National Trends in American Heart Association Revised Life's Simple 7 Metrics Associated With Risk of Mortality Among US Adults

Han, Liyuan; You, Dingyun; Ma, Wenjie; Astell-Burt, Thomas; Feng, Xiaoqi; Duan, Shiwei; Qi, Lü

doi:10.1001/jamanetworkopen.2019.13131

Cited by 93 publications

(74 citation statements)

References 25 publications

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“…Lifestyle interventions guided by American Heart Association Life's Simple 7 should be emphasized by providers as a primary prevention strategy, whenever possible, for women with adverse pregnancy outcomes [17]. Ideally, this should include an interdisciplinary approach to address weight management, an important part of CVD risk management.…”

Section: Discussionmentioning

confidence: 99%

Missed opportunities to prevent cardiovascular disease in women with prior preeclampsia

et al. 2020

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Background Cardiovascular disease (CVD) is the leading cause of death in women in every major developed country and in most emerging nations. Complications of pregnancy, including preeclampsia, indicate a subsequent increase in cardiovascular risk. There may be a primary care provider knowledge gap regarding preeclampsia as a risk factor for CVD. The objective of our study is to determine how often internists at an academic institution inquire about a history of preeclampsia, as compared to a history of smoking, hypertension and diabetes, when assessing CVD risk factors at well-woman visits. Additional aims were (1) to educate internal medicine primary care providers on the significance of preeclampsia as a risk factor for CVD disease and (2) to assess the impact of education interventions on obstetric history documentation and screening for CVD in women with prior preeclampsia. Methods A retrospective chart review was performed to identify women ages 18–48 with at least one prior obstetric delivery. We evaluated the frequency of documentation of preeclampsia compared to traditional risk factors for CVD (smoking, diabetes, and chronic hypertension) by reviewing the well-woman visit notes, past medical history, obstetric history, and the problem list in the electronic medical record. For intervention, educational teaching sessions (presentation with Q&A session) and education slide presentations were given to internal medicine physicians at clinic sites. Changes in documentation were evaluated post-intervention. Results When assessment of relevant pregnancy history was obtained, 23.6% of women were asked about a history preeclampsia while 98.9% were asked about diabetes or smoking and 100% were asked about chronic hypertension (p < 0.001). Education interventions did not significantly change rates of screening documentation (p = 0.36). Conclusion Our study adds to the growing body of literature that women with a history of preeclampsia might not be identified as having increased CVD risk in the outpatient primary care setting. Novel educational programming may be required to increase provider documentation of preeclampsia history in screening.

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Section: Discussionmentioning

confidence: 99%

Missed opportunities to prevent cardiovascular disease in women with prior preeclampsia

et al. 2020

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“…[138][139][140][141][142] The American Heart Association recommends that individuals perform ≥150 min/week moderate or ≥75 min/week vigorous or ≥150 min/week moderate + vigorous-intensity exercise for optimal cardiovascular health. 143 The duration of physical activity appears to be more important than the intensity, 144 and 40 minutes of moderate to vigorous-intensity aerobic activity, 3 or 4 times a week, also delivers cardioprotection. 145 Lower degrees of physical activity also generate CVD benefits.…”

Section: Discussionmentioning

confidence: 99%

Exercise and Cardiovascular Disease

Agarwal¹

2021

JPMHH

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Cardiovascular diseases are the leading cause of global mortality. Besides imparting a tremendous amount of human suffering, they also inflict huge direct and indirect financial costs on the worldwide society. With the ready availability of affordable therapeutics, and the lack of newer innovations, non-invasive strategies are being developed to halt their worldwide spread. The major emphasis has been on implementing lifestyle changes. Physical exercise is one such prescription. This manuscript briefly discusses the benefits of exercise in the prevention and management of cardiovascular diseases.

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“…The American Heart Association (AHA) [ 1 ] provides a good framework in promoting regression, delayed onset, and/or prevention of CVD. Referred to as “Life’s Simple 7”, the AHA advises that individuals maintain the following: (1) systolic/diastolic blood pressure ratio of <120/80 mmHg, (2) total cholesterol (TC) <200 mg/dL, (3) fasting glucose <100 mg/dL, (4) no smoking, (5) body mass index (BMI) <25 kg/m 2 , (6) diet score meeting 4–5 target components (to consume ≥4.5 cups/d fruits and vegetables, ≥2 servings/w of fish, ≥3 servings/d of whole grains, ≤36 oz/w of sugar-sweetened beverages, and ≤1500 mg/d of sodium), and (7) live a physically active lifestyle [ 8 ]. Although sufficient physical activity (≥3.5 h/w aerobic or functional exercise) is independently linked to reduced mortality [ 6 ], being physically active in combination with a healthy diet (e.g., Mediterranean Diet Score ≥5) that meets AHA recommendations along with moderate alcohol consumption (≤2 drinks/d for men and ≤1 drink/d for women), and not smoking can reduce risk of composite CVD and risk fatal CVD by 57 to 67% [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

Considerations for Maximizing the Exercise “Drug” to Combat Insulin Resistance: Role of Nutrition, Sleep, and Alcohol

et al. 2021

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Insulin resistance is a key etiological factor in promoting not only type 2 diabetes mellitus but also cardiovascular disease (CVD). Exercise is a first-line therapy for combating chronic disease by improving insulin action through, in part, reducing hepatic glucose production and lipolysis as well as increasing skeletal muscle glucose uptake and vasodilation. Just like a pharmaceutical agent, exercise can be viewed as a “drug” such that identifying an optimal prescription requires a determination of mode, intensity, and timing as well as consideration of how much exercise is done relative to sitting for prolonged periods (e.g., desk job at work). Furthermore, proximal nutrition (nutrient timing, carbohydrate intake, etc.), sleep (or lack thereof), as well as alcohol consumption are likely important considerations for enhancing adaptations to exercise. Thus, identifying the maximal exercise “drug” for reducing insulin resistance will require a multi-health behavior approach to optimize type 2 diabetes and CVD care.

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National Trends in American Heart Association Revised Life's Simple 7 Metrics Associated With Risk of Mortality Among US Adults

Cited by 93 publications

References 25 publications

Missed opportunities to prevent cardiovascular disease in women with prior preeclampsia

Missed opportunities to prevent cardiovascular disease in women with prior preeclampsia

Exercise and Cardiovascular Disease

Considerations for Maximizing the Exercise “Drug” to Combat Insulin Resistance: Role of Nutrition, Sleep, and Alcohol

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