit ethnicities had lower ideal cardiovascular health, which also corresponds with a previous study where ethnic minority groups have been reported to have lower cardiovascular health due to adoption of Western diet, heavy drinking habits and sedentary lifestyle 32.…”

Section: Discussionsupporting

confidence: 92%

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

Section: Discussionsupporting

confidence: 92%

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

show abstract

“…The rate of achieving ICH results (5-7 ideal metrics) in the researched Polish population was higher than in the Iranian population [18], in the adult population of Republic of Serbia, as well as the adult population of Bosnia and Herzegovina [10]. However, their results were lower than the results of those from Brazil [19], the Canadian research conducted by Maclagan et al [20], the research of the population of Peru [17], and samples of the American population [21,22]. This study proves that the percentage of people with ICH living in rural areas was significantly lower than in those living in the urban areas (5.0% vs. 6.3%).…”

Section: Discussionmentioning

confidence: 95%

“…The frequency of occurrence of all seven CVH indicators is low all over the world, and varies from 0.2% to 15%, depending on geographical location, age, gender, ethnic background, and education level [9,[14][15][16][17]. The rate of achieving ICH results (5-7 ideal metrics) in the researched Polish population was higher than in the Iranian population [18], in the adult population of Republic of Serbia, as well as the adult population of Bosnia and Herzegovina [10].…”

Section: Discussionmentioning

confidence: 99%

The Status of Cardiovascular Health in Rural and Urban Areas of Janow Lubelski District in Eastern Poland: a Population-Based Study

Nowicki¹,

Ślusarska²,

Piasecka³

et al. 2018

Preprint

View full text Add to dashboard Cite

Perfect cardiovascular health (CVH) has been defined by the American Heart Association as the lack of cardiovascular disease and the presence of seven key factors and health behaviors. In this study, we aimed to estimate the prevalence of ideal and poor CVH among the Polish adult population, taking the chosen socio-demographic factors into consideration. This is a cross-sectional study conducted among 3,901 adults without cardiovascular diseases, aged between 35 and 64 years. Participants completed a questionnaire, and they had anthropometric and physiological measurements taken. Blood samples were analyzed for fasting glucose and cholesterol levels. Ideal CVH was found in 5.4% of the participants, with the advantage of being toward city dwellers over those living in the rural areas (6.3% vs. 5.0%) p = 0.02. In case of the residents of rural areas, their likelihood of having an ideal body mass index (BMI) was found to be 22% lower (odds ratio (OR) = 0.78; 95% CI: 0.66–0.92), their likelihood of having an ideal diet was found to be 27% lower (OR = 0.71; 95% CI: 0.54–0.94), their likelihood of having perfect blood pressure was found to be 29% lower (OR = 0.71; 95% CI: 0.56–0.89), and their likelihood of having the perfect glucose levels were found to be 28% lower (OR = 0.72; 95% CI: 0.63–0.84), than the residents of urban areas. The prevalence of ideal cardiovascular behaviors and factors is lower in the rural community compared with people living in the city. Results indicate that more effort should be dedicated toward the country’s health policy, specifically concerning primary prevention. Preventive actions in the field of cardiovascular disease should be addressed to the residents of rural areas to a larger extent.

show abstract

“…In an article featured in Heart , Benziger et al 5 describe the distribution of CVH in 3058 adults (mean age 55 years (SD 12), 51% women) from four different settings in Peru: the highly urbanised capital city, Lima; urban and rural Puno (high altitude, located on the shore of Lake Titicaca) and Tumbes (coastal semirural). The subjects are participants of the CRONICAS cohort study, which aims to investigate the impact of geographic variation, and thus urbanisation and environmental risk factors, in the progression of non-communicable diseases in Peru.…”

mentioning

confidence: 99%