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Community prevalence of ideal cardiovascular health, by the American Heart Association definition, and relationship with cardiovascular disease incidence.

TitleCommunity prevalence of ideal cardiovascular health, by the American Heart Association definition, and relationship with cardiovascular disease incidence.
Publication TypeJournal Article
Year of Publication2011
AuthorsFolsom AR, Yatsuya H, Nettleton JA, Lutsey PL, Cushman M, Rosamond WD
Corporate AuthorsARIC Study Investigators
JournalJ Am Coll Cardiol
Volume57
Issue16
Pagination1690-6
Date Published2011 Apr 19
ISSN1558-3597
KeywordsAmerican Heart Association, Cardiovascular Diseases, Cohort Studies, Female, Follow-Up Studies, Health Status, Humans, Incidence, Male, Middle Aged, Prevalence, Prospective Studies, Residence Characteristics, Risk Factors, United States
Abstract

OBJECTIVES: The purpose of this study is to estimate the prevalence of ideal cardiovascular health and its relationship with incident cardiovascular disease (CVD).

BACKGROUND: An American Heart Association committee recently set a goal to improve the cardiovascular health of Americans by 20% by 2020. The committee developed definitions of "ideal," "intermediate," and "poor" cardiovascular health for adults and children based on 7 CVD risk factors or health behaviors.

METHODS: We used data from the Atherosclerosis Risk in Communities Study cohort, age 45 to 64 years, to estimate the prevalence of ideal cardiovascular health in 1987 to 1989 and the corresponding incidence rates of CVD. Incident CVD comprised stroke, heart failure, myocardial infarction, and fatal coronary disease.

RESULTS: Among 12,744 participants initially free of CVD, only 0.1% had ideal cardiovascular health, 17.4% had intermediate cardiovascular health, and 82.5% had poor cardiovascular health. CVD incidence rates through 2007 showed a graded relationship with the ideal, intermediate, and poor categories and with the number of ideal health metrics present: rates were one-tenth as high in those with 6 ideal health metrics (3.9 per 1,000 person-years) compared with zero ideal health metrics (37.1 per 1,000 person-years).

CONCLUSIONS: In this community-based sample, few adults in 1987 to 1989 had ideal cardiovascular health by the new American Heart Association definition. Those who had the best levels of cardiovascular health nevertheless experienced relatively few events. Clearly, to achieve the American Heart Association goal of improving cardiovascular health by 20% by 2020, we will need to redouble nationwide primordial prevention efforts at the population and individual levels.

DOI10.1016/j.jacc.2010.11.041
Alternate JournalJ Am Coll Cardiol
PubMed ID21492767
PubMed Central IDPMC3093047
Grant ListN01HC55020 / HL / NHLBI NIH HHS / United States
N01HC55018 / HL / NHLBI NIH HHS / United States
N01-HC-55022 / HC / NHLBI NIH HHS / United States
N01-HC-55016 / HC / NHLBI NIH HHS / United States
N01HC55022 / HL / NHLBI NIH HHS / United States
N01-HC-55021 / HC / NHLBI NIH HHS / United States
N01HC55015 / HL / NHLBI NIH HHS / United States
N01 HC055019 / HC / NHLBI NIH HHS / United States
N01-HC-55019 / HC / NHLBI NIH HHS / United States
N01-HC-55015 / HC / NHLBI NIH HHS / United States
N01-HC-55020 / HC / NHLBI NIH HHS / United States
N01HC55016 / HL / NHLBI NIH HHS / United States
N01HC55019 / HL / NHLBI NIH HHS / United States
N01-HC-55018 / HC / NHLBI NIH HHS / United States
N01HC55021 / HL / NHLBI NIH HHS / United States